Tag Archives: Health and Human Services Department

The New York Times 9:00 am on August 15, 2022
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‘Frustration and Stress’: State Officials Fault Rollout of Monkeypox Vaccine

Federal officials are not relying on an established system to distribute the vaccine, slowing immunizations and burdening local health departments, critics say.

#government-contracts-and-procurement, #health-and-human-services-department, #monkeypox, #shortages, #states-us, #stockpiling, #vaccination-and-immunization

The New York Times 2:14 am on August 9, 2022
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U.S. Moves to Stretch Out Monkeypox Vaccine Supply

The approach would involve injecting one-fifth of the current dose into the skin instead of a full dose into underlying fat.

#food-and-drug-administration, #health-and-human-services-department, #monkeypox, #united-states-politics-and-government, #vaccination-and-immunization

The New York Times 5:25 pm on August 4, 2022
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As Monkeypox Spreads, U.S. Plans to Declare a Health Emergency

The designation will free up emergency funds and lift some bureaucratic hurdles, but many experts fear containment may no longer be possible.

#epidemics, #health-and-human-services-department, #monkeypox, #vaccination-and-immunization, #world-health-organization, #your-feed-science

The New York Times 7:34 pm on August 1, 2022
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How the U.S. Let 20 Million Monkeypox Vaccine Doses Expire

At the start of the monkeypox outbreak the U.S. stockpile contained just 2,400 doses of vaccine, a far cry from the more than 20 million it once held.

#bavarian-nordic-as, #biological-and-chemical-warfare, #centers-for-disease-control-and-prevention, #denmark, #food-and-drug-administration, #health-and-human-services-department, #monkeypox, #new-york-city, #smallpox, #terrorism, #united-states, #vaccination-and-immunization

The New York Times 10:52 pm on July 25, 2022
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As Monkeypox Spread in New York, 300,000 Vaccine Doses Sat in Denmark

The federal government adopted a wait-and-see response to the monkeypox outbreak, calling for more vaccines to be delivered only after cases were growing exponentially.

#bavarian-nordic-as, #biomedical-advanced-research-and-development-authority, #centers-for-disease-control-and-prevention, #epidemics, #food-and-drug-administration, #health-and-human-services-department, #lgbtq-pride-month-us, #monkeypox, #new-york-city, #smallpox, #vaccination-and-immunization

The New York Times 11:59 pm on July 13, 2022
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U.S. Tells Pharmacists Not to Withhold Pills That Can Cause Abortion

New Biden administration guidance warned that failing to dispense such drugs “may be discriminating” on the basis of sex or disability, citing other conditions that they can treat.

#abortion, #abortion-drugs, #biden-joseph-r-jr, #discrimination, #drugs-pharmaceuticals, #health-and-human-services-department, #methotrexate-drug, #mifeprex-ru-486, #pregnancy-and-childbirth, #united-states-politics-and-government, #women-and-girls

The New York Times 11:00 am on July 8, 2022
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Under Pressure, Biden Will Issue Executive Order on Abortion

After the Supreme Court’s ruling, some of the president’s supporters have wanted him to push harder to protect abortion access, but details about what his new order will do remain unclear.

#abortion, #biden-joseph-r-jr, #birth-control-and-family-planning, #dobbs-v-jackson-womens-health-organization-supreme-court-decision, #executive-orders-and-memorandums, #health-and-human-services-department, #roe-v-wade-supreme-court-decision, #supreme-court-us, #united-states-politics-and-government

The New York Times 11:16 pm on June 28, 2022
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As Monkeypox Spreads, U.S. Plans a Vaccination Campaign

States will be given vaccine doses from the federal stockpile, but supplies of the safest type are limited.

#chelsea-manhattan-ny, #health-and-human-services-department, #homosexuality-and-bisexuality, #men-and-boys, #monkeypox, #smallpox, #united-states, #vaccination-and-immunization, #your-feed-science

The New York Times 6:00 pm on June 28, 2022
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‘No Magic Bullet’ for Preserving Abortion Access, Biden’s Health Secretary Says

With the White House under pressure to push back on the Supreme Court ruling on abortion, Xavier Becerra unveiled several steps aimed at protecting access to the procedure.

