PHOENIX – Una iniciativa sin fines de lucro llamada “Eyes on Learning” (Los Ojos en el Aprendizaje), se alió con los distritos escolares y los “Charter Schools” (escuelas manejadas con fondos públicos sin fines de lucro) de Arizona para ofrecer exámenes de la vista a todas y todos los niños. La meta de esta alianza es asegurar que todos los pequeños de Arizona tengan oportunidades para poder leer y aprender.

La capacidad de ver con claridad es crítica para los pequeños, particularmente cuando están aprendiendo a leer. “Eyes on Learning”, Los Ojos en el Aprendizaje, busca examinar a todos los pequeños en edad pre-escolar para detectar algún problema posible con su vista; y a quienes lo necesiten, recibirán después un tratamiento de seguimiento para tener su mejor salud visual.

Nicol Russell, superintendente adjunta de educación a temprana edad en el Departamento de Educación de Arizona (“Arizona Department of Education”) y madre de un pequeño del área de Phoenix en edad preescolar, está en la oficina de Educación Infantil Temprana (“Early Childhood Education”), en el Departamento de Educación de Arizona. Dice que platicar con su hija sobre hacerse un examen de la vista en una escuela local del distrito fue, literalmente, abrir los ojos.

“Usaron una máquina para tomar imágenes de sus ojos y dijeron, ‘¿Nota usted que tenga algún problema de la vista en casa?’ Dije que no, y me dijeron… ‘Bueno, parece que tiene un problema bastante serio en la vista.’ Me quedé estupefacta. Les dije ‘No tenía idea’.”

Russell dice que hasta ese momento su hija no había dado señas de tener dificultades con su vista, y que nunca se había quejado de no ver bien. La oftalmóloga pediatra que la examinó recomendó lentes. Dice que los resultados de esa revisión marcaron un cambio significativo en la vista de su hija, que pudo ver con claridad por primera vez.

Karen Woodhouse directora de exámenes oculares en la coalición “Eyes on Learning Coalition” (Los Ojos en el Aprendizaje). Dice que la alianza incluye representantes locales, estatales y nacionales de una gama de agencias médicas, educativas y de servicio social. Esta coalición se coordina a los distritos escolares y las escuelas “Charter” para asegurar la disponibilidad de los exámenes de la vista. Woodhouse dice que la meta es que todos los pequeños de Arizona puedan leer y aprender.

“Queremos asegurar que los niños tengan su mejor salud visual, porque es crítica para el buen desarrollo temprano de los pequeños. Es muy importante para aprender en la escuela, especialmente para los pequeños que empiezan a aprender a leer.

Russell dice que desde que su hija estrenó anteojos, el cambio ha sido extraordinario.

“Pensamos que le costaría mucho dejárselos puestos. ‘Tiene sólo tres años; no le van a gustar.’ No ha tenido problema. Le dije ‘¿Quieres descansar?’ Me dijo ‘No, puedo ver.’ No teníamos idea de que antes no podía ver.”

La Coalición de la vista “Eyes on Learning” está fondeada por la fundación benéfica Virginia G. Piper y otros asociados de la comunidad.

Más información, en: www.eyesonlearning.org.


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After more than 50 years of use, some Michigan lawmakers say naloxone may not be the best choice in an overdose situation.

Naloxone is sometimes called the "Lazarus drug" because of its powerful ability to seemingly resurrect people after a drug overdose.

Sen. Kevin Hertel, D-St. Clair Shores, and some of his colleagues have introduced a bill which would open the door for what they say are more costly, but more powerful, antidotes.

"Given the prevalence of fentanyl in our communities, and how much stronger some of these drugs that we're now seeing are, we believe -- and in talking with others -- that there should be other tools to respond to an overdose," Hertel explained. "To make sure we're doing everything we can to save somebody's life."

Not everyone is on board with the proposed legislation, Senate Bill 542. Opponents argued the more expensive naloxone alternatives are not necessary, and using them would only increase profits for the pharmaceutical industry.

Jonathan Stoltman, director of the Opioid Policy Institute in Grand Rapids, said while the naloxone alternatives do help in overdose situations, they can also cause nasty side effects.

"The newer approaches, they put people into more severe withdrawal," Stoltman pointed out. "That's a pretty profound negative side effect. The one approach is very inexpensive and works great; the other approach is far more expensive and has this strong negative side effect."

Sponsors of the bill say they're hoping to give Michigan residents a chance to chime in on the issue in a public hearing sometime in June. Michigan saw more than 3,000 opioid overdose deaths in 2021.


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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.

Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.

"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained

Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.

Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.

"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.

Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.

New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.

The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.

"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.

Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.

Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."

"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.

Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.