Broadband internet is increasingly seen as a necessity, but many rural Arkansas communities still lack high-speed broadband service.
Arkansas ranks 49th among states for internet accessibility, according to the website BroadbandNow.
AARP Arkansas State Director Ashley McBride said the digital divide was exposed during the pandemic, so the state has implemented a series of programs to increase online access. She said the Legislature's Joint Budget Committee has also allocated some pandemic-relief funding to help provide broadband access to some rural communities.
"They approved the state Department of Commerce's request to use $53.3 million in federal American Rescue Plan funding for eight broadband grant projects," she said. "The proposed broadband grant projects are in Ashley, Baxter, Chico, Clark, Columbia, Logan, Hot Spring and Lonoke counties."
McBride said more funding will come from the Bipartisan Infrastructure Law, which includes a $65 billion investment to bring affordable, high-speed internet to all communities across the country.
McBride said the pandemic also underscored vast disparities in high-speed internet access for older Americans. A Humana Foundation report estimates that about 39 million people older than age 50 don't have home internet service. And yet, staying connected - from banking and shopping to visits with doctors or family members - is all possible now, online. So, she said it's critical for seniors to have reliable, affordable online access.
"So, it's important for AARP to be a part of this conversation, to help older Americans achieve digital equity, especially as they are looking at their well-being," she said, "including telehealth, connection to family and friends, civic engagement, distance learning or even remote work."
She added that Arkansans in need of lower-cost internet service can apply for the Affordable Connectivity Program by going online to FCC.gov/ACP. Eligible seniors can get up to $30 a month off their internet service bill, or $75 a month if they live on tribal lands.
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The number of Medicare enrollees is projected to rise over the next few years as the baby boomer population ages. More than 2 million Illinoisans are currently enrolled in the federal health care program, according to Healthinsurance.org,
The Office-Based Facility Association, a coalition of practitioners, is calling for a change in what they view as an ineffective and unfair pricing structure of the Medicare Physician Fee schedule.
Jason McKitrick, executive director of the association, said other payers linking themselves to Medicare is one of the issues.
"When you've got ongoing cuts to Medicare, that means you've likely got ancillary cuts going on with the private side, with the Medicaid side, etc.," McKitrick explained. "It's the Centers for Medicare and Medicaid Services, CMS, ultimately, that's the agency and the federal government that sets the rates for the Medicare Physician Fee Schedule."
The association pointed out the current fee schedule addresses doctor's fees only, not the costly and necessary supplies and equipment needed for their practices. According to the Centers for Medicare and Medicaid Services data, there are 300 office-based services under the fee schedule for which Medicare reimbursement is less than the direct costs, before even considering other costs like overhead and physician work.
Dr. Sreenivas Reddy, a vascular interventional radiologist in Hinsdale, said in addition to seeing patients, he has to monitor overhead expenses such as office space and employee salaries, both affected by inflation. Not having the proper medical equipment and supplies, he added, limits his ability to perform specialized procedures and forces patients to seek care elsewhere.
"That makes these patients go to the hospital-based facilities," Reddy noted. "We have to close our offices and try to join these hospital-based models. They would love to come to the office, get the procedure done in one or two hours, versus it takes like a whole day in the hospital setting."
Reddy emphasized physicians' reimbursement, based on the current physician pay schedule, has been on the downtrend for the last five years. The group has further concerns about a decrease in the number of private practices causing more medical deserts for interventional radiology, cardiology, vascular surgery, radiation and oncology care.
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Farm advocates say price gouging on meat and poultry are taking a toll on Montanans.
A farm group cites U.S. Department of Agriculture data as proof of corporate greed, and says companies are still using supply-chain issues as an excuse for inflated prices.
Companies faced massive supply-chain disruptions during the pandemic. But Ag Department data show most of those problems are gone - and food prices in Montana haven't dropped.
Groceries here are 5% higher than the national average and egg prices are up 50% since last year, according to the Consumer Price Index.
Joe Maxwell, chief strategy officer with Farm Action, said food producers are looking for ways to keep prices artificially inflated.
"And it's just a part of their doing business now," said Maxwell. "They find excuses in the markets to gouge that consumer. And one thing we want to be very clear on is that the consumer knows it's not the farmer. The farmer's getting squeezed just as much as is the consumer."
Food producers have blamed the supply chain, but also plant closures and a strain of avian flu for supply and demand issues - driving up production costs.
Farm Action is the same group which, not long after the official end of the pandemic, asked the Federal Trade Commission to investigate egg prices - which had tripled in some cases.
Maxwell said Ag Department data show the numbers did not justify the price hike, and adds corporate food producers have positioned themselves to have outsize control over the market.
"They've got that control over the farmer, not unlike oil companies have over oil fields," said Maxwell. "They now have that control because there are very few buyers of farmers' commodities, so they have that control over the farmer, the producer."
Farm Action has also been critical of large, corporate operations that raise thousands of animals in confined spaces, which have been known to pollute air and groundwater.
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A recent wave of racist texts targeting Black Wisconsinites has sparked concerns about data privacy.
The personal information people voluntarily disclose on various online platforms is often used for marketing purposes and can be sold to data brokers, who then sell it to others.
Chad Johnson, assistant professor of computing and new media technologies at the University of Wisconsin-Stevens Point, said industry estimates show most data brokers have no less than 15 data points on every American including age and ethnicity, detailed contact information and even Social Security numbers.
"Since there's no regulation over who can buy those, of course, it could be other advertising agencies, it could be other platforms," Johnson pointed out. "But there's also nothing stopping, for example, a white supremacist movement from buying that information for purposes exactly like this."
Personal data can also be stolen or leaked. Johnson added there is currently no comprehensive federal law to protects data and privacy in the U.S. However, Wisconsin's new data privacy law goes into effect next year.
The Wisconsin Data Privacy Act, passed a year ago today, includes requiring businesses to inform people if their data is being collected and the purpose, as well as the right to access their personal data and request it be corrected or deleted.
Johnson said because anyone can have such detailed information about their targets is where an intimidation factor comes in.
"It kind of sends the message, also implicitly, well what else could they possibly know?" Johnson explained. "If they have my ethnicity, do they have my address, do they have my children's names, do they have my school or my children's school? Do they have my web history, or anything along those lines? It's impossible to know."
He added until people come together to demand better regulation, little can be done to prevent cyberattacks, making individual precautions more important than ever.
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