#abortion, #becerra-xavier, #biden-joseph-r-jr, #birth-control-and-family-planning, #dobbs-v-jackson-womens-health-organization-supreme-court-decision, #health-and-human-services-department, #plan-b-contraceptive, #united-states-politics-and-government

The New York Times 1:56 am on June 23, 2022
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Louisiana Nursing Home Owner Faces Cruelty Charges in Deadly Hurricane Evacuation

Bob Glynn Dean Jr. faces Medicaid fraud and other criminal charges after sending more than 800 residents to a squalid warehouse in August 2021, when Hurricane Ida pummeled the state, the authorities said.

#baton-rouge-la, #evacuations-and-evacuees, #health-and-human-services-department, #hurricane-ida-2021, #louisiana, #nursing-homes

The New York Times 9:00 am on June 16, 2022
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Bracing for the End of Roe v. Wade, the White House Weighs Executive Actions

The Biden administration has been deluged with ideas to help mitigate a Supreme Court ruling overturning abortion rights, but many come with legal risks.

#biden-joseph-r-jr, #democratic-party, #demonstrations-protests-and-riots, #dunn-anita, #health-and-human-services-department, #remus-dana, #rice-susan-e, #supreme-court-us, #women-and-girls

The New York Times 4:01 am on April 28, 2022
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Medicare Advantage Plans Often Deny Needed Care, Federal Report Finds

Investigators urged increased oversight of the program, saying that insurers deny tens of thousands of authorization requests annually.

#elderly, #health-and-human-services-department, #health-insurance-and-managed-care, #inspectors-general, #medicare, #privatization

The New York Times 1:03 am on April 7, 2022
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F.D.A. Panel Weighs Challenges of Revamping Covid Vaccines for Fall

A meeting of the committee underscored how many uncertainties lie ahead, including whether a vaccine that works better against variants can be ready by fall.

#centers-for-disease-control-and-prevention, #clinical-trials, #coronavirus-2019-ncov, #food-and-drug-administration, #health-and-human-services-department, #moderna-inc, #pfizer-inc, #united-states-politics-and-government, #vaccination-and-immunization

The New York Times 9:00 am on March 20, 2022
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Can Ashish Jha, ‘A Comforting Voice,’ Tamp Down Covid’s Political Divide?

Dr. Jha, the new White House coronavirus response coordinator, has built a reputation as a gifted communicator, but there is much more to the job.

#biden-joseph-r-jr, #content-type-personal-profile, #coronavirus-2019-ncov, #health-and-human-services-department, #jha-ashish-1970, #united-states-politics-and-government

The New York Times 4:41 pm on March 19, 2022
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Trucker Protest Moved by More Than Opposition to Covid Mandates

The demonstrators camped outside Washington are rallying against Covid restrictions, but are fueled by a far broader set of right-wing grievances.

#biden-joseph-r-jr, #centers-for-disease-control-and-prevention, #coronavirus-2019-ncov, #cruz-ted, #democratic-party, #hagerstown-md, #health-and-human-services-department, #kennedy-robert-f-jr, #masks, #republican-party, #sullivan-daniel-scott-1964, #united-states-politics-and-government, #youngkin-glenn-a

The New York Times 7:00 am on March 19, 2022
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After Stumbles, Biden’s Health Secretary Seeks a Reboot

A lawyer by training, Xavier Becerra helped pass the Affordable Care Act as a congressman, but he is not steeped in infectious disease. His tenure will be defined by how he handles the fallout from Covid-19.

#becerra-xavier, #biden-joseph-r-jr, #content-type-personal-profile, #coronavirus-2019-ncov, #health-and-human-services-department, #immigration-and-emigration, #medicine-and-health, #united-states-politics-and-government

The New York Times 11:50 pm on February 10, 2022
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Explaining the Claim About the Biden Administration and ‘Crack Pipes’

Conservatives have homed in on a specific provision in an overdose prevention grant program to make a misleading claim about crack pipes.

#american-rescue-plan-2021, #cocaine-and-crack-cocaine, #drug-abuse-and-traffic, #health-and-human-services-department, #pipes-smoking, #united-states-politics-and-government, #white-house-office-of-national-drug-control-policy

The New York Times 11:47 pm on February 10, 2022
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Vacancies in Top Health and Science Jobs May Threaten Biden’s Agenda

President Biden came into office vowing to respect science, but openings in crucial jobs could hamper progress on medical and technological research.

