NEW YORK/WASHINGTON (Reuters)—A failed Republican effort to replace Obamacare raised new concerns on Tuesday for U.S. health insurers over whether the government will continue to fund billions of dollars in medical benefit subsidies. The healthcare bill under consideration in the U.S. Senate would have settled the funding question, but was scrapped after Republican leaders were…
Senate Republicans Reluctantly Consider Bipartisan Healthcare Talks
WASHINGTON (Reuters)—As their seven-year effort to repeal and replace Obamacare derailed in the U.S. Senate, Republicans faced the prospect of doing the once unthinkable: working with Democrats to make fixes to former President Barack Obama’s 2010 healthcare law. Bipartisan breakthroughs would likely come in the form of individual bills targeted at issues such as stabilizing…
Trump Urges U.S. Senate Republicans to Keep Trying on Healthcare Bill
WASHINGTON (Reuters)—U.S. President Donald Trump pushed Senate Republicans on Wednesday to take another stab at repealing or overhauling Obamacare, urging them at a White House meeting to keep their campaign promises and find a new healthcare approach. “We’re close. We’re very close,” Trump said at the start of the lunch meeting, a day after the…
U.S. Republicans Left Scrambling After Healthcare Bill Sinks Again
WASHINGTON (Reuters)—The collapse of Republicans’ push to repeal and replace Obamacare in the U.S. Senate set up a possible repeal-only vote and clouded the path forward for President Donald Trump’s other domestic policy goals, rattling financial markets on Tuesday. After two Republicans said they would not back the latest Obamacare rollback bill, Senate Majority Leader…
Immune Response to Trauma May Flag Impending Organ Failure
NEW YORK (Reuters Health)—Early immune response signatures in the critically injured may shed light on mechanisms underlying multiple organ system failure, according to U.K. investigators. As Dr. Joanna M. Shepherd of Queen Mary University of London tells Reuters Health by email, “Multiple organ dysfunction syndrome (MODS) is common after major trauma and it contributes to…
Drug Tapering: Studies Point to Success in Some Patients
Highlights from the 2017 EULAR Congress MADRID—Scores on the Health Assessment Questionnaire for Rheumatoid Arthritis (HAQ) and C-reactive protein (CRP) levels were independent predictors of whether patients could be tapered successfully from a TNF inhibitor after having reached remission of their RA, according to findings presented in a session at the Annual European Congress of…

2 Biosimilars Make Their Way Toward the European Market
Two biosimilar treatments, Rixathon and Imraldi, are moving closer to market release in Europe for the treatment of rheumatic and other diseases…

Rituximab May Help Pediatric Patients with SLE
Although rituximab is not indicated for adults with SLE, a recent review suggests that it may be safe and effective for treating pediatric SLE. The review found that rituximab improved renal function and reduced proteinuria in pediatric patients. It may also prevent relapse and improve disease activity…

Ethics Forum: Facebook Friend Request from Patient Raises Concern for Rheumatologist
Social media has revolutionized my practice. I stay current with Twitter content from other rheumatologists, patient organizations and medical journals. I am also an active member of the international Twitter-based rheumatology journal club, #RheumJC. Still, I was recently surprised when my patient’s name appeared in a friend request. This same patient was following me on…
Rheumatology Coding Corner Question: Established Patient Office Visit with Acute Gout
A 66-year-old female patient returns to the office complaining of swelling and a burning pain in her right first toe. She rates the pain level at a 9 out of 10. She currently takes an over-the-counter non-steroidal anti-inflammatory drug (NSAID), but it has done little to alleviate the pain. This is her second episode this…
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