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The covid outbreak in Michigan stands out on the U.S. contagion map, but odds are it will be repeated elsewhere. How vaccine hesitancy, relaxed restrictions and a coronavirus variant combined to create the worst outbreak in the country.
In 2015, St. Louis-based Mercy health system opened what officials called the world鈥檚 first 鈥渉ospital without beds.鈥 Since the pandemic, Mercy has incorporated telehealth throughout its system, part of a national acceleration in virtual care that proponents laud but critics say is happening too fast.
Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.
For some, a vaccine appointment a few hours away is no biggie. For others, it鈥檚 a major barrier to gaining protection from the coronavirus.
Even with extra federal dollars and a flush budget, Show Me State Republicans are putting up roadblocks to the voter-approved constitutional amendment that would give 275,000 people health insurance.
Many state Medicaid programs pay out-of-state providers much less than in-state facilities, often making it hard for families with medically complex children to get the care they seek.
Indiana鈥檚 program seeks to give expansion enrollees 鈥渟kin in the game,鈥 requiring that they pay small monthly premiums and manage health savings accounts.
Fort Scott, Kansas, was hit hard by the pandemic, and it no longer has a hospital. But residents remain skeptical about the impact of the coronavirus.
The underfunding of public health and political backlash destabilized Missouri鈥檚 vaccine rollout, creating racial inequity and forcing some residents to drive hours to get shots.
Same building. Same procedure. Same doctor. But now you鈥檙e charged a hospital facility fee. For one Ohio Medicare patient, the copay for a shot that used to cost her about $30 went up to more than $300.
Many inmates at Western Missouri Correctional Center, like their peers in prisons across Missouri and the nation, are hesitant about getting vaccinated against covid-19 because they don鈥檛 trust prison health care.
Many students at Sarah Scott Middle School in Terre Haute, Indiana, deal with poverty, dysfunction and stress. Since the pandemic hit, teachers and administrators have struggled to give kids and families the support they need.
Hunger among kids is skyrocketing, even in America鈥檚 wealthiest counties. But given the nation鈥檚 highly uneven charitable food system, affluent communities have been far less ready for the unprecedented crisis than places accustomed to dealing with poverty and hardship.
With schools opening up classrooms, millions of young athletes are also getting out on fields and courts. But pandemic precautions and delays are spurring conflicts among parents, coaches and doctors.
The University of Missouri settled a collection of 22 medical malpractice and false advertising lawsuits over knee surgeries for $16.2 million. One doctor involved in the cases is among Missouri鈥檚 highest-paid state employees; the other is a veterinarian.
After nearly a decade鈥檚 worth of federal inspections, reprimands and corrective action plans, has Pfizer fixed the facility that will be filling vials of its covid vaccine?
Grappling with stagnant pay and a lack of personal protective equipment, firefighters are even more frustrated to find they are lower down the vaccine priority list than health care workers despite serving on the front lines of the medical system.
Testing and vaccinating essential workers on commercial farms and in meatpacking plants requires more than a pop-up clinic miles away. Missing work to get a test, or to quarantine after a positive result, can be financially devastating.
Legislatures in conservative-leaning states across the country are pushing bills that would restrict abortion and, with a conservative Supreme Court in place, could erode abortion protections under Roe v. Wade.
A KHN investigation found covid vaccine registration and information websites at the federal, state and local levels are flouting disability rights laws and limiting the ability of people who are blind or visually impaired to sign up for shots.
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