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Tribal Health Leaders Say Feds Haven’t Treated Syphilis Outbreak as a Public Health Emergency
The National Indian Health Board has urged the U.S. Department of Health and Human Services to declare a public health emergency as an alarming syphilis outbreak, which disproportionately affects Native Americans, continues. This is the latest plea for more resources from tribal leaders after previous requests went unanswered.
Boom, Now Bust: Budget Cuts and Layoffs Take Hold in Public Health
State leaders are cutting public health spending and laying off workers hired during a pandemic-era grant boom. Public health officials say the bust will erode important advancements in the public health safety net, particularly in rural areas.
Native American Public Health Officials Are Stuck in Data Blind Spot
For decades, state and federal agencies have restricted or delayed tribes and tribal epidemiology centers from accessing public health data, a blackout that leaves health workers in Native American communities cobbling together information to guide their work, including tracking devastating disease outbreaks.
Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans
Although Native American and Alaska Native adults are enrolled in Medicaid at higher rates than their white counterparts, many tribal leaders feel they’ve been left in the dark as states roll through the tumultuous Medicaid unwinding that started last year.
City-Country Mortality Gap Widens Amid Persistent Holes in Rural Health Care Access
People in their prime working years living in rural America are 43% more likely to die of natural causes, like diseases, than their urban counterparts, a disparity that grew rapidly in recent decades, according to a new federal report.
Bathroom Bills Are Back — Broader and Stricter — In Several States
State lawmakers are resurrecting and expanding efforts to prohibit transgender people from using public restrooms and other spaces that match their gender. Some have sought to ban trans people from “sex-designated spaces,” including domestic violence shelters and crisis centers, which experts say could violate anti-discrimination laws and jeopardize federal funding.
Child Care Gaps in Rural America Threaten to Undercut Small Communities
Deep gaps in rural America’s child care system threaten communities’ stability by shrinking the workforce and inhibiting economic potential. Now that pandemic-era federal aid for child care programs and low-income families has ended, it’s up to state and local leaders to find solutions.
How Will Rural Americans Fare During Medicaid Unwinding? Experts Fear They’re on Their Own
As states review their Medicaid rolls after the expiration of a pandemic-era prohibition against kicking recipients off the government insurance program, experts say the lack of help available to rural Americans in navigating insurance options puts them at greater risk of losing health coverage than people in metropolitan areas.
Tribal Health Workers Aren’t Paid Like Their Peers. See Why Nevada Changed That.
Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don’t always reimburse them equally, usually excluding those who work on tribal lands.
Foster Kids in Casino Hotels? It Happened in Rural Nevada Amid Widespread Foster Home Shortages
A nationwide decline in foster home spots has led to dire situations in some rural areas, including northeastern Nevada, where a state social worker has been pleading with community leaders to help address a shortage that left officials housing children in casino hotels.
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