women's health
kkrisberg | September 20, 2017Senate Republicans are again trying to ram through an Affordable Care Act replacement that threatens the health and well-being of millions of Americans. It’s shameful. But don’t take my word for it. Let’s look at what people who actually work in health care are saying about the Graham-Cassidy-Heller-Johnson bill.
In this interview, Sen. Bill Cassidy insists that his bill would protect people with pre-existing conditions. Blue Cross Blue Shield Association disagrees. (Cassidy also says in that same interview that his bill would work through the Children’s Health Insurance Program (CHIP), which…
lborkowski | August 28, 2017Last week’s New York Times featured a great article on a syphilis outbreak in Oklahoma. Reporter Jan Hoffman documented some of the impressive work state health investigators are doing to contain the outbreak, from using Facebook to discern likely transmission routes to showing up at the homes of people with positive test results and offering them rides to treatment centers.
CDC warned earlier this year that syphilis rates are on the rise throughout the US. Primary and secondary syphilis, the disease’s most infectious stages, rose 19% in a single year (2014-2015), and that trend appears to be…
kkrisberg | August 22, 2017In July, public health departments across the country got a letter from the Trump administration abruptly cutting off funding for teen pregnancy prevention efforts in the middle of the program’s grant cycle. The move means that many teens will miss out on receiving an education that could — quite literally — change the trajectory of their lives.
The abrupt funding cut — which came down without reason or explanation, according to grantees — also cuts off research efforts right at the evaluation stage. That’s the stage when public health practitioners rigorously assess a program’s outcomes,…
kkrisberg | July 15, 2017In 2011, Texas legislators slashed the state’s family planning budget by 67 percent. The justification? To reduce abortions by defunding clinics associated with an abortion provider (read: Planned Parenthood). Now, it turns out Texas legislators actually accomplished the opposite: narrowing access to family planning services only led to more unplanned pregnancies and more abortions.
In a study that will soon be published in the Journal of Health Economics, researcher Analisa Packham found that in the years following the 2011 funding cuts, Texas’ teen birth rate went up by 3.4 percent, which…
kkrisberg | June 22, 2017This is the harsh reality of the Senate health care bill: it provides tax cuts to the wealthiest Americans, while taking away access to timely medical care from the poorest, most vulnerable Americans. You’ve probably been hearing this point a lot about the GOP’s repeal-and-replace efforts, and it’s easy to relegate it to partisan hyperbole. But the sad truth is that, well, it’s the sad truth.
The Senate’s “draft” health care bill, released this morning, proposes sweeping changes to the Medicaid system, which now provides health coverage for 76 percent of poor children, 60 percent of children…
kkrisberg | June 14, 2017At the Guardian, Krithika Varagur interviewed workers inside the Indonesian factory that manufactures clothing for Ivanka Trump’s fashion line, finding poverty wages, anti-union intimidation and unreasonably high production targets. The story includes interviews with more than a dozen workers, who asked that details about their identities be changed to avoid being fired. Varagur writes:
Alia is nothing if not industrious. She has worked in factories on and off since leaving her provincial high school, through the birth of two children, leading up to her current job making clothes for brands…
kkrisberg | June 13, 2017Last year’s emergency Zika funding is about to run out and there’s no new money in the pipeline. It’s emblematic of the kind of short-term, reactive policymaking that public health officials have been warning us about for years. Now, as we head into summer, public health again faces a dangerous, highly complex threat along with an enormous funding gap.
“The Zika threat will get worse,” said Claude Jacob, chief public health officer at the Cambridge Public Health Department in Massachusetts and president of the National Association of County & City Health Officials (NACCHO). “And the…
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 16, 2017At BuzzFeed, Kate Moore tells the story of the “radium girls,” the hundreds of women during WWI who worked painting watch dials with luminous radium paint — a substance that would eventually poison and kill them even though they were told it was perfectly safe. What followed was years of employers covering up and denying evidence that radium was killing workers, while berating the women for attempting to get help with their mounting medical bills.
Eventually, Moore writes, their fight for justice led to one of the first cases in which an employer was held responsible for the health of workers…
lborkowski | April 24, 2017In September 2016, Alex Campbell and Katie J.M. Baker reported on an in-depth BuzzFeed News investigation that found Baltimore County detectives often failed to investigate rape reports. They wrote:
The Baltimore County Police Department is one of a number of law enforcement agencies nationwide with an alarming record of dismissing rape cases, according to a BuzzFeed News analysis of FBI statistics. These departments routinely mark an extraordinary percentage of rape allegations as false or baseless — "unfounded.”
Baltimore County Police Department spokesperson Elise Armacost explained to…
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…
lborkowski | April 3, 2017In the 18 days between House Republicans’ introduction of the American Health Care Act and its withdrawal, women’s health was in the spotlight. With House Speaker Paul Ryan now stating that he’s going to try again on legislation to “replace” the Affordable Care Act, it’s worth looking at some of the ways the ACA has benefited women – and how actions from Congress and the Trump administration could affect women’s insurance coverage and access to care.
Women gained coverage under the ACA
The ACA’s biggest achievement was reducing the percentage of the population without health insurance. It did…
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…
lborkowski | January 30, 2017President Trump’s callous and short-sighted executive order restricting US entry for refugees and travelers from certain countries is rightfully getting a lot of attention, but it risks overshadowing another destructive thing he did for global health during his first week in office: reinstating and expanding the Mexico City Policy, also known more descriptively as the global gag rule. Trump’s adoption of this policy is even more reprehensible than it was for his Republican predecessors, for two reasons: First, he has broadened its scope so it appears to cripple not only family planning, but…
kkrisberg | January 27, 2017
We’re just a humble little public health blog. But we can still do our part. If you or someone you know need help getting health insurance coverage before next week’s enrollment deadline on Jan. 31, here are some good resources.
First, why do this? Because this week, the Trump administration abruptly canceled advertising and outreach scheduled to run during this final week of Affordable Care Act enrollment. Apparently, he even pulled ads that were already paid for. But, you can still enroll. According to Paul Demko at Politico:
(The Trump administration) is also halting all media outreach…
lborkowski | January 2, 2017The Pump Handle is on a holiday break. The following, which was originally published on Jan. 29, is one of our favorite posts from 2016.
by Kim Krisberg
In the midst of another national debate over gun safety regulations, some argue that higher rates of gun ownership will protect people from dangerous strangers with deadly intentions. Physician and public health researcher Michael Siegel set out to study that argument. He ultimately found no relationship between gun ownership and stranger-related firearm homicides. But he did find that gun ownership levels translated into higher homicide…
lborkowski | December 27, 2016The Pump Handle is on a holiday break. The following, which was originally published on August 29, is one of our favorite posts from 2016.
by Liz Borkowski, MPH
Two decades ago, President Bill Clinton signed the “Personal Responsibility and Work Opportunity Reconciliation Act” (PRWORA) and heralded the end of “welfare as we know it.” The law lived up to that promise, but the outcomes for families who depend on it have been problematic. "If the goal of welfare reform was to get rid of welfare, we succeeded," the University of Wisconsin’s Timothy Smeeding told Vox’s Dylan Matthews. "If the goal…