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	<title>you39ll &#8211; USA NEWS LIVE</title>
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		<title>Supreme Court rules cities can ban homeless people from sleeping outdoors – Sotomayor&#039;s dissent sums up the opinion as &#039;stay up otherwise you&#039;ll be arrested&#039;</title>
		<link>https://bloggingthree.soflytech.com/2024/06/supreme-court-rules-cities-can-ban-homeless-people-from-sleeping-outdoors-sotomayors-dissent-sums-up-the-opinion-as-stay-up-otherwise-youll-be-arrested/</link>
		
		<dc:creator><![CDATA[chandankumarsoft]]></dc:creator>
		<pubDate>Sat, 29 Jun 2024 00:37:16 +0000</pubDate>
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		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=7619</guid>

					<description><![CDATA[The Supreme Court has ruled that the Eighth Amendment to the U.S. Constitution doesn&#8217;t prohibit cities from criminalizing sleeping outdoors. City of Grants Pass v. Johnson began when a small town in Oregon with only a homeless shelter began enforcing a neighborhood anti-camping law that prohibited people from sleeping in public with a blanket or [&#8230;]]]></description>
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<p>The Supreme Court has ruled that the Eighth Amendment to the U.S. Constitution doesn&#8217;t prohibit cities from criminalizing sleeping outdoors.</p>
<p><a href="https://www.oyez.org/cases/2023/23-175">City of Grants Pass v. Johnson</a> began when a small town in Oregon with <a href="https://apnews.com/article/grants-pass-oregon-supreme-court-homeless-encampments-a8dcddb518bd76b11d409666c06701b8">only a homeless shelter</a> began enforcing a neighborhood anti-camping law that prohibited people from sleeping in public with a blanket or other rudimentary protection from the weather &#8211; even in the event that they had nowhere else to go. </p>
<p>The court was faced with the next query: Is it unconstitutional to punish homeless people for performing activities obligatory for survival, similar to sleeping, in public when there isn&#8217;t a opportunity to perform these acts in private?</p>
<p>In a 6-3 decision by Justice Neil Gorsuch, the Court disagreed. It rejected the claim that criminalizing sleeping in public by individuals with nowhere to go violates the <a href="https://constitution.congress.gov/constitution/amendment-8/">The constitutional prohibition of cruel and weird punishment</a>In my view, the choice – which I consider disappointing but not surprising – won&#8217;t reduce homelessness and will definitely result in further litigation.</p>
<p>As a specialist for <a href="https://gould.usc.edu/faculty/profile/clare-pastore/">Poverty law, civil rights and access to justice</a> As a litigant on this area, I do know that homelessness within the United States is a consequence of poverty, not crime, and that criminalizing homelessness does nothing to resolve the issue. </p>
<figure>
<p><iframe title="How have things changed since Portland passed its daytime ban on homeless camps?" width="1170" height="658" src="https://www.youtube.com/embed/Ly3KOFCyhcQ?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></p><figcaption><span class="caption">Cities like Portland, Oregon, are struggling to seek out viable solutions to administer homeless encampments while working to create more housing.</span></figcaption></figure>
<h2>The Grants Pass case</h2>
<p>Grants Pass v. Johnson sparked a years-long dispute over how far cities can go to stop homeless people from settling inside their borders and whether and when criminal penalties are permissible for acts similar to sleeping in public.  </p>
<p>In a case from 2019 <a href="https://caselaw.findlaw.com/court/us-9th-circuit/1990514.html">Martin vs. the City of Boise</a>The ninth U.S. Circuit Court of Appeals ruled that the Cruel and Unusual Punishment Clause of the Eighth Amendment prohibits criminalizing sleeping in public when an individual doesn&#8217;t have a non-public place to sleep. The decision was based on a 1962 Supreme Court case, <a href="https://supreme.justia.com/cases/federal/us/370/660/">Robinson v. California</a>which found it unconstitutional to criminalize drug addiction. Robinson and a subsequent case, <a href="https://supreme.justia.com/cases/federal/us/392/514/">Powell vs. Texas</a>represent the excellence between a standing that can not be constitutionally punished and behavior that might be punished. </p>
<p>In Grants Pass, the ninth Circuit went a step further than in Boise and ruled that the Constitution also prohibits the criminalization of public sleeping. <a href="https://caselaw.findlaw.com/court/us-9th-circuit/1913611.html">with rudimentary protection from the weather</a>The decision was controversial: the judges disagreed on whether the camping ban regulates the behavior or status of homelessness that inevitably results in sleeping outside when there isn&#8217;t a alternative. </p>
