Trump pressures Michigan Medicine to stop gender-affirming care for trans youth

Trump pressures Michigan Medicine to stop gender-affirming care for trans youth

M Hasan    3:40 AM   

Michigan Medicine Halts Gender-Affirming Care for Minors Amid Federal Pressure

Under pressure from the federal government, Michigan Medicine, the medical center of the University of Michigan, has decided to stop offering gender-affirming care — including hormone therapy and puberty blockers — to patients under 19 years old. This decision was announced by a spokeswoman on August 25, following a statement that revealed the institution had received a federal subpoena as part of an ongoing criminal and civil investigation into such treatments for minors.

The university stated that the move is in response to the investigation and rising external threats and risks. “In light of that investigation, and given escalating external threats and risks, we will no longer provide gender-affirming hormonal therapies and puberty blocker medications for minors,” the statement said.

This decision has left many parents of transgender children and their advocates deeply concerned. One mother, whose 14-year-old daughter is receiving estrogen and puberty blockers, expressed her devastation. She said she does not want her daughter’s treatment to stop, fearing it could have a devastating impact on her life. The mother, who asked to remain anonymous due to fears of being targeted, described her daughter as a happy child who has thrived with the care provided by Michigan Medicine.

“I don’t want her medical therapy to lapse. I think it would destroy her life,” she said, adding that she plans to keep the news from her daughter for now. “I feel like the last thing she needs to worry about is that she won’t be able to get her medicine.”

She also mentioned the possibility of moving out of the country to find alternative care for her daughter, emphasizing that it is unacceptable for her child to lack access to the care she needs to live authentically.

Legal and Ethical Concerns

The decision to halt gender-affirming care could lead to legal complications for Michigan Medicine. Jay Kaplan, an attorney with the American Civil Liberties Union of Michigan's LGBTQ Project, warned that the hospital may face potential malpractice issues if it does not provide a way for patients to continue their care elsewhere.

Kaplan also pointed out that if the hospital provides hormone therapy to cisgender minors — those who identify with the gender they were assigned at birth — but not to transgender minors, it could potentially violate civil rights laws. Cisgender minors sometimes receive puberty blockers when they begin puberty too early.

In a letter sent to patients and families, Michigan Medicine stated that it will continue to care for gender-diverse patients, offering other forms of support such as social work consultations, community resource connections, and assistance with transferring care to outside providers if desired.

Advocacy Groups Speak Out

Advocacy organizations have criticized the decision, suggesting that it is primarily driven by pressure from the Trump administration. Erin Knott, executive director of Equality Michigan, said the move appears to be a result of the administration’s efforts to target trans families and healthcare providers.

Roz Keith, founder of Stand With Trans, a group supporting transgender youth in metro Detroit, is compiling a list of private practice physicians who will treat minor patients. She emphasized that gender-affirming care is legal in Michigan and that the issue lies with federally funded institutions facing threats from the government.

The American Medical Association and the American Academy of Pediatrics both support gender-affirming care for young people. Earlier this year, Corewell Health temporarily paused gender-affirming care for new minor patients after an executive order threatened to cut federal funding for hospitals providing such treatments. However, Corewell later reversed its decision.

Michigan Attorney General Dana Nessel warned that denying such care could violate state anti-discrimination laws. She has joined a multistate lawsuit challenging the Trump administration’s efforts to restrict access to gender-affirming care for minors.

Impact on Transgender Youth

Although the number of transgender minors in the U.S. is relatively small, the effects of denying them access to care can be significant. A 2022 study published in the Journal of the American Medical Association found that young people who received gender-affirming therapies were 60% less likely to experience depression and 73% less likely to have suicidal thoughts or behaviors than those who did not receive such care.

For the mother of the 14-year-old girl, the decision to stop treatment is not just a medical issue but a personal one. “It’s not an option of 'can my kid be cis gender and live this life versus can my kid be transgender,'” she said. “It’s not a question. There’s not a question for us. My daughter … she's always been a girl.”

GoodRx Offers Ozempic and Wegovy 60% Off – How to Save

GoodRx Offers Ozempic and Wegovy 60% Off – How to Save

M Hasan    10:34 AM   

The Growing Affordability of Weight-Loss Medications

In a world where billions of dollars worth of prescription medications go unused each year, the recent developments in drug pricing have brought some hope, especially for those seeking weight-loss treatments. One significant breakthrough came from GoodRx, a medication-savings company, which recently partnered with Novo Nordisk, the manufacturer of Ozempic and Wegovy. This collaboration allows individuals with prescriptions to access these type 2 diabetes and anti-obesity drugs for just $499 per month—a reduction of about 60% from the list price, which can exceed $1,300 without insurance.

Divya Iyer, Senior Vice President at GoodRx, highlights that despite the rising demand for these medications, 19 million Americans lack any coverage for them. This new partnership is seen as a step forward in addressing this gap by eliminating middlemen who have long contributed to higher pharmacy costs.

A Shift in Drug Pricing Strategies

Experts believe that this deal could signal a broader shift in how drug companies set their prices. Aayyush Goyal, a pharmaceutical supply chain expert and founder of MedsPartner, suggests that the $499 price point may encourage other manufacturers to keep their prices competitive or even lower. Additionally, it could push insurance companies to expand coverage and prompt pharmacies to reconsider practices that make medications less affordable.

The benefits of this deal extend beyond just cost. For self-paying patients, starting early in 2025, they can receive Ozempic and Wegovy directly from NovoCare’s pharmacy. Alternatively, they can use a local pharmacy through GoodRx's network of over 70,000 retail locations nationwide, making access more convenient.

Safety and Regulation Concerns

This new affordability also addresses concerns about the safety of alternative options. Compounded versions of weight-loss drugs, often sold online, were once a solution during shortages but were never regulated by the FDA. With the shortage officially resolved, the $499 deal is expected to reduce the availability of potentially counterfeit or ineffective products.

