Heart disease remains leading cause of death in US, new report finds
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(NEW YORK) — Heart disease remains the leading cause of death in the United States, according to a new report.
The American Heart Association (AHA) report, published Monday in the journal Circulation, found that 941,652 Americans died from cardiovascular disease in 2022, the most recent year for which data is available. That’s an increase of more than 10,000 from the just over 931,500 reported to have died from cardiovascular disease in 2021.
It also means that a person in the U.S. dies of cardiovascular disease every 34 seconds, or nearly 2,500 people every day, according to the AHA report.
“The stats are pretty sobering from this report,” Dr. Tara Narula, ABC News chief medical correspondent and a board-certified cardiologist, said on ABC’s “Good Morning America” on Monday. “In fact, cardiovascular disease kills more Americans than all forms of cancer and accidents combined.”
Cancer and accidental deaths continue to remain the second and third leading causes of death, respectively, according to the latest data from the Centers for Disease Control and Prevention (CDC).
The AHA report also found racial and ethnicity disparities, with Black Americans having the highest prevalence of cardiovascular disease. Between 2017 and 2020, 59% of non-Hispanic Black females and 58.9% of non-Hispanic Black males had some form of the disease, according to the report.
In addition, the report showed several heart disease risk factors continue to rise, with nearly 47% of American adults having high blood pressure and more than half, 57%, diagnosed with type 2 diabetes or prediabetes.
Additionally, 72% of U.S. adults have an unhealthy weight, with nearly 42% of adults having obesity, which also is a risk factor for developing cardiovascular disease, according to the AHA report.
In an accompanying editorial, Dr. Dhruv Kazi, associate director of the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology at Beth Israel Deaconess Medical Center In Boston, said risk factors for cardiovascular disease are expected to rise over the next several years.
“Although we have made a lot of progress against cardiovascular disease in the past few decades, there is a lot more work that remains to be done,” Kazi wrote. “If recent trends continue, hypertension and obesity will each affect more than 180million U.S. adults by 2050, whereas the prevalence of diabetes will climb to more than 80 million.”
Overall, cardiovascular-related deaths have begun plateauing after ticking upward during the COVID-19 pandemic, according to the AHA. The report found death rates dropped during the survey period for all 10 leading causes of death except kidney disease, which increased by 1.5%.
The good news is that 80% of cardiovascular disease is preventable, according to Narula. Ways to lower the risk include eating a heart-healthy diet, getting regular exercise, quitting smoking, managing stress, and getting adequate sleep every night.
(WASHINGTON) — When the White House budget office released a memo this week that instructed all federal agencies to cease spending on any financial assistance programs pending internal review, the fate of the nation’s largest public health insurance program was propelled into question.
Medicaid is a joint federal and state program that provides health care coverage to low-income individuals and families. There were over 79 million Americans enrolled in the program as of October 2024.
The online Medicaid reimbursement portal accessible by every state was reportedly down following Tuesday’s freeze announcement, despite the White House Office of Management and Budget saying in an updated memo that the program would not be affected.
On Wednesday, after being temporarily blocked by a federal judge and already facing a legal challenge from 22 state attorneys general, the freeze was rescinded.
While federal administrators and private individuals alike scramble to understand which programs could be affected by President Donald Trump’s sweeping executive orders, experts say Medicaid’s role in America cannot overstated.
“It’s really the backbone of many aspects of our health care system,” Joan Alker, executive director of Georgetown University’s Center for Children and Families, told ABC News.
From birth to elder care, Medicaid covers newborns, children, low-income individuals and families, people with disabilities and substance abuse issues, and nursing home residents, among others, according to Alker.
“I think we all need to really pay attention to what’s going on here, both in the administration but, more importantly, in Congress, where they are contemplating these very large cuts,” Alker said.
What is Medicaid?
Medicaid, which turns 60 this year, was established in 1965 as amendments to Social Security by President Lyndon B. Johnson. The program was meant to provide health insurance to individuals and families who could not afford or were not provided private insurance through employment.
Now, it’s a nearly $900 billion program funded by both the federal government and individual states, with each state administering its own eligibility, benefits and payment rates based on federal guidelines, according to the program’s website.
The federal government reimburses states for a portion of Medicaid costs through the Federal Medical Assistance Percentage program, which covers hospitals, doctors, clinics, pharmacies and nursing homes with little to no copayments by the beneficiaries, according to Medicaid.
“Medicaid serves a key role in the health insurance market, and for many people, there is no alternative,” Eric Seiber, Ph.D., a professor in the College of Public Health and director of the Center for Health Outcomes and Policy Evaluation Studies at Ohio State University, told ABC News.
“This affects Medicaid beneficiaries, but also Medicaid providers. What is often overlooked is one person’s healthcare expense is another person’s healthcare income,” Seiber added.
How many Americans are on Medicaid?
As of October 2024, the program reported that 79.4 million people were enrolled in Medicaid across the U.S. That includes 41.7 million adults enrolled in Medicaid and 37.6 million Medicaid child and Children’s Health Insurance Program enrollees.
