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Despite the end of Jim Crow segregation, its legacy lives on in medical debt that disproportionately burdens Black communities.
MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won鈥檛 improve access to basic care.
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.
The laws criminalizing abortion in many conservative U.S. states are expected to boost birth rates among teens, whose bodies often aren鈥檛 built for safe childbirth. For adolescents, the emotional and physical challenges of carrying a pregnancy to term can be daunting.
Medical records can contain seemingly objective descriptions that are actually full of coded language and subtext. How does that affect care?
Unsafe water and all that comes with it 鈥 constant vigilance, extra expenses, and hassle 鈥 complicate every aspect of daily life for residents of Jackson, Mississippi. Health advocates say stress exacerbates underlying health problems. That is why a free clinic in one of Jackson鈥檚 poorest neighborhoods has been organizing water giveaways for the past year and a half.
The nonprofit owners of Atlanta Medical Center, a 460-bed Level 1 trauma center in the heart of the city, plan to close the hospital in November. As many community members worry about the hole the closure will leave in the city鈥檚 safety net, the news has thrust health care into the political spotlight less than two months before Election Day.
Public health officials and resettlement groups across the U.S. have used community organizers to encourage newly arrived refugees and other vulnerable people to get vaccinated against covid-19. In a Georgia city that is home to many refugees, the vaccination rate is higher than in the state, county, and surrounding communities of similar socioeconomic status.
Exploitative practices in medical research have contributed to the underrepresentation of Native people in clinical trials. Episode 10 explores the efforts of Indigenous scientists to rebuild this broken trust through tribally controlled research.
The Pine Ridge Indian Reservation in South Dakota allows people to buy and use recreational marijuana but not alcohol. Some tribal citizens say cannabis is safer than alcohol, meth, and opioids 鈥 which have wreaked havoc on the state鈥檚 Indigenous communities.
Black people and those with high levels of melanin in their skin have long been left out of efforts to combat skin cancer. Historically neglected both by sunscreen manufacturers and a medical community lagging in diversity and cultural competency, many people with dark skin tones have not been informed about sun safety or how to monitor their skin for damage or cancer.
A lack of Native physicians means many tribal communities rely on doctors who don鈥檛 share their lived experience, culture, or spiritual beliefs. In Episode 9, meet two medical students working to join the ranks of Indigenous physicians.
This episode is an interview with Dr. Thomas Fisher, author of "The Emergency: A Year of Healing and Heartbreak in a Chicago ER."
Los Angeles taps Marta Segura, director of the city鈥檚 climate emergency mobilization office, as its first heat officer. Segura, the first Hispanic person to hold such a position in the country, will work across city departments on an early warning system while developing cooling strategies.
The Blackfeet Nation is experimenting with a new way to detect chronic wasting disease in animals used by tribal members for food and cultural practices.
From forced sterilizations in the 1960s to scant access to abortion care today, barriers to health care threaten Native people鈥檚 reproductive autonomy. Episode 7 explores efforts to protect and expand Native Americans鈥 access to comprehensive reproductive and sexual health care.
The notion that Native American nations could use tribal sovereignty to bypass state restrictions on abortion if Roe v. Wade falls is an idea largely proposed by non-Native groups.
Hispanic residents have long been among the least likely to have health insurance 鈥 in Colorado and across the country 鈥 in part because of unauthorized immigrants. The state is expanding coverage to some of them, although the change runs up against lingering fears about the use of public benefits.
Physicians have long believed it鈥檚 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.
Colorado is among about 15 states that have met federal goals to reduce infant mortality, an important indicator of overall population health. Breaking down the data by race and ethnicity, though, makes clear that major gaps remain.
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