Covid Is Killing Rural Americans at Twice the Rate of Urbanites
The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.
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The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.
A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.
Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.
Congress is back in session with a short time to finish a long to-do list, including keeping the government operating and paying its bills. Hanging in the balance is President Joe Biden鈥檚 entire domestic agenda, including major changes proposed for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the new Texas abortion law that bans the procedure early in pregnancy is prompting action in Washington. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Also, Rovner interviews former FDA Commissioner Scott Gottlieb about his new book on the covid-19 pandemic.
Capitol Hill lawmakers mobilize to support a bill that would write abortion protections into federal law. Unlikely to succeed, the exercise follows a tactic that proved unsuccessful in 1992.
Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall 鈥 moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure鈥檚 health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interview鈥檚 KHN鈥檚 Phil Galewitz about the latest KHN-NPR 鈥淏ill of the Month鈥 installment, about two similar jaw surgeries with very different price tags.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Back-to-school season has fueled immediate covid outbreaks. Instead of beefing up protections, some districts are letting students go without masks, physical distancing and quarantines. And parents are left to make impossibly tough decisions.
Efforts by states and the private health plans that many states pay to cover low-income Americans has been scattershot and hampered by a lack of data.
The FDA鈥檚 formal approval of the first vaccine to prevent covid-19 may or may not prompt doubters to go out and get shots, but it has clearly prompted employers to make vaccination a work requirement. Meanwhile, moderates and liberals in the U.S. House put aside their differences long enough to keep a giant social-spending bill on track, at least for now. Joanne Kenen of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists suggest their favorite health policy stories of the week they think you should read, too.
Governors in Southern states, amid a surge of delta-variant infections, are rushing to provide an experimental antibody cocktail therapy, even as they oppose measures like mask mandates and vaccine passports that health officials say can prevent infection in the first place.
Students in many places are starting the new school year with their masks off 鈥 even in one Colorado county that was one of the nation鈥檚 first delta variant hot spots.
As the delta variant continues to spread around the U.S., the Biden administration is taking steps to authorize covid vaccine boosters, require nursing home workers to be vaccinated and protect school officials who want to require masks despite state laws banning those mandates. Meanwhile, the U.S. House is returning from its summer break early to start work on its giant budget bill, which includes a long list of health policy changes. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Kimberly Leonard of Business Insider join KHN鈥檚 Julie Rovner to discuss these issues and more.
Local health officials find themselves once again behind the covid curve as the delta variant drives their case counts. With resources already stretched, along with the politicization of covid-19, county and state health departments in places like Missouri and Texas are making tough calls on whom to trace.
The U.S. Senate worked well into its scheduled August recess to pass a bipartisan infrastructure bill and a budget blueprint that outlines a much larger bill 鈥 covering key health priorities 鈥 to be written this fall. Meanwhile, the latest surge of covid is making both employers and schools rethink their opening plans. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Yasmeen Abutaleb of The Washington Post join KHN鈥檚 Julie Rovner to discuss these issues and more. Also, for 鈥渆xtra credit,鈥 the panelists suggest their favorite health policy stories of the week they think you should read, too.
Big Bend Regional Medical Center, the only hospital in a sparsely populated region of West Texas, announced that because of a nursing shortage its labor and delivery unit must close for days at a time and patients must go instead to a hospital an hour away.
In Texas鈥 border communities, which are overwhelmingly Hispanic, covid-19 death rates for people under age 65 were double those in the rest of the state and three times the national average. They were also significantly higher than rates in New Mexico border areas.
Black Americans鈥 vaccination rates still trail all other groups, while Hispanics show improvement. Native Americans show the strongest rates nationally.
Democratic leaders in Congress have vowed to pass legislation to address high prescription drug prices this year, but some moderates in their own party appear to be balking. Meanwhile, younger teens are now eligible for a covid-19 vaccine and the Biden administration reinstated anti-discrimination policy for LGBTQ people in health care. Joanne Kenen of Politico, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more.
In 2015, Houston police officers stepped into Alan Pean鈥檚 hospital room, closed the door and shot him through the chest. Nearly six years later, his survival has brought the Pean family a wrenching legacy and conflicted sense of purpose.
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