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Noble Health swept into two small Missouri towns promising to save their hospitals. Instead, workers and vendors say it stopped paying bills and government inspectors found it put patients at risk. Within two years â after taking millions in federal covid relief and big administrative fees â it locked the doors.
Physicians have long believed itâs good medicine to consider race in health care. But recently, rather than perpetuate the myth that race governs how bodies function, a more nuanced approach has emerged: acknowledging that racial health disparities often reflect the effects of generations of systemic racism, such as lack of access to stable housing or nutritious food.
Mourners are wrapping caskets in imagery, similar to the way companies wrap logos around cars, trucks, and buses. Across the country, casket-wrap companies create custom designs, too often for grieving parents who have lost their children to gun violence.
A year ago, the Centers for Disease Control and Prevention awarded states and local health departments $2.25 billion to help people of color and other populations at higher risk from covid. But a KHN review shows public health agencies across the country have been slow to spend it.
Covid cases are again climbing, but you wouldnât know it from the behavior of public health and elected officials, much less the general public, all of whom seem to want to put the pandemic in the rearview mirror. Meanwhile, the fallout over the leaked Supreme Court draft opinion on abortion continues even as the Senate fails â again â to muster the votes to write abortion rights into law. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KHNâs Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists suggest their favorite health policy stories of the week they think you should read, too.
Travel nurse contracts that were plentiful and paid the temporary nurses far more than hospital staff nurses are vanishing. Hospitals nationwide are turning their energies to recruiting full-time people.
Legislators in Kansas are pushing bills to expand exemptions for school vaccines, allowing religious exemptions for all vaccine requirements in the state's schools without families having to provide any proof of their beliefs. Similar bills are being introduced around the nation as the anti-vaccine movement gains traction among politicians.
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
Despite increased public awareness, research advances, and wider insurance coverage for autism therapies, children often wait months â in some cases more than a year â to get an autism diagnosis and begin intervention services. The waits can be longer for Black and Latino children, and families in rural areas are also disadvantaged, without access to providers.
Five states have created âassistant physicianâ licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.
Gun buying among African Americans has soared in recent years. So have suicide rates among young Black men. Suicide prevention and gun safety efforts need to address race and cultural differences, Black gun owners say.
The Biden administrationâs request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate âsyntheticâ nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHNâs Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
Missouri has more people waiting to have their Medicaid applications processed than it has approved since the expansion of the federal-state health insurance program. Although most states process Medicaid applications within a week, Missouri is taking, on average, more than two months. Patient advocates fear that means people will stay uninsured longer, leading them to postpone care or get stuck with high medical bills.
State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.
A public health official who said he was anti-abortion and anti-mandate for masks and covid vaccines did not pass the purity test of a Missouri senator who opposes covid public health restrictions. The senator killed the officialâs nomination to be state health director, highlighting how hands may be tied in the nationwide fight against infectious diseases.
A hospital in Wisconsin sued to keep seven employees from taking jobs with a competitor. A health system in South Dakota is offering nurses $40,000 signing bonuses. Facilities with fewer resources are finding it difficult or impossible to compete for health care workers.
Many parents of children too young for vaccines are exhausted. Some feel isolated and even forgotten by those who just want to move on even as omicron continues to sweep through parts of the country.
The covid-19 pandemic exposed how state and local governmentsâ severely outdated technology can hinder unemployment benefits, food stamps, Medicaid, vaccine registrations, and the flow of other critical information. Now, with hefty federal pandemic relief and unexpected tax windfalls, states may finally have the chance to revamp their information technology for health care and social services. But can they?
Missouri has the worst covid-19 vaccination rate for nursing home health care workers in the nation. There, the federal mandate for workers to get vaccinated â upheld by the U.S. Supreme Court â reveals the problems that operators have hiring staff, keeping them, and providing decent care.
A KHN reporter had written for years about the people left behind by the absurdly complex and expensive U.S. health care system. Then he found himself navigating that maze as he tried to get his insulin prescription filled.
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