Medicaid Cuts Would Kneecap Health Services, Tribal Leaders Warn
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As Congress mulls significant cuts to Medicaid, Native American tribes are bracing for potentially devastating financial fallout. That’s because Medicaid is the largest third-party payer for Native American health programs, funding that has helped address chronic underfunding of the Indian Health Service.
Health leaders say a tool to boost medical coverage for Native Americans, a population that has long faced worse health outcomes than the rest of the nation, has been underused by many states and tribes since it was written into the Affordable Care Act more than a decade ago.
Access to information in languages other than English is protected by various federal, state, and local policies. But researchers tracking them say that as rural America grows more diverse, people not proficient in English face added barriers to critical public health information and services.
The National Indian Health Board has urged the U.S. Department of Health and Human Services to declare a public health emergency as an alarming syphilis outbreak, which disproportionately affects Native Americans, continues. This is the latest plea for more resources from tribal leaders after previous requests went unanswered.
State leaders are cutting public health spending and laying off workers hired during a pandemic-era grant boom. Public health officials say the bust will erode important advancements in the public health safety net, particularly in rural areas.
For decades, state and federal agencies have restricted or delayed tribes and tribal epidemiology centers from accessing public health data, a blackout that leaves health workers in Native American communities cobbling together information to guide their work, including tracking devastating disease outbreaks.
Idaho’s law criminalizing abortion drove a high-profile exodus of OB-GYNs from the state more than a year ago. Now, two years after the U.S. Supreme Court rolled back abortion protections enshrined by Roe v. Wade, patients in rural Idaho are forced to leave their community for gynecological care.
Although Native American and Alaska Native adults are enrolled in Medicaid at higher rates than their white counterparts, many tribal leaders feel they’ve been left in the dark as states roll through the tumultuous Medicaid unwinding that started last year.
Hundreds of Native American tribes are getting money from settlements with companies that made or sold prescription painkillers. Some are investing it in sweat lodges, statistical models, and insurance-billing staffers.
People in their prime working years living in rural America are 43% more likely to die of natural causes, like diseases, than their urban counterparts, a disparity that grew rapidly in recent decades, according to a new federal report.
A recent report finds half of America’s rural hospitals are losing money, and many are struggling to stay open. Researchers and advocates worry the hospitals’ financial spiral will have immediate and long-term health effects on their communities.
State lawmakers are resurrecting and expanding efforts to prohibit transgender people from using public restrooms and other spaces that match their gender. Some have sought to ban trans people from “sex-designated spaces,” including domestic violence shelters and crisis centers, which experts say could violate anti-discrimination laws and jeopardize federal funding.
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