Letters to the Editor is a periodic characteristic. We welcome all feedback and can publish a range. We edit for size and readability and require full names.
In Protection Of Opioid Prescribers
Articles comparable to this one are leaving aged sufferers with debilitating ache and likewise hospice sufferers struggling to get ample ache management (“Surgeons’ Opioid-Prescribing Habits Are Onerous To Kick,” June 21). After seeing my father in agony in hospice care this yr, I’m upset by this opioid-induced concern of prescribing. Additionally, leaving post-surgical sufferers in ache by not prescribing sufficient ache treatment is a disgrace at the present time. The anti-opioid motion pendulum has swung manner too far to the other facet. I watched my dad endure needlessly in hospice care as a result of the nurse practitioner (who, by the way in which, by no means as soon as visited my father) would balk anytime we begged for them to alleviate my father’s uncontrolled ache. I’m indignant. I’m sorry. However issues want to alter within the well being care area. Medical practitioners are extra petrified of getting in bother than they’re serving to sufferers in ache.
— David Colegrove, Powell, Ohio
Information reveals that for most typical surgical procedures, comparable to laparoscopic appendectomy or cholecystectomy, the proper length of opioid use is a day or at most two days of IR medication. But many sufferers get despatched house with rather more than that https://t.co/04zmZVkqli
— Scott Gottlieb, MD (@ScottGottliebMD) June 21, 2019
— Dr. Scott Gottlieb, Washington, D.C., former commissioner of the Meals and Drug Administration
You might be participating within the worst form of public shaming with this investigation of opioid prescribers (“Opioid Operators: How Surgeons Ply Sufferers With Painkillers,” June 20). I bear in mind when my dad had bypass surgical procedure and he was in loads of ache. I take a look at these numbers and marvel what number of sufferers didn’t have somebody to get the prescription stuffed. We’re attacking the flawed individuals. The overdoses are attributable to unlawful heroin and fentanyl. I’ve been on these medicines a very long time for intractable ache. I’ve by no means taken greater than prescribed and almost all sufferers like me do the identical. If I’ve been taking the identical dose for six years, I’d say the chances of an overdose are slim to none. Be taught the distinction between bodily dependence and habit.
— Dennis Ewing, San Antonio
The tone of this text and tweet borders on slander. Inaccurate unfair criticism. There’s NO DOUBT Surgeons have modified their prescribing habits and sufferers (as first remark proves) are usually not homogenous.
— Edward T Chory (@DrEdMDBFD) July 7, 2019
— Dr. Edward Chory, Lancaster, Pa.
Your mission entitled “Opioid Operators” is ridiculously inflammatory. I hope you get sued by the identical medical doctors you might be “exposing.” You haven’t any concept what every particular person affected person wants since you aren’t there.
Along with being wracked with the ache of complicated regional ache syndrome (CRPS) 24/7, I’m additionally the caregiver to my husband, who has end-stage renal illness. Taking away ache treatment when 99% of the ache sufferers who use it by no means abuse it’s a crime. It is going to haven’t any impact on habit. It is going to simply kill people who find themselves already frail from having to fight ache from incurable problems.
— Bijoux Faraj, Harmony, Calif.
I’m legit SHOCKED that 10 drugs is the Johns Hopkins advisable # for minimally invasive gallbladder elimination. I bought ~120 drugs~ of generic oxycodone and that was barely sufficient.
— madi alexander (@MadiLAlexander) June 24, 2019
— Madi Alexander, Arlington, Va.
Why do teams consistently put “data” out to the general public that matches their narrative? This story about opioids is nothing greater than a motive to bash medical doctors who prescribe ache treatment to individuals in ache. Why not examine why medical doctors prescribe this treatment to sufferers? I’ve had persistent ache for 25 years. These tales have brought on my treatment to be all however taken away. How about working a “rebuttal” to that story and let the “different facet” converse?
— Dennis Shivers, Lake Ronkonkoma, N.Y.
Robust: they should prescribe fewer #opiates after which, consider it or not, be AVAILABLE for sufferers who may want a refill, and truly discuss to or study them!! (They don’t wish to be bothered…that’s the downside!)#opioidcrisis
https://t.co/57LycWQFjC by way of @khnews
— peter grinspoon (@Peter_Grinspoon) June 22, 2019
— Peter Grinspoon, Boston
Boggled By Thoughts Video games In ACA Court docket Battle
I need to congratulate Julie Appleby (“DOJ Legal professionals Attempt New Tips To Undo Obamacare. Will It Work?” July 12) for distilling what I take into account to be one of many worst oral displays by the Division of Justice I’ve ever seen or heard (I listened to the whole audio of the oral arguments). I say this as a well being care legal professional of some 46 years who was additionally delivered to D.C. to counsel members of Congress on the Reasonably priced Care Act because it was being developed.
