California’s Tough New Law Overcomes Decades-Old Distrust Of Vaccines
California went from being a state with relatively lax vaccination rules to one of the most strict in the country. But opposition to vaccines is far from new.
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California went from being a state with relatively lax vaccination rules to one of the most strict in the country. But opposition to vaccines is far from new.
Disability rights advocates say the bill allowing doctors to prescribe lethal medications to terminally ill patients could lead some disabled people to prematurely end their lives.
Supervisors are slated to vote Tuesday on a contract that would provide nearly $15M in additional state funds to hire 70 more staffers.
Disability rights advocates are speaking up in opposition to a bill currently being considered by California legislators that would allow terminally ill patients to get prescriptions to end their lives. Their opposition stems from worries that if it becomes law, depression and incorrect prognoses may lead people with serious disabilities to end their lives prematurely.
Advocates say the law has permitted homes to give anti-psychotic drugs, use restraints and withdraw treatment without allowing patients to object. But the industry warns the ruling will make it more challenging to provide routine care to such patients.
Beginning in 2016, most Covered California customers will not have to pay more than $150 or $250 per prescription, per month. The price caps are a response to very expensive new drugs used to treat hepatitis and other serious illnesses.
The problems with managed care plans, documented in a recent state audit, stem from meteoric enrollment growth and lack of oversight, experts say.
Report finds state health officials had no idea whether managed care plans have sufficient doctors, while an overwhelmed ombudsman’s office failed to answer 12,500 calls a month on average.
A handful of programs around the country aim to ease physicians’ reentry into clinical practice, but they can take months and cost thousands of dollars.
California’s sprawling Inland Empire is making vigorous efforts to train and attract primary care doctors attuned to the needs of the fast-growing and under-served population.
In Reno and around the country, community paramedics are providing more primary and preventive care and taking nonemergency patients to facilities other than ERs.
The state is proposing to use federal Medicaid dollars to usher ill homeless people into housing, arguing the policy saves taxpayers money.
Though many newly insured Californians say they have trouble paying premiums, they find care easier to access than the uninsured and are more confident in their ability to pay for it, according to a survey.
In California nursing homes, just over 15 percent of dementia patients are on antipsychotic drugs. That’s far more than advocates say is necessary. But that number is down from almost 22 percent just three years ago.
California children are increasingly seeking care for asthma in emergency rooms – despite medical advances and millions of dollars spent to control symptoms statewide.
In bizarre, veiled conversations, some doctors vaguely hint to dying patients and their families how to hasten death. But overwhelmed families are left with profound questions and the feeling that there is no one who can answer them.
A Sacramento couple struggled to take advantage of subsidized health care coverage through Covered California in 2014 – facing one glitch after another. This year, they are more savvy about navigating the system. Ìý
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Facing a shortfall of doctors -- and a dearth of money -- L.A. County, Calif., is using a web-based system called eConsult that allows primary care doctors and specialists to exchange patient medical records before sending them for referral appointments.
Faced with the possible loss of an important insurer, a large Orange County, Calif., hospital rapidly reduced excessive cesarean section rates in part by sharing each physician’s rate with everyone in the obstetrics department.
Even as end-of-life planning gains favor with more Americans, African-Americans, research shows, remain veryÌýskeptical of options like hospice and advance directives. The result can mean more aggressive, painful care at the end of life that prolongs suffering.
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