Santa Fe, Texas, was a mental health care desert until a 17-year-old gunman killed 10 people at the local high school in 2018. Now the city, which sits between Houston and Galveston, has a resiliency center, where anyone affected by the shooting can get free counseling. But even with an influx of mental health care, the community struggles with the aftermath.
Nonprofit federally funded health centers are a linchpin in the nation’s health care safety net because they treat the medically underserved. The average profit margins is 5%, but some have recorded margins of 20% or more in three of the past four years.
In pursuit of unpaid bills, nursing homes across Rochester, New York, have been suing relatives and friends of their residents. This CBS News report, done in partnership with a KHN-NPR investigation, takes a look at the practice and tells the stories of some of the people affected.
The legislation, which the House is expected to pass Friday, would allow the federal government, for the first time, to negotiate the price of some drugs that Medicare buys. It also would extend the enhanced subsidies for people who buy insurance on the Affordable Care Act marketplaces.
For more than a century, the drug industry has issued dire warnings of plunging innovation whenever regulation reared its head. In general, the threat hasn’t materialized.
The community of Bristol straddles the border between two states with very different abortion laws. Tennessee prohibits most abortions at about six weeks and will soon ban them nearly outright. Virginia allows them at least through the second trimester. To maintain abortion access in the area, staff at a clinic on the Tennessee side of the state line are helping open a clinic about a mile down the road on the Virginia side.
Congress is leaving for its annual summer break having accomplished far more than many expected, including, barring unforeseen snags, a bill to address the cost of prescription drugs for Medicare beneficiaries and extend the enhanced subsidies for insurance premiums under the Affordable Care Act. Meanwhile, the abortion issue continues to roil the nation as Indiana becomes the first state to ban the procedure in almost all cases since the Supreme Court overruled the constitutional right to abortion in June. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more.
Under the Medicare drug negotiations provisions in the reconciliation bill, the federal government would see its outlays reduced by about $300 billion. That reduction wouldn’t result from cuts in benefits. Instead, Medicare would be empowered to leverage its market power to pay lower prices for certain drugs.
The July launch of the 988 Suicide & Crisis Lifeline was celebrated by many mental health providers and advocates, but it triggered concerns, too, from people who say using the service could lead to increased law enforcement involvement or forced hospitalization.
Xylazine, an animal tranquilizer, has made it into the illegal drug supply of opioids and cocaine. It is changing the way outreach workers treat overdoses and may be responsible for grisly injuries and infections among people who unknowingly inject it.