The positions taken by DOJ counsel floored me — viz a viz, that the end result of the case ought to apply to solely the plaintiff states and never the remainder of the nation; or that the whole act is inseverable from the mandate provision, however for the reason that act is “difficult” (actually? in fact it’s), it must be labored out which provisions might stay in impact — for less than the plaintiffs? for the whole nation?
Students on either side of the ACA agree the choice of the decrease court docket was anathema to sound judicial basis and precedent. The important truth is that the 2017 Congress — not the one which handed the ACA in 2010 —eradicated the tax/penalty to zero and saved the remainder of the act in place. Judges don’t get rid of legal guidelines except there are clear expressions from the legislature in its laws to take action, or the language of the act is so ambiguous as to require judicial interpretation of the phrases used. With the ACA, there was no expression of inseverability associated to zeroing out the person mandate … regardless of the DOJ telling the appeals panel there was.
Lastly, Choose Kurt Engelhardt, a member of the panel listening to the case and a Donald Trump appointee, questioned why the Home couldn’t go one other invoice that saved the worthy options of the ACA within the occasion the present legislation stays unconstitutional. The function of appeals jurists is to probe the strengths and weaknesses of all sides throughout oral argument, not ask silly questions, contemplating Mitch McConnell controls the Senate, the vast majority of the Home is blue and, in fact, Trump presently stays president. As I’ve written for over a decade earlier than it was in vogue to take action, well being care is a proper for all Individuals, and the ACA is the embodiment of this philosophy ingrained throughout the cloth of our nation. To even posture a brand new well being care invoice given the present political setting is obtrusive idiot’s gold.
— Miles J. Zaremski, Highland Park, Ailing.
Caring For Survivors Of Sexual Assault
I simply learn Michelle Andrew’s story concerning the staggering, and sometimes re-traumatizing, hospital payments that survivors of sexual assault often obtain after getting a forensic examination in a hospital setting (“Regardless of Federal Protections, Rape Victims Nonetheless Get Billed For Forensic Exams,” July 12). At The SAFE Alliance in Austin, Texas, we function a community-based sexual assault clinic referred to as Eloise Home, the place survivors can obtain a personal examination and proof assortment in addition to free medical care after experiencing an assault.
We’ve discovered that this free, trauma-informed mannequin eliminates many obstacles for individuals who’ve skilled an especially traumatizing state of affairs by eliminating emergency room wait occasions and creating an setting that feels extra like a house than a hospital. Our advocates work alongside our forensic nurses to supply emotional assist, clarify the steps of the examination course of, reply questions on what the reporting course of could appear like if the survivor chooses to report, help with security planning and rather more. Since we opened the clinic in 2015, we’ve served over 2,000 survivors of sexual assault in Central Texas.
I hope that at some point each group has entry to a clinic like Eloise Home, to make the therapeutic course of even a little bit simpler for survivors of sexual assault. Thanks for reporting on this little-known difficulty.
Emma Rogers, Austin, Texas
As Rural Areas Lose Hospitals, Misplaced Priorities?
I’m getting extra discouraged as individuals exclaim how properly our economic system is doing when there are losses in our communities such because the closing of rural hospitals (“Have Most cancers, Should Journey: Sufferers Left In Lurch After Hospital Closes,” July 1). Related reductions and losses are occurring in training, infrastructure and environmental safety, to call a couple of. This distinction should be reported so residents can higher perceive these upside-down priorities are hurting all of us — aside from the ultra-rich. This downward spiral will finally meet up with them, too, as they may then find yourself paying for the resultant issues this “ignore-ance” will create.
— Victoria Mosse, Joseph, Ore.
This was the closest hospital for my in-laws. Lengthy distances for most cancers therapy are all too frequent in rural America. My dad had 60 miles every technique to get to his radiation appointments in one other a part of Kansas. https://t.co/Gle9TrvtTd
— Mark Fleury (@ME_Fleury) July 1, 2019
— Mark Fleury, Washington, D.C.