<p>Grants Pass urged the Supreme Court to desert the Robinson precedent and its successor as &#8220;dead and misguided,&#8221; arguing that the Eighth Amendment prohibits only certain cruel methods of punishment, not fines and prison sentences. </p>
<p>The homeless plaintiffs didn&#8217;t challenge the reasonableness of regulating the time and place of sleeping outdoors, nor the City&#39;s ability to limit the dimensions or locations of homeless groups or encampments, nor the legality of punishing those that insist on staying in public when shelter is obtainable. </p>
<p>However, they argued that comprehensive anti-camping laws would impose too harsh penalties for &#8220;completely harmless, generally unavoidable behavior&#8221; and that punishing people for &#8220;simply being outside without access to shelter&#8221; wouldn&#8217;t reduce that behavior. </p>
<figure class="align-center zoomable">
<div class="placeholder-container" style="--aspect-ratio-percent:66.84350132625994%;--background-color:#33505f"><img decoding="async" alt="A woman in a jacket stands at a lectern outdoors" class="lazyload" src="https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;fit=clip" srcset="https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=600&#038;h=401&#038;fit=crop&#038;dpr=1 600w, https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=600&#038;h=401&#038;fit=crop&#038;dpr=2 1200w, https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=600&#038;h=401&#038;fit=crop&#038;dpr=3 1800w, https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;h=504&#038;fit=crop&#038;dpr=1 754w, https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=754&#038;h=504&#038;fit=crop&#038;dpr=2 1508w, https://images.theconversation.com/files/603224/original/file-20240626-17-5dpkq4.jpg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=754&#038;h=504&#038;fit=crop&#038;dpr=3 2262w" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px"></div><figcaption>
              <span class="caption">Helen Cruz, who once lived on the streets in Grants Pass, Oregon, speaks at a rally in front of the Supreme Court on April 22, 2024.</span><br />
              <span class="attribution"><a class="source" href="https://newsroom.ap.org/detail/SupremeCourtHomelessCampingBans/f63da16288c548db94d1bff1643e6854/photo">AP Photo/J. Scott Applewhite</a></span><br />
            </figcaption></figure>
<p>In its decision today, the court rejected the town&#39;s request to overturn the 1962 Robinson decision and strike down the ban on status criminalization, but denied that homelessness is a standing. Instead, the court agreed with the town that camping or sleeping in public are activities, not statuses, despite plaintiffs&#39; evidence that, for homeless people, there isn&#8217;t a difference between criminalizing &#8220;homelessness&#8221; and criminalizing &#8220;sleeping in public.&#8221; </p>
<p>The decision accommodates surprisingly little evaluation of the Eighth Amendment to the U.S. Constitution. It doesn&#8217;t address the plaintiffs&#39; arguments that criminalizing sleeping constitutes a disproportionate punishment or imposes a punishment without legitimate deterrent or rehabilitative goals. </p>
<p>Instead, the court kept returning to the concept that the ninth Circuit&#39;s decision required judges to make impermissible policy decisions about the way to reply to homelessness. The court also cited extensively amicus curiae briefs from cities and others discussing the difficulties of addressing homelessness. Significantly, nevertheless, neither those briefs nor the court&#39;s decision cite any evidence that criminalization reduces homelessness in any way.</p>
<p>In a powerful dissenting opinion starting &#8220;Sleep is a biological necessity, not a crime,&#8221; Justice Sonia Sotomayor, joined by Justices Elena Kagan and Ketanji Brown Jackson, quoted extensively from the case&#39;s records. The dissenting opinion included some shocking statements from the Grants Pass City Council, similar to &#8220;Perhaps [the homeless people] aren&#8217;t hungry or cold enough … to vary their behavior.”</p>
<p>Sotomayor noted that point, place, and behavioral restrictions on sleeping in public are perfectly permissible under the Ninth Circuit&#39;s evaluation, and that the inevitable boundary-drawing issues cited by the bulk are a traditional a part of constitutional interpretation. She also noted that almost all&#39;s claim that the Ninth Circuit&#39;s rule was unworkable has been contradicted by Oregon&#39;s own actions: In 2021, the state legislature converted the Martin v. Boise ruling into law.</p>
<h2>A national crisis</h2>