#becerra-xavier, #biden-joseph-r-jr, #califf-robert-m, #centers-for-disease-control-and-prevention, #coronavirus-2019-ncov, #defense-advanced-research-projects-agency, #food-and-drug-administration, #health-and-human-services-department, #lander-eric-s, #national-institutes-of-health, #research, #science-and-technology, #united-states-politics-and-government, #woodcock-janet

The New York Times 8:00 am on February 2, 2022
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Biden Promised 500 Million Free Covid Tests. Then He Had to Find Them.

Millions of Americans are now receiving tests through the new mail program, which health experts said came too late to meet demand during the brunt of Omicron wave.

#abbott-laboratories, #biden-joseph-r-jr, #coronavirus-2019-ncov, #coronavirus-omicron-variant, #defense-production-act, #factories-and-manufacturing, #food-and-drug-administration, #government-contracts-and-procurement, #health-and-human-services-department, #postal-service-us, #postal-service-and-post-offices, #roche-holding-ag, #siemens-ag, #tests-medical, #united-states-politics-and-government

The New York Times 10:24 pm on January 23, 2022
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Biden’s Pandemic Fight: Inside the Setbacks of the First Year

The administration has gotten much right, but its response has been hampered by confusing messaging, a lack of focus on testing, fear of political blowback and the coronavirus’s unpredictability.

#biden-joseph-r-jr, #centers-for-disease-control-and-prevention, #coronavirus-2019-ncov, #coronavirus-delta-variant, #coronavirus-omicron-variant, #fauci-anthony-s, #food-and-drug-administration, #health-and-human-services-department, #masks, #presidents-and-presidency-us, #tests-medical, #united-states-politics-and-government, #vaccination-and-immunization, #walensky-rochelle, #woodcock-janet

The New York Times 12:27 am on January 11, 2022
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Insurers Will Have to Cover 8 At-Home Virus Tests Per Month

The Biden administration announced the new guidelines as it continued to work to get coronavirus tests to people regardless of their insurance status.

#coronavirus-2019-ncov, #health-and-human-services-department, #health-insurance-and-managed-care, #tests-medical, #united-states-politics-and-government

The New York Times 10:54 pm on December 11, 2021
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Margaret Giannini, Champion of People With Disabilities, Dies at 100

After meeting the parents of children with a range of disabilities, she decided almost on the spot to start a clinic to treat such children exclusively.

#children-and-childhood, #deaths-obituaries, #disabilities, #doctors, #giannini-margaret-1921-2021, #health-and-human-services-department, #intellectual-disabilities, #mental-health-and-disorders, #new-york-medical-college, #westchester-institute-for-human-development

The New York Times 2:08 am on November 5, 2021
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Federal Government Cuts Ties With Troubled Vaccine Maker

Emergent BioSolutions ruined millions of doses of Covid-19 vaccines. Now its $600 million deal is canceled.

#anthrax, #astrazeneca-plc, #coronavirus-2019-ncov, #emergent-biosolutions-inc, #food-and-drug-administration, #government-contracts-and-procurement, #health-and-human-services-department, #johnsonjohnson, #kramer-robert-g, #vaccination-and-immunization

The New York Times 9:15 pm on October 4, 2021
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Biden Officials End Ban on Abortion Referrals at Federally Funded Clinics

The change reversed a key piece of abortion policy set under the Trump administration.

#abortion, #biden-joseph-r-jr, #birth-control-and-family-planning, #health-and-human-services-department, #trump-donald-j, #united-states-politics-and-government

The New York Times 9:00 am on September 20, 2021
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Medicare Expansion Clashes With Health Care for the Poor as Budget Bill Shrinks

Under pressure to cut the bill’s cost, Democrats disagree over whether to offer more benefits to older Americans or to cover more of the working poor.

#democratic-party, #health-and-human-services-department, #health-insurance-and-managed-care, #house-committee-on-ways-and-means, #medicaid, #medicare, #united-states-politics-and-government

The New York Times 9:00 am on September 19, 2021
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Biden Administration Seeks to Expand Telehealth in Rural America

New funding will allow more medical appointments to take place via video in rural communities, where some of the nation’s oldest and sickest patients live.

