healthcare
cmonforton | June 8, 2017The phrase used in human resource circles is an “absence control program.” It's a program in which employees receive demerits company-determined infractions such as an absence or being late for a shift. If a worker accumulates too many demerits or "points," s/he is fired.
I worked at a restaurant job in the 1980’s with this kind of program. Many absences such as having car trouble or calling in sick were considered excused absences by our managers so many of us never received any "points."
But what I’ve been learning lately about these programs illustrates how some of them completely…
kkrisberg | June 6, 2017When you ask public health advocates about President Trump’s recent budget proposal, you typically get a bewildered pause. Public health people don’t like to exaggerate — they follow the science, they stay calm, they face off against dangerous threats on a regular basis. Exaggerating doesn’t help contain diseases, it only makes it harder. So it’s concerning when you hear words like this about Trump’s budget: “devastating,” “not serious,” “ludicrous,” “unfathomable.”
Released in late May, Trump’s fiscal year 2018 federal budget proposal calls for cutting the budget at the Centers for Disease…
kkrisberg | May 26, 2017To the surprise of literally no one, President Trump’s 2018 budget proposed stripping all federal funds, including Medicaid dollars, from Planned Parenthood. Proponents of this argue that if Planned Parenthood clinics end up shuttered, women can simply access care elsewhere. But growing research shows that’s the opposite of what actually happens.
We got even more evidence of this with a report on the capacity of federally qualified health centers (FQHCs) to fill the gaps left when a Planned Parenthood clinic is forced to close its doors. In a policy paper from the Guttmacher Institute…
kkrisberg | May 23, 2017Last week, researchers officially opened enrollment in the nation’s first decades-long study of lesbian, gay, bisexual, transgender and queer health — an effort they hope will transform our understanding of the health challenges LGBTQ people face and begin narrowing a giant data gap on their physical, mental and social well-being.
“Sexual and gender minorities make up between 2 and 6 percent of the population, however sexual orientation and gender identity are rarely asked about in health studies and they’re not included in fundamental metrics like the Census,” said Juno Obedin-Maliver, one…
kkrisberg | May 18, 2017A Zika attack rate of just 1 percent across the six states most at risk for the mosquito-borne disease could result in $1.2 billion in medical costs and lost productivity, a new study finds. That’s more than the $1.1 billion in emergency Zika funding that Congress approved last year after months of delay and which is expected to run out this summer.
“One of the troubling things last year was that (Zika funding) was viewed as a cost — every week, there was another delay and more people becoming infected and more chances of birth defects,” study co-author Bruce Y. Lee, an associate professor at…
kkrisberg | May 5, 2017Right now, according to public health officials, about half a million U.S. kids have blood lead levels that could harm their health. However, new research finds many more children — hundreds of thousands more — are likely going unidentified.
In a study published last week in Pediatrics, researchers estimated that while 1.2 million cases of elevated blood lead levels (EBLL) likely occurred between 1999 and 2010, only 607,000 were reported to the Centers for Disease Control and Prevention. That data gap not only means kids are likely going without needed treatment and services, but that public…
kkrisberg | May 1, 2017Protecting babies and children against dangerous — sometimes fatal — diseases is a core mission of public health. Everyday, in health departments across the nation, someone is working on maintaining and improving childhood vaccination rates and keeping diseases like measles and mumps from regaining a foothold in the U.S.
Fortunately for us, public health has been so successful that it’s easy to forget what it was like just a few decades ago when measles was a common childhood illness. (Though here’s a reminder.) But sustaining vaccination rates that provide population-wide protection against…
kkrisberg | April 25, 2017More than 8 million U.S. children depend on the Children’s Health Insurance Program for access to timely medical care. The program is authorized through 2019, but its federal funding expires in September and it’s unclear what Congress will do.
That uncertainty stresses all the systems and families that depend on CHIP, but it may be especially risky for the 2 million chronically ill children who get care through the program, which was originally designed for families falling in the gap between market affordability and Medicaid eligibility. In a study published this month in Health Affairs,…
gregladen | April 25, 2017In a current poll, 61% of Americans want to retain Obamacare, and improve this already implemented and existing program. A mere 37% want to "repeal and replace" it.
About 69% of American want the Republicans, including the Republican President, to to do some combination of working with Congressional Democrats or a combination of Democrats and Republicans to improve the plan. The preference for having the Democrats do this as opposed to a combination is about 2:1. People have apparently observed that the Republicans are not capable of coming up with a usable plan.
The Republicans, including…
kkrisberg | April 21, 2017There was always an assumption that the Affordable Care Act would need time to find its sea legs. That’s why it included measures to shield insurers from the potential profit losses that inherently come with offering millions more people better health coverage at more reasonable prices. Insurers operate on profit margins and the ACA took that into account, for better or for worse.
