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Pledges To Reduce Health Care Costs, Spending Growth Could Violate Antitrust Laws, Lawyers Say
U.S. antitrust laws could affect health care industry groups" efforts to work together to rein in health care costs, the New York Times reports (Pear, New York Times, 5/27). In a letter sent to President Obama on May 10, a coalition of groups -- the American Medical Association, the American Hospital Association, Pharmaceutical Research and Manufacturers of America, the Advanced Medical Technology Association, America"s Health Insurance Plans and the Service Employees International Union -- pledged to reduce the annual health care spending growth rate by 1.5%. The groups did not elaborate on what specific measures they would use to achieve such reductions, but the Obama administration has requested specific plans from the groups by June 1 (Kaiser Daily Health Policy Report, 5/26). According to the Times, many of the plans being considered by the health care industry would require greater cooperation across health care providers. Robert Leibenluft, a former Federal Trade Commission official, said, "Any agreement among competitors with regard to prices or price increases -- even if they set a maximum -- would raise legal concerns." In addition, while Obama is asking for specific plans from the health care industry, the administration has not offered any relief from antitrust laws, the Times reports. Furthermore, during his campaign Obama pledged to increase enforcement of antitrust laws, according to the Times.Antitrust laws have had a negative effect on previous health reform efforts, the Times reports. In 1993, the drug industry established a voluntary cost control plan that limited each drug company"s annual increase in the average price of prescription drugs to the increase in the Consumer Price Index, but the Department of Justice ruled that the proposal would violate antitrust laws. DOJ officials said that the U.S. Supreme Court made it clear that setting price maximums was akin to setting price minimums, which is illegal. In a letter to the Senate Finance Committee, AHA wrote that uncertainty regarding the enforcement of antitrust laws "makes it difficult for a hospital and doctors to collaborate to improve care" and reduce costs. AMA has asked Congress to amend antitrust laws to allow physicians to collectively negotiate with insurers over fees and other concerns, but FTC repeatedly has designated the practice illegal price-fixing, according to the Times. FTC officials said that consumers could benefit from cooperation among health care industry groups but that cooperation also could lead to increased bargaining power for physicians and hospitals, making it easier for them to set prices and eliminate competition (New York Times, 5/27). Reform Developments
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Diabetes UK Pinpoints Key Research In South Asian People
Diabetes UK and the South Asian Health Foundation (SAHF) are highlighting 16 research topics in a new report to find out more about diabetes in South Asian people.
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New Mechanism For Amyloid Beta Protein's Toxic Impact On The Alzheimer's Brain
Scientists have uncovered a novel mechanism linking soluble amyloid í² protein with the synaptic injury and memory loss associated with Alzheimer"s disease (AD). The research, published by Cell Press in the June 25 issue of the journal Neuron, provides critical new insight into disease pathogenesis and reveals signaling molecules that may serve as potential additional therapeutic targets for AD.
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New Book Is A Between The Covers Expose Of House Dust Mites

CSIRO Entomology"s Dr Matt Colloff"s book, Dust Mites , is an exposç© of the lives of house dust mites, the problems they cause, how they cause them and what measures can be taken to control their numbers. "This is the first book to comprehensively cover all aspects of the mites, which can cause allergic responses ranging from asthma and hay fever to eczema," Dr Colloff said. "I wrote it to help people interested in finding out more about house dust mites." Dust Mites includes information on; identification, physiology and ecology, allergen biochemistry and molecular biology, epidemiology, mite control and allergen avoidance. "It"s the first time all this information has been put together," Dr Colloff said. After studying dust mites for 25 years, Dr Colloff enjoys a high international reputation for his work. His research focussed on the biology of the mites in relation to allergic diseases and factors affecting their global distribution and abundance, and how to control them. "House dust mites are tiny - around 0.25mm to 0.50mm long. They feed on organic "dust" such as flakes of shed human skin and love our houses where they can be found in our beds, clothing, curtains and carpets," he said. The allergens produced by the mites are found in their bodies, secretions, faecal matter and shed skins. Some of their gut enzymes can be strongly allergenic and these often persist in their faecal matter. These mites are ubiquitous. They have even been found in the Antarctic and on the Mir Space Station. Their recorded history goes back to the 17th Century and a 1657 woodcut by August Hauptmann appears on the cover of Dr Colloff"s book. Dr Colloff said it has taken over 10 years to write the book partly because it was the first time much of the data had been pulled together and analysed. "I have mapped and databased thousands of mite and allergen distribution records to give a global picture of the patterns of dust mite allergen exposure: the hotspots and how exposure correlates with the prevalence of allergic asthma," he said. "A fresh look at clinical trials revealed that there needed to be at least a 90 per cent reduction in allergen levels to significantly improve patient outcomes. This new information means we can start improving the effectiveness of dust mite control." Julie Carter CSIRO Australia


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