The Readout Loud 385: A measles outbreak and hospitals' financial troubles
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Jan 22, 2026 Helen Branswell, an infectious disease reporter for STAT, discusses the alarming measles outbreak in South Carolina, emphasizing risks to overall U.S. health and vaccination disparities. Tara Bannow, a healthcare reporter, explores the financial struggles of nonprofit hospitals, highlighting how Medicaid cuts could lead to service reductions and increased patient costs. The podcast also touches on the implications of recent comments from officials at the JPM Healthcare Conference, shedding light on the intricate relationship between hospitals and regulatory attitudes.
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Measles Needs Only Unvaccinated Hosts
- Measles spreads wherever there are unvaccinated children, regardless of community type.
- Helen Branswell warns that introductions into susceptible pockets let measles take off quickly.
State Averages Mask Dangerous Pockets
- South Carolina's overall vaccination rate (~90%) is below the ~95% needed for herd immunity.
- Helen highlights local pockets with rates as low as ~20% that fueled the outbreak.
Elimination Status Hinges On 12-Month Spread
- Losing measles elimination status means the virus is considered endemic after 12 months of continuous spread.
- CDC scientists are analyzing viral genetics to see if chains of transmission date back to last January.