BELLINGHAM, Wash.1 – Revocar la Ley de Cuidado Asequible (Affordable Care Act, ACA) significaría dejar de fondear la expansión de Medicaid en los estados, y eso afectaría desproporcionadamente a las comunidades rurales, de acuerdo a un reporte del Centro sobre Presupuesto y Prioridades de Políticas (Center on Budget and Policy Priorities).

Mientras sigue el debate en Washington DC sobre la revocación de la expansión de la Ley de Cuidado Asequible (ACA), la parte rural de Washington toma fuerzas para enfrentar los efectos del rechazo.

Los condados rurales encaran un conjunto de retos en cuidados de la salud diferente a los de las áreas urbanas, y podrían ser afectados desproporcionadamente por la revocación. Hay pocas instalaciones para los habitantes rurales que precisan de atención, y los presupuestos para operar los hospitales son frecuentemente más bajos.

Sherilyn Hughes, quien trabaja en un asilo en Bellingham, dice que si la Ley de Cuidado Asequible es revocada, los pacientes resentirán el recorte.

“Yo definitivamente me preocupo por nuestros residentes. Si pierden su seguro o tienen menos acceso a los cuidados, qué les pasaría? Si estuvieran en instalaciones con menos personal, con menos gente entrenada. Si terminaran en instalaciones de supervivencia asistida, o en lugares donde estén solos.”

Un reporte del Centro sobre Presupuesto y Prioridades de Políticas (CBPP) muestra que si la A-C-A es revocada, 775 mil personas menos del estado de Washington tendrían seguro de salud en 2019. El Presidente electo Trump ha dicho que llegaría una revocación con un plan de “reemplazo simultáneo”, pero no se han dado más detalles.

La revocación también afectaría los presupuestos de los estados.

El mismo reporte estima que el estado de Washington perdería algo más de tres billones de dólares en 2019, lo que muy posiblemente sea un golpe duro para los hospitales rurales. Otro estudio, publicado en Asuntos de Salud (Heath Affairs), dice que los hospitales rurales han pasado por mayores aumentos en ingresos por Medicaid que los hospitales urbanos que operan bajo la “ACA”.

A Belinda Hewett, asistente de enfermería en los hogares de Richland, le preocupa que, si menos pacientes pueden pagar los cuidados, eso significa también un recorte de empleos para las enfermeras.

“Nos recortaría nuestras horas a mí y a mis colegas, y luego tendríamos que salir a buscar un segundo empleo para tener ingreso y apenas pagar nuestra renta y cuentas, y las cosas que tenemos.”

El rechazo podría afectar a Hughes de otra manera. Ella tiene asma y usa un inhalador de esteroides dos veces al día. Hughes dice que el medicamento es caro y piensa cómo lo pagaría si fuera sacada de su seguro.

“A través de la expansión de Medicaid se me pagó eso, así que puedo seguir yendo a trabajar. Puedo pagar para ir al “College”. No sabría qué hacer si perdiera mi seguro. No hay manera de que pudiera pagar el plan de seguro que me ofrece mi patrón.”

El reporte del “CBPP” está disponible (en inglés) en cbpp.org; y el estudio sobre “Health Affairs”, en content.healthaffairs.org.


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Toughing it out during spring allergy season is not in your best interest if you want to avoid asthma later in life.

New Mexico has plenty of grass and weed pollens carried by the wind which contribute to itchy, watery eyes, a stuffy nose and sneezing fits this time of year.

Dr. Osman Dokmeci, associate professor of internal medicine at the University of New Mexico, suggested for those who suffer acutely, seek an allergy test and possibly medication to prevent asthma from taking hold.

"One out of 10 has asthma in America," Dokmeci pointed out. "Having seasonal allergies increases your chance of developing asthma at least fivefold."

He recommended treating allergies early and as aggressively as possible. May is "Asthma Awareness Month," which aims to bring attention to the health issue and highlight improvements in care and quality of life. Nationwide, asthma affects more than 25 million Americans, including 4 million children, and disproportionately affects certain racial and ethnic groups.

Allergies do not "cause" asthma but people who have allergies, or have family members who have allergies, are more likely to get asthma than those who do not. Research shows allergy season is starting earlier and lasting longer. A 2022 study from the University of Michigan found pollen count could increase by 200% by the end of the century due to climate change, which is why Dokmeci stressed it is important not to ignore the problem.

"There's no treatment that actually makes your asthma not happen," Dokmeci explained. "But once you develop asthma, there are good treatment options."

The estimated economic impact of asthma is more than $80 billion per year from direct and indirect costs, such as missed school and workdays.

Recent research shows approximately half of people who die by suicide had contact with a health care professional within the month prior to their death.

However, a recent study shows only 8% of hospitals are currently implementing all four recommended suicide prevention practices: safety planning, warm handoffs to outpatient care, patient follow-up and lethal means counseling.

Melissa Tolstyka, director of Behavioral Health Services for Trinity Health Ann Arbor, said a seamless transition from inpatient to outpatient care is critical. At Ann Arbor, she saw a 46% increase in compliance with comprehensive suicide risk assessments and patients discharged on the suicide care pathway now receive a safety plan, which she sees as progress.

"We continue to see a need for really robust programming," Tolstyka explained. "Not just within the behavioral health world, but in the medical world as well. Our organization really wanted to focus on bringing the behavioral health and the medical services together to enhance our safer suicide care practices for our patients."

The initiative is being piloted across various units at Trinity Hospitals in Ann Arbor and Grand Rapids including the emergency department, psychiatric medical and inpatient nursing units. If you or anyone you know is struggling or in crisis, help is available 24 hours a day, seven days a week, by calling or texting 988, the Suicide and Crisis Lifeline.

Casie Sultana, clinical nurse leader for Trinity Health Grand Rapids, prioritizes patient well-being, emphasizing support and improvement over solely managing risks within the facility.

"We want to be someplace that people feel welcome to come to who are dealing with suicide," Sultana emphasized. "You feel so alone. It's a very lonely journey and we want people to come seek help and feel welcomed when they do that."

Susan Burchardt, clinical services manager at Trinity Grand Rapids, advised other hospitals considering a similar program to learn from organizations already using it.

Support for this reporting was provided by The Pew Charitable Trusts.


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Access to reduced-price medication is a necessity for many rural Missourians with low income.

Rep. Cindy O'Laughlin, R-Shelbina, the Senate Floor Leader, said Big Pharma is trying to confuse legislators with unrelated hot-button topics such as abortion access and illegal immigration in a last-ditch effort to stop the state from joining a program to force drugmakers to sell medicines at a discount.

"Appealing to nuclear topics, which really do not apply in this situation, is a disingenuous way to try to defeat a bill that is actually good for Missouri," O'Laughlin asserted.

O'Laughlin pointed out the program is transparent, and uses the tax money saved to help low-income families deal with chronic conditions such as diabetes.

The drugmakers object to the government forcing them to give significant discounts, arguing hospitals' and for-profit pharmacies' bottom lines, particularly those owned by pharmacy benefits managers, are being exploited. Nationally, 46% of contract pharmacy agreements involve pharmacies linked to the three largest benefits managers.

Rep. Tara Peters, R-Rolla, introduced the 340B contract pharmacy access billand said the lobbying is absurd.

"Federally, 340B program does not allow for abortion drugs," Peters stressed. "Why would any legislation that we're trying to pass in the state allow for that? I mean, the thought of that even being in existence is absolutely ludicrous."

The Missouri Senate passed the bill 27-3 on Monday and it now goes to the House.


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