But it’s still been a rocky road for insurers. (Insert argument here for single-payer health care, but that’s a different story.) On the patient side, with 20 million more Americans insured and growing accounts of…
kkrisberg | April 18, 2017At Bloomberg BNA, Stephen Lee reports that with fears of deportation looming, undocumented immigrants are becoming afraid to access legal remedies when they’re injured on the job. The article notes that such immigrants are disproportionately employed in hazardous jobs and while they account for just 15 percent of the overall workforce, they account for 18 percent of occupational fatalities. Lee writes:
Sofia, a Mexican fieldworker in Santa Rosa, Calif., has a workers’ compensation case in the works after hurting her arm and shoulder pulling vine roots, requiring surgery. But she says she’s…
kkrisberg | April 14, 2017Public health is in trouble.
Last month, President Trump released his proposed budget for fiscal year 2018. It was more of an outline, really, and didn’t provide many details, but it did call for a nearly 18 percent cut to the U.S. Department of Health and Human Services and for block granting the budget at the Centers for Disease Control and Prevention. At the same time, the White House supports repealing the Affordable Care Act. That repeal would also eliminate the Prevention and Public Health Fund, which now accounts for about 12 percent of CDC’s budget and funds critical public health…
kkrisberg | April 12, 2017To get a clearer sense of just how bad our drug overdose problem has gotten, look no further than this year’s County Health Rankings. The annual report found that after years of declining premature deaths, that rate is on the rise and due primarily to overdose deaths. It means we could be seeing the first generation of American kids with shorter life expectancies than their parents.
“We often think of the opioid crisis either as happening in very rural communities or as an urban issue,” Kate Konkle, Action Center Team director for County Health Rankings & Roadmaps, told me. “But this is…
kkrisberg | March 28, 2017Before Patrick Morrison worked for the International Association of Fire Fighters, he was a firefighter himself. He’s experienced the horrifying and profoundly saddening events that first responders see every day. And like many other firefighters, he turned to alcohol to deal with the accumulating mental trauma.
Fortunately, Morrison got help and considers himself “in recovery” today. But many firefighters don’t. In fact, an August 2016 IAFF report noted that even though firefighters experience a post-traumatic stress disorder (PTSD) rate that’s similar to soldiers returning from combat, many…
kkrisberg | March 25, 2017Yesterday, House Republicans failed to find enough votes to pass their Affordable Care Act replacement. It was a very good day for the millions of Americans projected to lose their coverage under the GOP plan. But let’s be clear: Obamacare is not safe.
In a last-ditch effort to round up more votes, House Speaker Paul Ryan, R-Wis., proposed an amendment that would have, beginning in 2018, allowed states to determine the kinds of essential health benefits required in insurance plans purchased with tax credits. Under Obama’s health care law, insurance plans sold via the federal health care…
kkrisberg | March 17, 2017There’s a lot at stake for women’s health in the Republican plan to replace the Affordable Care Act, which eliminated out-of-pocket costs for birth control and has been highly successful in breaking down barriers to affordable family planning. The cost-sharing changes alone are saving individual women hundreds of dollars each year on their choice of contraception.
So far, the Republican replacement proposal, known as the American Health Care Act, doesn’t impact the Obama-era contraception coverage provisions, nor does it touch other women’s health benefits, such as designating maternity care…
kkrisberg | March 15, 2017As the Republicans push forward their abysmal Affordable Care Act replacement, much of the talk surrounding its impact focuses on insurance numbers and premium hikes. Those things are certainly important. But this is more important: The Republican plan will cause unnecessary suffering and preventable death.
How do we know this? Let’s start with the Congressional Budget Office report that scored the Republican replacement plan, titled the American Health Care Act. That report estimates that if the Republican plan is enacted, 14 million more people would be uninsured by 2018 than would have…
kkrisberg | March 10, 2017Another day, another study that shows soda taxes work to reduce the consumption of beverages associated with costly chronic diseases in children and adults.
This time it’s a study on Mexico’s sugar-sweetened beverage tax, which went into effect at the start of 2014 and tacked on 1 peso per liter of sugary drink. Published this month in the journal Health Affairs, the study found that purchases of sugary drinks subject to the new tax went down more than 5 percent in 2014 and nearly 10 percent in 2015. At the same time, purchases of untaxed drinks went up by slightly more than 2 percent. The…
lborkowski | March 6, 2017A policy brief about Congressional Republicans’ bill to replace the Affordable Care Act has two Medicaid provisions that could prove seriously detrimental to public health and states’ finances: Gutting the ACA’s Medicaid expansion, and changing the current Medicaid financing structure. A Center on Budget and Policy Priority analysis of these two changes calculates that they would shift hundreds of billions in costs from the federal government to the states over the next 10 years. I’ll explain what these two policies are, but first I want to highlight a few things about the Medicaid program.
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kkrisberg | March 3, 2017Most news on the dangers of antibiotic-resistant infections focus on adults. But children are very much at risk too. In fact, a recent study found that U.S. children have experienced a 700 percent surge in infections caused by particular bacteria that’s both resistant to multiple antibiotics and responsible for growing numbers of serious bacterial infections in kids.
“These organisms are scary, they’re hard to treat and respond to few antibiotics…and it’s the type of antibiotic resistance that’s capable of spreading itself to adjacent bacteria even if those bacteria haven’t been exposed to…