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Morning Briefing

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Monday, Mar 16 2020

Full Issue

Nonprofit Health Centers On Frontlines Of Crisis Face Federal Funding Cut Off In May

Community health centers face dwindling equipment and resources as they try to care for uninsured Americans amidst the COVID-19 emergency. And there's an added stress for these facilities because their federal funding will run out in May. Meanwhile, how insurance will cover coronavirus testing and treatment remains an open question.

The clinician at International Community Health Services in Seattle took his time before entering the checkup room. He tried not to think about the clinic鈥檚 dwindling resources or the challenges of getting coronavirus testing kits as he soaped and scrubbed his hands pink, wrapped a heavy-duty mask around his face and snapped on disposable rubber gloves and a pair of goggles. The full outfit is necessary every time he meets patients 鈥 largely low-income Asian Americans and immigrants who have Medicaid or no insurance at all 鈥 even as the clinic鈥檚 orders for medical supplies come in short and disinfectant levels run low. (McCausland, 3/14)

For years, health experts said state governments didn鈥檛 do enough to bolster their public health offices and services. Now they are struggling to catch up as COVID-19 spreads through their communities. Most state and local governments put public health on the back burner when it comes to their priorities and in some cases, reduce the amount dedicated to those offices, according to Dr. Georges Benjamin, the executive director at the American Public Health Association. Benjamin, a former secretary of the Maryland Department of Health, said these cuts left many states in a weakened position to fight the coronavirus outbreak. (Pereira, 3/16)

As the new coronavirus has been spreading across the U.S., many Americans are worried not just about being exposed to the virus and their health. They also want to know how various insurance policies they own鈥攐r are thinking about buying鈥攚ould help them financially. Here are some commonly asked questions. (Scism, 3/15)

As of 2018, the most recent year for which U.S. census data was available, 5.1 million people in Texas, or 18% of the state鈥檚 population, were uninsured .And Hispanics are the state鈥檚 most unprotected population, with 61% lacking health insurance, according to the Texas Medical Association.In Dallas, 24.4% of residents were uninsured in 2018, census data shows. (Garcia and Keomoungkhoun, 3/15)

What if you're sick with something besides coronavirus? Treatment is getting more complicated 鈥

As hospitals brace for a surge of patients sickened by the new coronavirus, they are canceling surgeries and pushing even routine doctor visits away from their facilities. Doctors and hospitals are evaluating cancellations to distinguish between scheduled surgery that can wait, such as a routine screening colonoscopy or knee replacement, and procedures that can鈥檛, such as a bone scan or MRI to reveal how far cancer has progressed. (Wilde Mathews and Evans, 3/15)

One of metro Atlanta鈥檚 largest health care groups is postponing elective surgeries for the next two weeks as the system confronts increasing patient demands amid the coronavirus outbreak.Emory Healthcare said Sunday it will postpone 鈥渁ll inpatient and outpatient elective surgical and procedural cases,鈥 starting Monday. Procedural cases include such things as colonoscopies. After two weeks, Emory Healthcare said it will evaluate week-to-week. (Trubey, 3/15)

Alison Krupnick was mentally preparing herself for the surgery set for early in the coming week that could eliminate her early-stage cervical cancer. But on Friday, she got word from the hospital: Because of the crush of coronavirus patients, her surgery was being called off. Ms. Krupnick was left feeling as if a time bomb was inside of her, and no firm word on when her surgery would be rescheduled. (Weise, Baker and Bogel-Burroughs, 3/14)

When 97-year-old Clara Morano had trouble breathing as well as swelling in her legs earlier this year, an ambulance took her to the emergency room at South Shore Hospital in Weymouth, where doctors helped her recover. If those symptoms return, she may not have to leave home. Morano, who has congestive heart failure, is among the patients who could be served by a new program that is deploying paramedics to provide hospital-level care in patients鈥 homes. (McCluskey, 3/15)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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