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With healthcare costs growing, a bipartisan group of senators has unveiled draft legislation that would protect patients from surprise bills and prevent medical bankruptcies; at least 17 hog-waste lagoons may have released feces and urine into flood waters in North Carolina, putting people at risk of viruses, parasitic infections, and rashes; African Americans accounted for fewer than 5% of patients in 24 trials for cancer drugs approved since 2015.

The Senate passed a massive opioid bill 99-1, but public health experts and first responders are concerned it won’t do enough to stop the crisis; pharmaceutical companies with manufacturing plants in North Carolina, South Carolina, and Virginia put emergency plans in place last week as Hurricane Florence bore down to avoid shortages of drugs and vaccines; the cannabis industry is booming, and one of the fastest growing group of users are people over age 50.

Last week, the FDA granted priority review to a new supplemental Biologics License Application for pembrolizumab (Keytruda) as a monotherapy for first-line treatment of locally advanced or metastatic nonsquamous or squamous non–small cell lung cancer (NSCLC) in patients whose tumors express PD-L1 without EGFR or ALK mutations.

Patient and advocacy groups filed a lawsuit seeking to block the Trump administration’s plan to let people buy short-term health insurance that doesn’t comply with the Affordable Care Act; members of the federal Medicaid and CHIP Payment and Access Commission advisory panel expressed concerns that 4350 low-income people in Arkansas had lost Medicaid coverage because they failed to show they were complying with new work requirements; half as many people tried heroin for the first time in 2017 as in 2016, but marijuana use grew.

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