Latest KFF Health News Stories
Federal Program to Save Rural Hospitals Feels ‘Growing Pains’
Fewer than two dozen rural hospitals were converted into Rural Emergency Hospitals in the program’s first year. Now, advocates and lawmakers say tweaks to the law are necessary to lure more takers and keep health care in rural communities.
Listen to ‘Tradeoffs’: How the Loss of a Rural Hospital Compounds the Collapse of Care
Six years ago, the hospital in Fort Scott, Kansas, shuttered, leaving residents in the small community without a cornerstone health care institution. In the years since, despite new programs meant to save small hospitals, dozens of other communities have watched theirs close.
What a Bison Goring Can Teach Us About Rural Emergency Care
Millions of Americans live in “ambulance deserts” — areas that are more than a 25-minute drive to the nearest emergency medical services (EMS) station. The most rural areas can be more than an hour away from help. These sparsely populated communities can have trouble sustaining ambulance services, if small patient volumes and low reimbursements […]
As Foundation for ‘Excited Delirium’ Diagnosis Cracks, Fallout Spreads
Major policy changes and disavowals have made this a watershed year for curbing the use of the discredited “excited delirium” diagnosis to explain deaths in police custody. Now the ripple effects are spreading across the country into court cases, state legislation, and police training classes.
Doctors on (Video) Call: Rural Medics Get Long-Distance Help in Treating Man Gored by Bison
A rural South Dakota medic said using an ambulance video system to communicate with a doctor gave him peace of mind as he treated a patient who was seriously injured when gored by a bison.
An Arm and a Leg: ‘Your Money or Your Life’: This Doctor Wrote the Book on Medical Debt
What happens when you can’t afford the health care you need? On this episode of “An Arm and a Leg,” hear from emergency medicine physician and historian Luke Messac about the history of medical debt collection in the United States.
For People With Sickle Cell Disease, ERs Can Mean Life-Threatening Waits
When patients with sickle cell disease have a health crisis — crescent-shaped red blood cells blocking blood flow — their condition can quickly lead to a fatal stroke or infection. But, despite efforts to educate doctors, research shows that patients are waiting hours in ERs and are often denied pain medication.
Doctors Abandon a Diagnosis Used to Justify Police Custody Deaths. It Might Live On, Anyway.
The American College of Emergency Physicians agreed to withdraw its 2009 white paper on excited delirium, removing the only official medical pillar of support left for the theory that has played a key role in absolving police of culpability for in-custody deaths.
More Schools Stock Overdose Reversal Meds, but Others Worry About Stigma
Colorado is among several states that ensure schools have access to the opioid overdose reversal medication naloxone for free or at reduced cost. But most districts hadn’t signed up by the start of the school year for a state distribution program amid stigma around the lifesaving treatment.
Más escuelas tienen el medicamento para revertir sobredosis, pero otras se preocupan por el estigma
La Administración de Salud Mental y Abuso de Sustancias federal recomienda que las escuelas, incluidas las primarias, tengan naloxona disponible, ante el aumento de las sobredosis mortales de opioides, especialmente de la potente droga fentanilo.
Police Blame Some Deaths on ‘Excited Delirium.’ ER Docs Consider Pulling the Plug on the Term.
The American College of Emergency Physicians will vote in early October on whether to disavow its 2009 research paper on excited delirium, which has been cited as a cause of death and used as a legal defense by police officers in several high-profile cases.
With Its Two Doctors Planning to Retire, an Alabama Town Patches Together Health Care Options
LaFayette and other rural areas of the country tend to have high rates of health problems but not enough doctors. Many are adapting by investing in nontraditional prevention and treatment options.
Watch: In Emergencies, First Comes the Ambulance. Then Comes the Bill.
This installment of InvestigateTV and KFF Health News’ “Costly Care” series delves into the lack of cost protections for patients who find themselves on the hook for an emergency ground ambulance ride.
Life in a Rural ‘Ambulance Desert’ Means Sometimes Help Isn’t on the Way
No local hospital and anemic ambulance services mean residents in rural Pickens County, Alabama, are thrown into perilous situations when they have medical emergencies. It’s a kind of medical care roulette that has become a fact of life for rural Americans who live in ambulance deserts.
An Arm and a Leg: How a Surprise Bill Can Hitch a Ride to the Hospital
The No Surprises Act has helped rein in out-of-network medical bills, but ground ambulances are a costly exception. Hear why this service can still hit patients with big bills and what to do if you get one.
ER Doctors Vow to Pursue Case Against Envision Despite Bankruptcy
The lawyer for an emergency physicians group says its lawsuit against Envision Healthcare should be allowed to proceed even though the company has filed for Chapter 11 protection.
California Debates Extending PTSD Coverage to More First Responders
A state Senate bill would extend workers’ compensation coverage of post-traumatic stress injuries for firefighters and police officers. But a separate bill to cover paramedics and EMTs is unlikely to be heard.
Community Paramedics Don’t Wait for an Emergency to Visit Rural Patients at Home
Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.
Readers and Tweeters Defend the Rights of Adults With Disabilities
KFF Health News gives readers a chance to comment on a recent batch of stories.
ER’s Error Lands a 4-Year-Old in Collections (For Care He Didn’t Receive)
A Florida woman tried to dispute an emergency room bill, but the hospital and collection agency refused to talk to her — because it was her child’s name on the bill, not hers.