Medicaid enrollment is on the rise, with the program seeing a 20% increase in applications since October 2023 and a 66% increase since October 2022, according to the program.
Who is eligible for Medicaid?
Eligibility for Medicaid coverage is based on income, family size, disability status and age, and can vary from state to state.
The expansion of Medicaid through the Affordable Care Act made adults with incomes of up to 138% of the federal poverty level, or about $20,783 for an individual, eligible in 2024, according to the program.
Not everyone to enrolls in Medicaid remains on it indefinitely, according to Seiber.
“Medicaid often serves as a trampoline, not a safety net. People land on Medicaid and often bounce right back off,” Seiber told ABC News of Medicaid’s role in the American health care system.
“I would say that Medicaid protects people’s health, but also their future,” Seiber added.
Medicaid during Trump’s first administration
Trump’s first administration saw threats to Medicaid and the Affordable Care Act that were ultimately rejected, perhaps most dramatically in 2017 when Sen. John McCain, who died of brain cancer the following year, returned to Washington, D.C., to vote against the so-called “skinny repeal” of the ACA and hundreds of billions in cuts to Medicaid.
Trump was attempting to replace the ACA with the American Health Care Act, which would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.
In December 2017, a Republican tax reform law was passed that eliminated individual mandates, which Gallup later said may have reduced participation in the insurance marketplace.
At the end of 2019, 13.7% of adults were without health insurance, the highest level seen since early 2014, according to Gallup data.
Fast-forward to the 2024 election cycle: Trump made little mention of Medicaid amid various campaign trail comments about possible changes to Medicare and Social Security.
In March, Trump wrote in a post on Truth Social that he was “not running to terminate” the ACA but said he wanted to make it “better” and “less expensive.”
During the September presidential debate, he said he had “concepts of a plan” and said it would be “better health care than Obamacare,” but offered few details.
“Medicaid will be turning 60 this year, so we are very concerned that that proposal may arise again,” Alker said of possible cuts to federal Medicaid funding.
“So our future is really at stake here, and I think with an aging population, with a growing need for long-term care, there’s no way that states can manage this,” she added.
(CHINA) — Chinese health officials are reportedly monitoring an increase in cases of human metapneumovirus (HMPV).
There is currently no evidence that the outbreak is out of the ordinary or that a new respiratory virus or illness has emerged in China.
A spokesperson for the World Health Organization (WHO) said data from China indicates “there has been a recent rise in acute respiratory infections” but that “the overall scale and intensity of respiratory infectious diseases in China this year are lower than last year.”
Cases of HMPV have been steadily increasing in the U.S. since November 2024 with 1.94% of weekly tests positive for HMPV as of Dec. 28, 2024, according to data from the Centers for Disease Control and Prevention (CDC). By comparison, 18.71% of weekly tests were positive for flu and 7.10% were positive for COVID during the same week, the data shows.
Public health experts told ABC News that HMPV is well-known to health care professionals and commonly circulates during respiratory virus season.
“This is that winter respiratory virus season, indeed,” Dr. William Schaffner, a professor of preventive medicine at Vanderbilt University Medical Center in Nashville, told ABC News. “So, all of these respiratory viruses — influenza, COVID, RSV, human metapneumovirus — they all increase this time of the year, in part because we get so close to each other.”
“We spend time indoors and, of course, all of this holiday traveling, family get-together, and parties have been opportunities for us to get close together and for the virus to be transmitted,” he continued.
Here’s what you need to know about HMPV, including what it is, how it spreads and how to treat it.
What is HMPV?
HMPV is a virus that can cause upper and lower respiratory disease, according to the CDC.
It was discovered in 2001 and is in the Pneumoviridae family along with respiratory syncytial virus, or RSV, the CDC said.
Over the years, there has been a better understanding and awareness of HMPV, which has led to broader testing, according to the federal health agency.
“Human metapneumovirus is another one of those respiratory viruses that we’re now appreciating more because we have the diagnostic capability to actually diagnose it more readily in hospitals, emergency rooms and even in physicians’ offices,” Schaffner said. “Now we have diagnostic panels that can tell you whether you have influenza or COVID or RSV or human metapneumovirus.”
What are the symptoms?
HMPV has an incubation period of three to six days, according to the CDC.
Symptoms include cough, nasal congestion, fever and shortness of breath, the federal health agency said.
“It’s oftentimes indistinguishable from the other respiratory viruses, because we don’t usually check for it unless somebody is really ill,” Dr. Peter Chin-Hong, a professor of medicine and an infectious diseases specialist at the University of California, San Francisco, told ABC News.
Young children and adults aged 65 and older are among those at the highest risk of HMPV progressing to bronchitis or pneumonia.
How does it spread?
HMPV can spread through secretions from coughing and sneezing, close personal contact and touching objects that have the virus and then touching the eyes, nose or mouth, according to the CDC.
