The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
Food banks nationwide are being pinched by record demand, high food prices, and hundreds of millions of dollars in federal budget cuts. As the economy plods onto shaky ground, food bank leaders hope Congress patches the holes by passing a new farm bill.
The Biden administration shut off federal family planning grants to Tennessee and Oklahoma after the states directed clinics not to provide abortion counseling. The Trump administration restored the money, claiming two lawsuits were settled. They weren’t.
In 9 of 10 cases, a person in cardiac arrest will die because help doesn’t arrive quickly enough. With CPR and, possibly, a shock from an automated external defibrillator, survival odds double. But Americans lack confidence and know-how to handle these interventions.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
In California, Black women are at least three times as likely as white women to die from pregnancy-related causes. Santa Clara County initiatives aimed at reducing racial disparities work but depend on federal dollars — money that might not flow amid budget cuts and a push to end diversity, equity, and inclusion programs.
California has unilaterally halted a court-ordered medical parole program. Instead, it’s sending its most incapacitated prisoners back to state lockups or releasing them early. The change is drawing protests from attorneys representing prisoners and the author of the medical parole law, who argue prisoners’ health may be compromised.
