To Stoke Rural Vaccination Rates, Trusted Farmers Are Asked to Spread Word

Rural health experts are calling on trusted agricultural leaders — like farmers and ranchers — to use their understanding of science and nudge vaccine-hesitant neighbors to roll up their sleeves for a covid shot. But some farmers say they doubt they can change anyone’s mind.

Covid Politics and Fatigue Work Against Contact-Tracing Foot Soldiers

Local health officials find themselves once again behind the covid curve as the delta variant drives their case counts. With resources already stretched, along with the politicization of covid-19, county and state health departments in places like Missouri and Texas are making tough calls on whom to trace.

In Rural America, Twisting Arms to Take a Covid Vaccine First Takes Trust

In communities across the country, the Cooperative Extension System, the same organization that supports 4-H clubs nationally, is tapping its roots in rural communities to promote vaccines. But its approach to getting people vaccinated in many communities, including Cairo, Illinois, must be nuanced.

Hard Lessons From a City That Tried to Privatize Public Health

Facing bankruptcy, Detroit largely dismantled its public health department in 2012, and the city essentially went two years without a government-run public health system. Five years later, this major American city offers a grim cautionary tale.

Pharmacies Face Extra Audit Burdens That Threaten Their Existence

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.

Bye-Bye to Health Insurance ‘Birthday Rule’? Kansas Lawmaker Floats Fix

U.S. Rep. Sharice Davids (D-Kansas) introduced a bill to do away with a health insurance rule that dictates which parent’s plan becomes a new baby’s primary insurer. This could save some parents from unexpected, sometimes massive medical bills. Davids took up the issue after a KHN/NPR Bill of the Month story on one family’s unexpected $207,455 NICU bill.

As Holdout Missouri Joins Nation in Monitoring Opioid Prescriptions, Experts Worry

Missouri is the last state to create a monitoring program to help spot the misuse of prescription drugs. But some public health experts warn that the nation’s programs are forcing people addicted to opioids to seek deadlier street options.

With a Diagnosis at Last, Black Women with ADHD Start Healing

Black women and girls with attention deficit hyperactivity disorder often remain undiagnosed because their symptoms are mischaracterized by the blinders of sexism and racism. Getting treatment and finding the right medication can be even more difficult because they aren’t taken seriously or, worse, they’re racially profiled while getting their medicines.

States Step Up Push to Regulate Pharmacy Drug Brokers

In an ongoing effort to control prescription drug costs, states are targeting the companies that mediate deals among drug manufacturers, health insurers and pharmacies. The pharmacy benefit managers say they negotiate lower prices for patients, yet the nitty-gritty occurs largely behind a curtain that lawmakers are trying to pull back.

What It Means When Celebrities Stay Coy About Their Vaccine Status

St. Louis Blues leading scorer David Perron took 10 days to explain he had indeed been vaccinated before he caught covid-19, which knocked him from playing in the NHL playoffs against the Colorado Avalanche. His case and those of other public figures raise questions about the role of celebrity in enticing people to get covid vaccinations.

More Than 100 Missouri Schools Have Bought ‘Often Unproven’ Air-Cleaning Technology

Across Missouri, more than 100 schools have spent over $3.5 million — often at the taxpayers’ expense — snapping up ionization and other air-purifying devices in an attempt to keep kids safe from covid-19. But experts warn the largely unregulated technology hasn’t been thoroughly tested in classroom settings and is “often unproven.”

Kidney Experts Say It’s Time to Remove Race From Medical Algorithms. Doing So Is Complicated.

When estimating how well a patient’s kidneys are working, doctors frequently turn to an equation that depends on a question: Is the patient Black? Kidney experts are now debating how to remove the race adjustment and whether the question is a function of sound science. It’s considered just the first step in dismantling institutional racism in kidney care.

In Missouri and Other States, Flawed Data Makes It Hard to Track Vaccine Equity

Racial and ethnic categories for vaccination data vary widely from one state to another, complicating efforts to distribute shots where they are needed most. In Missouri, some red flags in the data surfaced, making health officials question its usefulness.

No-Cancel Culture: How Telehealth Is Making It Easier to Keep That Therapy Session

No-shows for behavioral health appointments have been a long-standing problem, with up to 60% skipped. Now telehealth, fueled by the pandemic, makes it easier for people dealing with depression and other mental health issues to make it to their appointments at a time when such care is in high demand. But teletherapy creates other challenges.