DENVER – Grupos pro salud de Colorado denuncian irregularidades en las demandas planteadas por los oponentes de la Enmienda 72 en la boleta para la votación estatal de noviembre.

Pero los coloradeños aguantan el típico ataque de la publicidad política en esta temporada electoral, y muchos ya están familiarizados con los alegatos contra la Enmienda 72 para subir los impuestos a los cigarrillos.

Altria, empresa matriz de Phillip Morris, ha invertido más de 17 millones de dólares en el grupo “No a la 72” para derrotar el proyecto de ley.

Polly Anderson, vice presidenta de estrategia y financiamiento en la la Red de Salud Comunitaria de Colorado (“Colorado Community Health Network”), dice que algunas de las afirmaciones son, en el mejor de los casos, engañosas.

“Una de las afirmaciones es que los $315 millones están asignados en la constitución para programas especiales en los que no hay forma de saber cómo se gastará el dinero. Y eso realmente no podría estar más equivocado.”

Señala una página entera de la propuesta con lenguaje electoral que explica cómo serán distribuidos los fondos.

Reconoce que los grupos específicos que reciban el dinero no serán dados a conocer hasta después de un proceso competitivo por la subvención; y destaca que los programas serán supervisados por el Auditor estatal después de que la implementación de las leyes sea aprobada por la Asamblea General del estado y firmada por el gobernador.

De acuerdo al grupo vigía “Clean Slate Now” (que equivale a “borrón y cuenta nueva”), los grupos de la salud –incluyendo la red de Anderson, el “Children’s Hospital Colorado” y la “American Heart Association”– han aumentado su apoyo a esta medida con más de dos millones de dólares.

“No nos sorprende. Desde la perspectiva de la salud pública, subir el precio de los cigarrillos con un aumento al impuesto es una de las formas más efectivas de ayudar a que los jóvenes nunca comiencen a fumar y a que los que fuman lo dejen.”

Actualmente los jóvenes de Colorado fuman siete millones de cajetillas de cigarrillos al año.

El grupo No a la 72 (“No on 72”) también argumenta que sólo el 20 por ciento del nuevo impuesto será destinado a la prevención del tabaquismo, y la mayoría de los 1.6 billones de dólares que ya recaudó Colorado de las empresas tabacaleras, se han aplicado a programas que no tienen relación. Anderson dice que una enmienda constitucional asegurará que el dinero vaya a donde se necesita más.

“Realmente va a los más afectados por fumar. Los veteranos fuman en una proporción mayor que la población general y una buena tajada del dinero irá a fondear sus necesidades no cubiertas de salud médica y mental.”

Anderson agrega que fumar es la principal causa de muerte evitable en Colorado, con una pérdida anual total de más de cinco mil vidas, a un costo de casi dos billones de dólares por año –más de 700 dólares al año por hogar, fumen o no.

La Enmienda72 está en Amendment 72.


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After more than 50 years of use, some Michigan lawmakers say naloxone may not be the best choice in an overdose situation.

Naloxone is sometimes called the "Lazarus drug" because of its powerful ability to seemingly resurrect people after a drug overdose.

Sen. Kevin Hertel, D-St. Clair Shores, and some of his colleagues have introduced a bill which would open the door for what they say are more costly, but more powerful, antidotes.

"Given the prevalence of fentanyl in our communities, and how much stronger some of these drugs that we're now seeing are, we believe -- and in talking with others -- that there should be other tools to respond to an overdose," Hertel explained. "To make sure we're doing everything we can to save somebody's life."

Not everyone is on board with the proposed legislation, Senate Bill 542. Opponents argued the more expensive naloxone alternatives are not necessary, and using them would only increase profits for the pharmaceutical industry.

Jonathan Stoltman, director of the Opioid Policy Institute in Grand Rapids, said while the naloxone alternatives do help in overdose situations, they can also cause nasty side effects.

"The newer approaches, they put people into more severe withdrawal," Stoltman pointed out. "That's a pretty profound negative side effect. The one approach is very inexpensive and works great; the other approach is far more expensive and has this strong negative side effect."

Sponsors of the bill say they're hoping to give Michigan residents a chance to chime in on the issue in a public hearing sometime in June. Michigan saw more than 3,000 opioid overdose deaths in 2021.


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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.

Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.

"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained

Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.

Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.

"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.

Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.

New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.

The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.

"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.

Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.

Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."

"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.

Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.