#american-rescue-plan-2021, #biden-joseph-r-jr, #coronavirus-2019-ncov, #health-and-human-services-department, #health-resources-and-services-administration, #rural-areas, #telemedicine, #united-states-politics-and-government, #university-of-mississippi

The New York Times 4:37 pm on September 11, 2021
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Phony Diagnoses Hide High Rates of Drugging at Nursing Homes

At least 21 percent of nursing home residents are on antipsychotic drugs, a Times investigation found.

#drugs-pharmaceuticals, #elder-care, #elderly, #health-and-human-services-department, #mental-health-and-disorders, #nursing-homes, #regulation-and-deregulation-of-industry, #schizophrenia, #sedatives, #your-feed-healthcare

The New York Times 8:29 pm on September 3, 2021
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Inside the Afghan Evacuation: Rogue Flights, Hope and Chaos

President Biden has insisted that the evacuation of Kabul was done as efficiently as possible. But key documents obtained by The New York Times suggest otherwise.

#afghanistan, #afghanistan-war-2001, #coronavirus-2019-ncov, #defense-department, #doha-qatar, #dulles-international-airport-washington-dc, #evacuations-and-evacuees, #health-and-human-services-department, #homeland-security-department, #mazar-i-sharif-afghanistan, #qatar, #refugees-and-displaced-persons, #state-department, #united-states-defense-and-military-forces, #united-states-international-relations, #washington-dc

The New York Times 2:15 pm on August 30, 2021
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Biden Opens New Federal Office for Climate Change, Health and Equity

The office will be the first government effort to focus specifically on the public health dangers of global warming.

#air-pollution, #biden-joseph-r-jr, #global-warming, #health-and-human-services-department, #heat-and-heat-waves, #mccarthy-gina, #medicine-and-health, #united-states-politics-and-government, #wildfires

The New York Times 11:27 am on August 3, 2021
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Alex Azar: Americans Need to Get a Covid-19 Vaccine

I oversaw the vaccines. They are safe and they work.

#conservatism-us-politics, #coronavirus-2019-ncov, #health-and-human-services-department, #republican-party, #vaccination-and-immunization

The New York Times 11:19 pm on June 25, 2021
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Touring the Border, Harris Asked Questions, and Had Few Answers

Advocates pushed the vice president to end Title 42, a Trump-era rule that allows the government to expel migrants for public health reasons.

#asylum-right-of, #biden-joseph-r-jr, #customs-and-border-protection-us, #democratic-party, #harris-kamala-d, #health-and-human-services-department, #house-of-representatives, #mayorkas-alejandro, #united-states-politics-and-government

The New York Times 12:02 am on June 25, 2021
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Biden Officials Consider Phasing Out Rule That Blocked Migrants During Pandemic

Among the plans under consideration is whether to give migrant families a chance to apply for protections, and to possibly lifting the public health rule for single adults this summer.

#asylum-right-of, #border-patrol-us, #centers-for-disease-control-and-prevention, #health-and-human-services-department, #homeland-security-department, #illegal-immigration, #presidential-election-of-2020

The New York Times 6:13 pm on June 16, 2021
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Vaccine Maker Earned Record Profits but Delivered Disappointment in Return

Emergent BioSolutions was awarded a $628 million federal contract with no competitive bidding. Top executives received big bonuses while factories mostly sat idle and tens of millions of Covid-19 doses were thrown away.

#astrazeneca-plc, #baltimore-md, #coronavirus-2019-ncov, #emergent-biosolutions-inc, #food-and-drug-administration, #gaithersburg-md, #government-contracts-and-procurement, #health-and-human-services-department, #johnsonjohnson, #kadlec-robert-p, #maryland, #michigan, #rockville-md, #trump-donald-j, #vaccination-and-immunization

The New York Times 9:00 am on June 8, 2021
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Biden Administration Moves to Unkink Supply Chain Bottlenecks

A swath of recommendations calls for more investments, new supply chains and less reliance on other countries for crucial goods.

#alternative-and-renewable-energy, #american-rescue-plan-2021, #batteries, #biden-joseph-r-jr, #china, #computer-chips, #coronavirus-aid-relief-and-economic-security-act-2020, #electric-and-hybrid-vehicles, #energy-department, #factories-and-manufacturing, #health-and-human-services-department, #international-trade-and-world-market, #lithium-metal, #office-of-the-united-states-trade-representative, #rare-earths, #shortages, #united-states-economy, #united-states-politics-and-government

The New York Times 10:01 pm on June 1, 2021
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Biden Recognizes Pride Month, Vowing to Fight for LGBTQ Rights

The official recognition is a turnabout from the policies of President Donald J. Trump, who refused to acknowledge the celebration.

