Environmental Health

As FDA Testing Resumes Of Herbicide, So Does Local Opposition

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As the federal government renews tests to determine how much glyphosate is in America’s foods, Connecticut environmental groups, organic farmers and a U.S. senator say it’s time to limit the use of, or ban, the popular herbicide. Glyphosate, the active ingredient in the world’s top-selling weed killer, Roundup, is a suspected carcinogen that’s used in agriculture, on golf courses, ballfields and other public venues, and for lawn care, experts said. It can be found in more than 750 products sold in the U.S., reports the National Pesticide Information Center. Health concerns have been raised about Roundup for decades, concerns consistently disputed by its manufacturer, Monsanto. Earlier this year, a group of environmental health scientists called for the federal government to reassess whether glyphosate is a cancer risk.

Veterans' Health

Veterans Discharged For Misconduct Often Suffer From Mental Health Illnesses

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A federal report has found that 62 percent of military personnel discharged for misconduct from 2011 through 2015 had been diagnosed with mental illnesses that could have caused their behaviors. The Government Accountability Office (GAO) report concluded that the military failed to follow policies designed to prevent inappropriate discharge of service members with Post Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI). The result is many veterans received less than honorable discharges, making them ineligible for health care, disability benefits, or education aid from the U.S. Department of Veterans Affairs (VA). The GAO said 57,141 service members discharged for misconduct had been diagnosed up to two years before their release with conditions that included: PTSD, TBI, adjustment disorders, alcohol-related and substance abuse disorders, depression and anxiety. The conditions, which the GAO called “signature wounds” of the Afghanistan and Iraq wars, can affect moods, thoughts and behaviors and may trigger activities such as drug use, insubordination, absence from the military without permission, and crimes, the report states.

Veterans' Health

New Report Cites Long Wait Times For VA Primary Care

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Some newly enrolled veterans seeking a primary care appointment at the Department of Veterans Affairs (VA) wait more than 90 days before they see a provider, and the agency’s way of calculating wait times understates them, according to a new report by a government watchdog office. “This most recent work on veterans’ access to primary care expands further the litany of VA health care deficiencies and weaknesses that we have identified over the years,” Debra Draper, director of the Government Accountability Office’s (GAO) health-care team, said in testimony to the House Committee on Veterans’ Affairs. “As of April 1, 2016, there were about 90 GAO recommendations regarding veterans’ health care awaiting action by VHA … (including) more than a dozen recommendations to address weaknesses in the provision and oversight of veterans’ access to timely primary and specialty care, including mental health care. “Until VHA can make meaningful progress in addressing these and other recommendations,” she added, “the quality and safety of health care for our nation’s veterans is at risk.”

 

The new GAO report looked at wait times for newly enrolled veterans seeking primary care appointments at six VA medical centers around the country. Among a random sample of 180 of those veterans, 60 who requested care had not been seen at all by primary care providers, in some cases because the VA never contacted them or because they were left off an eligibility list in error.

Women's Health

Essure Contraceptive Under FDA Review After Public Outcry

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When Alyson Hannan, 44, decided she was done having children, she chose Essure, a non-surgical permanent birth control option approved by the Food and Drug Administration. The day the tiny metal coils were inserted into her fallopian tubes in her doctor’s office is one that she can’t forget, said Hannan, regional sales director for Met Life who underwent the procedure on Sept. 11, 2014. “I will never forget that date. None of us will.”

Hannan is among tens of thousands of women, now referred to as “E-Sisters,” who have banded together on Facebook to share their stories of adverse health problems, including allergic reactions, chronic pelvic pain, device migration, hair loss and headaches.

Veterans' Health

Report Raps Army For Not Monitoring Psychiatric Medication Use

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The Army is not properly monitoring the prescribing of medications to treat post-traumatic stress disorder (PTSD) in active-duty soldiers to ensure that antipsychotics and sedatives are not being used, a new government report says. The report by the Government Accountability Office (GAO) recommends that the Secretary of Defense direct the Army to monitor prescribing practices in order to detect medications that are discouraged under PTSD treatment guidelines. Those guidelines caution against the use of antipsychotics and benzodiazepines, a class of sedatives, because of their ineffectiveness and potential risk. “The Army does not monitor the prescribing of medications to treat PTSD on an ongoing basis,” says the report, led by the GAO’s director of health care, Debra Draper. “Without such monitoring, the Army may be unable to identify and address practices that are inconsistent with the guideline.”

The Department of Defense did not dispute the GAO recommendations, but argued that it has worked to reduce antipsychotic prescribing.

Sexual Assault in the Military

Pentagon’s Effort To Prevent Sex Assaults Is Lacking, Report Says

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The Pentagon is not doing enough to make its sexual assault prevention strategy effective, according to a Congressional watchdog agency. The Government Accountability Office (GAO) says the Department of Defense (DOD) has failed to: identify risk factors that “promote sexual violence” in the military community and in military leadership; communicate the strategy to military bases to ensure consistency among Armed Services prevention programs; and undertake methods to measure if the strategy is working and whether changes are needed. The report to Congress notes that sexual assaults reported to the military increased from 2,800 in 2007 to 6,100 in 2014, but adds that they represent “a fraction” of actual incidents. The report cites a 2014 RAND survey, which estimated that 20,300 active-duty service members were sexually assaulted in the prior year. The report concludes that the DOD needs to take actions to better address the problem.

Medicare Advantage Plans Need Tougher Oversight, GAO Says

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Federal investigators have found that Medicare officials rarely enforce rules for private insurance plans intended to make sure beneficiaries will be able to see a doctor when they need care. It’s a problem many Connecticut seniors know too well. In 2013, UnitedHealthcare, the nation’s largest health insurance company, dropped hundreds of health care providers from its Connecticut Medicare Advantage plan, including 1,200 doctors at the Yale Medical Group and Yale-New Haven Hospital. Medicare Advantage beneficiaries scrambled to find new insurance or new doctors while the Fairfield and Hartford counties medical associations went to court to try to stop the terminations. The report by the Government Accountability Office, the investigative arm of Congress, said that Medicare did not check provider networks to ensure that doctors were available to beneficiaries and cited Connecticut as a “case study” in what can go wrong.

Veterans' Health

Veterans Stuck In Seven-Month Backlog On Disability Claims

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Gene Trotman, 59, of Waterbury, has been fighting for so long to get disability benefits from the Veterans Benefits Administration, he now wonders if “maybe they’re waiting for me to die.”

Trotman, an Air Force veteran who served in the early 1970s, initially sought benefits in 1991 for a psychiatric condition.   After several denials, he was finally approved for disability compensation last July.  But, he still hasn’t received any money.  He is waiting for the VBA Hartford Regional Office to complete the process which determines how much he will get. Connecticut veterans typically wait more than seven months, an average of 213 days, to have claims processed, according to U.S. Department of Veterans Affairs figures compiled by the Center for Investigative Reporting. As of Jan. 28, a total of 1,364 state veterans’ cases were backlogged out of 2,750 who have filed claims, the numbers show. Waits longer than 125 days are considered backlogged.  For appeals of VBA decisions, the average wait is more than three years – 1,181 days.