healthcare
kkrisberg | July 5, 2016At the Detroit Free Press, Jennifer Dixon and Kristi Tanner investigate Michigan’s workplace safety and oversight system and talk to the families of victims who say there’s no justice for workers who’ve been injured or killed on the job. During the year-long investigation, the reporters looked into more than 400 workplace deaths across the state, finding “a flawed system of oversight with penalties against employers so low they're not a deterrent.”
The article began with the story of Mary Potter, who worked at a group home for people with developmental disabilities. Dixon and Tanner write:…
kkrisberg | July 1, 2016Dr. Jodi Sherman wants to expand the medical profession’s understanding of patient safety far beyond the exam room and hospital bed. For Sherman, the oft-heard medical mantra of “first do no harm” should also push the health care system to do more to reduce its harmful air emissions and their impact on people’s health.
“Traditionally, our duty has been to the patient in front of us,” Sherman told me. “But we have a duty to protect society as well.”
Sherman, an assistant professor of anesthesiology at Yale School of Medicine, recently co-authored a new study on harmful air pollutants coming…
kkrisberg | June 24, 2016A couple months ago, we reported on a study that found raising the minimum wage to $15 could have prevented thousands of premature deaths in New York City alone. Now comes more science on the life-saving benefits of higher wages — this one found that just a modest increase in the minimum wage could have saved the lives of hundreds of babies. It’s yet another reminder that the movement for a living wage is also a movement toward a healthier nation for all.
Published last week in the American Journal of Public Health, the study examined the impact of state-based minimum wage laws on the rate of…
kkrisberg | June 21, 2016At Reveal, Will Evans investigates how lobbyists for the temporary staffing industry squashed a legislative effort in Illinois to reform the industry’s widespread discriminatory hiring practices. Evans has previously reported on how the temp industry discriminates against workers of color, particularly black workers, using code words, symbols and gestures to illegally hire workers according to sex, race and age.
In Illinois, the Chicago Workers’ Collaborative developed legislation to confront such hiring practices. Illinois Senate Bill 47 would have required temp agencies to track the race…
lborkowski | June 20, 2016Hospital-acquired infections are a persistent problem that has become even more worrisome as as antimicrobial resistance has increased. Researchers have been exporing the best ways to reduce hospital-acquired infections, and HHS's Agency for Healthcare Research and Quality (AHRQ) has provided tools and resources for hospitals. Under the Affordable Care Act, hospitals with the worst scores for hospital-acquired conditions can face a reduction in Medicare payments (this provision took effect in fiscal year 2015). In late 2015, AHRQ announced that hosptial-acquired conditions dropped 17% between…
kkrisberg | June 16, 2016The road toward eliminating the threat of asbestos has been long, slow-moving, incredibly frustrating and littered with significant hurdles. Thankfully, advocates like Linda Reinstein, who lost her husband to asbestos-related disease in 2003, refuse to get discouraged.
As co-founder and CEO of the Asbestos Disease Awareness Organization (ADAO), Reinstein works to unite those who’ve been personally impacted by asbestos-related illness, raise awareness about the continuing threat of asbestos, and advocate for policies that reduce exposures among workers, their families and the public.…
kkrisberg | June 10, 2016In 2014, more than 28,000 people in the U.S. died from an opioid overdose. That same year, more Americans died from drug overdoses than during any other year on record, with the escalating numbers fueled by opioid abuse. Solutions to the problem are as complex as the epidemic itself, however a recent study pointed to one tool that can make a significant difference: prescription drug monitoring programs.
In a study published this month in Health Affairs, researchers found that implementation of a prescription drug monitoring program was linked to a more than 30 percent reduction in the rate of…
kkrisberg | June 3, 2016In the first large-scale study of its kind, researchers report that sexual trauma is indeed a risk factor for suicide among military veterans and are calling on veteran health providers to continue including such trauma in suicide prevention strategies.
Published in June in the American Journal of Preventive Medicine, the study is the first large-scale, population-based investigation into whether military sexual trauma is a risk factor in suicide-related mortality. To conduct the study, researchers with the Veterans Affairs system analyzed data on millions of veterans who received outpatient…
kkrisberg | May 31, 2016Everything’s bigger in Texas — including the number of Texans without health insurance. But thanks to the Affordable Care Act, the percentage of uninsured Texas residents has dropped by 30 percent. That means the Texas uninsured rate has hit its lowest point in nearly two decades.
In a new issue brief from Rice University’s Baker Institute for Public Policy, researchers report that the Texas uninsured rate dropped from 26 percent in September 2013 — before the ACA’s first open enrollment period — to 18 percent as of March 2016. The decline was observed among every age, income and ethnic group…
kkrisberg | May 27, 2016“In my darker hours when I’m sleeping at night, that’s where I go.” Those are words from Eric Blank, senior director for public health systems at the Association of Public Health Laboratories (APHL), talking about the enormous difficulties that public health labs faced in confronting the 2009 H1N1 flu pandemic. Now he fears that without emergency federal funds and in the face of new funding cuts, Zika virus will force the nation’s critical public health lab network into that same scenario — or into something even worse.
