EPA 将微塑料和抗抑郁药归类为饮用水污染物

• 保险巨头 Cigna 宣布将于 2027 年退出 Affordable Care Act 个人市场，影响 369,000 名会员；与此同时，有报告显示由于长期成本上升，数百万人正放弃 Obamacare 保障。 • 州政府官员和行业分析师指出，保费飙升正导致参保人数下降，加剧了剩余保单持有人的服务获取难题。 • Cigna 在宣布退出的同时报告了 16.5 亿美元的利润，凸显了盈利能力与市场可持续性之间的紧张关系。

• American Heart Association 于 2026 年 4 月 30 日发布了一份 Presidential Advisory，宣布由于慢性病驱动的成本上升，美国医疗保健的可负担性已处于危机点。 • 高昂的成本正迫使美国人推迟或放弃就医，导致健康状况恶化并增加了医疗债务；Gallup 调查显示，公众普遍对获得负担得起的医疗服务感到担忧。 • McLaughlin & Associates 的民意调查发现，51% 的选民将医疗保险列为首要关注点，其次是医院账单 (11%) 和药物成本 (10%)。

• Trump政府于周三晚间就马萨诸塞州一名联邦法官3月16日的裁决提起上诉，该裁决阻止了卫生部长Robert F. Kennedy Jr.对国家儿童疫苗接种计划的全面改革。 • Brian Murphy法官曾裁定，Kennedy“非法”替换了CDC的疫苗顾问委员会，并搁置了该委员会做出的任何决定。 • 此次上诉表明，尽管其权力面临法律挑战，该政府仍打算继续进行疫苗咨询流程的重组。

• The Department of Justice announced last week it loosened legal restrictions on medical marijuana, aiming to expand research and treatment options across the US. • This policy shift is expected to facilitate more clinical studies and access for patients in states with medical programs. • The change addresses longstanding barriers to federally approved marijuana research, potentially accelerating therapeutic developments.

• South Carolina health officials ended the nation's largest measles outbreak after six months, with 997 infections and 21 hospitalizations but no deaths. • The outbreak concluded Sunday following over a month without new cases. • This marks a significant public health milestone amid rising national vaccination concerns.

• Backers introduced over three dozen bills in statehouses to expand raw milk access, despite public health warnings and at least five outbreaks in the past year. • Current E. coli outbreak linked to raw milk cheddar cheese from California-based Raw Farm has sickened nine people, half children under 5, with one developing lifelong kidney complications. • Public health officials warn unpasteurized milk harbors risky germs, alarming experts as more states legalize sales.

• Nearly two-thirds (64%) of U.S. adults worry about affording health care costs, with 30% very worried, topping affordability concerns over gas prices. • Health care affordability remains the public's primary worry despite other economic pressures. • Poll highlights ongoing financial strain on households amid rising medical expenses.

• Investigators from Ann & Robert H. Lurie Children’s Hospital analyzed over 3.9 million hospitalizations to estimate sepsis in 1.3% of pediatric cases, equating to more than 18,000 U.S. occurrences yearly. • Sepsis carries a 10% mortality rate, resulting in over 1,800 child deaths annually, with no significant change in incidence or mortality from 2016 to 2022. • 72% of cases began before hospitalization, highlighting risks to otherwise healthy children and the urgent need for better prevention strategies.

• Connecticut Governor Ned Lamont signed HB 5044 into law on April 28, 2026, expanding the state health commissioner's authority to issue vaccine recommendations independent of federal guidance. • The bill includes provisions clarifying the state's Religious Freedom Restoration Act (RFRA), which had sparked significant controversy during legislative debates. • The law also prevents insurance companies from penalizing clinicians who treat patients declining vaccines, protecting physician practice autonomy.

• A new report from Harris County Public Health reveals Houston has the highest tuberculosis rates in Texas, highlighting urban transmission risks. • The data shows elevated cases linked to dense populations and socioeconomic factors in the Houston area. • Rising TB incidence demands targeted screening and treatment expansions to curb spread in high-risk communities.

• Medicare underpayments to hospitals totaled more than $100 billion in 2024, according to testimony provided to the House Ways and Means Committee by the American Hospital Association. • Hospitals are managing significant cost pressures while treating a sicker, more medically complex, and aging patient population, with persistent misalignments between care provision and reimbursement rates. • The financial strain reflects broader healthcare system challenges as providers struggle with inadequate government reimbursement alongside rising operational costs.