Hospitals in rural areas are closing. Individuals are usually not being handled with human dignity and care. And ignorant individuals of this nation have the audacity to care about immigrants? I’ve no respect for the immigrants coming right here for all of the freebies of medical care and housing whereas Individuals are being handled like second-class residents.
— Debra Schaal, Hobe Sound, Fla.
Horrible issues occur when rural hospitals shut. However in lots of states, these are preventable tragedies. Why hasn’t Kansas expanded Medicaid, which might save many hospitals? Why doesn’t this story ask? Huge miss. @SJTribble https://t.co/HAcmG0Waha
— Jim Tananbaum (@JTananbaum) July 1, 2019
— Jim Tananbaum, San Francisco
Stopping Falls For A New Technology
Your piece “Extra Seniors Are Dying In Falls. Docs Might Do Extra To Cut back The Danger” (June 27) addresses an necessary but hardly ever mentioned epidemic that has turn out to be more and more lethal over the previous decade. In accordance with the Facilities for Illness Management and Prevention, fall deaths amongst seniors elevated by 31% from 2007 to 2016 — a development slated to worsen over the subsequent few years as extra child boomers enter retirement. Falls are actually the No. 1 reason behind damage for older Individuals, leading to 800,000 hospitalizations yearly and $50 billion in well being care spending.
As a bodily therapist (PT), I’ve seen the effectiveness of a few of the therapy methods talked about on this article. However, whereas fall danger assessments and customized affected person plans are necessary preventive techniques, one necessary issue that wasn’t talked about within the article is the worth of telehealth in lowering seniors’ danger of falling.
Telehealth appointments and digital fall danger assessments will be extremely useful, significantly for sufferers with age-related disabilities and restricted mobility. Telehealth providers present worthwhile alternatives for seniors to obtain skilled PT within the consolation and privateness of their very own houses. In flip, this reduces entry obstacles — significantly for sufferers in rural and underserved areas — and helps seniors who battle with transportation points get the care they want. In actual fact, one of many initiatives talked about in your article included a robust telehealth part, which improved compliance with and the effectiveness of PT-prescribed fall prevention train regimens. As a result of falling as soon as doubles the probabilities of falling once more, it’s important to empower America’s seniors with care that makes them stronger, steadier and extra versatile.
With an more and more graying U.S. inhabitants, this downside calls for a novel and complete response. Having helped numerous sufferers scale back their fall danger, I consider that telehealth PT, along with different options talked about in your article, will play an necessary function in addressing this epidemic. By embracing evidence-based practices comparable to telehealth PT, we will seize the chance to stop falls, scale back Medicare spending and, finally, save lives.
— Nikesh Patel, PT, DPT, bodily therapist and govt director of the Alliance for Bodily Remedy High quality and Innovation, Washington, D.C.
Nice ideas fr @judith_graham on #fall prevention. Docs Might Do Extra To Cut back The Danger. https://t.co/gsklcP5QIW by way of @khnews
Would add utilizing mountaineering poles when strolling on uneven surfaces.
And trifocals are G-d’s present to orthopedists.
I additionally rec some type of medical alert system
— Judy Stone (@DrJudyStone) July 6, 2019
— Dr. Judy Stone, Cumberland, Md.
Is a radical foot examination a part of your Annual Wellness Go to? Mine neither. This alone might probably stop so many falls. #doctorswakeuphttps://t.co/sPE5PTEprh by way of @khnews
— Wendl Kornfeld (@WendlKornfeld) July 1, 2019
— Wendl Kornfeld, New York Metropolis
Whereas Reality-Checking Debates, Verify The Moderator’s Perspective
KHN reader Ira Dember demonstrates outdoors U.S. Sen. John Cornyn’s workplace in Houston in January. (Courtesy of FairNow.org)
Whereas the information had been considerably attention-grabbing, the elephant within the room was the rigged, wildly biased phrasing of host Lester Holt’s “Medicare for All” query: “Who right here would abolish their non-public medical insurance in favor of a government-run plan? Only a present of palms …” On this level, I’m shocked and disenchanted KHN didn’t deconstruct that framework (“PolitiFact & KHN HealthCheck: ‘Medicare For All’ Emerges As Early Divide In First Democratic Debate,” June 27).
