As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits
The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars — and cutting back services to patients — as a result.
Missouri’s Thin Dental Safety Net Stretched Amid Medicaid Expansion
An estimated 275,000 Missouri adults can get dental insurance now as the state has expanded who is eligible for Medicaid. But with so few dentists participating in the program, the state’s already-backlogged dental clinics are facing a glut of new clients.
How Rural Communities Are Losing Their Pharmacies
More than 1,000 independent rural pharmacies have closed since 2003, leaving 630 communities with no retail drugstore. As 41 million people stuck in pharmacy deserts make do, the remaining drugstores struggle to survive.
How One Health Center Is Leading Chicago on Kid Covid Shots
A health center with clinics on Chicago’s southwest side that serves mostly Hispanic patients has provided the most covid shots to kids in the city by being accessible, (literally) speaking the language of the community and setting up pop-up clinics at schools and parks. It provides a few lessons as the nation gears up to vaccinate 5- to 11-year-olds.
‘Drinking Through a Lead Straw’ — $15B Approved to Fix Dangerous Water Pipes
The infrastructure bill passed Friday funnels $15 billion into lead pipe remediation. Water quality experts say the cost of getting rid of all lead pipes could ultimately cost $60 billion. Still, some health advocates say the new funding will be transformative in allowing communities such as Houston’s Fifth Ward to fix its pipes.
As Constituents Clamor for Ivermectin, Republican Politicians Embrace the Cause
Hospitals and doctors are facing more demands for ivermectin as a covid-19 treatment, despite a lack of proof it works. In some Republican-dominated states, pushing for ivermectin interventions has become a conservative rallying cry.
If Congress Adds Dental Coverage to Medicare, Should All Seniors Get It?
Health equity advocates see a once-in-a-generation opportunity to provide a dental benefit to millions of older Americans as Congress considers expanding Medicare services. But complicating that push is a debate over how many of the more than 60 million Medicare recipients should receive dental coverage.
ERs Are Swamped With Seriously Ill Patients, Although Many Don’t Have Covid
Certain patients who couldn’t get in to see a doctor earlier in the pandemic, or were avoiding the covid risks inside hospitals, have become too sick to stay away. Many ERs now struggle to cope with an onslaught of demand.
KHN’s ‘What the Health?’: Biden Social-Spending ‘Framework’ Pulls Back on Key Health Pledges
President Joe Biden unveiled a compromise “Build Back Better” framework shortly before taking off for key meetings in Europe, but it’s unclear whether the framework can win the votes of all Democrats in the House and Senate, and it leaves out some of the party’s health priorities, notably significant provisions to lower prescription drug prices. Meanwhile, younger children may soon be eligible for covid vaccines. Joanne Kenen of Politico and Johns Hopkins, Sarah Karlin-Smith of the Pink Sheet and Rachana Pradhan of KHN join KHN’s Julie Rovner to discuss these issues and more.
‘No Mercy’ Bonus Episodes: More From Fort Scott, Kansas
Check out the latest bonus episodes from the award-winning “Where It Hurts” podcast.
Worn-Out Nurses Hit the Road for Better Pay, Stressing Hospital Budgets — And Morale
Managers are trapped in a pricey hiring cycle, competing for critical care nurses who can monitor covid patients on life support. Some hospitals are looking abroad to replace staffers who quit to become travel nurses or leave the profession.
Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws
In a battle reflecting turf wars around the country, Illinois dentists defeated legislation that would have allowed hygienists to practice in nursing homes and prisons where dental care can be scarce.
‘Are You Going to Keep Me Safe?’ Hospital Workers Sound Alarm on Rising Violence
Health care workers already bore the brunt of workplace violence in the U.S. Now, tensions from an exhausting pandemic are spilling over into hospitals.
Community Clinics Shouldered Much of the Vaccine Rollout. Many Haven’t Been Paid.
Federally qualified health centers from California to Michigan are mired in a bureaucratic mess over how they should be paid under Medicaid for each dose of covid vaccine given. In California alone, clinics await reimbursement for at least 1 million shots, causing a “massive cash flow problem.”
From Sewers to Golf Courses, Cities See Green With New Federal Covid Relief Dollars
The American Rescue Plan Act, passed by Congress in March, provides $130 billion to cities, counties and tribes — with few restrictions on how the money can be spent.
Covid Is Killing Rural Americans at Twice the Rate of Urbanites
The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.
Firefighters on Front Lines, No Strangers to Risk, Push Back Against Covid Vaccine Mandates
Among the people still reluctant to get vaccinated — and pushing against mandates — are firefighters, many of whom also respond to medical calls as paramedics and EMTs and have witnessed the ravages of the pandemic firsthand.
These Schools Use Weekly Testing to Keep Kids in Class — And Covid Out
Coronavirus outbreaks have shuttered K-12 classrooms across the U.S., affecting tens of thousands of K-12 students. To avoid the same fate, some school districts are tapping federal dollars to set up testing programs and step up their vigilance against the virus.
Biosimilar Drugs Are Cheaper Than Biologics. Are They Similar Enough to Switch?
Biologic drugs, made from living organisms, and the cheaper biosimilar drugs that mimic them are more complex than chemical drugs and their generic counterparts. The Food and Drug Administration says biosimilars are as safe and effective as the biologics, and doctors agree — but they are cautious about changing the treatment regimen of patients doing well.
Over Half of States Have Rolled Back Public Health Powers in Pandemic
At least 26 states have passed laws to permanently limit public health powers, a KHN investigation has found, weakening the country’s ability to fight not only the current resurgence of the pandemic but other health crises to come.
