Republican action to ram an Affordable Care Act replacement bill through two House committees overnight, without a Congressional Budget Office score and over the objections of powerful health-care interests, appears to be undermining support for the American Health Care Act, threatening ultimate congressional passage of the bill and its device-tax repeal provision.

The return of a Republican president to power in last month's US elections showed – for the second time in 2016 – that punditry can be misleading and opinion polls do not always equate with reality. With just a few weeks to President Trump's inauguration, ZS Associates' Brian Chapman gives an early appraisal of how the new administration might view the health care brief in general and the medtech industry in particular.

The journey to Net Zero, described as ‘the defining issue of our time,’ will get harder in the coming decade. Failure to keep up the pressure will result in more long-term health conditions, increasing deaths and higher costs. The UK NHS is a Net Zero exemplar globally, but without a systemic approach, its compliance efforts could stutter.