Final week, the newest voter ballot from The Washington Publish and ABC Information included a Medicare for All query so fastidiously crafted it might function the gold customary for questions that attempt to get rid of respondent bias on emotionally charged points. It requested: [Would you support or oppose M4A] “if there was no non-public insurance coverage choice obtainable?” This phrasing removes the actor: Nobody is abolishing or taking away something. It’s the passive voice put to exquisitely good use to keep away from bias: “… if there was no non-public insurance coverage choice obtainable.”
Additionally, discover pollsters’ use of the phrase “choice.” It implicitly frames non-public insurance coverage as one thing expendable. It’s an choice. Not a requirement, not written in stone. I give massive kudos to the pollsters for this cautious, and truthful, framing.
And whereas we’re with regards to wording: The day earlier than the primary debate, an NPR commentator prospectively boiled it right down to a battle between “pragmatists” and “progressives.” Clearly, progressives advocate for substantive change comparable to Medicare for All — which by implicit definition isn’t “pragmatic.”
Present public insurance policies that go away us with upward of 500,000 medical-related bankruptcies a yr and 36,000 annual deaths attributed strictly to lack of well being care protection are someway blandly acceptable as “pragmatic.” For sure (however I’ll say it anyway), that is an affront to each logic and morality.
— Ira Dember, Houston, founding father of FairNow.org
Guaranteeing The Strong Proper To Enchantment
On behalf of the California Affiliation of Well being Plans, which represents 46 private and non-private well being plans that collectively present well being care protection to over 26 million Californians, we might contend that the “Asking By no means Hurts” column “Did Your Well being Plan Deny You Care? Combat Again” (July 15) mistakenly implies that California’s long-standing system for dealing with grievances, complaints and medical evaluations is someway confrontational, contentious and unknown. The very fact is that California has had a sturdy framework of client protections for many years — lengthy earlier than the Reasonably priced Care Act created related client rights on the nationwide degree. Our system of resolving disputes balances sustaining a practical and reasonably priced well being care system whereas giving enrollees and suppliers a possibility to attraction.
If a affected person’s declare is denied by their well being plan, the affected person has the proper to attraction with their well being plan, and the proper to an impartial medical assessment by the state regulator in the event that they disagree with the well being plan’s resolution. Unbiased medical evaluations are carried out by a workforce of suppliers that haven’t any affiliation with the well being plan, and the choice of the impartial medical assessment is binding.
Well being plans guarantee enrollees are conscious of their present client protections below California legislation, and we offer a complete listing of coated providers when they’re medically needed. This occurs tens of millions and tens of millions of occasions with out dispute. When there’s a distinction of opinion, well being plans need to get it proper.
Each Californian deserves to have the peace of thoughts that they’ve entry to an impartial appeals course of ought to they want it. California’s well being plans work laborious to supply customers with that peace of thoughts as we repeatedly attempt to enhance outcomes for sufferers and supply accessible, high-quality, reasonably priced look after all Californians.
— Charles Bacchi, president and CEO of California Affiliation of Well being Plans, Sacramento
A Helpful Takeaway From Your Podcast
I heard the “An Arm and a Leg” podcast lately (“Overlook The Shakedown. To Get Paid, Hospitals Get Artistic,” June 12). Nice stuff!
Then I dislocated a bone in my foot and went to see an orthopedist at SportsMED Orthopedic Surgical procedure & Backbone Middle in Huntsville, Ala. Doc ordered an Aircast AirSelect brace. The brace store stated my insurance coverage coated it 100%. That was good, so I had them match it. My foot felt higher immediately, extra secure. Then, as I’m prepared to depart, I’m informed I’ve to signal a digital pad with solely a signature house. “What’s it you need me to signal?” I requested.
Seems it was a kind stating I agreed to pay all prices which may be later billed and never coated by insurance coverage (which they may not inform me what that might be). Lengthy story brief — overlook about my insurance coverage masking it 100%. After checking with Blue Cross Blue Defend, I discovered my out-of-pocket price might have been $378.
If I had are available in with no insurance coverage, it might solely be $110, and quite a lot of different permutations of random pricing all “the fault of my insurer, not their pricing,” per their insurance coverage supervisor. Having heard your podcast, I checked Amazon — an an identical Aircast was $78 with free transport. So, I limped out and ordered it on Amazon. Not less than I knew how a lot I’d pay. The particular person earlier than me left with a knee brace for his son for a $415 insurance coverage copay.
— Lisa Moore, Huntsville, Ala.