However, not all offers are as straightforward as they seem. Some advertisements suggest that Ozempic or Wegovy can be obtained for as low as $10 per month. While appealing, this rate typically requires a manufacturer savings card and strong commercial insurance, which many people may not qualify for.

Understanding the Health Benefits

Ozempic and Wegovy, though different in their primary approvals, are essentially the same drug—semaglutide. They both increase levels of GLP-1, a hormone that helps control blood sugar and suppress appetite. Studies show that people using semaglutide with lifestyle changes have lost between 15 to 17 percent of their body weight.

Tirzepatide, found in Mounjaro and Zepbound, has shown even greater effectiveness for weight loss, with some trials reporting up to 26% weight loss. These medications also offer additional health benefits, including improved cholesterol, reduced joint pain, and a lower risk of heart attacks and strokes.

Side Effects and Considerations

While effective, these medications come with potential side effects, primarily gastrointestinal issues like vomiting, diarrhea, and constipation. However, these symptoms often subside over time, especially when dietary adjustments are made.

For those considering these medications, the cost remains a key factor. While other options like Mounjaro and Zepbound are available, they come with limitations such as lower doses and the need for self-administration. Ozempic and Wegovy, on the other hand, offer flexibility in dosing and ease of use.

Future Outlook and Alternatives

Looking ahead, there are signs that prices may continue to decrease. The Biden administration has included Ozempic and other similar drugs in Medicare price negotiations, which could lead to further reductions in cost. In the meantime, programs like Novo Nordisk’s patient assistance initiative offer free or low-cost options for eligible individuals.

For those still hesitant about GLP-1 medications, natural alternatives such as okra or specific herbs have gained attention on social media. However, experts caution that these should not replace professional medical advice.

Ultimately, the goal is to ensure that everyone who needs these life-changing medications can access them. Whether through cash programs, copay cards, or expanded insurance coverage, the future looks promising for more affordable and accessible treatment options.

12 Hidden Reasons for Memory Loss You Should Know

12 Hidden Reasons for Memory Loss You Should Know

M Hasan    9:00 PM   

Understanding the Causes of Memory Loss

Memory loss, or the inability to recall information within a short period, can be caused by various physical and mental conditions. Some causes may be addressed through lifestyle changes, while others might require medical attention. Understanding these factors is essential for identifying potential solutions and seeking appropriate care.

Common Causes of Memory Loss

1. Thyroid Problems

The thyroid gland, located at the front of the neck, produces hormones that play a role in brain development and memory retention. Imbalances such as hyperthyroidism (excess hormone) or hypothyroidism (insufficient hormone) can affect cognitive functions, leading to confusion or "brain fog."

2. Sleep Disturbances

Sleep is crucial for memory consolidation. Conditions like obstructive sleep apnea or insomnia can interfere with neural processing, making it harder for the brain to process and retain memories. Lack of sleep can also impact higher-level cognitive tasks such as planning and decision-making.

3. Infections

Infections, including viral and bacterial ones, have been linked to memory impairment. A 2022 study showed that infections like COVID-19 can negatively affect cognitive function. Similarly, bacterial infections may trigger inflammation in the brain, which can impair memory and other cognitive abilities.

4. Menopause

Menopause involves a decline in estrogen and progesterone levels, which can impact cognitive function. Many individuals experience memory issues during this time. However, once menopause ends, cognitive function often improves.

5. Nutritional Deficiencies

A diet high in saturated fats or low in key nutrients like vitamin B12 can lead to memory problems. Vitamin B12 is found in animal-based foods, so those with plant-based diets or digestive disorders may be at risk for deficiency.

6. Certain Medications

Some medications used to treat conditions like seizures, anxiety, or pain can cause side effects that impair memory. These include anti-anxiety drugs, antihistamines, anti-seizure medications, opioids, sleeping aids, and tricyclic antidepressants.

7. Stroke

A stroke, which occurs when blood flow to the brain is disrupted, can cause significant brain damage, including memory loss. Silent infarcts, which are similar to strokes but without obvious symptoms, also increase the risk of cognitive impairment.

8. Cardiovascular Disease

Cardiovascular diseases such as hypertension, high cholesterol, and ischemic heart disease can contribute to memory issues. Research suggests that up to 25% of cognitive impairments are linked to cardiovascular health.

9. Head Injuries

Traumatic brain injuries (TBIs), such as concussions, can affect memory and cognitive function. If you experience persistent memory problems after an injury, consulting a healthcare professional is important.

10. Alcohol and Tobacco Use

Both alcohol and tobacco use are associated with memory issues. Alcohol can impair short-term memory and lead to long-term brain damage. Smoking reduces blood flow to the brain, affecting memory formation.

11. Mental Health Conditions

Stress, anxiety, and depression can all impact memory. These conditions can disrupt brain function and make it difficult to focus or learn new information. Additionally, some medications used to treat mental health conditions may affect memory.

12. Age-Related Changes

As people age, parts of the brain shrink, and communication between neurons slows. While this can make complex tasks take longer, older adults can still learn new skills with more time and effort.

Preventing and Coping With Memory Loss

To help prevent memory loss, consider incorporating regular exercise, a nutrient-rich diet, and sufficient sleep into your daily routine. For those already experiencing memory issues, the following strategies may help:

• Plan your day: Establish a routine that aligns with your energy levels and concentration.
• Exercise your body and mind: Physical activity improves cardiovascular health and releases endorphins, which support cognitive function. Engaging in puzzles or other mentally stimulating activities can also help.
• Get help remembering things: Use electronic devices to store important information, such as phone numbers or emergency details.
• Cognitive rehabilitation therapy (CRT): This intervention helps individuals regain cognitive function through personalized training programs.

