Medicare open enrollment is underway and it is also the time of year when other public health coverage programs and employer-sponsored plans carry out their sign-ups.

Wisconsinites are being encouraged to weigh their options. Advisers said reducing health care costs involves more than focusing on monthly premiums. You should also compare a plan's copays and deductibles.

Adam VanSpankeren, navigator program manager for Covering Wisconsin, which helps people understand and sign up for publicly available health insurance and similar programs, said reading notifications this time of year is vital because a small, subtle difference could end up being a big shock.

"You might be used to going to your doctor year after year, and then find out that they're actually not covered by your plan anymore," VanSpankeren explained. "That's got to be the most kind of disheartening and surprising thing. And people often discover that when they go to get care."

As for Medicare, original plans do not cover prescription drugs, so what's known as the Part D plan is needed for medications. Starting in 2025, the plan will include a $2,000 cap on what you pay out-of-pocket for prescription drugs covered by your plan.

Health policy analysts said there can be trade-offs when deciding between a traditional Medicare coverage option and a Medicare Advantage plan.

Dr. Rhonda Randall, chief medical officer and executive vice president of UnitedHealthcare Employer and Individual, noted Advantage plans tend to cost more, but are worth considering for the benefits they provide.

"Things like dental, vision and hearing," Randall outlined. "Many Medicare beneficiaries might be surprised to know that original Medicare doesn't cover most of those things, but many Medicare Advantage plans do. I also recommend people to check for mental health coverage."

About 56% of Wisconsinites signed up for Medicare have advantage plans. Program enrollment runs through Dec. 7. UnitedHealthcare offers an online guide for navigating Medicare. Meanwhile, people with employer-sponsored health plans are also entering their enrollment season and sign-up through the health insurance exchange under the Affordable Care Act begins Nov. 1.

Ohioans have long had the ability to choose their electricity providers but new research highlighted the financial consequences of such decisions.

A study examined how competitive retail electricity service options stack up against standard utility rates.

Noah Dormady, associate professor of public policy at Ohio State University and the study's lead author, said an analysis of nearly 3 million records over a 10-year period revealed approximately three-quarters of offers were more expensive than the utility's default service rate.

"Consumers in these markets are oftentimes unaware of the options available to them," Dormady observed. "They're oftentimes unaware that most competitive offers have prices far exceeding the default standard service offer rate historically."

While consumers may expect to save money through retail choice, Dormady's study found median price increases often exceeded 25% to 35%, compared with potential savings of just 5% to 10%.

Dormady's research found the same general effects across service territories, including AEP Ohio, Duke Energy, DPL of AES and FirstEnergy regions, which raises questions about market efficiency and the persistence of high prices.

"As an economist, I can tell you, if this market were efficient, you would not see the prevalence and persistence of above-market rates," Dormady asserted. "We're seeing offers that are 400%, 500%, 600% above the default service rate and they continue to be posted every day for well over a 10-year period."

Dormady's findings emphasized the need for increased consumer awareness and potential policy reforms, including the creation of an Independent Market Monitor to oversee pricing practices. While retail choice provides flexibility, the data underscored the importance of Ohioans understanding their options to make informed decisions about their electricity costs.

A new report examines how Connecticut should regulate artificial intelligence. The Connecticut Voices for Children report finds AI use is embedded in certain economic sectors, but its lack of regulation is dangerous for younger internet users. Beyond deepfakes and deceptive designs capturing a person's data, it also increased cheating on school assignments.

Carmen Clarkin, research and policy associate with Connecticut Voices for Children, said AI's growing presence in kids' online lives creates well-being risks.

"Beyond privacy, there are broader concerns about how AI shapes children's critical thinking, their ability to identify misinformation, their ability to make decisions, and its ability to increase their exposure to harmful content," she said.

