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The National Institutes of Health (NIH) said this week that care for chronic obstructive pulmonary disease (COPD) is expected to cost the United States $49 billion by 2020, as it recapped its research portfolio to mark World COPD Day 2018.

The 2019 outlook for health insurers in the United States looks stable; Senator Bernie Sanders, I-Vermont, and Representative Ro Khanna, D-California, have released a bill that takes cues from President Donald Trump’s proposal to reduce Medicare drug costs through the use of an international pricing index; older Americans should be aware of what is in their medical records and whether the data are accurate.

A pharmaceutical company proactively reached out to the Office of the Inspector General (OIG) of HHS to find out if giving a costly drug for a rare condition—free of charge, in the hope of eventually getting the drug covered by payors—to hospitals would violate federal kickback law, and was told it probably would.

Rep. Frank Pallone Jr, D-New Jersey, who is set to be chairman of the Energy and Commerce Committee, supports the concept of a single-payer “Medicare-for-all” bill in the next Congress, but said the votes aren’t there and there are other priorities; an emergency department doctor was shot and killed by her former fiancé at Mercy Hospital in Chicago, along with a first-year pharmacy resident and a city police officer who rushed into the chaos; Kaleo, which sells a voice-activated auto-injector device that delivers a version of naloxone, raised the price of its opioid antidote product by more than 600% between 2014 and 2017.

A new study, published in the International Journal of COPD, concludes that the increase in endothelial microparticles and various microparticles in the systemic circulation that accompanies chronic obstructive pulmonary disease (COPD) can lead to disease exacerbation and could be used as early biomarkers on disease progression.

Earlier this month, Merck announced that the FDA approved its anti–PD-1 therapy, pembrolizumab (sold as Keytruda), for the treatment of patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.

A California union that provided major funding for successful ballot campaigns to expand Medicaid in 3 red states this year, is looking ahead to 2020; smoke from the wildfire in Northern California has created dangerous air quality that exceeds pollution levels in China and India; the World Health Organization evacuated 16 people working to contain the Ebola outbreak in the Democratic Republic of the Congo following a rebel attack.

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