Care

Should Youth Come First in Coronavirus Care?

In March, the Office of Civil Rights reaffirmed that the Affordable Care Act and other federal statutes prohibit discrimination, in health facilities receiving federal funds, on the basis of age, disability and other characteristics.

Nevertheless, the coalition has argued that guidelines in Oregon, Arizona and northern Texas remain discriminatory. For example, Arizona, which activated its crisis guidelines in June, includes long-term mortality as a consideration, along with the ability to experience “life stages.” While those cases are pending, other civil rights complaints have brought changes in Tennessee, Pennsylvania and Alabama.

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Your Coronavirus Antibodies Are Disappearing. Should You Care?

Your blood carries the memory of every pathogen you’ve ever encountered. If you’ve been infected with the coronavirus, your body most likely remembers that, too.

Antibodies are the legacy of that encounter. Why, then, have so many people stricken by the virus discovered that they don’t seem to have antibodies?

Blame the tests.

Most commercial antibody tests offer crude yes-no answers. The tests are notorious for delivering false positives — results indicating that someone has antibodies when he or she does not.

But the volume of coronavirus antibodies drops sharply once the acute illness ends. Now it is increasingly clear that these tests may also produce false-negative results, missing antibodies to the coronavirus that are present at low levels.

Moreover, some tests — including those made by Abbott and Roche and offered by Quest Diagnostics and LabCorp — are designed to detect a subtype of antibodies that doesn’t confer immunity

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Health Care Advocates Push Back Against Trump’s Erasure of Transgender Rights

He said: “They wonder, ‘What is going to happen when I go to the doctor? Am I going to be mis-gendered? Am I going to be mocked or ridiculed? Is my doctor going to actually listen and respect my knowledge about my own body and my health?’”

When the Department of Health and Human Services proposed the rule last year, nearly 160,000 people weighed in with written comments. Many of the writers were affiliated with the Family Research Council, the American Civil Liberties Union, or other organizations. Others were individuals whose affiliations were not noted.

One doctor, Terry McDole, typified the view of physicians who supported the proposal.

“The issue is not providing patient care, but whether or not the government can coerce me into abandoning my ethical commitments and medical judgment and force me to participate in certain controversial procedures and prescriptions,” Dr. McDole wrote. “Many health professionals like

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Navigating Home Care During the Pandemic

Recruiting aides who won’t decamp for fast-food jobs will require employers to offer higher wages and benefits like paid sick leave, perhaps through full-time positions.

Aides will also need more education — “a huge issue for this work force even before Covid,” said Dr. Madhuri Reddy, a geriatrician with Hebrew SeniorLife in Boston and a co-founder of a tech company that trains home care aides.

With no federal standards for training or licensing aides, home care operates under a hodgepodge of state requirements — or lack thereof. Thirty-five states set no requirements for home care aides, Dr. Reddy said.

“We license people who cut our hair, but not the people who care for our moms?” Ms. Hoak said. Greater professionalization could promote workers’ stature, their income and their ability to care for elderly and disabled clients.

“We don’t get the respect and help that doctors and nurses do, but we’re

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