NEW YORK - The Centers for Disease Control and Prevention (CDC) recently became the first federal agency to acknowledge health risks from cell phone use. Then, without any explanation, the agency suddenly backtracked on its findings.
Sometime before early June, the CDC posted significant new wording in a "Frequently Asked Questions" section on its website. For the question, "Do cell phones cause health problems in children?" the page read, "It's too soon to know for sure," and went on to say children will have more exposure over a lifetime growing up with cell phones.
However, by last week, the answer was changed to, "It's not known if cell phone use by children can cause health problems." Jim Turner, board chair of Citizens for Health and a public interest lawyer, speculates the changes were triggered either by industry lobbyists, government officials, or both.
"CDC wasn't sitting over there and put the thing up the first time and then said, 'Oh, wait a minute, let's take it down,'" explains Turner. "Somebody alerted them that they wanted it down or there was going to be trouble."
The agency has made other backtracking language changes to their website regarding cancer, and other health risks, from using cell phones.
Louis Slesin, editor and publisher of Microwave News, says the softening of the CDC's language is puzzling because, as he puts it, they've got "bigger fish to fry."
"With Ebola in Africa and all the things that are going on, it's really quite remarkable someone made the effort to change something that was really very, very minor," says Slesin. "All it was saying was, 'We think there's something to this. Don't discount it.' That's all they were really saying."
The CDC website also originally said, "We recommended caution in cell phone usage," but has since removed the "we" in the sentence. Jim Turner says even the softened statement is an eye-opener.
"For the CDC to say that 'some organizations recommend caution in cell phone use' is, in and of itself, a very, very significant statement," says Turner.
Slesin says he can't understand, and adds the CDC won't tell him, why the agency backed away from acknowledging several international studies that suggest health risks from cell phones.
"This is just telling people, 'We see the data. There are some issues here that need to be worked out. Be cautious until it is,'" says Slesin. "The fact they backed away from that is really quite extraordinary."
The agency also says in their FAQs "more research is needed" on cellphone hazard risks. Turner says that statement alone should spur the nation's nearly 328 million cell phone users to learn more about potential health hazards, and what they might do to lessen them.
The CDC has not returned a request for comment.
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A recent report examined how some rural Tennessee hospitals have managed to stay afloat despite financial challenges.
The report includes interviews from staff at five different rural hospitals, which range in size from 25 to 125 beds.
Judy Roitman, executive director of the Tennessee Health Care Campaign, said some of the hospitals are drowning in uncompensated care. She explained as part of their research, they did an interview with a CEO from a rural hospital in Kentucky who expressed the importance of Medicaid expansion.
"Kentucky has expanded its Medicaid program and Tennessee has not," Roitman pointed out. "He said that's the key to our stability is actually having the funds coming in to treat these patients. And the CEOs and others in Tennessee hospitals said it would make a huge difference to have that federal funding."
Roitman added the federal government is offering Tennessee a nine-to-one match. If Tennessee were to expand Medicaid, at least 330,000 people would gain access to coverage.
Roitman pointed out the report suggested further steps hospitals could take, including examining how they are reimbursed for services provided. She noted private insurance plans tend to provide the highest reimbursement rates, and said more funding is needed to support TennCare, which does not cover enough of the cost.
"TennCare is all managed by managed-care organizations," Roitman explained. "They negotiate with every hospital about how they're going to reimburse and the big hospitals have some leverage to demand better payment and the smaller hospitals are just, they're just not getting paid."
Roitman added the report credited strong community engagement and effective hospital leadership as key factors in staff retention. Robust management and maintaining an engaged workforce significantly affect a hospital's viability, according to the report.
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Medicare and Medicaid are key sources of health coverage for many Americans and some people qualify for assistance under both programs. With lagging enrollment for the unique plans, outreach efforts are underway.
According to KFF Health News, only about three in 10 people who qualify for Dual-Eligible Special Needs Plans were enrolled in 2021. Experts said the option is designed for people who need additional help because of disabilities, certain health conditions or their age.
Dr. Gina Williams, associate medical director for UnitedHealthcare, said the plans try to take a dynamic approach to serving those eligible.
"Everything from managing your wellness to managing your behavioral health needs and then everyday needs," Williams outlined. "It's kind of a more comprehensive package for people who need a little bit more support."
Everyday needs include meal benefits and bathroom safety devices. The National Council on Aging said D-SNPs aim to provide a more streamlined coordination of care because there is assistance in arranging the services. Wisconsin's enrollment numbers are similar to the national rate, at 28%.
Christine Huberty, lead benefit specialist and northern region supervising attorney for the Greater Wisconsin Agency on Aging Resources, said a tricky component of the plans is navigating provider network restrictions. A rural resident might have to travel farther to see a doctor covered under the plan and she cautioned it warrants careful research when enrolling.
"I would say first and foremost, look at the provider network restrictions," Huberty advised. "Look at what's available in your area."
Meanwhile, Williams noted the push to get more eligible people to sign up coincides with more awareness around preventive care in a post-pandemic world.
"Everybody's kind of going into a phase where they're not only thinking about acute illness, but they're thinking about overall care," Williams observed. "What was the impact of the pandemic from a psychological standpoint? Do you need more support and then you also need more coordination of benefits?"
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In Mississippi and across the country, Community Health Centers are getting a funding increase, thanks to Congress passing a bipartisan spending package.
Community Health Centers in Mississippi serve patients without regard to their insurance status or ability to pay. More than 20 locations in the state provide medical care to more than more than 380,000 people.
Joe Dunn, senior vice president of public policy and advocacy for the National Association of Community Health Centers, said roughly one in 11 Americans gets their care from this type of clinic.
"Community Health Centers are the largest primary care network in the nation, providing care for 31 million Americans," Dunn pointed out. "This network is critically important, because they provide primary care, behavioral health, dental; just an array of services that are so critically needed."
Dunn emphasized more can be done. Research shows more than 100 million Americans need better access to primary care. Community Health Centers in Mississippi also support more than 4,000 jobs and about $678 million dollars in economic activity in the communities where they're located.
Dunn noted the increased funding from Congress will help the clinics provide more comprehensive care and reach more underserved patients, especially in rural communities, which ends up saving the state money.
"By incentivizing people to go get primary care, you alleviate more downstream costs," Dunn emphasized. "There's fewer hospitalizations and complications from chronic conditions, based on preventive screening and care at the outset."
The Congressional Budget Office reports the increase in funding for Community Health Centers just through the end of this year will reduce federal spending on public health insurance programs by more than $700 million.
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