<p>Homelessness is an enormous problem within the United States. The variety of homeless people has remained largely stable through the COVID-19 pandemic, mainly as a result of <a href="https://evictionlab.org/covid-era-policies-cut-eviction-filings-by-more-than-half/">Eviction moratoriums</a> and the temporary availability of <a href="https://home.treasury.gov/policy-issues/coronavirus/assistance-for-state-local-and-tribal-governments/emergency-rental-assistance-program">expanded public services</a>However, since 2022 it has increased sharply. </p>
<p><iframe id="ZYyrz" class="tc-infographic-datawrapper" src="https://datawrapper.dwcdn.net/ZYyrz/3/" height="400px" width="100%" style="border: none" frameborder="0"></iframe></p>
<p>Academics and policymakers have spent a few years analyzing the causes of homelessness, including stagnant wages, declining social services, inadequate treatment for mental illness and addiction, and the politics of location of reasonably priced housing. However, there&#8217;s little agreement that the easy mismatch between the large need for reasonably priced housing and the limited supply <a href="https://www.ucsf.edu/news/2023/06/425646/california-statewide-study-investigates-causes-and-impacts-homelessness">is a central cause</a>.</p>
<h2>Tough motion against the homeless</h2>
<p>Rising homelessness, particularly its visible manifestations similar to tent encampments, has frustrated urban residents, businesses and policymakers across the United States and led to a rise in anti-homelessness policies. Reports from the National Homelessness Law Center <a href="https://homelesslaw.org/wp-content/uploads/2019/12/HOUSING-NOT-HANDCUFFS-2019-FINAL.pdf">in 2019</a> <a href="https://homelesslaw.org/wp-content/uploads/2021/11/2021-HNH-State-Crim-Supplement.pdf">and 2021</a> have counted tons of of laws restricting camping, sleeping, sitting, lying, begging and loitering in public.  </p>
<p>Under Presidents <a href="https://www.usich.gov/guidance-reports-data/federal-guidance-resources/searching-out-solutions-constructive-alternatives">Barack Obama</a> and Joe Biden, the federal government has claimed that criminal sanctions are rarely useful. Instead, it has <a href="https://www.usich.gov/sites/default/files/document/All_In.pdf">emphasized alternatives</a>similar to supportive services, specialised courts and coordinated care systems, along with improved housing provision. </p>
<p>Some cities have achieved considerable success with these measures. But not all communities are on board. </p>
<h2>Displacing people from the town</h2>
<p>I expect this ruling will prompt some jurisdictions to proceed or increase anti-homelessness policies, despite the dearth of evidence that such policies reduce homelessness. What such laws may do is shift the issue to other cities, as Grants Pass officials have <a href="https://www.opb.org/article/2024/04/04/grants-pass-oregon-homeless-parks-josephine-county-public-spaces-camping-shelter/">openly admitted that they tried</a>. </p>
<p>The decision is more likely to put much more pressure on jurisdictions that select to not criminalize homelessness, similar to Los Angeles, whose mayor Karen Bass <a href="https://time.com/6993706/supreme-court-allows-cities-to-enforce-bans-on-homeless-people-sleeping-outside/">condemned the decision</a>While this ruling resolves Eighth Amendment claims against sleeping bans, the legal battle over homeless policy is undoubtedly removed from over. </p>
<p><em>This is an updated version of an article originally published on April 17, 2024.</em></p>
</p></div>
<p><em>image credit : theconversation.com</em></p>
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		<title>AI cancer screening programs are booming, but you&#039;ll probably should pay for them yourself</title>
		<link>https://bloggingthree.soflytech.com/2024/05/ai-cancer-screening-programs-are-booming-but-youll-probably-should-pay-for-them-yourself/</link>
		
		<dc:creator><![CDATA[chandankumarsoft]]></dc:creator>
		<pubDate>Fri, 31 May 2024 09:24:47 +0000</pubDate>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[booming]]></category>
		<category><![CDATA[cancer]]></category>
		<category><![CDATA[pay]]></category>
		<category><![CDATA[programs]]></category>
		<category><![CDATA[screening]]></category>
		<category><![CDATA[you39ll]]></category>
		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=4998</guid>

					<description><![CDATA[Artificial intelligence for cancer prevention has gained momentum. However, most of those recent programs usually are not covered by Medicare or private medical health insurance, creating headwinds for firms seeking to increase adoption and for patients who may gain advantage from the brand new technology. “Traditionally, it takes up to seven years for medical devices [&#8230;]]]></description>
