Understaffed State Psychiatric Facilities Leave Mental Health Patients in Limbo

The pandemic has so seriously strained already tight state psychiatric hospitals in Georgia, Virginia, Texas and elsewhere that these facilities for the poorest and most vulnerable people with mental illness struggle to admit new patients.

What Will It Take to Boost Vaccinations? The Scene From Kentucky’s Back Roads

With Kentucky in the grip of a covid surge, public health workers are taking their vaccination campaign house to house and church to church, trying to outmaneuver the fantastical tales spread on social media and everyday hurdles of hardship and isolation.

KHN’s ‘What the Health?’: The Politics of Vaccine Mandates

Like almost everything else associated with the covid-19 pandemic, partisans are taking sides over whether vaccines should be mandated. Meanwhile, Democrats on Capitol Hill are still struggling to find compromise in their effort to expand health insurance and other social programs. Alice Miranda Ollstein of Politico, Jen Haberkorn of the Los Angeles Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews best-selling author Beth Macy about her book “Dopesick,” and the new Hulu miniseries based on it.

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.”

Solitary Confinement Condemns Many Prisoners to Long-Term Health Issues

An estimated 300,000 people were held in solitary confinement in U.S. jails and prisons at the height of the pandemic. An international movement is pushing to limit the form of incarceration due to its damaging physical and psychological effects.

Death in Dallas: One Family’s Experience in the Medicaid Gap

Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.

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.

Low Wages and Pandemic Gut Staffing Support for Those With Disabilities

Group homes and facilities that serve people with intellectual and developmental disabilities were hurting for staffers before the pandemic. Now the nationwide job crunch and pandemic pressures are making it even worse.

Mounting Covid Deaths Fuel School Bus Drivers’ Fears

Since August, school bus drivers and monitors have died of covid-19 in at least 10 states, including Georgia and Florida. Masks are required on school buses, but enforcing the rules in districts without school mask mandates is especially hard to do.

KHN’s ‘What the Health?’: The Autumn of Democrats’ Discontent

Congress is back in session with a short time to finish a long to-do list, including keeping the government operating and paying its bills. Hanging in the balance is President Joe Biden’s entire domestic agenda, including major changes proposed for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the new Texas abortion law that bans the procedure early in pregnancy is prompting action in Washington. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews former FDA Commissioner Scott Gottlieb about his new book on the covid-19 pandemic.

KHN’s ‘What the Health?’: Much Ado About Drug Prices

Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall — moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure’s health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interview’s KHN’s Phil Galewitz about the latest KHN-NPR “Bill of the Month” installment, about two similar jaw surgeries with very different price tags.