About 50% of the covid-19 patients who got the last-ditch life support treatment at Vanderbilt University Medical Center died. Researchers wanted to know what happened to the many patients they had to turn away because ECMO (extracorporeal membrane oxygenation) machines and the specialized staffers needed were in short supply. The grim answer: 90% of those turned away perished.
Emergency medical services are a lifeline in regions with scarce medical care. But paramedics, trained to respond to patients with life-threatening injuries, are in short supply where they’re needed most.
Some doctors are getting licensed in multiple states so they can use telemedicine and mail-order pharmacies to provide medication abortions to more women. At the same time, states are cracking down on telemedicine abortions, blunting the efforts of out-of-state doctors.
As overdoses surge and opioid settlement dollars flow, funding to North Carolina rehab foreshadows national discussion about the best approaches to treatment.
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.
The United States is nearing 1 million deaths from covid — an almost incomprehensible number of lives lost that few thought possible when the pandemic began. Pennsylvania’s Mifflin County offers a snapshot into how one hard-hit community, with over 300 dead, is coping.
Black students at many predominantly white colleges are speaking out about the racial hostility they’ve experienced, which contributes to depression, elevated stress levels, and anxiety. But the students are often not getting the mental health help they need on campus.
Illinois used federal pandemic money to hire community health workers who connect people with food banks and rental assistance programs, just like public health officials have long hoped to do. What will happen to the community trust that has been built up when the federal money runs out and the workers disappear?
As states expand Medicaid’s dental benefits, they’re running up against a shortage of dentists willing to work on those patients, especially in rural communities. So Tennessee is helping dental schools expand and offering to pay off student loans for those who work in high-need areas.
