Opioid abuse crisis takes heavy toll on U.S. veterans

Needles used for shooting heroin and other opioids along with other paraphernalia litter the ground in a park in the Kensington section of Philadelphia, Pennsylvania, U.S. October 26, 2017.

By Barbara Goldberg

NEW YORK (Reuters) – Opioid drug abuse has killed more Americans than the Iraq, Afghanistan and Vietnam wars combined, and U.S. veterans and advocates this Veteran’s Day are focusing on how to help victims of the crisis.

Veterans are twice as likely as non-veterans to die from accidental overdoses of the highly addictive painkillers, a rate that reflects high levels of chronic pain among vets, particularly those who served in the wars in Iraq and Afghanistan, according to federal data.

U.S. government and healthcare officials have been struggling to stem the epidemic of overdoses, which killed more than 64,000 Americans in the 12 months ending last January alone, a 21 percent increase over the previous year, according to the Centers for Disease Control. About 65,000 Americans died in Vietnam, Iraq and Afghanistan.

President Donald Trump named opioids a national public health emergency and a White House commission last week recommended establishing a nationwide system of drug courts and easier access to alternatives to opioids for people in pain.

“Our veterans deserve better than polished sound bites and empty promises,” said former Democratic Congressman Patrick Kennedy, a recovering addict and a member of the president’s opioid commission.

Kennedy said in an e-mail that more funding was needed for treatment facilities and medical professionals to help tackle the problem.

One effort to address the issue has stalled in Congress – the proposed Veterans Overmedication Prevention Act, sponsored by Senator John McCain. That measure is aimed at researching ways to help Veterans Administration doctors rely less on opioids in treating chronic pain.

“The Veterans Administration needs to understand whether overmedication of drugs, such as opioid pain-killers, is a contributing factor in suicide-related deaths,” McCain, one of the nation’s most visible veterans, said in an e-mail on Thursday. He noted that 20 veterans take their lives each day, a suicide rate 21 percent higher than for other U.S. adults.

The VA system has stepped up its efforts to address the crisis, having treated some 68,000 veterans for opioid addiction since March, said Department of Veterans Affairs spokesman Curtis Cashour.

The department’s Louis Stokes VA Center in Cleveland has also begun testing alternative treatments, including acupuncture and yoga, to reduce use of and dependency on the drugs, the VA said.

A delay in naming a Trump administration “drug czar” to head the effort, however, has fueled doubts about immediate action on the opioid crisis. Last month the White House nominee, Representative Tom Marino, withdrew from consideration following a report he spearheaded a bill that hurt the government’s ability to crack down on opioid makers.

 

(Reporting by Barbara Goldberg; Editing by Dan Grebler)

 

Republicans’ push to roll back Obamacare faces crucial test

President Donald Trump (C) gathers with Vice President Mike Pence (R) and Congressional Republicans in the Rose Garden of the White House after the House of Representatives approved the American Healthcare Act, to repeal major parts of Obamacare and replace it with the Republican healthcare plan, May 4, 2017.

By Amanda Becker

WASHINGTON (Reuters) – A seven-year Republican effort to repeal and replace Obamacare faces a major test this week in the U.S. Senate, where lawmakers will decide whether to move forward and vote on a bill whose details and prospects are uncertain.

The Senate will decide as early as Tuesday whether to begin debating a healthcare bill. But it remained unclear over the weekend which version of the bill the senators would ultimately vote on.

President Donald Trump, after initially suggesting last week that he was fine with letting Obamacare collapse, has urged Republican senators to hash out a deal.

“Republicans have a last chance to do the right thing on Repeal & Replace after years of talking & campaigning on it,” Trump tweeted on Monday.

Republicans view former President Barack Obama’s signature 2010 health law, known as Obamacare, as a government intrusion in the healthcare market. They face pressure to make good on campaign promises to dismantle it.

But the party is divided between moderates, concerned that the Senate bill would eliminate insurance for millions of low-income Americans, and conservatives who want to see even deeper cuts to Obama’s Affordable Care Act.

The House in May passed its healthcare bill. Senate Republicans have considered two versions but have been unable to reach consensus after estimates showed they could lead to as many as 22 million fewer Americans being insured. A plan to repeal Obamacare without replacing it also ran aground.