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<div id="RegularArticle-ArticleBody-5" data-module="ArticleBody" data-test="articleBody-2" data-analytics="RegularArticle-articleBody-5-2"><span class="HighlightShare-hidden" style="top:0;left:0"></span></p>
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<p>Artificial intelligence for cancer prevention has gained momentum.</p>
<p>However, most of those recent programs usually are not covered by Medicare or private medical health insurance, creating headwinds for firms seeking to increase adoption and for patients who may gain advantage from the brand new technology.  </p>
<p>“Traditionally, it takes up to seven years for medical devices after a product is approved by the FDA to be reimbursed, so that’s quite a challenge,” said Brittany Berry-Pusey, co-founder and COO of the AI ​​screening startup <a href="https://avendahealth.com/" target="_blank" rel="noopener">Avenda Health</a>.</p>
<p>As AI capabilities proceed to grow, the Food and Drug Administration has approved 882 AI and machine learning-enabled devices and programs. Nearly 600 of those are approved AI applications for radiology up to now five years. Most don&#8217;t yet have billing codes that will enable reimbursement and forestall patients from having to pay out of pocket.</p>
<p>While some tools have shown promise in improving diagnosis and treatment of cancer patients, more data could also be needed to find out whether or not they are simpler than traditional screening before major insurers are willing to cover their costs.</p>
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<p>One of Avenda’s products illustrates the complex process that must happen before insurers cover AI tools.</p>
<p>The company&#39;s Unfold AI platform for prostate cancer can assist urologists find more cancer cells than traditional MRI screenings and can assist determine the most effective treatment to scale back the chance of unwanted side effects reminiscent of incontinence and impotence from prostate cancer surgery.</p>
<p>The FDA approved the medical decision support program last 12 months. Just as importantly, the American Medical Association has assigned it an interim billing code—which most AI radiology products haven&#8217;t yet received.</p>
<p>Avenda is now attempting to get Medicare and insurers to cover the prices, which in lots of cases can take years.</p>
<p>&#8220;If there is no payment, it means patients have to pay out of pocket, which can be challenging &#8230; especially for our patients. This is an older patient population,&#8221; Berry-Pusey said.</p>
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<h2 class="ArticleBody-subtitle"><a id="headline0"></a>Hurdles to reimbursement</h2>
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<p>The American Medical Association, the medical skilled organization that issues the Current Procedural Terminology codes that enable reimbursement, has <a href="https://www.ama-assn.org/system/files/ama-ai-principles.pdf" target="_blank" rel="noopener">Guidelines for establishing AI-CPT codes</a> last fall. The group said different medical specialties must have a say in what standards should apply of their fields.    </p>
<p>The lack of reimbursement is hindering the adoption of recent AI programs for cancer screening, especially in smaller hospitals and physician practices, said Dr. William Thorwarth, CEO of the American College of Radiology, which represents 1000&#8217;s of execs in the sector. But in a <a href="https://www.acr.org/-/media/ACR/Files/Advocacy/AIA/acr_bera-rfi_05-06-2024.pdf" target="_blank" rel="noopener">letter</a> Before a congressional committee investigating using AI in healthcare, he warned against moving too quickly.</p>
<p>Thorwarth wrote that reimbursement for AI costs is complex and establishing billing codes for every approved AI tool is &#8220;problematic.&#8221; He added that it&#8217;s &#8220;unclear&#8221; whether the AI ​​platforms currently covered &#8220;provide value to patients or the healthcare system.&#8221;</p>
<p>Medicare and personal health insurers have expressed similar caution. A spokesperson for the Centers for Medicare &#038; Medicaid Services told CNBC that the agency considers CPT codes when making reimbursements and &#8220;continually evaluates opportunities to safely and responsibly deploy new, innovative strategies and technologies, including artificial intelligence.&#8221;</p>
<p>Some of this caution may stem from previous experience with computer-assisted mammography within the late Nineties. Doctors have since said it led to false positives and unnecessary biopsies.  </p>
<p>Dr. Rodrigo Cerda, chief medical officer of Independence Blue Cross, said the effectiveness of the newest programs has not yet been determined.</p>
