Southern states including Tennessee are in the grip of an unrelenting heat wave. According to the National Weather Service, heat indices could reach 110 degrees Fahrenheit in more than a dozen states.

According to the Environmental Protection Agency, heat is the number one weather-related cause of death, and climate change is driving increases in those numbers.

Dr. Tobi Adeyeye Amosun, assistant commissioner of the Tennessee Department of Health Division of Family Health and Wellness, explained in prolonged high temperatures, people are more likely to experience heat exhaustion, which can trigger skin redness, heavy sweating, nausea and vomiting. She added in addition to young children and the elderly, certain groups are at higher risk.

"So those are people who sometimes cannot regulate their core body temperature as easily as everyone else," Amosun explained. "They're also more likely to get dehydrated. So those are people who might have conditions like obesity, diabetes, high blood pressure, heart conditions, sickle cell anemia."

Amosun pointed out heat stroke symptoms are severe and include seizures, loss of consciousness and confusion, and advised anyone experiencing such symptoms to seek emergency medical help.

She added staying hydrating and avoiding exercise or work in extreme heat, or seeking shade, are ways to stay safe.

She emphasized high temperatures makes spending time in cars, no matter how briefly, extremely dangerous. She urged residents not to leave children or pets in cars under any circumstance, and to double-check all back seats before locking your doors to make sure no one has been left inside.

"Leaving your cellphone or your purse or your car or whatever what have you in the back seat is a checkpoint to make sure that you're always checking in the back," Amosun suggested. "To make sure your child doesn't get inadvertently left in the back seat."

Research has shown within one hour, the interior of a car parked in the sun on a 95-degree Fahrenheit day can reach an average 116 degrees.

The 340B Drug Pricing Program, designed to provide discounted medications to safety-net hospitals and clinics serving low-income populations, is at the center of a heated legal and legislative battle nationwide.

Drug manufacturers have imposed restrictions on contract pharmacies, limiting access to discounted medications.

Additionally, critics argue that predatory practices by pharmacy benefit managers have created further challenges.

Mick Pickos - chief pharmacy officer with Central Florida Health Care - described being sandwiched between drug manufacturers and benefit managers, which he says are creating obstacles that limit the program's effectiveness.

"They know we get discounted medications through the 340B program, so when we try to contract with them, they pay us less," said Pickos. "So those savings, instead of going to patients in our community, those savings are going to line the pocket of the PBMs, and that was never the intent of the 340B program."

Pharmacy Benefit Managers and drug manufacturers argue that the 340B program has expanded beyond its original purpose - leading to misuse, increased costs, and negative impacts on the broader health-care market.

However, Pickos contended that Federally Qualified Health Centers must follow strict rules, and he calls for legislative reform to prevent the program from being undermined.

John Sivon - chief strategy officer with Langley Health Services in Sumterville - acknowledged that there have been instances of misuse or what can be viewed as profit-driven practices by some entities participating in the 340B program, especially by certain hospitals that are not subject to the same stringent rules as Federally Qualified Health Centers.

"The rules and regulations which govern our Community Health Center also governs what we are allowed to do with our 340B savings," said Sivon, "and what we are allowed to do is reinvest those savings into services for our patients."

Sivon said they are often guilty by association, and drug manufacturers have unfairly limited their access to those discounted drugs - which restricts their ability to provide critical health-care services, such as behavioral health, dental care and mobile clinics.




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California faces a big shortage in the health care workforce, so health centers in San Diego are taking matters into their own hands, launching a training program for medical assistants.

The Laura Rodriguez Medical Assistant Institute, part of the Family Health Centers of San Diego, has graduated dozens of new medical assistants since January of last year.

Pauline Lucatero, chief academic administrator for the institute, said multiple factors led to the shortage.

"This is just due to the aging population and retirement," Lucatero observed. "I also believe that trying to recover back from COVID, we lost a lot of professionals."

The program recruits students from the community. In fact, 65% of its graduates started out as a patient of the health centers. The Bureau of Labor Statistics projected jobs for medical assistants would grow 14% from 2022 to 2032. The training program was made possible by a $450,000 grant from the nonprofit Direct Relief.

Dr. Byron Scott, chief operating officer of Direct Relief, co-chairs the group's Fund for Health Equity.

"They live in this community," Scott pointed out. "They're learning this new skill and then they're able to stay within the community and support the community, not only providing health care, but there's other economic benefits, not only for the community, but for themselves."

The program costs about $7,200. Students can get a loan, which can be forgiven if they work for Family Health Centers of San Diego for three years. Students can do the training in four and a half months full-time or eight months part-time. The next full-time class starts Oct. 7.

Now that the Arkansas Supreme Court has denied a petition to put an abortion rights measure on the November ballot, proponents for women's reproductive rights say they are not giving up.

The case was sent to the high court after the Arkansas Secretary of State rejected the petition because members of Arkansans for Limited Government didn't submit required paperwork for paid workers who gathered signatures.

The group's communications director - Gennie Diaz - said they want to give Arkansans the right to choose, but legislators keep changing the rules.

"The constitution of Arkansas says that you need to gather signatures from 15 Arkansas counties out of the 75," said Diaz. "The legislature last session passed a law saying that they're bumping it up to 50, which is an extreme jump."

Under Arkansas' current law, abortions can only be performed if the mother's life is in danger.

The proposed amendment would have allowed abortion care up to 18 weeks after fertilization - and in cases of rape, incest, threats to the mother's life, or if it was believed the fetus wouldn't survive.

About 14,000 of the petition's signatures were collected by paid canvassers, but the secretary of state says those names couldn't be counted because of the missing paperwork.

Without those signatures the group didn't have the 90,000 names needed to have the issue placed on the ballot.

Diaz said proponents of a woman's right to choose can make their voices heard by voting.

"From city council, all the way to the state legislators and constitutional offices," said Diaz, "ask them their opinion on this petition, and if it was something you supported. I think that that should definitely weigh into what people decide at the ballot box. "

The measure faced heavy opposition from abortion opponents in the state.

The nonprofit Family Council Action Committee had vowed to challenge the proposed constitutional amendment in court if it made it onto the ballot.

Following the ruling, GOP Gov. Sarah Huckabee Sanders posted on the social media platform X that the far-left pro-abortion crowd in Arkansas showed they are both immoral and incompetent.




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