SAN DIEGO, Calif. – If Congress doesn't act by September 30 - the nation's nearly 1,300 community health centers will lose 70 percent of their funding.
This issue will be front and center for thousands of patients, providers and advocates at the annual Community Health Institute and Expo, which starts today in San Diego. New data show that community health centers now serve 27 million mostly low-income Americans.
Ricardo Guzman, board chairman of the National Association of Community Health Centers, says this system expanded significantly under the Affordable Care Act - and now that funding is about to expire.
"The federal government estimates that 50,000 clinicians and other staff will lose their jobs, and most importantly, 9 million patients will lose access to care," he warns. "That's access denied."
President Trump's budget proposal does include $3.6 billion to fund health centers - which is the same amount they got via a continuing resolution two years ago.
But many clinic administrators say they hope Congress will stop kicking the can down the road and include a five-year funding deal in the federal budget.
Guzman says he's also troubled by the fact that the GOP continues to support massive cuts to Medicaid as part of their health-care plan.
"A lot of the lifeblood for community health centers comes out of Medicaid," he adds. "And if there's certain cuts to Medicaid or it gets block granted, that could be a big problem for us."
By law, community health centers are required to treat any patient who walks through the doors, regardless of ability to pay. The clinics often provide a one-stop shop for primary care, dental care and behavioral health in severely underserved areas.
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A new report on lung cancer by the American Lung Association showed Maryland has quite a bit of room to improve diagnoses and treatment but experts said the state has taken some big steps in tackling it.
The report showed almost 17% of Marylanders at high risk for lung cancer were screened, a little less than the national average. Maryland fared better in other metrics, including lower rates of adult smokers and people unable to access treatment.
Aleks Casper, Maryland director of advocacy for the American Lung Association, said to improve the state's standing, Marylanders at risk of lung cancer need to be screened at higher rates.
"If we can get people screened, our chances of impacting all the other metrics improve," Casper explained. "If we get people screened and we can find it early, then we can connect them to treatment and we can connect them to surgery, which impacts outcomes."
The report also noted Latinos in Maryland are the least likely group to be diagnosed early.
Casper pointed out certain policies in Maryland have removed barriers to diagnosis and treatment. Just this year, Maryland became one of 15 states to require insurance to cover biomarker testing, including for lung cancer. The National Cancer Institute described biomarker testing as using a sample of tissue, blood or other fluid to look for genes or chromosomes which could increase a person's likelihood of developing certain cancers, which Casper emphasized is critical.
"Being able to test and determine what the best type of treatment for that person's disease, that kind of really individualized care and giving people access to that, is really important," Casper added.
Those who want to find out if they're eligible to be screened for lung cancer can take a quick test at savedbythescan.org.
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By Kyla Russell for WISH-TV.
Broadcast version by Joe Ulery for Indiana News Service reporting for the WISH-TV-Free Press Indiana-Public News Service Collaboration
Walking pneumonia cases in central Indiana have seen a steep increase in recent weeks, local physicians say.
"But what we've seen this summer, starting in July and August, was an explosion in the number of cases," said Dr. John Christenson, associate medical director of infection prevention at Riley Hospital for Children. "Some require admissions to intensive care units. Children die, adults die .. sometimes it invades the brain and it can cause an infection there."
Walking pneumonia is generally considered less severe than pneumonia, but can have lasting impacts if not caught early on. The disease is caused by mycoplasma pneumoniae, which can damage the lining of the respiratory tract, according to the CDC.
It is spread through droplets released when someone coughs or sneezes.
"Symptoms can begin mildly with sore throat, cough, or chest pain," Christenson said.
About two million people are diagnosed with the disease each year. This year is different, though.
While it's common for young children and adolescents to be impacted, small children born during the Covid-19 lockdown are seeing a surge in cases.
The CDC said diagnoses in kids between two and four years old jumped from 1% to 7.2% over a six-month time span this year.
"We saw a rebound after Covid," Christenson said.
During lockdown, people were wearing masks, staying home, and were not at school and work.
"What happened was a lot of people who could acquire an infection around that time, didn't," Christenson said. "So, now they're all susceptible. You bring in a new germ or an old germ into an environment and it spreads like wildfire."
Several local schools have seen an increase in students, asking parents to be on the lookout for symptoms and to take their child to a physician if needed.
As holiday gatherings begin, Christenson is heeding a similar call, especially in severe cases.
"That's when you need to take them to their healthcare professional to have them seen, and in some cases, get X-rays," Christenson said.
Additionally, Christenson said it is important to make sure families are up-to-date on all vaccinations.
Kyla Russell wrote this article for WISH-TV.
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More than one in three children is now overweight or obese, according to new research published in the Lancet medical journal.
The study found while Kentucky and other southern states are forecast to continue seeing rising levels of childhood obesity, some other states, such as Utah, will experience even higher spikes.
Ben Chandler, CEO of the Foundation for a Healthy Kentucky, said the Commonwealth is struggling to address health care and quality of life for kids.
"I think we're 45th in being overweight," Chandler observed. "It leads to a shorter life expectancy. It leads to tremendous spikes in the odds of getting any number of diseases and it has a huge cost attributed to it. "
Almost half of teens and young adults now are either overweight or obese, compared with 29% in 1990. The number is expected to jump by between 31% and 50% for adolescents, and by 29% to 33% for kids ages 6-11.
Chandler argued the state should increase funding for physical activity programs in schools and address the persistent lack of access to healthy and affordable fresh food. He added the issue cannot be tackled solely through individual behavior changes.
"There are a lot of environmental factors that are involved here," Chandler pointed out. "There's a lot of money, quite frankly, being spent in advertising for things that are bad for you."
The study also found among U.S. adults, if the current pattern continues, more than 250 million people will be overweight or obese by 2050.
Disclosure: The Foundation for a Healthy Kentucky contributes to our fund for reporting on Children's Issues, Health Issues, and Smoking Prevention. If you would like to help support news in the public interest,
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