In the U.S., like other respiratory viruses, HMPV cases typically rise in the winter and decrease in the spring.
Chin-Hong said most people are exposed to HMPV by the time they’re five years old. People can get reinfected, but symptoms are typically milder.
Those who are immunocompromised or are older may experience more severe symptoms if they are reinfected.
Is there treatment for HMPV?
There are no antivirals to treat HMPV, so treatment consists of providing supportive care to patients with moderate or severe symptoms, the experts said.
“If you’re wheezing, we’ll give bronchodilators,” Chin-Hong said, referencing a medication that relaxes and opens the airways and helps clear mucus from the lungs. “If you’re dehydrated, we give fluid; we reduce the fever.”
Chin-Hong said that because people may develop co-infections, including bacterial infections, antibiotics may need to be given.
How do I prevent HMPV?
There is no vaccine to prevent HMPV, so prevention includes following basic hygiene including washing hands with soap and water, covering the nose and mouth when coughing and sneezing and staying home when sick.
“People who are in this high-risk group for any of these viruses — particularly older people, people who are frail, people who are immune-compromised — if they go indoors where there are a lot of people, [they should] put their mask back on and also consider social distancing,” Schaffner said.
Chin-Hong and Schaffner added that it’s important for people to receive vaccines for other respiratory illnesses including COVID-19, flu and RSV.
Getting vaccinated against other respiratory viruses can reduce the risk of co-infection and may help health care professionals rule out certain illnesses much sooner.
“Sure, you can get serious disease from HMPV itself, but if you get HMPV plus pneumococcus or HMPV plus influenza or RSV, it could be much worse,” Chim-Hong said. “During respiratory virus season, you want to minimize the probability of co-infection.”
ABC News’ Youri Benadjaoud contributed to this report
Derek Crowe, a spokesman for the nonprofit People’s Action Institute, speaks with ABC News. (ABC News)
(NEW YORK) — Fury, anger and resentment toward the health care industry have exploded in the public rhetoric in the wake of UnitedHealthcare CEO Brian Thompson’s killing and one activist said that “volcanic” eruption of emotion has been boiling up for years.
People have been flooding social media posts with statements chastising UHC for its policies, bringing up times they were personally denied coverage or hit with huge bills for services.
In some instances, some users have even praised Thompson’s murder and the shooter, who is still on the lam and not been publicly identified as of Friday evening. UHC’s Facebook post memorializing Thompson was filled with “laughing” emojis and comments chastising the insurer before comments were shut off.
Derrick Crowe, a spokesman for the nonprofit People’s Action Institute, a social advocacy nonprofit that has protested UHC and other health care, told ABC News that he was horrified by Thompson’s shooting and offered his condolences to his loved ones.
However, he noted the anger online has been a long time coming.
“I think the reason that anger was pent up and it came out in such a volcanic way is that corporations have too much power in this country and they’re standing in the way of dealing with two big epidemics,” he told ABC News. “One is the epidemic of gun violence, which we saw an example of in Manhattan, and one is an epidemic of care denials across the country.”
Crowe said more than 250 million health claims are denied annually by health insurance companies. He claimed the UHC “by far leads the clear care denials of people’s claims when they’re seeking health care.”
He cited examples such as patients claiming they were denied coverage for a congenital defect or infant care.
“Many of the folks that we’ve talked to have had personal stories of needing acute health care quickly and have found that this company has been standing in their way,” he said.
When asked by ABC News about the increase in rhetoric against the healthcare industry following the shooting, a UHC spokesperson deferred to its latest statement about Thompson’s killing.
“While our hearts are broken, we have been touched by the huge outpouring of kindness and support in the hours since this horrific crime took place. So many patients, consumers, health care professionals, associations, government officials and other caring people have taken time out of their day to reach out. We are thankful, even as we grieve,” the statement said.
“Our priorities are, first and foremost, supporting Brian’s family; ensuring the safety of our employees; and working with law enforcement to bring the perpetrator to justice. We, at UnitedHealth Group, will continue to be there for those who depend upon us for their health care. We ask that everyone respect the family’s privacy as they mourn the loss of their husband, father, brother and friend,” the statement continued.
In the past, protests have been held against UHC in Minneapolis, where its headquarters are based, including one back in July.
Crowe said that his organization has led many movements to call out the insurance companies for their practices.
“The purpose of that action was to draw attention to the epidemic of claims, denials and care denials across the country, and to bring people who have had their health care directly affected by a care denial by this corporation to the place where the denial is coming from, and to demand that they stop putting profits over people’s lives,” he said.
Crowe reiterated that his group only supports non-violent and peaceful means of protesting the industry and condemned Thompson’s murder. However, he reiterated that the fight against greed in the health insurance industry needs to continue.
“We believe that in keeping with the principles behind the First Amendment, that there are democratic, powerful, nonviolent ways that we can take that private pain and turn it into public power when we bring people together. And we’re going to continue to do that. And we think that’s an essential part of making change in our democracy,” he said.