“(Public health labs) know what they need and when they need it and yet…
kkrisberg | May 12, 2016With near constant news on the threat of Zika virus and a quickly growing evidence base detailing the virus’ devastating impact on fetal brain development, you’d think Congress could get its act together to make sure our public health system is fully prepared and equipped to confront the mosquito-borne disease. Sadly, you’d be wrong.
It’s been nearly three months since the White House submitted a request to Congress proposing $1.9 billion in emergency funding to support a full range of activities needed to prepare for, prevent, detect and respond to Zika in the United States. As of today, May…
kkrisberg | May 5, 2016Just in time for Mother’s Day comes more good news from the Affordable Care Act: the rate of uninsured moms caring for kids younger than 19 has dropped to its lowest rate in nearly 20 years.
According to a new analysis from the Urban Institute released this month, the rate of uninsured moms fell 3.8 percentage points between 2013 and 2014 — that’s a decline about three times as large as any of the previous year-to-year changes observed since 1997. In sheer numbers, that means about 1.6 million moms gained health insurance. To give you even more perspective, consider that uninsurance rates…
kkrisberg | May 3, 2016If you’re pregnant and live in Cleveland, Ohio, it’s likely you’ll pay about $522 for an ultrasound. If you live about 60 miles south in Canton, Ohio, it costs about $183 for the same procedure, a recent study found. Why such a significant price difference? Researchers couldn’t single out one overriding factor. But the study does tell us this: place matters when it comes to how much you pay for health care.
The study was published last week in Health Affairs and was based on data from the Health Care Cost Institute, a commercial claims database that includes nearly 3 billion paid claim lines…
kkrisberg | April 20, 2016Just a few weeks ago, legislators in New York reached a deal to raise the minimum wage to $15. And while that’s certainly a big boost for incomes, it could also turn out to be a literal lifesaver.
Published this month in the American Journal of Public Health, a new study found that if $15 had been New York City’s minimum wage from 2008 to 2012, 2,800 to 5,500 premature deaths could have been averted, with the bulk of such avoided deaths occurring in low-income communities. To conduct the study, researchers used U.S. Census data to calculate how the proportion of low-income residents in each…
cmonforton | April 15, 2016Nurses and other healthcare workers joined Members of Congress yesterday at a news conference to discuss violence on the job in the healthcare industry. Ms. Helene Andrews, RN recalled being assaulted by a 25 year old psychiatric patient at Danbury Hospital. She was handing him mediation and a drink of water when, she explained:
“Without warning, the patient suddenly became viciously violent. He punched me with his full strength in my jaw, hurtling me backward onto the floor. The impact of my body crashing down shattered my left leg at the hip.’’
If that wasn’t bad enough, Andrews later…
kkrisberg | April 12, 2016At Reveal, Christina Jewett investigates the gaping holes in California’s workers’ compensation system that make it so vulnerable to fraud and leave workers in the dark about the bogus care being charged in their names. She begins the article comparing the workers’ comp system to Medicare:
When Medicare makes rules, it has a strong incentive to encourage doctors, pharmacists and others to follow them: money.
The purse strings are not held nearly as tightly in California’s workers’ compensation system, in which a division of power creates the first major hurdle.
Lawmakers make rules. The state…
kkrisberg | April 4, 2016In debates over air pollution control, it’s always a tug-of-war between the cost to business and the cost to public health. Late last month, a study emerged with new data for the public health column: the cost of the nation’s nearly 16,000 annual preterm births linked to air pollution is more than a whopping $5 billion.
Published in Environmental Health Perspectives, the study estimated the burden of U.S. preterm births and related costs associated with fine particulate matter (PM2.5) — a pollutant from motor vehicles and the burning of fuels such as wood and coal. While preterm birth is a…
kkrisberg | March 29, 2016At Slate, Michelle Chen writes about the experiences of hotel housekeepers in Miami during spring break. The story starts with Adelle Sile, a housekeeper at the four-star Fontainebleau Miami Beach:
Around this time of year, thanks to the influx of spring break and Easter break vacationers, the time (Sile) has to clean each room during her eight-hour shift gets squeezed as guests stretch their mornings to the final minutes before checkout. When she does finally get in, she sometimes opens the door to find vomit, empty bottles, crack pipes, marijuana buds, and makeshift mattresses of cushions…
kkrisberg | March 25, 2016Here’s what states get when they expand Medicaid: more savings, more revenue, more jobs, more access to care for their communities.
That’s the conclusion from a Robert Wood Johnson Foundation issue brief released this month that compared the differences between states that chose to expand Medicaid eligibility under the Affordable Care Act and those that opted out. Under the health reform law, the federal government will pay the entire cost of expanding state Medicaid programs up to 138 percent of the federal poverty level through 2016, phasing down to 90 percent by 2020. It’s a pretty good…
kkrisberg | March 23, 2016A recent study finds vaccine refusals have, indeed, accelerated the resurgence of whooping cough and measles here in the U.S. The findings are making headlines around the country — and comment sections are filling up with vitriol from anti-vaxxers — but it would feel amiss not to highlight the study on a blog dedicated to public health. But first, let’s remind ourselves of the pain and suffering that preceded vaccines.
Here’s a brief snapshot of what life was like before vaccines and what it’s currently like for people without access to these life-saving medicines:
Whooping cough (pertussis…