El juicio de Florida sobre la elegibilidad para Medicaid, que resultó en la pérdida de cobertura de 1.8 millones de personas, se pospuso indefinidamente porque el juez que supervisó el caso tuvo una muerte en su familia. La demanda colectiva sostiene que la Agencia de Florida para la Administración de Atención Médica y el Departamento de Niños y Familias de Florida terminaron indebidamente la cobertura de Medicaid para individuos sin proporcionar razones específicas ni permitirles apelar la decisión antes de la terminación. Los defensores dicen que está relacionado con un informe reciente que muestra que Florida ha dado de baja a unos 600 mil niños de Medicaid y del Programa de Seguro Médico Infantil desde que se levantaron las protecciones de cobertura relacionadas con el COVID. Norín Dollard es analista de políticas de Kids Count del Florida Policy Institute y cree que el estado podría hacer más para evitar la pérdida de cobertura.

"Quiero decir, esa es una pérdida significativa de atención médica. Los niños son un poco diferentes a los adultos porque, en términos generales, Medicaid solo está disponible para personas con bajos ingresos. Pero es mucho más probable que los niños sean elegibles para Medicaid, y es una parte sustancial del seguro médico para niños," indicó además la entrevistada.

Los abogados estatales inicialmente intentaron posponer el caso, argumentando que el lunes en la mañana no era tiempo suficiente para prepararse eficazmente. Sin embargo, el juez no estuvo de acuerdo. Ahora, ambas partes tendrán que esperar para saber cuándo se fijará una nueva fecha del juicio y si el estado se verá obligado a restablecer la cobertura y revisar la forma en que notifica a los destinatarios.

Dollard dice que hay varios desafíos legales en juego, incluido uno por parte del estado, que demandó al Centro de Servicios de Medicaid para impedir que aplique la elegibilidad continua de 12 meses en el programa CHIP del estado.

"El estado explica que pueden cancelar la cobertura por falta de pago, mientras que los Centros de Servicios de Medicaid y Medicare dicen que no pueden, por lo que actualmente estamos esperando ver qué ordenará el juez al respecto," insistió también Dollard.

Sin embargo, la demanda colectiva, presentada por el Programa Nacional de Ley de Salud y el Florida Health Justice Project en agosto pasado, representa a cinco demandantes nombrados y a una clase más amplia de personas excluidas de Medicaid desde el 31 de marzo de 2023. En última instancia, Dollard espera que el estado puede hacer más para que el proceso sea más fluido y los avisos pueden ser más específicos para que los destinatarios puedan responder a las solicitudes del estado.



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The Missouri Foundation for Health is partnering with The Marshall Project on the launch of a St. Louis nonprofit newsroom highlighting the legal system's effect on health, especially in marginalized communities.

The Marshall Project focuses on investigative, data-driven journalism to explain the justice system, especially to those affected by it. With the foundation's support, its St. Louis newsroom will cover topics like the death penalty, juvenile justice, health care in prison conditions and reentry challenges.

Molly Crisp, senior communications strategist at the foundation, shared the goals of the new partnership.

"We recognize that the criminal justice system disproportionately harms certain populations and that exacerbates health inequities," Crisp explained. "We're hoping through this partnership that we're bringing to light some of the issues that are rampant in the legal system and that we can address those issues."

Statistics show low-income marginalized communities face higher pollution, increasing asthma risk, along with other health problems, and incarcerated individuals often endure long waits for medical care and face barriers to mental health treatment due to staff shortages and limited resources.

Katie Moore, a reporter for the Marshall Project, said its goal is to investigate such issues both locally and statewide.

"We have been talking with different groups, individuals who are connected to the criminal justice system in some way," Moore noted. "To see what their concerns are, what they see as being missing in the media landscape in St. Louis in terms of coverage of some of these more in-depth investigative issues."

With an increasing number of older people who are incarcerated, Missouri prisons face growing health care demands, including the need for geriatric care and hospice services.

Ohioans are seeing changes in their water infrastructure as cities work to replace lead service lines, a requirement under federal regulations.

But concerns have risen over the materials being used for replacements.

Teresa McGrath, chief research officer with the group Habitable, said while lead exposure poses significant health risks, she cautions against replacing these pipes with polyvinyl chloride due to its environmental and health implications.

"It's important to get those lead pipes out. Let's prioritize that," said McGrath. "But let's not make a regrettable substitution while we do that."

PVC production involves hazardous chemicals, including vinyl chloride, a known human carcinogen. However, PVC remains a popular choice because of its lower cost and ease of installation.

Environmental health advocate Yvette Jordan - the chair emeritus of the Newark Education Workers Caucus, and a steering committee member at Lead Free NJ - underscores the importance for Ohioans to be well informed about their environments.

"What is in their home?" said Jordan. "If they have a service line, is it plastic? Copper? What exactly is it and how does that affect their health, their community, and most importantly their families and children who are most affected by this?"

McGrath highlighted specific concerns about PVC and alternative materials that could be safer.

"The best available water pipe that we have evaluated for use inside a home is copper pipes," said McGrath, "and we will be the first ones to tell you that copper pipes are not perfect, but it is the best available."




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March is National Nutrition Month and rising grocery costs, and food recalls have consumers revisiting the idea of growing their own healthier and more affordable food. Research from gardening site, Gardenp.com shows the average garden produces $600 worth of produce. Indiana farmer's markets attract large numbers of Hoosiers who want fresh, farm-grown fruits, vegetables, and other staples at reasonable prices.

Philip Hartman, president of InstaFarm, which creates countertop food gardens, said foods grown in the healthiest chemical-free soil will produce optimum crops.

"So your food that you buy at the grocery store, your produce, has typically lost up to around 50% of its nutritional value by the time it gets to the store. Also, you don't know how it was grown. So the quality of your produce is linked to the quality of your soil," he said.

Lower costs, convenience, and fewer pesticides make garden-to-table food even more appealing. Hartman advises beginner gardeners to use healthy, nutrient-rich soil because it improves the nutritional value of fruits and vegetables. Gardens use a large amount of soil nutrients and when soil is depleted of these necessary nutrients, the crops are affected too.

Hartman works with students from kindergarten through high school and is passionate about helping children understand where their food comes from. He notes children don't get to see a farm or where their food is grown until they are well into their late teens.

"It's amazing, you know, children that don't usually like vegetables, when they engage in the growing process, all of a sudden, they're inspired to eat this and it's a great way to train them about what's good for them and how to recognize healthy foods," he added.

Gardenpals.com says millennials make up 29% of gardener demographics. Indiana is home to over 60,000 farms covering over 19 million acres. The state ranks in the top five for growing corn, soybeans, blueberries, tomatoes and melons, according to the Indiana Department of Agriculture.