When to Seek Medical Attention

Occasional forgetfulness is normal, but certain signs may indicate a more serious issue. Consult a healthcare provider if you experience any of the following: - Getting lost in familiar places - Frequent confusion about people, places, or time - Difficulty performing basic self-care tasks - Repeating questions or asking the same things multiple times - Struggling to follow instructions or directions

Mississippi Urges Action as Infant Death Toll Surges

Mississippi Urges Action as Infant Death Toll Surges

M Hasan    9:23 AM   

Mississippi Declares Public Health Emergency Over Rising Infant Mortality Rates

Mississippi health officials have declared a public health emergency after data revealed that the state’s infant mortality rate has reached its highest level in over a decade. In 2024, the state recorded 9.7 infant deaths for every 1,000 live births, nearly double the national average of 5.6 deaths per 1,000. Since 2014, more than 3,500 infants in Mississippi have died before their first birthday. This alarming trend has prompted officials to take urgent action, highlighting the broader national issue of infant mortality and the systemic challenges that contribute to it.

Infant Mortality Rate: A Nationwide Concern

The problem is not unique to Mississippi. Even in cities with robust healthcare systems like Boston, Black infants continue to face higher mortality rates compared to White infants. Recent reports from Boston show that Black infants die at more than twice the rate of the overall population and triple the rate of White infants. Despite the city's overall infant mortality rate falling below the national average, these disparities underscore the limitations of focusing solely on individual behavior or clinical care. Structural inequities remain a critical factor in the high number of infant deaths across the country.

Dr. Dan Edney, State Health Officer, emphasized the gravity of the situation when he announced the declaration. "Every single infant loss represents a family devastated, a community impacted, and a future cut short," he said. "We cannot and will not accept these numbers as our reality."

Causes Behind the Rising Mortality Rate

The leading causes of infant death in Mississippi include congenital malformations, premature birth, low birthweight, and Sudden Infant Death Syndrome (SIDS). Racial disparities are stark—Black infants in Mississippi are more than twice as likely as White infants to die before their first birthday, and recent data shows these gaps have widened.

Experts argue that declaring a public health emergency is a necessary step to address this crisis. Dr. Michael Warren, Chief Medical and Health Officer at March of Dimes, stated, "This is a novel and necessary step. It elevates infant mortality to the level of urgent crisis response, which it truly is."

Why the Declaration Matters

The declaration allows Mississippi to act swiftly to address gaps in care. The state’s plan includes expanding prenatal services in counties without obstetric providers, creating an obstetric system of care to regionalize services, and improving emergency transfers. Additionally, the state aims to strengthen home visiting and community health worker programs.

"Improving maternal health is the best way to reduce infant mortality," Dr. Edney said. Dr. Morgan McDonald of the Milbank Memorial Fund added that the declaration should draw attention to a preventable tragedy. "We applaud Dr. Edney and his team for raising the alarm in a way that honors the families who have suffered this loss and focuses on solutions."

However, experts caution that individual and clinical interventions alone are not enough. Dr. Rebekah Gee, CEO of Nest Health, stressed, "Healthy babies come from healthy moms. If women can't get continuous healthcare before, during, and after pregnancy, it's no surprise their babies are dying at higher rates."

Federal Funding Cuts and Their Impact

Federal funding cuts are complicating the state’s response. The Pregnancy Risk Assessment Monitoring System (PRAMS), a CDC program that collects data on maternal and infant health, has been targeted for elimination. CDC staff who conducted the survey for nearly 40 years were recently fired, and many Safe Motherhood initiatives are now at risk of losing funding.

"This is willful ignorance to cut vital programs when we have public health crises," said a former CDC staffer. "For many people, it's downright dangerous to be pregnant in the U.S. in the 21st century."

Polling suggests most Americans support maintaining these programs. According to the Emory-Rollins National Child Policy Poll, 65% of Americans believe PRAMS is important for improving outcomes, while only 10% think it's unnecessary.

Medicaid and Its Role in Maternal and Infant Health

Medicaid plays a significant role in Mississippi, financing almost 60% of births in the state. In 2023, the state extended postpartum Medicaid coverage from two months to a full year. However, Mississippi has not expanded Medicaid under the Affordable Care Act, leaving many low-income women uninsured before or between pregnancies.

Congressional proposals could further impact Medicaid coverage, including a reconciliation bill that would require many enrollees to prove they are working, volunteering, or in school to receive coverage. KFF analysts estimate that such policies could raise Mississippi’s uninsured rate by 1 to 2%, potentially leaving 20,000 to 40,000 more residents without coverage.

Public health experts warn that these policies could destabilize rural hospitals reliant on Medicaid reimbursement, limiting access to prenatal and delivery services in regions already described as "OB deserts."

Lessons from Other States

Other states that expanded Medicaid under the Affordable Care Act have seen measurable improvements in infant health. Arkansas reported a 29% reduction in Black infant mortality after expansion, while Louisiana saw increases in early prenatal care and decreases in premature births. Colorado also experienced declines in infant mortality, particularly in rural areas.

Nationally, one analysis found a 50% greater reduction in infant mortality in expansion states compared to non-expansion states, with the steepest gains among Black infants. Today, 40 states and the District of Columbia have expanded Medicaid, while Mississippi remains one of 10 holdouts.

A Call for Action

The U.S. has long treated infant mortality as a measure of societal health. Sociologist W.E.B. Du Bois argued over a century ago that high rates of infant deaths among Black families reflected inequities in living conditions rather than innate differences. Mississippi’s emergency declaration and Boston’s persistent disparities suggest these inequities remain deeply entrenched.

State officials say the declaration is intended to galvanize coordinated action across hospitals, state agencies, and community groups. "It will take all of us working together to give every child the chance to live, thrive, and celebrate their first birthday," Dr. Edney said.

