Illustration: Rebecca Zisser/Axios

The U.S. is facing a series of potentially devastating health care threats — some within the next decade, and some that have already manifested as a part of everyday life. 

Between the lines: As Washington struggles with staggering hospital bills and prescription drug costs, society also faces even more difficult problems fueled by the aging population, the economics of health care and the rise of drug-resistant infections.

The big picture: The cost issues Washington is debating are important. It's just that those problems pale in comparison to the ones political leaders are not focusing on.

  • But many of these those will soon become impossible to ignore.
Affordability issues

Premiums, deductibles and the underlying cost of care will all only continue to go up.

  • As Baby Boomers age into Medicare, health care providers will likely raise their rates for private insurance to make up for the lost revenue — squeezing employers, employees and taxpayers in the process.
  • Medicare's hospital benefit is expected to be spending more than it has to spend by 2026, threatening benefits.
  • Most middle-income seniors won't be able to afford long-term care, as the NYT recently reported.
  • The drug pricing debate is stuck mostly in the past, as the future of medicine increasingly features multi-million-dollar personalized medications unlikely to ever have competition.
Access issues

A flood of rural hospital closures is leaving many communities with no easy access to emergency care.

  • The Washington Post profiled a hospital on the brink of closure this weekend, and Kaiser Health News yesterday wrote about what life is like post-hospital closure.
  • The U.S. will be short as many as 122,000 doctors by 2032, according to a recent study by the Association of American Medical Colleges. Primary care will be short between 21,100 and 55,200 doctors, while specialty care will face a shortage of between 24,800 and 65,800.
Health threats

The opioid epidemic continues to ravage the country, with no real end in sight.

Drug-resistant infections continue to rise, without any real government incentives for drug companies to develop new antibiotics. The UN warned last month that antimicrobial resistance could kill 10 million people a year globally by 2050.

Climate change will also be a health care crisis; it's expected to make infectious, tropical and respiratory diseases worse. Pharmaceutical companies are already preparing for that business opportunity.

The bottom line: It's hard to see how any of these topics become more prominent than the debate over Medicare for All or how to drive down spending on prescription drugs over the next couple of years. But we avoid dealing with them at our own peril.

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Updated 37 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 4 p.m. ET: 12,813,864 — Total deaths: 566,790 — Total recoveries — 7,046,535Map.
  2. U.S.: Total confirmed cases as of 4 p.m. ET: 3,286,025 — Total deaths: 135,089 — Total recoveries: 995,576 — Total tested: 39,553,395Map.
  3. States: Florida smashes single-day record for new coronavirus cases with over 15,000 — Miami-Dade mayor says "it won't be long" until county's hospitals reach capacity.
  4. Public health: Ex-FDA chief projects "apex" of South's coronavirus curve in 2-3 weeks — Coronavirus testing czar: Lockdowns in hotspots "should be on the table"
  5. Education: Betsy DeVos says schools that don't reopen shouldn't get federal funds — Pelosi accuses Trump of "messing with the health of our children."

11 GOP congressional nominees support QAnon conspiracy

Lauren Boebert posing in her restaurant in Rifle, Colorado, on April 24. Photo: Emily Kask/AFP

At least 11 Republican congressional nominees have publicly supported or defended the QAnon conspiracy theory movement or some of its tenets — and more aligned with the movement may still find a way onto ballots this year.

Why it matters: Their progress shows how a fringe online forum built on unsubstantiated claims and flagged as a threat by the FBI is seeking a foothold in the U.S. political mainstream.

Lindsey Graham says he will ask Mueller to testify before Senate

Photo: Tasos Katopodis/Getty Images

Senate Judiciary Chairman Lindsey Graham (R-S.C.) tweeted Sunday that he will grant Democrats' request to call former special counsel Robert Mueller to testify before his committee.

The big picture: The announcement comes on the heels of Mueller publishing an op-ed in the Washington Post that defended the Russia investigation and conviction of Roger Stone, whose sentence was commuted by President Trump on Friday.