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Why it matters: The U.S. faces a range of health care flashpoints — unaffordable drugs, opioids, vaping — as we debate whether to adopt universal care. For now, the Affordable Care Act is the law of the land, but Republicans want to issue it a final death blow.

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49 mins ago - Health

EU regulator: Benefits of J&J vaccine outweigh risk of rare blood clots

Photo: Allen J. Schaben / Los Angeles Times via Getty Images

The European Medicines Agency (EMA) said Tuesday that unusual blood clots should be listed as a "very rare" side effects of Johnson & Johnson's coronavirus vaccine, but that the benefits of the shot still outweigh the risks.

Why it matters: The agency's determination of a "possible link" to a rare kind of blood clot comes ahead of an expected ruling by the U.S. FDA this week on whether to lift its pause on the J&J vaccine rollout.

White House considers policy push to strip nicotine from cigarettes

Photo: Roberto Machado Noa/LightRocket via Getty Images

The White House is exploring whether to make tobacco companies reduce nicotine levels in cigarettes, the Wall Street Journal reports.

Why it matters: The policy would make nicotine levels so low that cigarettes wouldn't be addictive, and wouldn't satisfy nicotine addiction — theoretically pushing smokers to buy less harmful tobacco products instead.

Caitlin Owens, author of Vitals
6 hours ago - Health

Where seniors remain vulnerable to the coronavirus

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Data: CDC and Simon Willison; Note: The last reliable figure reported for New Hampshire was 83.9% on April 6, 2021; Chart: Danielle Alberti/Axios

More than 80% of Americans 65 and older have received at least one dose of a coronavirus vaccine, per the CDC, but millions across the country remain unvaccinated — particularly in the South.

Why it matters: Seniors who have yet to receive their shot remain highly vulnerable to the virus even as the country overall becomes safer.

Axios-Ipsos poll: Americans say J&J pause was the right call

Data: Axios/Ipsos Poll; Note: 3.3% margin of error; Chart: Andrew Witherspoon/Axios

Most Americans support the pause in distribution of the Johnson & Johnson COVID-19 vaccine, and so far there's no evidence that it's leading to broader vaccine hesitancy, according to the latest installment of the Axios/Ipsos Coronavirus Index.

Driving the news: In our weekly national survey, 91% of respondents were aware of the temporary pause recommended by the Food and Drug Administration and the Centers for Disease for Control and Prevention. Of those, 88% said the pause was a responsible decision.

State Department to issue travel advisories for 80% of the world

Photo: Ying Tang/NurPhoto via Getty Images

The State Department announced Monday that it will be issuing "do not travel" guidelines for roughly 80% of countries worldwide and urged Americans to "reconsider all travel abroad."

Why it matters: The announcement emphasizes the ongoing severity of the COVID-19 pandemic, despite a ramped up domestic vaccination campaign and many states moving to reopen. Globally, cases continue to surge.

Watchdog: Agency infighting increased health and safety risks at start of pandemic

National Institute of Allergy and Infectious Diseases Director Anthony Fauci (R) and Stephen Redd of the Office of Public Health Preparedness and Response participate in a briefing on the latest development of the coronavirus in March 12, 2020. Photo: Alex Wong via Getty Images

Management failures among federal agencies contributed to "health and safety risks" as the U.S. tried to return citizens from abroad and quarantine them domestically at the outset of the pandemic, the Government Accountability Office (GAO) said in a report requested by Congress out Monday.

Why it matters: The 13-month investigation revealed that lack of preparation led to infighting at the Health and Human Services Department (HHS) as divisions repeatedly clashed about who should oversee rescue operations, according to the report.

Apr 19, 2021 - Health

All U.S. adults now eligible for COVID-19 vaccine

Healthcare workers getting COVID-19 vaccines on Dec. 16, 2020 in Portland, Oregon. Photo: Paula Bronstein/Getty Images

All 50 U.S. states, plus Washington, D.C. and Puerto Rico, have made U.S. adults over the age of 16 eligible for COVID-19 vaccines, successfully meeting the April 19 deadline set by President Biden.

Why it matters: The landmark speaks to the increased pace of the national vaccination campaign, but will increase pressure on the federal government, states and pharmaceutical companies to provide adequate vaccine supply and logistics.

Felix Salmon, author of Capital
Apr 19, 2021 - Economy & Business

The state worst hit by the pandemic

Data: Hamilton Place Strategies; Chart: Will Chase/Axios

When the coronavirus pandemic hit, the job facing governments was to save lives and save jobs. Very few states did well on both measures, while New York, almost uniquely, did particularly badly on both.

Why it matters: The jury is still out on whether there was a trade-off between the dual imperatives; a new analysis from Hamilton Place Strategies shows no clear correlation between the two.

Caitlin Owens, author of Vitals
Apr 19, 2021 - Health

When vaccine hesitancy becomes political

Data: CDC and New York Times; Chart: Will Chase/Axios

The counties with the most vaccine-hesitant residents generally also voted for Donald Trump in 2020 by large margins, whereas the counties with the lowest levels of hesitancy generally also had fewer Trump voters.

Why it matters: Your politics don't have anything to do with whether you're vulnerable to the coronavirus if you remain unvaccinated.

Apr 19, 2021 - Health

Obama, Shaq and Barkley urge communities of color to get COVID vaccine

A screenshot of former NBA stars Shaquille O'Neal, Charles Barkley and former President Obama on the NBC special. Photo: NBC

Former President Obama and NBA greats Charles Barkley and Shaquille O'Neal joined forces to urge communities of color and young people to get vaccinated against COVID-19 during an NBC special on inoculations, broadcast Sunday.

Why it matters: People of color have been hit particularly hard by the pandemic. Obama noted during the broadcast that with underlying, pre-existing health conditions being more prevalent in communities of color "we're more vulnerable" to the virus.

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