<p><strong>&#8220;</strong>&#8220;The evidence isn&#8217;t yet quite sufficient to say that it clearly provides a positive profit to our members and doesn&#8217;t pose other risks that may lead to false-positive results or exacerbate the false-negative results,&#8221; Cerda said.</p>
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<h2 class="ArticleBody-subtitle"><a id="headline1"></a>Patients have to pay out of their own pocket</h2>
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<p>Without reimbursement by insurance, radiology providers <span class="QuoteInBody-quoteNameContainer" data-test="QuoteInBody" id="RegularArticle-QuoteInBody-4">RadNet<span class="QuoteInBody-inlineButton"><span class="AddToWatchlistButton-watchlistContainer" id="-WatchlistDropdown" data-analytics-id="-WatchlistDropdown"><button class="AddToWatchlistButton-watchlistButton" aria-label="Add To Watchlist" data-testid="dropdown-btn"><span class="AddToWatchlistButton-addWatchListFromTag"></span></button></span></span></span>    has started charging patients for its proprietary AI screening tool, Enhanced Breast Cancer Detection, which launched in 2022. RadNet has released data suggesting the tool helps improve cancer detection.</p>
<p>The company recently reduced the price of the test from $59 to $40. It said its revenue from AI in digital healthcare more than doubled year-on-year in the first quarter and patient adoption<strong> </strong>AI screening increased from around 25% to 39% of mammography patients.</p>
<p>RadNet executives compare the AI ​​screening process to the radiology industry&#39;s experience with digital breast tomosynthesis, known as 3D mammography. The FDA approved the procedure in 2011 and women were initially offered screening for a co-payment. However, by the end of the decade, it was largely covered by health insurance.</p>
<p><strong>&#8220;</strong>The query is, can we finally [insurers] And I feel the acceptance and value creation to find more cancers will ultimately<strong> </strong>persuade<strong> </strong>them,&#8221; said Dr. Greg Sorensen, RadNet&#39;s chief scientific officer.  </p>
<p>Sorensen said RadNet has recruited an employer in New Jersey that will now cover the cost of breast cancer screenings for its employees.</p>
<p>The company will also<strong> </strong>will soon launch an AI-powered prostate MRI screening for $250. But that price could pose a major hurdle to adoption — and access for patients who can&#39;t afford it.</p>
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<h2 class="ArticleBody-subtitle"><a id="headline2"></a>Concerns about access</h2>
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<p>Josh Trachtenberg, a neurology professor at UCLA, was willing to pay for AI prostate cancer screening because he believes it made a huge difference to his own treatment.  </p>
<p>Trachtenburg says when he was diagnosed with prostate cancer<strong> </strong>Last year, several doctors told him that his prostate would need to be removed, a procedure that would have caused incontinence and impotence problems.</p>
<p>He turned to a urologist at UCLA School of Medicine who used Avenda Health&#39;s AI program Unfold. The program was able to more accurately measure the extent of his tumor, allowing doctors to get to the cancer cells during surgery while preserving healthy tissue.</p>
<p>Trachtenberg fears that patients who cannot afford the additional costs of certain AI tools will pay the price with worse outcomes.</p>
<p>&#8220;I feel most men who usually are not teaching in medical school are only put through the meat grinder since it&#39;s covered by insurance and that&#39;s the usual procedure,&#8221; he said.</p>
<p>Berry-Pusey of Avenda Health fears that patients may be denied access to new technologies altogether because uncertainty about reimbursement could hinder funding for innovation.</p>
<p>&#8220;As a startup, we&#8217;re at all times searching for investors, so ensuring there&#8217;s a transparent path to more revenue is very important for our survival,&#8221; she said.  </p>
<p>Despite the payment hurdles, investors are backing developers of AI in healthcare. Alex Morgan, partner at Khosla Ventures, is optimistic about the sector and recently participated in a large funding round for an AI company in radiology.</p>
<p>&#8220;If you simply have a human do a set of tasks after which activate AI, you&#39;re not going to get efficiency gains,&#8221; Morgan said, adding that the key to getting paid is &#8220;delivering differentiated, high-performance results.&#8221;</p>
<p>He said that ultimately, technology that improves the standard of care and patient outcomes will prevail.</p>
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<p><em>image credit : www.cnbc.com</em></p>
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