Out In The Open About Nicely-Thought-Out Exit Methods
It is a matter (“In Secret, Seniors Focus on ‘Rational Suicide,’” June 25) that ought to be public, not sequestered in non-public. My 87-year-old father and I’ve had this dialog, and it’s not taboo in our household. Thanks for speaking about it.
It’s unhappy that as a society we will’t face the truth that individuals need to have selection, particularly on the standard of their life and remaining years — whether or not or not they’ve a terminal analysis. Simply because medication might presumably lengthen our lives doesn’t imply we wish it to take action.
— Laura Palmer, Denver
Would like to know if the people assembly to debate this have their advance directives in place. That could be a technique to handle fears of decline, I believe. Nevada failed to maneuver ahead a demise with dignity invoice to a vote this Legislative session so it’s a fraught matter.
— Homa S. Woodrum (@woodrumlaw) June 25, 2019
— Homa S. Woodrum, Carson Metropolis, Nev.
I believe some extent missed could also be that many seniors have gotten more and more distraught with the state of the world — not a lot from despair, however from the pervasive hostility, anger, lack of conventional values, ignorance, lack of caring, political bickering and basic “meanness” that’s the world these days.
Along with my bodily limitations that additional restrict my capability to seek out continued which means in life, I’m glad to say that I’ve an exit technique in place that I can activate when the time is correct. I believe if the proper to decide on had been obtainable and supported, there could be (and sure shall be, if present tendencies proceed) extra curiosity in having this selection extra simply obtainable.
— Dr. Invoice Saunders, Snohomish County, Wash.
This goes for anybody who has a debilitating illness.
— Wealthy Meyer (@richmeyer) June 25, 2019
— Wealthy Meyer, Naples, Fla.
I’m 65, wholesome, completely happy and having fun with life. 25 years from now I hope to be 90, wholesome, completely happy, and having fun with life. I may also be 90, bed-bound, in every day ache, and emotionally spent. Nowadays it’s not unusual to survive our our bodies. I’ve seen. I get it. https://t.co/HOLTmWL7mi
— Duane Blackwell (@DuaneBwell) June 25, 2019
— Duane Blackwell, Alexandria, La.
No Extra Band-Help Options On Shock Medical Payments
An method to fixing this downside is to set customary prices for all procedures (“Invoice Of The Month: A Yr After Spinal Surgical procedure, A $94,zero31 Invoice Feels Like A Again-Breaker,” June 17). Utilizing Medicare reimbursement as a benchmark, set nationwide reimbursement charges adjusted for regional price of dwelling. Set the charges as Medicare plus a share and require all suppliers to just accept these charges. This is able to get rid of the necessity for networks.
Standardize insurance policy utilizing the Medicare Half B idea. There will be quite a lot of plans, however every insurer should provide the very same protection for a selected plan. Then the purchaser could make an knowledgeable comparability amongst plans. If the objective is to decrease medical prices, standardization, together with greatest practices might be the most effective method.
We have to drive out the pointless prices and get rid of the annual 160,000 pointless deaths and estimated 100 million treatment errors within the U.S. hospital system. The pointless annual demise complete is bigger than annual opioid deaths, gun violence deaths and car accident deaths mixed.
This shall be an extended battle due to the entrenched monetary pursuits, however we have to draw a line within the sand.
— Michael Hausig, San Antonio
#MedicareforAll. Fulfilling the Hippocratic oath.
— Kerri Barber, One of many Squad (@ACA_Sherpa) June 17, 2019
— Kerri Barber, Chicago
Not Anti-Vaccine, Simply Towards This Laws
I oppose Senate Invoice 276 in California (“A Proposal To Make It More durable For Youngsters To Skip Vaccines Provides Highly effective Voices Pause,” June 14). I’ve a toddler who almost died from seizures after being administered the DTaP vaccine [to guard against diphtheria, tetanus, and whooping cough, or pertussis]. That response is a CDC-acknowledged hostile occasion. Cease calling everybody who opposes this invoice “anti-vaccine activists.” Whereas some individuals may characterize themselves as “anti-vaccine,” most individuals are merely dad and mom who did vaccinate their baby till they had been severely harmed. To name us “anti-vaccine” activists and ignore that truth is extraordinarily misleading.
