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Just as Uber Eats and Grubhub revolutionized food delivery, Black tech entrepreneurs want to change the way patients connect with doctors. They are using technology to match people of color with culturally competent professionals and the transportation they need to get to them.
President Joe Biden鈥檚 social spending budget is on its way to the U.S. Senate, where Democratic leaders are (optimistically) hoping to complete work by the end of the year. Meanwhile, covid is surging again in parts of the country, along with the political divides it continues to cause. Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and the Johns Hopkins School of Public Health, and Mary Agnes Carey of KHN join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner previews next week鈥檚 Supreme Court abortion oral arguments with Florida State University law professor Mary Ziegler.
While anti-abortion activists say abortion exceptions are a 鈥減unishment鈥 to 鈥渋nnocent human life,鈥 social workers say Texas鈥 new abortion law rigidly curtails options for rape and incest survivors at a moment when they need the 鈥減ower and control鈥 of choice to begin healing.
While other states dramatically restrict abortion and the conservative-leaning U.S. Supreme Court weighs Roe v. Wade, California is preparing to absorb the country鈥檚 abortion patients.
Many small hospitals have shuttered their labor and delivery units as births decline. For those who resist the trend, some studies suggest that hospitals with low deliveries are more likely to see complications for patients. Doctors and public health experts say there is no magic number to determine when it is best to close an obstetrics unit.
But providers do not expect contraception to blunt the law鈥檚 effects.
The arguments before the justices did not deal directly with the state鈥檚 ban on abortions after six weeks. Instead, they centered on the unique mechanism in the law that gives state officials no role in enforcing the ban.
鈥淥bstetrical emergency departments鈥 are a new feature in some hospitals that can inflate medical bills for even the easiest, healthiest births. Just ask the parents of Baby Gus.
The polarizing abortion issue threatens to tie up Congress, the Supreme Court and the states for the coming year. Meanwhile, Congress kicks the can down the road to December on settling its spending priorities. Joanne Kenen of Politico and the Johns Hopkins School of Public Health, Yasmeen Abutaleb of The Washington Post and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more.
Also this week, Rovner interviews KHN鈥檚 Aneri Pattani, who delivered the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a covid test that cost as much as a luxury car.
Dr. Paula Braveman, director of UCSF鈥檚 Center on Social Disparities in Health, shares her insights on a provocative new study that identifies racism as a decisive factor in the gap in preterm birth rates between Black and white women.
Negotiations continue on Capitol Hill over President Joe Biden鈥檚 health agenda 鈥 along with a long list of other items. With Republicans on the sidelines, liberal Democrats delayed a House vote on a Senate-passed infrastructure bill to extract moderates鈥 support for a social-spending bill that includes expansions of benefits for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the Biden administration鈥檚 new rules to prevent 鈥渟urprise鈥 medical bills pleases some health stakeholders and angers others. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Kimberly Leonard of Insider join KHN鈥檚 Julie Rovner to discuss these issues and more. Also, Rovner interviews Anna Flagg of the Marshall Project about how a century-old report on medical education contributed to racial inequities that persist today.
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鈥檚 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鈥檚 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.
Capitol Hill lawmakers mobilize to support a bill that would write abortion protections into federal law. Unlikely to succeed, the exercise follows a tactic that proved unsuccessful in 1992.
Over the past decade, California has seen a sustained rise in the proportion of people who opt to give birth at home or in midwife-run birthing centers rather than in a hospital. Covid has further fueled that trend.
Private agencies that bring young adults to the U.S. to care for children generally offer basic health insurance, but plans may exclude many types of necessary care. What the agencies might not mention is that au pairs are eligible to enroll in comprehensive coverage on the Affordable Care Act marketplaces and likely qualify for premium subsidies that would make the insurance affordable.
Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall 鈥 moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure鈥檚 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鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interview鈥檚 KHN鈥檚 Phil Galewitz about the latest KHN-NPR 鈥淏ill of the Month鈥 installment, about two similar jaw surgeries with very different price tags.
A change in FDA rules during the pandemic has let women receive the drugs needed for a medical abortion by mail after a telemedicine appointment. While some abortion rights advocates hail the move, others note that these services, which are often cheaper than going to a clinic, could siphon away patients needed to keep those brick-and-mortar facilities operating.
How a sexual assault survivor is questioned by police can greatly influence the ability to access memories of the traumatic incident. Better interview techniques might help solve more cases.
Reproductive rights groups and Democratic Gov. Gavin Newsom argue that Californians鈥 access to abortion would be threatened if he is recalled. But a replacement governor鈥檚 power to restrict access to the procedure would be limited.
The FDA鈥檚 formal approval of the first vaccine to prevent covid-19 may or may not prompt doubters to go out and get shots, but it has clearly prompted employers to make vaccination a work requirement. Meanwhile, moderates and liberals in the U.S. House put aside their differences long enough to keep a giant social-spending bill on track, at least for now. Joanne Kenen of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists suggest their favorite health policy stories of the week they think you should read, too.
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