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Terry Kohl, a real estate agent in New Jersey, battled what she thought was indigestion for 6 months and went repeatedly to a gastroenterologist for what she thought was a case of “grumbly gut.” Her "indigestion" led to a coronary artery bypass surgery soon after a trip to Rome left her breathless. Read about how women experience health and healthcare differently as National Women's Health Week draws to a close.

This week, the top managed care stories included President Donald Trump's plan to drive down drug prices; the FDA approved the first biosimilar of the year; a study found rapid uptake of PD-1 agents after FDA approval.

FDA Commissioner Scott Gottlieb, MD, expressed concerns about a version of a "right-to-try” bill in the House of Representatives; the Trump administration Friday is set to reinstate rules prohibiting clinics that receive federal funding from providing abortions or referring patients to places that do; the National Institutes of Health has frozen a highly criticized, $100 million, 10-year study of moderate drinking backed by the alcoholic beverage industry.

Chronic obstructive pulmonary disease (COPD) is an incurable, progressive lung disease that was most recently in the news for taking the life of former First Lady Barbara Bush. Last fall, researchers gathered for 2 days to discuss and explore research needs and opportunities related to the impact of female sex and gender on lung and sleep health maintenance and management of lung diseases and sleep disorders, of which COPD is one of the best-known examples.

The authors write that these differences among Veterans Affairs (VA) populations could reflect variability across the medical centers in terms of quality of care, adherence to evidence-based treatment and screening guidelines, access to urgent care, posthospitalization care protocols, chronic disease management, and access to specialty care, social work services, and behavioral health care.

The Trump administration confirms it will not approve state requests to impose lifetime limits on Medicaid benefits; a significant number of young adults are providing long-term care for older loved ones and are more likely to be stressed by the caregiving than older counterparts; 5 more states file lawsuit against Purdue Pharma for its alleged role in the opioid epidemic, and Florida files lawsuit against multiple painkiller makers and drug distributors.

The Agriculture and Nutrition Act of 2018, as proposed in the House of Representatives, would make the program more complicated to administer for states, impose new mandates, and take away program flexibility, while leaving low-income households at risk of losing so-called food stamps, now called Supplemental Nutrition Assistance Program benefits, according to a new research report.

The FDA has approved Pfizer’s epoetin alfa-epbx (Retacrit), a biosimilar to epoetin alfa (Epogen), marking the first biosimilar approval of 2018 and the first biosimilar erythropoiesis-stimulating agent approved in the United States.

A new study published in JAMA showed that although estimates of prescription medication use for children and teens fell overall from 1999 to 2014, patterns differed by types of medications, with drugs for attention-deficit/hyperactivity disorder (ADHD), asthma, and contraception all increasing. Use of antibiotics, antihistamines, and upper respiratory combination medications decreased.

Democrats are eager to run on healthcare in the 2018 midterm elections; the Virginia State Senate convened for a procedural move that put the state budget bill before the finance committee as a battle over Medicaid expansion continued; in separate letters sent to HHS Secretary Alex Azar, more than 200 Democratic lawmakers from the House and Senate warned against making changes to a federal family planning program for low-income Americans,

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