#biden-joseph-r-jr, #buttigieg-pete-1982, #civil-rights-and-liberties, #defense-of-marriage-act-1996, #democratic-party, #desantis-ron, #executive-orders-and-memorandums, #harris-kamala-d, #health-and-human-services-department, #homosexuality-and-bisexuality, #same-sex-marriage-civil-unions-and-domestic-partnerships, #transgender-and-transsexuals, #trump-donald-j, #united-states-politics-and-government

The New York Times 10:55 pm on May 24, 2021
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Democrats Quieter About Migrant Children Detention

House Democrats led angry efforts to denounce the Trump administration’s treatment of migrant children. With the issue bedeviling President Biden, they are voicing worries privately.

#becerra-xavier, #biden-joseph-r-jr, #children-and-childhood, #democratic-party, #health-and-human-services-department, #human-rights-and-human-rights-violations, #illegal-immigration, #immigration-and-emigration, #united-states-politics-and-government

The New York Times 7:56 pm on May 21, 2021
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Big Hospital Chains Get Covid Aid, and Buy Up Competitors

The pandemic barely dented the financial outlook for some major networks, which continued to acquire weaker hospitals and ailing doctors’ practices. Critics worry consolidation leads to higher prices for medical care.

#american-hospital-assn, #antitrust-laws-and-competition-issues, #biden-joseph-r-jr, #cedars-sinai-medical-center, #coronavirus-2019-ncov, #coronavirus-aid-relief-and-economic-security-act-2020, #federal-aid-us, #health-and-human-services-department, #health-insurance-and-managed-care, #hospitals, #klobuchar-amy, #mergers-acquisitions-and-divestitures, #new-york-university-langone-health, #porter-katie-1974, #prices-fares-fees-and-rates, #rand-corp, #senate, #your-feed-healthcare

The New York Times 9:30 pm on May 18, 2021
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Migrant Children Still Vex Biden

The Biden administration’s drive to empty detention centers at the border has created new concerns as children fill emergency shelters run by the Department of Health and Human Services.

#biden-joseph-r-jr, #border-patrol-us, #child-custody-and-support, #children-and-childhood, #customs-and-border-protection-us, #health-and-human-services-department, #illegal-immigration, #immigration-and-emigration, #immigration-detention, #office-of-refugee-resettlement, #refugees-and-displaced-persons, #united-states-politics-and-government

The New York Times 9:16 pm on May 16, 2021
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In New Vaccination Push, Biden Leans on His ‘Community Corps’

Frantic efforts to vaccinate people in an underserved area of Philadelphia underscore a difficult new stage of the nation’s vaccination campaign, as door-to-door efforts become the norm.

#biden-joseph-r-jr, #black-people, #coronavirus-2019-ncov, #coronavirus-risks-and-safety-concerns, #health-and-human-services-department, #philadelphia-pa, #united-states-politics-and-government, #vaccination-and-immunization, #volunteers-and-community-service

The New York Times 9:30 pm on May 10, 2021
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Biden Administration Restores Rights for Transgender Patients

Officials invited people subject to health care discrimination to file complaints. But formal rule-making will be needed before a Trump-era policy can be fully reversed.

#becerra-xavier, #biden-joseph-r-jr, #civil-rights-and-liberties, #discrimination, #health-and-human-services-department, #health-insurance-and-managed-care, #homosexuality-and-bisexuality, #patient-protection-and-affordable-care-act-2010, #transgender-and-transsexuals, #united-states-politics-and-government

The New York Times 2:36 pm on May 10, 2021
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Biden Administration Prohibits Health Care Discrimination vs. Transgender People

The administration reversed a Trump administration policy that said the Affordable Care Act’s protections did not apply to transgender people.

#discrimination, #health-and-human-services-department, #patient-protection-and-affordable-care-act-2010, #transgender-and-transsexuals, #united-states-politics-and-government

The New York Times 6:30 pm on May 8, 2021
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‘This Is Politics’: Dr. Rachel Levine’s Rise as Transgender Issues Gain Prominence.

President Biden’s assistant secretary for health is the highest-ranking openly transgender person ever to serve in the federal government.

