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Care With a Side of Comfort Promises Big Savings in Health Costs
Experiments targeting housing, transportation, food and other nonmedical services are flourishing

Circle the City’s respite program provides health assessments, physical therapy and other care for homeless patients. (Courtesy Circle the City)

As state and federal officials increasingly search for ways to curb rising health care costs, a decades-old idea is gaining traction: helping people with challenges that have nothing to do with medical care but everything to do with their health.

Insurers are taking steps as simple as paying for hot meal deliveries and outreach to homebound people and replacing air filters in homes with asthmatic children. More radical approaches include building affordable housing for people who don’t have a stable home of their own.

Public Health Should Be as Reliable as Our Highways
Health protection should not depend on local decisions or stop abruptly at political borders

Epidemics don’t recognize state or city boundaries, the authors write. So why should our public health system? Above, traffic moves across the Woodrow Wilson Bridge along the Capitol Beltway in July. (Chip Somodevilla/Getty Images file photo)

OPINION — Check your morning news and you are likely to read distressing stories about the threat of a bad flu season, the consequences of natural disasters like wildfires in California, unacceptably high maternal and infant death rates, or the opioid epidemic.

All these emerging challenges occur on top of our nation’s chronic public health issues, like heart disease, cancer and HIV/AIDS, which continue to take a toll on the length and quality of life for people in the United States. This also takes a toll on the health and vitality of our communities and comes at great cost to our federal and state health care budgets.

Choosing a Health Plan Should Not Be Like Playing ‘Battleship’
CMS should issue guidance to expand benefits and inform older Americans

The Centers for Medicaid and Medicare Services should revise its guidance for 2020 to allow broader coverage of nonmedical services for seniors with multiple chronic conditions, Hayes writes. (Photo by Spencer Platt/Getty Images)

OPINION — Three in four Americans over 65 live with multiple chronic conditions, such as diabetes, heart disease and asthma, and the cost of providing their care is rapidly increasing.

Beginning in January, Medicare Advantage, or MA, Medicare’s managed care plans, will offer some relief by providing health-related supplemental benefits to beneficiaries with chronic conditions. Some plans will offer new benefits such as smoking cessation programs, in-home personal assistance, caregiver support and adult daycare. But that’s not enough.

A Naive Letter From Fledging House Democrats
Politicians play their linguistic shell games — and the public loses

Walter Shapiro writes that linguistic sleight of hand is a popular trick on the Hill. (Bill Clark/CQ Roll Call file photo)

OPINION — An enduring Washington truth: When a politician uses multiple clauses in a sentence, the opening words are camouflage soon to be contradicted by what comes later.

Here are a few typical examples of this rhetorical shell game:

Trump Lashes Out at Mueller Ahead of Potentially Damaging Court Filings
Special counsel, federal prosecutors set to release documents on Manafort, Cohen

President Donald Trump lashed out at special counsel Robert S. Mueller III just hours before he is slated to show some cards in his Russia probe that could damage the president. (Tom Williams/CQ Roll Call file photo)

Updated 8:55 a.m. | President Donald Trump launched what amounted to a preemptive strike in his fight to shape public opinion about Robert S. Mueller III’s Russia probe just hours before the special counsel is expected to release telling documents about his findings.

Trump's approval rating is back around 40 percent and could take a further hit when the documents are released if they show Mueller and other federal prosecutors are turning their sights on him. Legal experts have said in recent days that as more and more evidence comes out in official documents, the more it appears Mueller and others are looking hard at “Individual 1,” legal parlance they say clearly refers to Trump.

The Dingell-est Things John Dingell Said in His #AMA
Longest-serving member of Congress pulls no punches

Former Rep. John Dingell, D-Mich., hosted a Reddit AMA session Thursday. (Sarah Silbiger/CQ Roll Call file photo)

Former Rep. John Dingell, the longest-ever serving member of Congress, is known for his frankness and wit.

The former Michigan lawmaker lived up to that reputation in a refreshingly honest Reddit AMA (Ask Me Anything) session Thursday, dishing on President Donald Trump, the inanity of term limits, and how the Senate and Electoral College are inherently undemocratic institutions.

Are White Evangelicals the Saviors of the GOP?
Key voting group has remained virtually unchanged in its political preferences

President Donald Trump attended a worship service at the International Church of Las Vegas in October 2016. (Chip Somodevilla/Getty Images)

Amid all the talk about shifting demographics and political changes over the last decade, one key voting group has remained virtually unchanged: white evangelicals.

According to one evangelical leader, a record number of white evangelicals voted in the 2018 midterms after an inspired turnout effort.

A House Race in North Carolina Gets Curiouser and Curiouser
Who knew the background checks for political work were so lax?

For a while it looked like Republican Mark Harris had squeaked out a win in the 9th District. But there’s something rotten in the state of North Carolina, Curtis writes. (John D. Simmons/AP file photo)

OPINION — CHARLOTTE, N.C. — Perhaps North Carolina’s 9th District will have a congressman by January; but maybe not.

You see, there seems to have been a mix-up in the count, distribution and collection of absentee ballots in Bladen and Robeson counties, which make up part of the district — what the state elections board (made up of four Democrats, four Republicans and one independent) called “unfortunate activities” when it first refused to certify the results.

Washington Can’t Seem to Agree on Anything — Except Kids
Lawmakers from across the political spectrum still see early childhood education as critically important

Sen. Tim Kaine speaks during a National Head Start Association rally in 2015. Support for the program is still going strong, even as partisan rancor overtakes other policy issues, the authors write. (Bill Clark/CQ Roll Cal file photo)

OPINION — The intensity of this fall’s midterm election campaigns could make it easy to forget that there is one priority both political parties have consistently come together to support: early childhood education.

Despite the growing partisan divide, which seems to be worsening by the day and has left Washington unable to reach consensus on even routine items, lawmakers from across the political spectrum in Congress and the 50 states still view advancing early childhood education as a critical objective.

2018 Midterms: A Missed Opportunity for Republicans
They should have been touting good economic news. Instead they drowned it out

In the final days of the campaign, Republicans kept their focus on curbing immigration, popular with the base but also controversial and divisive. That was a mistake, Winston writes. Above, members of a migrant caravan clash with Mexican riot police at the border between Mexico and Guatemala on Oct. 19. (John Moore/Getty Images file photo)

OPINION — We’ve assessed the 2018 campaign that began and ended with the fight for the election narrative. Our conclusion: This was not a base election. Independents decided the outcome, breaking for Democrats by 12 points.

It was a missed opportunity.