States Were Sharing Covid Test Kits. Then Omicron Hit.
The omicron variant upended a system in which states shared rapid covid tests with those that needed them more. Cooperation has turned into competition as states run out of supplies, limit which organizations get them, or hold on to expired kits as a last resort.
I Write About America’s Absurd Health Care System. Then I Got Caught Up in It.
A KHN reporter had written for years about the people left behind by the absurdly complex and expensive U.S. health care system. Then he found himself navigating that maze as he tried to get his insulin prescription filled.
With a Vaccine Mandate Looming, Nursing Homes Face More Staffing Problems
Missouri has the worst covid-19 vaccination rate for nursing home health care workers in the nation. There, the federal mandate for workers to get vaccinated — upheld by the U.S. Supreme Court — reveals the problems that operators have hiring staff, keeping them, and providing decent care.
The Doctor Didn’t Show Up, but the Hospital ER Still Charged $1,012
A St. Louis-area toddler burned his hand on the stove, and his mom took him to the ER on the advice of her pediatrician. He wasn’t seen by a doctor, and the dressing on the wound wasn’t changed. The bill was more than a thousand dollars.
Patient, Beware: Some States Still Pushing Ineffective Covid Antibody Treatments
The top 12 states using antibody therapies produced by Regeneron and Lilly — which research shows don’t work against the omicron variant — include several Southern states with some of the nation’s lowest vaccination rates, but also California, which ranks among the top 20 for fully vaccinated residents.
Hospitales enfrentan más casos de covid en personas ya hospitalizadas, con menos personal
Las infecciones están exacerbando algunas condiciones médicas y dificultando la reducción de la propagación de covid dentro de las paredes del hospital, especialmente porque los pacientes se presentan en etapas más tempranas y más infecciosas de la enfermedad.
Incidental Cases and Staff Shortages Make Covid’s Next Act Tough for Hospitals
As omicron sweeps the country, many hospitals are dealing with a flood of people hospitalized with covid — including those primarily admitted for other reasons. While often milder cases, so-called incidental covid infections still drain the beleaguered health care workforce and can put them and other patients at higher risk for contracting covid.
Left Behind: Medicaid Patients Say Rides to Doctors Don’t Always Come
States are required to set up transportation to medical appointments for adults, children and people with disabilities enrolled in the Medicaid program, and contracts can be worth tens of millions of dollars for transportation companies. But patients say the companies that deliver those rides are showing up late — and sometimes not at all — leaving them in bad weather, disrupting their care and even causing injuries.
A Catch-22 Trips Up Some in Legal Guardianship Who Try to Regain Independence
If a judge decides someone cannot make their own decisions, the person can be placed under a court-appointed guardianship, also known as a conservatorship. Some states are beginning to allow less-restrictive alternatives.
South Dakota Voters to Decide Medicaid Expansion
Despite state Republican leaders’ rigid opposition to expanding the health program designed for low-income residents, advocates successfully gathered enough signatures to get the measure on the fall ballot.
As Covid Hits Nursing Homes’ Finances, Town Residents Fight to Save Alzheimer’s Facility
Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.
Deep Roots Help This Chicago Pharmacist Avoid Creating Another Drugstore Desert
Predominantly Black and Hispanic urban areas are more likely than white neighborhoods to see local pharmacies close and are more likely to be pharmacy deserts. In Chicago, one pharmacist is bucking the trend, operating the drugstore his father opened in the 1960s in a Black neighborhood.
Local Pharmacists Fill Rx Void as Big Brands Pull Out of Rural Areas
Stores like Walmart and Shopko opened pharmacies in small towns, either buying out the local pharmacy or driving it out of business. What happens when those chains later withdraw, leaving communities with no pharmacy?
Journalists Discuss Omicron, Public Health, Culturally Competent Care
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.
A Tale of Two Medicaid Expansions: Oklahoma Jumps In, While Missouri Lags
Voters in Missouri and Oklahoma approved Medicaid expansion to begin in 2021. But while Oklahoma has enrolled over 200,000 people so far, Missouri has enrolled fewer than 20,000. Why are two such similar states handling the public insurance rollout so differently?
As Climate Worsens, Environmentalists Grapple With the Mental Toll of Activism
After her son’s death by suicide, a mother promotes mental health for environmentalists. It’s part of a larger push to address the burnout and psychological stress that can affect activists.
When the Eye on Older Patients Is a Camera
High-tech tools ease caregivers’ stress but can raise sticky privacy questions and concerns about cost.
Quarantine and Tracing Rules Are All Over the Map for Students
The Centers for Disease Control and Prevention offers guidance but calls for localities to set quarantine rules for unvaccinated children exposed to someone with covid-19. That’s led to a pandemic patchwork of rules.
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.