5 Diabetes Meds That Don't Mix Well

5 Diabetes Meds That Don't Mix Well

M Hasan    7:00 AM   

Understanding How Foods and Drinks Affect Diabetes Medications

When managing diabetes, it's crucial to pay attention not only to the medications you take but also to the foods and drinks that may interact with them. Certain everyday items can interfere with how your medication works, potentially reducing its effectiveness or causing unwanted side effects.

Experts in the field of diabetes care emphasize the importance of understanding these interactions. For instance, some foods and drinks can alter the absorption, metabolism, or effectiveness of diabetes medications. This means that even if you're following a healthy diet, certain choices might still impact your blood sugar control.

Key Interactions Between Foods and Medications

Several types of foods and beverages are known to affect diabetes medications:

1. High-Fat Foods

While some fats are beneficial, excessive intake of saturated fats can be problematic. Meals high in fat can slow down digestion, which may delay how quickly certain medications are absorbed. This can affect how well the medication works. Examples of high-fat foods include whole-fat dairy products, processed meats, fried foods, and baked goods. These foods may also exacerbate gastrointestinal side effects from medications like GLP-1 receptor agonists.

2. Foods High in Added Sugar

Foods with added sugars, such as candy, sodas, and desserts, can cause rapid spikes in blood sugar levels. While they don't necessarily stop medications like metformin from working, they make it harder to maintain stable blood sugar. It's important to focus on whole-food sources of carbohydrates that are rich in fiber, such as beans, legumes, whole grains, and fruits.

3. Highly Processed and Refined Carbohydrates

Processed carbs like white bread, sugary cereals, chips, and pastries can lead to quick increases in blood sugar. If you're taking fast-acting insulin or mealtime medications, this spike can make it difficult for the medication to manage your glucose levels effectively. Pairing these foods with protein or healthy fats can help slow digestion and prevent sharp spikes.

4. Caffeine

Caffeine can interact with certain diabetes medications, particularly SGLT2 inhibitors, by increasing their diuretic effect. While moderate caffeine intake is generally safe, those on these medications should be mindful of their consumption. The recommended limit is around 400 milligrams per day, which is roughly equivalent to three to four cups of coffee.

5. Alcohol

Alcohol can increase the risk of low blood sugar, especially when taken with insulin or sulfonylureas. It can also worsen side effects like nausea and digestive issues. The American Diabetes Association recommends limiting alcohol intake to two drinks per day for men and one for women. Monitoring blood sugar levels closely is essential after drinking.

Tips for Managing Your Diet with Diabetes Medications

To ensure your medications work as intended, consider the following strategies:

Consider Meal Timing

Different medications may have specific instructions about when to take them relative to meals. Some need to be taken with the first bite of a meal, while others are taken before or after. Following these guidelines can help maximize the effectiveness of your treatment.

Stay Hydrated

Proper hydration is vital, especially if you're on medications like SGLT2 inhibitors, which can increase fluid loss. Drinking water and other unsweetened beverages can help maintain balance and prevent dehydration.

Monitor Portion Sizes

Some medications, such as GLP-1 receptor agonists, may require careful attention to portion sizes. Large or high-sugar meals can worsen side effects like nausea or dumping syndrome.

Use a Continuous Glucose Monitor

A continuous glucose monitor (CGM) can provide valuable insights into how different foods and medications affect your blood sugar levels. Tracking trends can help you make informed decisions about your diet and medication timing.

Be Aware of Other Medications and Supplements

Other medications and supplements can also influence blood sugar levels or interact with diabetes drugs. Always consult with your pharmacist or healthcare provider to understand potential interactions.

Final Thoughts

Managing diabetes involves more than just taking medication; it requires a thoughtful approach to diet and lifestyle. By being aware of how certain foods and drinks interact with your medications, you can better manage your condition and improve your overall health. Always seek guidance from healthcare professionals to tailor your approach to your specific needs.

Gaza Scholars Await Rare UK Evacuation for Academic Opportunities

Gaza Scholars Await Rare UK Evacuation for Academic Opportunities

M Hasan    6:00 AM   

A Glimmer of Hope for Gaza Students

As students across the UK celebrated securing their university places, Mahmoud received the news he had been waiting for while trying to sleep in a shelter in central Gaza. The 27-year-old doctor, who holds a prestigious scholarship to study for a masters in global health policy at the London School of Economics, had just finished a night shift treating trauma patients at a field hospital. Rather than awaiting exam results, he was anxious to learn whether he would be able to leave Gaza to begin his course.

"I was highly emotional and so happy to be awarded the scholarship," Mahmoud tells My Healthy of LifeNews. "It gave me the energy to keep working. But most of the time, I avoided talking about it, because of the indefinite uncertainty."

Mahmoud is one of nine students in Gaza who received emails this week from the UK government informing them that it was working to facilitate their evacuation. If successful, they would be the first to leave the Strip for study in the UK since the war began.

The development followed months of campaigning by politicians, academics, and others on behalf of more than 80 Palestinian students who have offers from UK universities this year, including around 50 with fully funded scholarships.

Chevening scholars like Mahmoud – recipients of a highly competitive UK Foreign Office grant – have been asked to confirm whether they want to be evacuated and provide their approximate location in Gaza. Other students have so far not been contacted.

"It's a positive step. It has kept me hopeful and optimistic about being evacuated in the coming weeks. However, the message does not give any guarantees," says Mahmoud.

Originally from Beit Lahia in northern Gaza, Mahmoud says he has dreamt of studying in the UK from a young age. When the war broke out, he volunteered in the plastic and reconstructive surgery unit at the al-Shifa hospital before working on temporary wards across Gaza. He hopes his degree will one day help rebuild the territory's fragile healthcare system.

A Moment of Hope

"I felt hope again," he says. "Life has never been easy. Over the past two years I have seen suffering beyond imagination. I've stood beside families in their hardest moments, all while trying to keep hope alive for my own future."