We’re activists now, that half is true. We needed to turn out to be activists, as a result of these organizations you point out in your article (such because the American Academy of Pediatrics) have carried out nothing to assist our youngsters. The AAP is a lobbying group that receives funds from vaccine producers. It lobbied in opposition to AB-2832 (Assemblyman Travis Allen), which was a one-sentence invoice that might have put a hyperlink on the California Division of Well being web site to 2 “.gov” web sites: the Vaccine Adversarial Occasion Reporting Methods (VAERS), the database for critical hostile occasions after vaccination, and the Nationwide Vaccine Harm Compensation Program. The aim was to assist dad and mom discover this data once they want it. That the AAP lobbied in opposition to it says every part that you must learn about their priorities relating to vaccines. They aren’t doing what’s in the most effective curiosity of households. Clearly, their pharmaceutical firm funding influences their lobbying.
In your story, Dr. Michelle Bholat’s concern about who would qualify for a medical exemption is strictly the identical concern that oldsters against this invoice have. There’s a good probability my baby wouldn’t qualify for a medical exemption to the vaccine that almost killed him, and he positively wouldn’t qualify for an exemption to any others. If I had one other baby, I’d not be capable of get a medical exemption to the vaccine that almost killed my son for that new child. This invoice places our children at critical danger for irreparable hurt and even demise.
— Kara Morales, San Diego
Issuing fraudulent non-evidence based mostly college #vaccine exemptions is malpractice https://t.co/xnyz1ZxPJp
— Amesh Adalja (@AmeshAA) June 17, 2019
— Dr. Amesh Adalja, Pittsburgh
One thing In The Water? Drink To Your Well being!
A lately revealed article (“A Million Californians Don’t Have Clear Consuming Water. The place Do They Reside?” June 28) solid some doubts in regards to the security of ingesting water obtainable out of the faucet for Alpine County residents and guests.
First, some background. There have been 1,175 individuals counted within the 2010 census in Alpine County. There are a number of hundred non-public wells in Alpine County, that are initially permitted by the county, however then managed by the proprietor. The Environmental Well being Program employees of the Alpine County Public Well being Division regulates about 40 small public water methods, together with the Markleeville Water Co., Woodfords Mutual Water Co., Diamond Valley Elementary College and quite a few campgrounds. Two giant water methods are regulated by the California State Water Sources Management Board: Kirkwood Meadows Public Utilities District and Lake Alpine Water Co., together with the Grover Scorching Springs State Park. The definition of a “giant” water system is one with greater than 200 connections.
The best danger to the general public’s well being from ingesting water is bacterial contamination, which is managed by disinfection. The floor water utilized by the massive water methods is disinfected with chlorine. Byproducts of the disinfection course of embody trihalomethanes (TTHM) and haloacetic acids (HAA5). Managers work to attain the perfect stability between sufficient chlorine to supply water freed from bacterial contamination, and on the similar time conserving ranges of byproducts decrease than the utmost contaminant degree (MCL) as required by the State Water Sources Management Board.
Conclusions within the article had been drawn from a assessment of state compliance knowledge courting previous to 2018 and refer solely to the Lake Alpine Water Co.
The information supply said that the Lake Alpine Water Co. serves a inhabitants of 625. This consists of 125 residents and 500 transients (skiers, guests on the Bear Valley Lodge, and condos); thus, the unique assertion “greater than half of residents” was incorrect. The information supply states that Lake Alpine Water Co. serves 487 service connections. This consists of 294 single-family residences, 179 multiple-dwelling models (lodge, condos), 12 business, and two irrigation methods. So, basically right, however consists of water offered to guests.
The information reveals that the Lake Alpine Water Co. was out of compliance with ranges of complete haloacetic acid exceeding the MCL, the newest violation on 12/31/17. Nonetheless, what it doesn’t present is that corrective motion was promptly carried out, with compliance obtained in January 2018. Quarterly testing in the course of the previous 18 months has proven continued compliance, and an official Return to Compliance (RTC) standing shall be achieved within the close to future. There haven’t been another violations or enforcement actions taken.
The Water Board has by no means issued an order that “residents can’t drink water flowing from their faucets,” because the article said— anyplace within the county.
Up to now 25 years of information and reminiscences, water methods in Alpine County haven’t exceeded MCLs for both nitrates or arsenic — anyplace within the county.
My conclusion: Drink up (water)!
— Dr. Richard O. Johnson, well being officer for Alpine County, Calif.
(Editor’s notice: Thanks to your salient factors. The article has been revised to replicate your issues.)