#biden-joseph-r-jr, #content-type-personal-profile, #discrimination, #health-and-human-services-department, #levine-rachel-1957, #transgender-and-transsexuals, #united-states-politics-and-government

The New York Times 11:40 pm on May 7, 2021
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Overcrowded Border Jails Give Way to Packed Migrant Child Shelters

Federal documents indicate that while the Biden administration has cleared migrant children from border detention centers, now shelters run by the Department of Health and Human Services are strained.

#biden-joseph-r-jr, #child-custody-and-support, #health-and-human-services-department, #homeland-security-department, #illegal-immigration, #immigration-and-emigration, #mayorkas-alejandro, #united-states-politics-and-government

The New York Times 1:14 am on May 4, 2021
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In Another Reversal, Biden Raises Limit on Number of Refugees Allowed Into the U.S.

The action comes about two weeks after President Biden announced that he was leaving the Trump administration’s limit of 15,000 refugees in place, prompting a swift backlash.

#asylum-right-of, #biden-joseph-r-jr, #coronavirus-2019-ncov, #health-and-human-services-department, #homeland-security-department, #immigration-and-emigration, #refugees-and-displaced-persons, #trump-donald-j, #united-states-politics-and-government

The New York Times 9:00 am on May 2, 2021
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Indian Health Service Settles Dispute Over Care in New Mexico

The federal agency agreed to postpone for a year its proposal to cut service at a hospital serving 9,100 tribal citizens.

#acoma-pueblo-nm, #coronavirus-2019-ncov, #haaland-deb, #health-and-human-services-department, #hospitals, #indian-health-service, #native-americans, #united-states-politics-and-government, #vallo-brian-d

The New York Times 12:43 am on May 1, 2021
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U.S. Shows Progress in Moving Migrant Children From Border Jails

New government statistics show a backlog of migrant children being held at Border Patrol facilities contrary to law has greatly diminished.

#biden-joseph-r-jr, #border-patrol-us, #central-america, #child-custody-and-support, #health-and-human-services-department, #illegal-immigration, #immigration-and-emigration, #immigration-detention, #united-states-politics-and-government

The New York Times 8:56 pm on April 17, 2021
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Biden Administration Ends Limit on Fetal Tissue Research

The decision reverses Trump administration rules and allows scientists to use tissue derived from elective abortions to develop treatments for diseases including cancer and AIDS.

#abortion, #coronavirus-2019-ncov, #fetal-tissue, #health-and-human-services-department, #international-society-for-stem-cell-research, #national-institutes-of-health, #research, #science-and-technology, #tissue-human, #trump-donald-j, #vaccination-and-immunization, #your-feed-science

The New York Times 8:56 pm on April 17, 2021
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Biden Administration Ends Limits on Use of Fetal Tissue for Research

The decision reverses Trump administration rules and allows scientists to use tissue derived from elective abortions to develop treatments for diseases including cancer and AIDS.

#abortion, #coronavirus-2019-ncov, #fetal-tissue, #health-and-human-services-department, #international-society-for-stem-cell-research, #national-institutes-of-health, #research, #science-and-technology, #tissue-human, #trump-donald-j, #vaccination-and-immunization, #your-feed-science

The New York Times 3:00 pm on April 17, 2021
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The Covid-19 Plasma Boom Is Over. What Did We Learn From It?

The U.S. government invested $800 million in plasma when the country was desperate for Covid-19 treatments. A year later, the program has fizzled.

#american-red-cross, #antibodies, #blood, #blood-donation, #clinical-trials, #coronavirus-2019-ncov, #food-and-drug-administration, #government-contracts-and-procurement, #health-and-human-services-department, #united-states-politics-and-government, #your-feed-healthcare, #your-feed-science

The New York Times 1:12 am on April 17, 2021
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Biden Wavers on Restricting Refugee Entry

The Biden administration will for now maintain a historically low refugee cap. But after a widespread backlash from Democrats, the White House said it would raise refugee admissions in May.

#biden-joseph-r-jr, #blinken-antony-j, #durbin-richard-j, #health-and-human-services-department, #homeland-security-department, #humanitarian-aid, #immigration-and-emigration, #jayapal-pramila, #office-of-refugee-resettlement, #refugees-and-displaced-persons, #sullivan-jacob-j-1976, #trump-donald-j, #united-states-politics-and-government