Mahmoud, who lives with his wife, parents, and three sisters, does not know whether any of them will be able to join him if he is evacuated. He says: "It is a once-in-a-lifetime opportunity, but it will be hard to leave my family behind to face constant displacement, famine, chaos, and insecurity."

For Mohammed, 25, another Chevening scholar, the day he received his offer to study for a masters at the University of Glasgow is carved in his memory. A friend in the UK had passed on a message to his brother, who hurried to a tent where Mohammed was living and urged him to find a place with internet connection to check his emails.

"When I saw the word 'congratulations,' I froze for a moment," he recalls. "I felt, just for a moment, that the noise of the bombs and the fear around me faded, and I felt hope again."

But like Mahmoud, he finds the prospect of evacuation heart-wrenching. "It feels like life after so much darkness. A chance to finally move forward. But that joy is heavy with pain. My family is still here, alive, but living under constant danger and leaving them behind will be the most painful decision of my life."

Mohammed, who is due to study epidemiology of infectious diseases and antimicrobial resistance, says he feels an obligation to use his education to benefit those he would leave behind. "This opportunity is not an escape. It is a responsibility to study, to learn and to return stronger for them. What I learn in Glasgow will not stay in lecture halls. It will be carried back to serve people who need it."

A Complex Situation

Palestinians have largely been unable to leave Gaza without diplomatic assistance since October 2023, when Israel launched a military campaign after Hamas's attack on southern Israel, during which about 1,200 people were killed and 251 others were taken hostage, according to Israeli authorities. More than 62,622 people have been killed in Gaza since then, according to the territory's Hamas-run health ministry.

Famine was confirmed in Gaza City and surrounding areas by a UN-backed food security body on Friday. The Israeli government has rejected the report.

The Foreign Office has not confirmed how many students will be supported or when evacuations will take place, leaving dozens of Gazan students with other scholarships in limbo.

A Bureaucratic Block

"It feels like a slow death inside," says Manar, 36, an English teacher from Rafah, who has been displaced 14 times during the war and now lives in a tent with her husband and three young daughters. She has been awarded a Cara Fellowship – a scheme for academics at risk of imminent imprisonment, injury, or death – to study for a PhD in education at the University of Glasgow.

She submitted one of her grant applications from the roof of a damaged four-storey building, climbing up in order to find enough signal. When she reached the top, Manar says she saw gunfire directed at a neighbouring block, and shrapnel landing nearby.

"I haven't slept for days," she says. "Every day, I wonder which will come first - a message from the UK government, or a missile."

"I feel deeply disappointed by this process, as some scholarship holders seem to be prioritised over others, even though all of us deserve equal consideration."

Professor Alison Phipps, Manar's supervisor and the University of Glasgow's specialist on refugee integration through arts and education, says she was "over the moon" to hear Mohammed may be evacuated to study at the university, but believes other scholars like Manar should receive the same support to leave Gaza.

"It's been a long hard road for these nine students," she says. "I know they have put in the work, but I know that all the eligible students have put it in equally. There seems to be a kind of bureaucratic block, and it would just really help us if the government could identify what that is, so all the students who meet the thresholds can come out."

A UK government spokesperson said it was "working urgently" to support the "safe exit and onward travel to the UK" of the Chevening scholars. The government is also understood to be considering appeals for support from other Gazan students with places at UK universities, though no decisions have been announced.

Preparing for another late night working in hospital, Mahmoud stresses that while uncertainty remains for him, it is far greater for those who have not yet been told whether they will be evacuated. "If the UK government does not act now, it will lose not only us, but future applicants from Gaza and other regions facing similar challenges," he warns.

Health Insurers Seek 20% Premium Increase in Texas under ACA

Health Insurers Seek 20% Premium Increase in Texas under ACA

M Hasan    5:00 PM   

Rising Premiums and Uncertain Future for Texas ACA Market

Health insurance companies in Texas have submitted proposals for an average 24% increase in premiums for Affordable Care Act (ACA) plans in 2026. This significant rise could destabilize the marketplace, potentially leading to more individuals opting for less or no coverage. The proposed hikes are far steeper than the 3.8% average increase seen last year, marking a major shift in the health insurance landscape.

The data from KFF indicates that this could be the largest rate hike since 2018, when premiums increased by 35%. That year, insurers considered Congress' attempts to repeal the ACA and President Donald Trump's executive order ending subsidies for low-income individuals. Since then, premium increases have remained relatively modest, with no more than a 4% rise in any given year.

Growth of the ACA Marketplace in Texas

Despite these challenges, the ACA has seen substantial growth in Texas. Nearly 4 million Texans enrolled in ACA plans for 2025, a record high in a state with the nation’s highest uninsured rate. Enrollment has tripled since 2020, largely due to expanded tax credits that helped lower monthly premiums for many users.

This expansion has had a measurable impact on health care trends in Texas. Enrollment grew from 1.3 million in 2021 to nearly 4 million in 2025. The average post-subsidy monthly premium paid by Texans dropped from $136 in 2018 to $50 in 2024. While the uninsured rate remains the highest in the country, it has decreased from 23% in 2012 to 16.3% in 2023.

The ACA marketplace in Texas now offers more options than ever. The number of insurers operating in the individual marketplace has increased from eight in 2020 to 15 today. This competition has led to more choices for consumers, with 114 counties now offering at least four insurance options. Only seven counties, all near the Oklahoma border, still have just one insurer.

Challenges Ahead: Expiring Tax Credits and Rising Costs

However, these gains may be at risk due to the expiration of key tax credits at the end of the year. Insurers have cited rising medical costs and increased use of health services as reasons for their proposed rate hikes. Blake Hutson, vice president of public affairs at the Texas Association of Health Plans, described the situation as a "perfect storm" involving increasing medical costs, the loss of tax credits, and a less healthy risk pool.

