Covid Shot in the Arm Not Enough to Keep Pharmacies in Business
Pandemic lockdowns exacerbated long-standing economic pressures on pharmacies — and forced many owner-operated shops to evolve or risk closing their doors.
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Pandemic lockdowns exacerbated long-standing economic pressures on pharmacies — and forced many owner-operated shops to evolve or risk closing their doors.
In 2015, St. Louis-based Mercy health system opened what officials called the world’s first “hospital without beds.” Since the pandemic, Mercy has incorporated telehealth throughout its system, part of a national acceleration in virtual care that proponents laud but critics say is happening too fast.
Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.
For some, a vaccine appointment a few hours away is no biggie. For others, it’s a major barrier to gaining protection from the coronavirus.
Even with extra federal dollars and a flush budget, Show Me State Republicans are putting up roadblocks to the voter-approved constitutional amendment that would give 275,000 people health insurance.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
The underfunding of public health and political backlash destabilized Missouri’s vaccine rollout, creating racial inequity and forcing some residents to drive hours to get shots.
Many inmates at Western Missouri Correctional Center, like their peers in prisons across Missouri and the nation, are hesitant about getting vaccinated against covid-19 because they don’t trust prison health care.
Many students at Sarah Scott Middle School in Terre Haute, Indiana, deal with poverty, dysfunction and stress. Since the pandemic hit, teachers and administrators have struggled to give kids and families the support they need.
Hunger among kids is skyrocketing, even in America’s wealthiest counties. But given the nation’s highly uneven charitable food system, affluent communities have been far less ready for the unprecedented crisis than places accustomed to dealing with poverty and hardship.
With schools opening up classrooms, millions of young athletes are also getting out on fields and courts. But pandemic precautions and delays are spurring conflicts among parents, coaches and doctors.
The University of Missouri settled a collection of 22 medical malpractice and false advertising lawsuits over knee surgeries for $16.2 million. One doctor involved in the cases is among Missouri’s highest-paid state employees; the other is a veterinarian.
Grappling with stagnant pay and a lack of personal protective equipment, firefighters are even more frustrated to find they are lower down the vaccine priority list than health care workers despite serving on the front lines of the medical system.
Arthur and Maggie Kelley of St. Louis died 30 days apart. Maggie died of complications of dementia in November. Arthur, who had moved into her nursing home to be with her, died a month later of covid. Their family held a double funeral.
As President Biden calls for more support to help schools hold in-person classes, public health experts say schools can be relatively safe if they take well-known steps to prevent covid. But a KHN investigation shows many districts and states have ignored health advice or written their own questionable safety rules for schools.
Public service announcements about drug use or other public health problems often fall short, public health marketing experts say, because they incite people’s worst fears rather than giving people solutions.
Black Americans are receiving covid vaccines at a much lower rate than their white peers due to a combination of mistrust and access issues, leaving them behind in the mission to vaccinate the nation’s population.
Spouses of governors and federal leaders are getting early access to scarce doses of covid-19 vaccines. Some officials have argued their inoculation sets an example for the public and shows the vaccines to be safe and effective. But critics say those doses should go to more vulnerable people first.
A growing body of research shows that overuse and misuse of antibiotics in children’s hospitals is helping fuel superbugs, which typically strike frail seniors but are increasingly infecting kids. And the pandemic is making things worse.
The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.
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