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Kaiser Daily Health Policy Report Examines Recent Health Reform Developments
Summaries of several developments related to health care reform appear below.

Fate Of Tiller's Clinic Expected To Be Decided This Week
The family of murdered Kansas abortion provider George Tiller is expected to decide this week whether his Wichita clinic will reopen, NPR"s "Morning Edition" reports. Tiller"s clinic is one of the few in the U.S. that performs abortions later in pregnancy, and many abortion-rights advocates are concerned whether women in need of abortions in the second and third trimester would be able to obtain care if it were not reopened. LeRoy Carhart, a Nebraska abortion provider who worked with Tiller at his clinic for four years, said that although it is a difficult time for abortion providers, he hopes that the family will reopen the clinic. "This is a job that we took, and we were well-aware of the risks when we started, as was Dr. Tiller," he said. Providing abortion services in the second and third trimester is "a service that"s so needed that it"s worth the risks," he added (Lohr, "Morning Edition," NPR, 6/9). Carhart also said that although no decision on Tiller"s clinic has been made, he "want[s] to assure the press and the women of America ... that we will somehow, somewhere continue to provide abortions later in gestation" (Duin, Washington Times, 6/9).According to Carhart, there are only about 10 providers in the U.S. who perform abortions in the second and third trimesters, including a few hospitals that do not advertise the services. "Morning Edition" reports that most women"s health care providers either are not trained or do not want to receive training to perform the procedure later in pregnancy. Providers who do tend to be older and face extreme pressure from antiabortion-rights advocates. Data from the Guttmacher Institute show that about 1% of all abortions performed in the U.S. occur after 21 weeks" gestation. Elizabeth Nash of Guttmacher said that 37 states have laws that limit access to abortion after a certain point in pregnancy, "usually around 24 weeks, which is at the end of the second trimester." She added that most of those states only allow abortions to save the life of the woman or if her physical health is in jeopardy. Pratima Gupta, an ob-gyn in California, said that she is concerned about what will happen to Tiller"s patients. Gupta said Tiller "had patients that were scheduled for Monday morning. What happened to those patients for the rest of the week, the rest of the month? Those patients are the ones who need us" ("Morning Edition," NPR, 6/9).
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Prostate Cancer 'Homing Device' For Drug Delivery Created By Purdue Researchers
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Folic Acid May Improve Asthma, Allergies

Folic acid, or vitamin B9, may help treat allergic reactions and allergy symptoms, according to researchers from the Johns Hopkins Children"s Center. Folate occurs naturally in food while folic acid is the synthetic form of this vitamin. s include cereals, baked goods, leafy vegetables, asparagus, fruits, legumes, yeast, mushrooms and organ meat (such as beef liver or kidneys). Previous studies have noted a potential link between folate and inflammatory conditions such as heart disease. In the study, funded by the National Institutes of Health (NIH), researchers reviewed medical data from in 8,083 patients ages 2-85 who participated in the 2005-2006 National Health and Nutrition Examination Survey (NHANES). During the study, serum folate levels and total IgE levels were measured. IgE, or immunoglobulin E, is a class of antibodies that mediates allergic reactions. The authors also recorded asthma and respiratory symptoms. Higher levels of folate were linked to lower IgE levels, fewer reported allergies, less wheezing and a lower likelihood of developing asthma. People with the lowest folate levels (less than eight nanograms per milliliter of blood) had a 40 percent increased risk of wheezing, 30 percent increased risk of having elevated IgE levels, 31 percent increased risk of allergic symptoms and a 16 percent higher risk of asthma compared to those with the highest levels of folate (above 18 nanograms per milliliter of blood). However, additional research is needed to confirm these early findings and to determine exactly how folate may work. The researchers plan to compare the effects of folic acid to placebo in people with allergies and asthma. References: 1. Natural Standard: The Authority on Integrative Medicine. http://www.naturalstandard.com. Copyright © 2009. 2. Matsui EC, Matsui W. Higher serum folate levels are associated with a lower risk of atopy and wheeze. J Allergy Clin Immunol. 2009 Apr 29. View Abstract Natural Standard


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