The premium tax credits, expanded through the American Rescue Plan Act and the Inflation Reduction Act, currently benefit 83% of Texans who purchase coverage through the ACA. These credits are based on income and help reduce monthly premiums. However, they will expire at the end of 2025, making those earning over $62,600 ineligible for subsidies. This change could significantly impact those earning under 150% of the federal poverty level, who currently pay little or nothing for coverage.

KFF projects that premiums for those using ACA tax credits could rise by an average of 115% or $456 per year. Insurance brokers like Michelle McLaren warn that this could lead to higher uninsured rates and a contraction of the ACA marketplace, particularly affecting rural areas, lower-income individuals, and the elderly.

Impact on Major Insurers

Several major insurers have already submitted rate requests for 2026. BlueCrossBlueShield, the largest insurer in Texas, is asking for an average 39% increase in individual plan premiums. United Healthcare is requesting a 23% average increase, while Celtic Insurance Company and Superior HealthPlan are proposing 41% and 36% increases, respectively.

These hikes are driven by factors such as rising medical costs, increased use of services, and the expiration of tax credits. For example, United Healthcare explicitly cited the loss of enhanced tax credits in its filing. The company also noted higher provider reimbursement rates and the use of expensive new technologies.

The Risk of a Shrinking Marketplace

Analysts worry that if subsidies expire, healthier individuals may drop their coverage, leaving a sicker and more expensive risk pool. This could lead to further premium increases and potentially force some insurers to exit the market, as happened in 2016 when premiums rose sharply and several insurers left Texas.

The average monthly premium for Texans with ACA coverage after subsidies is $57, while the benchmark silver plan costs around $489. Federal law requires insurers to spend at least 80% of premiums on medical costs and quality improvement efforts. If this ratio falls below 80%, rebates must be issued to enrollees.

Looking Ahead

With open enrollment approaching, time is running out to address these concerns. While Congress could extend the tax credits, the window for action is narrowing. As the ACA marketplace faces these challenges, the future of affordable health care in Texas remains uncertain.

Nurse Reveals Warning Signs of Power of Attorney Abuse

Nurse Reveals Warning Signs of Power of Attorney Abuse

M Hasan    4:15 PM   

The Importance of Power of Attorney in Retirement Planning

As a nurse, I’ve seen firsthand the critical need for power-of-attorney paperwork. Wealth does not protect you from the challenges that come with aging. Someone with just Social Security in retirement may end up in a facility at the bottom of the barrel, while someone with assets should be able to enjoy the best care available. Even if someone has millions in retirement, that won’t prevent them from being trapped in a hospital, especially if they’re single.

The issue arises when people suddenly lose their capacity for decision-making, and it can take up to a year to get a guardian in place through the court system. During this time, a person who could be enjoying a high-quality memory-care center or assisted living is stuck in a hospital room. Their health deteriorates quickly because people are not meant to be staring at the same four walls for an entire year with minimal activities.

Warning Signs and Common Scenarios

If a person is married, their spouse can help, but many older individuals have lost their spouses, leaving them without an advocate. In some cases, both spouses may become incapacitated at the same time. The stress of one spouse’s sudden decline can be the tipping point for the other.

There are several scenarios where power of attorney becomes essential. For example, I take care of people who should be able to enjoy assisted living but are stuck in the hospital because they can no longer manage their affairs safely. They now need a guardian appointed, which is a terrible situation. It’s even worse when they have the means to live in a good place but are forced into a subpar environment due to lack of proper planning.

Another concern is the potential abuse of power by those given power of attorney. Children, for instance, may act in their own interest rather than their parents’. I’ve seen cases where children neglected their parents, tried to sell their homes, and took their money. Alternatively, a child might choose the cheapest option for their parent to preserve their inheritance, rather than the best quality care.

Choosing the Right Agent

It’s crucial to choose the right agent for power of attorney. Just because someone is your child doesn’t mean they’re ethical. My stepmother handled her mother’s retirement correctly by selling her house and putting the money into the highest-quality memory-care center in our area. She spent her last two years enjoying life, socializing, and not being trapped in a poor nursing home.

As a healthcare provider, it’s heartbreaking to see people leave the hospital in dire situations. However, this is not uncommon. Too many children focus on what will be left for them instead of worrying about their parents’ well-being.

Risks and Realities of Power of Attorney

When you give someone power of attorney, you are putting your life in their hands. A durable power of attorney allows the trusted individual (the agent) to retain power even after the principal becomes incapacitated. A general power of attorney expires when the principal loses mental capacity. Guardians, on the other hand, are appointed by the courts and have immense powers.

A safety measure is setting up a dual power of attorney, appointing two or more agents. This helps prevent any single person from having too much control. However, it's easy for a child to convince their parents, in a vulnerable moment, to sign a POA document. The person holding the power is not under the same court jurisdiction as a guardianship or conservatorship, making it vulnerable to abuse.

Cases of Abuse and Legal Considerations

There is limited empirical data on elder abuse, but anecdotal information highlights the problem. The U.S. Senate Special Committee on Aging and the U.S. Government Accountability Office have pointed out the prevalence of such issues. For example, a son liquidated his mother’s 401(k) to pay for her nursing home and kept the rest of the money. Another case involved a woman stealing her sister’s Social Security number and persuading her husband to sign away his power of attorney.

In another recent case, a woman believed she had her mother’s power of attorney, but her mother’s adviser convinced her to change beneficiaries on several accounts. If the mother was incapacitated, the letter writer would need to petition the courts for guardianship or conservatorship.