If the Senate approves a motion to begin debating a healthcare bill, Majority Leader Mitch McConnell will determine which proposal has the most Republican support and move forward to a vote, Republicans said.

Republicans hold 52 of 100 Senate seats. McConnell can only afford to lose two Republican votes as Democrats are united in opposition.

Senator John Barrasso, a member of the Republican leadership, acknowledged on Sunday that there remained a lack of consensus among Republicans.

“Lots of members have different ideas on how it should be best amended to replace what is really a failing Obama healthcare plan,” Barrasso said on CBS’s “Face the Nation.”

The Republican effort has also been complicated by the absence of Senator John McCain, who has been diagnosed with brain cancer and is in his home state of Arizona weighing treatment options.

 

(Reporting By Amanda Becker; Additional reporting by Susan Heavey; Editing by Caren Bohan and Nick Zieminski)

 

Senate delays healthcare vote as McCain recovers from surgery

Sen. John McCain (R-AZ) speaks with reporters about the Senate health care bill on Capitol Hill

By David Morgan

WASHINGTON (Reuters) – The U.S. Senate will delay its consideration of healthcare legislation while Arizona Republican Senator John McCain recuperates from surgery, Senate Republican leader Mitch McConnell said on Saturday.

McCain’s absence cast doubt on whether the Senate would be able to pass the legislation to dismantle and replace Obamacare. McConnell needs 50 “yes” votes for passage in a chamber the Republicans control by a 52-48 margin.

“While John is recovering, the Senate will continue our work on legislative items and nominations, and will defer consideration of the Better Care Act,” McConnell said in a statement.

The announcement came after McCain’s office said he would remain in Arizona next week following a procedure to remove a 2-inch (5-cm) blood clot from above his left eye.

Repealing and replacing President Barack Obama’s signature healthcare law was a top campaign promise for President Donald Trump and Republicans in Congress.

But two Republican senators have already declared their opposition to revised legislation unveiled on Thursday.

McCain has expressed concern about the healthcare bill but has not said how he would vote.

The 2008 Republican presidential nominee, McCain was resting comfortably at home in good condition after Friday’s operation, his office said.

“There are few people tougher than my friend John McCain, and I know he’ll be back with us soon,” McConnell said.

McCain’s surgeons removed the clot during a minimally invasive craniotomy through an incision in the 80-year-old lawmaker’s eyebrow. Tissue pathology reports would be available within the next several days.

“Thanks to @MayoClinic for its excellent care — I appreciate your support and look forward to getting back to work!” McCain, who chairs the Senate Armed Services Committee, said on social network Twitter late on Saturday.

 

(Reporting by David Morgan; Editing by Cynthia Osterman and Clarence Fernandez)

 

McCain vows to block proposed separation of NSA, cyber command

U.S. Senator John McCain speaks at the Munich Security Conference in Munich, Germany,

By Patricia Zengerle

WASHINGTON (Reuters) – U.S. Senator John McCain said on Tuesday he would use his power to block the confirmation of a key cybersecurity official if necessary to prevent any Obama administration move to separate the U.S. Cyber Command from the National Security Agency.

“I do not believe rushing to separate the ‘dual hat’ in the final months of an administration is appropriate, given the very serious challenges we face in cyberspace,” McCain, the Republican chairman of the Senate Armed Services Committee, said at a hearing.

“Dual hat” refers to one individual holding both positions.

Current and former U.S. officials told Reuters in August that President Barack Obama’s administration was preparing to elevate the stature of the Department of Defense’s Cyber Command, including separating it from the NSA.

Officials argued that the focus of the NSA, a spy agency responsible for electronic eavesdropping, is gathering intelligence, often favoring the monitoring of an enemy’s cyber activities.

Cyber Command’s mission is geared more to shutting down cyber attacks – and, if ordered, counter attacking.

McCain said the two agencies must work closely together to protect U.S. national security and he would block any nominee if that person was not nominated both to run the NSA and lead Cyber Command.

He also said he wanted the administration to provide his panel with detailed plans of its proposed reorganization.

“This committee does not take well to being stonewalled while their colleagues in the administration leak information to the press,” McCain said.

Admiral Mike Rogers, the current NSA director and head of Cyber Command, told the hearing that he did not think it was in the best U.S. national security interest at this point to separate the two functions.

(Reporting by Patricia Zengerle; Editing by Bill Trott)