Retired miner Eric Giedel, who suffers from black lung, visits Dr. Don Rasmussen for a cardo pluinary stress test. (Photo by Andrew Lichtenstein/Corbis via Getty Images)

Earlier this year, the Journal of the American Medical Association published a study from the National Institute for Occupational Safety and Health, which found 416 cases of advanced black lung disease in coal miners in central Appalachia from 2013 to 2017 — the highest cluster of cases ever seen. The institute also confirmed a 2016-2017 investigation by National Public Radio (NPR) that discovered hundreds of other cases in southwestern Virginia, southern West Virginia and eastern Kentucky.

This research indicates that black lung is returning, even as safety measures have improved over the course of decades. Dust screens and ventilation had nearly removed the disease from the U.S. in the 1990s, but these recent studies suggest otherwise in coal country.

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Doctors, hospitals, and insurers have come together to fight the American Health Care Act (AHCA). The bill was passed yesterday in the House of Representatives despite the unity of these groups, who all issued statements condemning the House's move.

“The bill passed by the House today will result in millions of Americans losing access to quality, affordable health insurance and those with pre-existing health conditions face the possibility of going back to the time when insurers could charge them premiums that made access to coverage out of the question,” American Medical Association President Andrew W. Gurman, MD, said.

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