She added that data breaches of kid's information can have lifelong consequences. State lawmakers have introduced a bill to regulate AI. Given that it's still relatively new, it calls for amending laws to protect people from algorithmic discrimination and unfair treatment by artificial intelligence. The bill has been referred to the General Assembly's Joint Committee on General Law.

Although federal officials attempted regulating AI, bills introduced in Congress didn't make much progress. President Donald Trump rescinded former President Joe Biden's executive orders requiring AI developers to share safety test results of systems posing threats to national security, the economy, or public health. Clarkin said Connecticut lawmakers should consider international AI standards when developing regulations.

"By aligning with international best practices, Connecticut can ensure AI applications in sensitive areas are appropriately monitored, building safety and fostering ethical compliance," she added.

Other recommendations include promoting data and privacy protections, mitigating bias, ensuring accountability, and having transparency and fairness disclosures.

By Grace Hussain for Sentient.
Broadcast version by Zamone Perez for Maryland News Connection reporting for the Sentient-Public News Service Collaboration

When the Trump Administration takes office in January, Robert F. Kennedy Jr. - an avid fan of raw dairy and the nominee for Secretary of Health and Human Services - has signaled that he plans on boosting access to raw milk. Reportedly, he's even reached out to the CEO of one of his favorite raw milk brands to work with the administration to expand access to raw milk nationally. But in a time of avian flu, what are the health implications of more people drinking raw milk?

The short answer: not great.

Currently, it's illegal to sell raw milk under federal law, meaning it can't be sold across state lines. But there are state laws governing whether the beverage can be sold within each state. Several states, including Florida and Louisiana, have laws explicitly barring raw milk sold for human consumption, but still have loopholes in the laws, allowing people to buy it for their pets.

When milk is pasteurized, it's heated to 161F (ultra-pasteurized requires heating at 280F for a slightly shorter amount of time), and then rapidly cooled in order to kill off harmful bacteria. While it's not a foolproof process, the risk of consuming raw milk is hundreds of times greater than drinking pasteurized milk. Let's take a look at the risks of its popularity growing.

The Health Risks of Drinking Raw Milk

Consuming raw milk has been linked to numerous health issues, including different types of infections, and even bird flu. More people drinking raw milk could lead to an increase in sickness or death from bacteria harbored in untreated milk. "Some of the illnesses are pretty nasty," Martin Wiedmann, who specializes in food safety and science at Cornell, tells Sentient.

Wiedmann is no stranger to raw milk's appeal. "I grew up on raw milk. I'm not a foam out of the mouth, don't drink raw milk, person," he tells Sentient. But the worst risks are severe, he says. Wiedmann points specifically to listeria and Guillain-Barré syndrome, both of which can be deadly. In the case of listeria, about 20 percent of those infected die. With Guillain-Barré syndrome, "your body makes antibodies against your own nerves," he says. "It can be super nasty."

Bird flu represents another risk to consuming raw milk. California recently declared a state of emergency in response to bird flu spreading via dairy. While pasteurization kills the bacteria responsible for the disease, drinking infected raw milk can spread the disease, with confirmed cases of avian flu in cats and mice who were given raw milk.

It's still unclear whether humans can contract the disease from consuming infected raw milk. But California, the largest dairy producer in the country, is one of several states that allows the sale of raw milk for human consumption.

Why Do Some People Still Drink Raw Milk?

One of the main reasons people consume raw milk is because of the perceived health benefits. But the Food and Drug Administration has stated that most raw milk health claims are false.

For Dennis D'Amico, a microbiologist focused on dairy safety at the University of Connecticut, the health benefits of consuming raw milk are overstated. "The fat content is not going to change. The protein content is not going to change. The mineral content is not going to change," he tells Sentient. "You do see some minor decreases in a few of the vitamins [with pasteurization], but most of the nutrition field or the food science field would argue that it's relatively insignificant in the scheme of things."

Wiedmann agrees, pointing specifically to vitamin C, which is destroyed through pasteurization. "You're not gonna get enough vitamin C through milk," so the health benefits of pasteurization outweigh the loss, he says.

