Respiratory

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Juul is being investigated for making unauthorized safety claims, while the governor of New York proposes to ban flavored e-cigarettes; Sutter Health is being sued for its role in rising healthcare costs; a European doctor who uses telemedicine and internet prescribing to provide American women with mifepristone and misoprostol to induce abortion in the first trimester is suing the FDA.

The FDA ordered 4 companies to stop selling 44 of their flavored e-liquid and hookah tobacco products that lack the required approval for sale; CMS has yet to implement a 2014 law preventing unnecessary, expensive screening tests (magnetic resonance imaging, computed tomagraphy scans and other tests) that could harm patients and waste resources; Amarin, which is seeking FDA approval for an expansion of Vascepa labeling to include data that showed a 25% reduction in the risk of heart attacks and strokes, said the FDA has scheduled an advisory committee meeting for November 14.

US District Judge James E. Boasberg ruled that New Hampshire cannot move ahead with work requirements in exchange for Medicaid coverage; a study looking at 8 flavors of Juul e-liquids found the presence of acetals, irritating chemicals formed from alcohol and aldehydes, in the Crème brûlée flavor; Medicaid expansion advocates are petitioning Florida, Missouri, and Oklahoma to include ballot measures asking voters if they want to allow the federal healthcare program to cover more low-income adults.