How to Choose a Good Agent

Choosing the right agent is vital. If there is any doubt that a relative might self-deal, they should be excluded from your plans. Czepiga Daly Pope & Perri, a law firm with offices across Connecticut, advises clients to choose wisely when setting up a power of attorney. They emphasize that while it is a wonderful tool in the hands of a trustworthy person, it can also be dangerous in the wrong hands.

They recommend choosing someone who is trustworthy, fair-minded, understands their duties, and is committed to taking those duties seriously. Never forget that you are giving your agent access to your checking and savings accounts and other assets.

Final Thoughts

Not choosing anyone to have power of attorney or not setting up an advance healthcare directive can leave a person in a vulnerable situation for months while the state appoints a guardian. I hope others can learn from what I have witnessed. It’s important to plan ahead and make informed decisions to ensure the best possible care for yourself and your loved ones.

Eye Exams: What's Tested, What's Used, and What to Expect

Eye Exams: What's Tested, What's Used, and What to Expect

M Hasan    3:29 PM   

Understanding the Eye Exam Process

An eye exam is a crucial part of maintaining overall health and ensuring clear vision. Whether you experience dry, itchy eyes, blurred vision, or cataracts, or if you have perfect 20/20 vision, regular eye exams are essential for protecting your sight and detecting potential issues early. With increased screen time and lifestyle factors impacting eye health, it’s more important than ever to stay proactive about your eye care.

What Happens During an Eye Exam?

A comprehensive eye exam involves a series of tests designed to evaluate both the health and function of your eyes. These exams can last anywhere from 30 minutes to several hours, depending on the complexity of the tests and the specific needs of the patient. The cost of an eye exam varies, typically ranging from $10 to $40 for those with insurance and $50 to $250 for those without.

There are different types of eye exams, each serving a unique purpose:

• Comprehensive Eye Exam: A thorough evaluation of eye health and vision.
• Follow-Up Eye Exam: Conducted to monitor changes in eye health or vision after previous treatment or diagnosis.
• Vision Screening: Often performed at the DMV or school to test visual acuity and ensure safe driving or academic performance.

Key Tests Performed During an Eye Exam

During an eye exam, various tests are conducted to detect vision problems and underlying medical conditions such as heart disease and diabetes. According to Dr. Jennifer Wademan, an optometrist, the process includes three main components: pre-test screening, vision testing, and an eye health assessment.

The pre-test screening gathers information about your eyes, including any difficulties you may have with seeing your phone or driving at night. It also considers your general health, which can provide insights into conditions that may affect your eye health.

Diagnostic tests include measuring visual acuity, checking peripheral vision, and testing eye pressure, which helps screen for glaucoma. For individuals aged 60 and older, annual exams are recommended due to a higher risk of developing glaucoma.

Machines Used in Eye Exams

Eye doctors use specialized equipment to conduct these tests. Some of the common tools include:

• Phoropter: Determines the appropriate prescription for corrective lenses.
• Keratometer: Measures the curvature of the cornea.
• Ophthalmoscope: Allows the doctor to examine the inside of the eye, including the retina and optic nerve.
• Autorefractor: Measures refractive error and determines the prescription needed for eyeglasses or contact lenses.
• Tonometer: Measures intraocular pressure to screen for glaucoma.
• Visual Acuity Charts: Tests the clarity of vision at different distances.
• Slit Lamp Biomicroscope: Provides a detailed view of the front of the eye and its structures.
• Retinal Camera: Captures images of the retina for detailed examination.

How Often Should You Get an Eye Exam?

The frequency of eye exams depends on age. Adults under 64 generally require exams every two to three years, while those over 65 should consider annual visits to detect age-related conditions early. However, yearly exams for all adults can be beneficial. Even if someone has "good" vision, they should still undergo regular exams to monitor for changes in eye health.

Eye exams can also detect serious, "silent" problems such as dry eye, glaucoma, cataracts, and macular degeneration. These conditions may not present obvious symptoms but can require additional visits for monitoring and treatment.

What Is Evaluated During an Eye Exam?

During an eye exam, the following factors are evaluated:

• Medical History: Includes vision, health, family medical history, medications, and use of corrective lenses.
• Visual Acuity: How well you see at different distances.
• Prescription: Best eyeglass or contact lens prescription.
• Pupil Response: How your pupils react to light.
• Peripheral Vision: Side vision.
• Eye Movement: Eye alignment and muscle function.
• Eye Pressure: Intraocular pressure.
• Front of Eye: Condition of cornea, iris, lens, and eyelids.
• Retina and Optic Nerve: Signs of disease-related damage.

After an Eye Exam

After the exam, the doctor will review the results with you and discuss any prescriptions or treatment recommendations. Follow-up appointments may be necessary to monitor conditions, adjust prescriptions, or address newly detected issues. If eye dilation was performed, your pupils may remain enlarged for a few hours, causing sensitivity to light and blurry vision up close. It is advisable to wear sunglasses and avoid driving if you've had dilation.

Understanding Eye Care Professionals

It's important to understand the differences between various eye care professionals:

• Ophthalmologists: Medical doctors specializing in complex eye treatments, including surgeries for conditions like glaucoma and cataracts.
• Optometrists: Focus on comprehensive vision and primary eye health care, including prescribing corrective eyewear and managing eye conditions.
• Opticians: Help patients with glasses and contact lenses, including fitting, adjusting, and repairing frames.

Finding the Right Eye Doctor

To find the right eye care professional, consider asking family or friends for recommendations, requesting a referral from your primary care physician, using online directories, or contacting local hospitals. If you have vision insurance, check with your provider for a list of in-network doctors. It's also possible to find affordable eye exams without insurance or to get glasses without an exam.