How Bacteria Gets Into Milk

Bacteria can get into milk either from the cow or from the environment. The cow herself could be infected with salmonella, or another disease causing bacteria. In that case, "the outside of the animal could be sterile, everything involved in the rest of the process could be sterile, but the milk is already contaminated," cautions D'Amico. Another animal-based route of contamination happens when bacteria from the environment gets into the cow's teat, causing an infection called mastitis.

While it's possible to minimize bacteria in the environment, it's impossible to eliminate it. "The risk is always there," says Wiedmann. "A cow in a [factory farm] poops, just like a cow in a pasture would."

Diversified production systems that raise chickens in addition to cows, for example, introduce additional risk. "If your chickens carry salmonella, the risk of those chickens contaminating the raw milk also becomes bigger," Wiedmann says, challenging the assumption that milk produced by small or organic farms is a safe option.

The Problem of Misinformation About Raw Milk

Raw milk is a flashy issue whose proponents go against settled science, says D'Amico. "The idea that unpasteurized milk can cause illness has been around forever," he says, pointing to the drop in foodborne illnesses that followed the widespread implementation of pasteurization. In the eyes of public health experts and regulatory officials, "the problem's been solved."

But misinformation about raw milk continues to spread. "You have proponents that have a much bigger story to tell [using] anecdotal evidence, and there's just so much more to it," says D'Amico. And that story is "much more romantic and attractive." Based on his experience, many people drinking and supporting raw milk are also skeptics of other widely accepted health advancements, like vaccines. He points specifically to COVID-19 as driving the trend toward science skepticism.

Google searches for "raw milk" significantly increased toward the end of 2021, the height of the pandemic, and have trended upwards since. The increase in searches may have reflected a rising perception that raw milk offers protection against sickness, with some even mistakenly believing it could act as a form of passive immunity to COVID-19 instead of vaccination. A few years beforehand, in 2014, survey data revealed that 67.9 percent of raw milk drinkers didn't trust recommendations from state health officials.

During the pandemic, mis- and disinformation proliferated at an alarming rate, leading the World Health Organization to declare an "infodemic" - an overabundance of information, both accurate and inaccurate - alongside the pandemic. The infodemic provided the perfect environment to incubate skepticism about science.

Is Raw Milk a Personal Freedom Issue?

Despite the public health risks of raw milk, for both D'Amico and Wiedmann, the issue ultimately comes down to personal choice, even if that choice can have consequences.

Both agree that there are two main reasons for limiting raw milk consumption: burden on the healthcare system, and unknowing consumption. The more people who engage in risky behaviors - like smoking cigarettes or drinking raw milk - and get sick, the greater the burden on the healthcare system and hospitals, and thus taxpayers and the wider public, says D'Amico. The public health burden of raw milk consumption is likely to increase with the beverage's growing popularity.

Unlike cigarettes, milk is widely consumed, and raw milk can be difficult to differentiate from pasteurized milk. "You have raw milk in your fridge. Your kids have their friends over. They drink milk. Those kids have no idea they're drinking raw milk. Their parents have no idea that their kids drink raw milk when they're over at someone's house. They get sick. Those kids are not making a choice," says Wiedmann.

When children are infected, they're at especially high risk of getting very sick, says D'Amico. "What we often see in these raw milk cases, is not only are children being infected, but they're also being affected with much more severe infections, kidney failure, death and things like that," he says.

The Bottom Line

While consuming raw milk may be seen as a personal choice, it's not exactly a decision that affects only the individual. As the popularity of raw milk potentially rises, so does the risk of dangerous bacteria proliferating. The spread of misinformation around raw milk only adds to the danger, increasing the likelihood of widespread outbreaks. If the trend continues unchecked, it could place significant strain on healthcare systems and public health resources.


Grace Hussain wrote this article for Sentient.


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