As outdoor activities ramp up, May is a good time to think about observing good skin-care practices.

More skin cancers are diagnosed than all other cancers combined and one in five Americans will have some type of skin cancer by age 70.

Nebraska is among the states with the second-highest melanoma diagnoses per 100,000 residents, according to the Centers for Disease Control and Prevention. And Dr. Adam Sutton, director of Moh's and Dermatologic Surgery at the University of Nebraska Medical Center, says many Nebraskans have at least one of the risk factors for skin cancer.

"We've got a number of people who are fair skinned, who are Caucasian, who spend a significant amount of time outside, have a history of sunburns and/or work outside," Sutton outlined. "Which are all significant risk factors for melanoma."

He pointed out that melanomas, like all skin cancers, are highly curable when caught early. So, it is important to be checked -- ideally by a board-certified dermatologist -- if you have anything "new, changing or growing" on your skin.

The more common types of skin cancer, basal cell and squamous cell, tend to grow on sun-exposed parts of the body, but melanomas can develop anywhere. Sutton noted they make up only about 1% of all skin cancers but account for the most skin-cancer deaths, about 10,000 per year. Although melanomas can develop independently of moles, Sutton emphasized having a large number of moles is also an indication of increased risk.

"An individual that has 50 or more moles on their body has about a fourfold increased risk for the development of melanoma," Sutton explained. "That's pretty significant. Even if we have really normal-looking moles, if we have a lot of them, we're at greater risk for the development of melanoma."

Although white Americans are much more likely to be diagnosed with melanoma, non-Hispanic Black Americans have a higher incidence of later-stage diagnoses. Overall, melanoma diagnoses are expected to grow by 50% by 2040.

As far as prevention, Sutton stressed there is no such thing as a "safe tan." He recommended using broad-spectrum sunblock with a sun protection factor, or SPF, of 30 or higher for all outdoor activities, rain or shine. He added tanning beds have been "definitively determined to be carcinogenic."

"We still see a number of young people who are actively using tanning beds or have used tanning beds," Sutton observed. "That risk for the development of skin cancer really comes after the use of tanning beds one time."

Although skin cancer risk increases with age, Sutton acknowledged every week he treats patients who are in their 20s.


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Republican lawmakers are considering billions of dollars in cuts to Medicaid. But a new report finds those spending cuts might impact health-care coverage for thousands of Maryland military families.

The report by the Georgetown Center for Children and Families finds more than 850,000 people enrolled in Medicaid have military health insurance, known as TRICARE, as their primary coverage. One in 10 children of service members with TRICARE is also enrolled in Medicaid.

Joan Alker, executive director of the Georgetown University Center for Children and Families, said Medicaid is important for service members with children who require more intensive health care.

"The TRICARE benefit package just isn't enough, so Medicaid is making TRICARE work for those families by covering the high cost of services and some benefits that those children otherwise would not have access to," Alker explained.

Republicans in Congress are trying to reel in what they view as out-of-control spending by $2 trillion in the next budget. But cuts to Medicaid are not universally agreed upon among Republican lawmakers.

Medicaid also serves 40% of children in the U.S. with a benefit that allows them to receive preventive and ameliorative care. That benefit began after a military report in the 1960s found young men were not qualified for military service in Vietnam because of preventive medical issues during their childhoods.

Retired Army Brigadier General George Schwartz said Medicaid cuts could have a negative impact on recruiting numbers as well. If troops lack proper coverage for their families, he thinks they may seek other career paths that can provide that coverage.

"As those young people reach the age where they're eligible for military service, the military is competing with private industry and all sorts of organizations for these young people. From a mission readiness point, this is a matter of national security," Schwartz contended.

Maryland is home to more than 100,000 active-duty service members and more than 35,000 military-connected children in the state.

With Mother's Day coming up, some Pennsylvania lawmakers are backing a set of bills that could help improve maternal health.

The Black Maternal Health Caucus introduced the updated "PA Momnibus 2.0" package in April, focused on tackling disparities in maternal health care by improving access to services.

Black women in the state are nearly twice as likely to die from childbirth complications. Rep. La'Tasha D. Mayes, D-Allegheny County, said 93% of maternal deaths are preventable.

"All the bills are for all moms, and because we know when we fix and address and take on maternal mortality and morbidity for Black moms, we solve it for every mom and birthing person in the Commonwealth," she explained.

The nine-bill package builds upon a 2024 "Momnibus" introduced by Mayes and Reps. Morgan Cephas and Gina Curry, both Republicans. Mayes said the caucus is working towards moving the bills toward votes, and then action in the Senate.

Two of the measures would expand access to blood pressure monitors and ensure they are covered through private insurance and Medicaid. Mayes added another measure would expand the reach of midwives, who provide care throughout pregnancy and childbirth, as well as postpartum.

"The Midwifery Practice Innovation bill that's going to help us advance midwifery as an occupation in this commonwealth, because it's very challenging to become a midwife, as well as be able to practice fully in a way that can serve moms," she continued.

The "Momnibus" also includes supports for nursing mothers, and invests in a Maternal and Newborn Supply Kit program, and maternal-health deserts. Mayes says more than 12% of women have no birthing facility within 30 minutes of their home, and Black women are three times more likely to die during or after birth compared with other women.

A new study showed costs are rising for caring for Hoosiers with Alzheimer's disease and forms of dementia.

The report indicated nearly 122,000 residents age 65 and older are living with the health conditions. The 2025 Alzheimer's disease Facts and Figures report showed Indiana has 219,000 unpaid family caregivers, who cost the state almost $7 billion annually.

Natalie Sutton, executive director of the Greater Indiana chapter of the Alzheimer's Association, said knowing the difference between the two disorders is important for an accurate diagnosis.

"Dementia is an umbrella term that represents a set of symptoms that are known with cognitive impairment, memory loss, and ultimately an impact on activities of daily living," Sutton explained. "Alzheimer's disease is a progressive brain disease that is the most significant cause of someone developing dementia, or those symptoms that we know."

The timing of a diagnosis can influence the quality of life for someone with Alzheimer's disease and dementia symptoms, which can be present in the brain for years prior to detection. Alzheimer's and dementia are unique and personal illnesses, Sutton pointed out, so the frequency and type of care provided should be tailored to a patient's needs.

Forgetting what day it is or misplacing routinely used items are often mistaken for general age-related changes instead of Alzheimer's or dementia. The report found almost four of five Americans would want to know if they have the disease before symptoms surface due to concerns over how a diagnosis could affect daily activities. Sutton noted science is addressing the concerns.

"We can detect and diagnose Alzheimer's with biomarkers like imaging and cerebral spinal fluid, and there are blood tests now that are being used in research settings that are proven to be highly effective," Sutton outlined.

In 2024, Indiana passed a bill requiring insurance companies to cover biomarker testing. Sutton added two Food and Drug Administration-approved treatments to slow the progression of Alzheimer's are covered by most insurance companies and Medicare.

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