Bio-Inspired Medical Glue Seals Wounds in Seconds

Bio-Inspired Medical Glue Seals Wounds in Seconds

M Hasan    7:07 AM   

The Evolution of Medical Adhesives

When most people think of medical glue, they envision a simple solution for minor cuts and scrapes. However, recent advancements in science have taken the concept far beyond basic first-aid. A new generation of bioadhesives—inspired by nature—has the potential to revolutionize surgical procedures, offering alternatives to traditional sutures and staples. These innovative adhesives could stop life-threatening bleeding in seconds, allow for the safe removal or repositioning of implants, and significantly improve patient outcomes.

One of the biggest challenges in medicine is creating an adhesive that can stick effectively in a wet, dynamic environment like human tissue. If scientists can solve this issue, it could change the way doctors manage trauma care, surgery, and recovery. Researchers are now looking to nature for inspiration, drawing from creatures that have mastered the art of adhesion.

Learning from Nature: Barnacles and Spiders

A team of researchers from MIT and the Mayo Clinic has been studying how animals like barnacles and spiders manage to stick to surfaces in challenging environments. A few years ago, an MIT team developed a surgical tape inspired by spider silk. Spiders use sticky polysaccharides to hold prey even in damp conditions, and the MIT design worked similarly, quickly absorbing water and leaving a dry spot for glue to attach. This invention showed promise for closing surgical incisions.

However, the latest project took inspiration from another expert in adhesion: the barnacle. These tiny sea creatures are known for their ability to cling to rocks, ships, and even whales, despite living in the rough, wet ocean. What makes barnacle glue so effective is its structure. Proteins that act like sticky hooks are suspended in a natural oil, which pushes away water and contaminants so the adhesive proteins can grab onto a surface.

“We found that this creature living in a marine environment is doing exactly the same thing that we have to do to deal with complicated bleeding issues,” explains Hyunwoo Yuk, an MIT Research Scientist involved in the study.

The team mimicked this process by mixing medical-grade silicone oil with microparticles of a specially engineered polymer. The oil sweeps away blood and fluids, while the particles quickly bind to tissue. Pressing it onto a wound creates a tight seal within about 15 seconds, even in areas covered in blood.

Stopping Bleeding Fast

Stopping blood loss quickly is critical in emergencies. Among soldiers on the battlefield, it’s the leading cause of death after injury. For civilians, it ranks second after trauma. Traditional stitches are too slow to apply in emergencies, and patches with clotting factors can take minutes to work—an eternity when bleeding is severe.

This new bioadhesive shows significant strength in lab tests. In studies with rats, it sealed wounds in under half a minute. In trials with pigs, it rapidly stopped liver bleeding and outperformed commercial agents currently available. Even when pigs were given strong blood thinners, the glue still did its job.

Dr. Christoph Nabzdyk, a cardiac anesthesiologist at the Mayo Clinic who co-led the study, emphasizes the importance of this innovation: “We’re technically capable of carrying out a lot of complicated surgeries, but we haven’t really advanced as fast in the ability to control especially severe bleeding expeditiously.”

The glue holds up for weeks, long enough for the tissue underneath to heal, and causes little inflammation. Over time, it safely dissolves inside the body. If doctors need to remove it sooner—for instance, to access a wound site later—they can apply a special solution that gently breaks the bond without damaging surrounding tissue.

Flexibility and Versatility

One advantage of the paste-like glue over earlier adhesive tapes is its flexibility. Tapes are flat and work best for neat, straight incisions. But in the chaos of trauma, wounds are rarely so tidy. The paste can be molded to fit irregular shapes and pressed into place, adapting to whatever the injury looks like.

“The moldable paste can flow in and fit any irregular shape and seal it,” says Jingjing Wu, an MIT postdoc involved in the research.

That versatility could make the glue a valuable tool not just in hospitals but also in ambulances, on the battlefield, or anywhere fast bleeding control is needed.

Designing an Adhesive That Listens to Doctors

Another group of researchers has taken the challenge a step further by developing a bioadhesive that not only bonds instantly to wet tissue but can also be detached on demand. Their formula relies on polymers such as polyvinyl alcohol and poly(acrylic acid) combined with a compound called NHS ester. When pressed onto wet tissue, the material soaks up water like a sponge, then latches onto the tissue with a mix of weak and strong bonds.

The clever twist comes in how doctors can remove it. By applying a mild solution of sodium bicarbonate (essentially baking soda) and glutathione, a natural antioxidant, the adhesive’s bonds break apart and the glue lifts off gently. No heat, harsh chemicals, or ultraviolet light required.

In rat studies, the material proved biocompatible, causing minimal reaction in tissue. In tests with pig organs, it sealed leaks in lungs and was safely detached from a beating heart when needed. This approach could allow surgeons to reposition adhesives or remove implanted devices without causing new injury.

The Future of Wound Care

Every year, millions of surgeries worldwide rely on sutures and staples. While they remain reliable, they also cause small punctures in tissue, take time to place, and may not provide airtight or watertight seals. Adhesives could reduce surgery times, minimize scarring, and improve patient recovery.

Xuanhe Zhao, a professor at MIT and senior author of the barnacle-inspired glue study, sums it up: “We are solving an adhesion problem in a challenging environment, which is this wet, dynamic environment of human tissues. At the same time, we are trying to translate this fundamental knowledge into real products that can save lives.”

With new adhesives that are strong, flexible, and even reversible, the days of relying solely on stitches and staples may be numbered.

Practical Implications of the Research

If these adhesives prove successful in larger clinical trials, they could change emergency medicine. First responders might one day carry tubes of moldable paste capable of saving lives in seconds. Soldiers on the battlefield could receive immediate treatment for severe wounds before reaching a hospital.

Surgeons may also see operating times cut down, giving them more control during complex procedures. Adhesives that can be removed safely mean fewer risks when devices need to be repositioned or replaced. Patients could experience faster recovery, fewer complications, and less scarring.

In the long term, the technology might extend to everyday medical devices, improving how catheters or heart-assist machines are attached to the body. With millions of surgeries each year, even small improvements could have an enormous impact.