New Yorkers could see relief from medical debt if several national proposals move forward.

The Consumer Financial Protection Bureau proposed a new rule to eliminate medical debt from credit reports. Studies show medical debt does not predict whether a person can pay down a debt.

An Urban Institute report finds more than 740,000 New Yorkers have medical debt.

Ursula Rozum, health care campaign lead for the group Citizen Action of New York, said the change can remove the punitive aspects of medical debt.

"What we're talking about is relief for the 15 million Americans that have medical debt," Rozum pointed out. "As well as people who we know are skipping care or delaying care 'cause they're scared of the debt and what impact it would have on their lives."

Vice President Kamala Harris is supporting the bureau's proposal while considering other ways to cancel medical debt. Congressional Republicans such as Rep. Mike Lawler, R-N.Y., oppose the proposed change. Several House GOP members signed a letter to the bureau saying its proposed rule can negatively affect credit access and affordability for all consumers.

New York passed legislation prohibiting medical debt from being reported to credit agencies but it has not stopped medical debt disparities.

Christine Chen Zinner, senior policy counsel for the advocacy group Americans for Financial Reform, said communities of color often have the highest medical debt rates for many reasons.

"Black and Latine families are more likely to have jobs without access to health insurance, and so that would drive up medical debt," Zinner explained. "There's also been disparate health treatments for these communities."

Other causes for medical debt include growing facility fees. While New York passed legislation to reform the fees, studies show they are a bulk of what patients pay for. Between 2004 and 2021, facility fees grew 531%, surpassing professional fees for certain emergency department services.

November is Military Family Appreciation Month. Service members and spouses alike can face challenges entering into the workforce once they leave the military.

Progress is being made slowly, but experts said more needs to be done. About 200,000 service members a year transition from active-duty to civilian life and many experience rescinded offers, underemployment or inadequate preparation for their transition.

Jonathan Pride, vice president of field operations for NPower, an organization providing skills training to veterans and their families, said uncertainty is one of their biggest challenges in the transition.

"A lot of the time, it's the only job they've ever had and so, they don't know how their skills will translate on the other side with corporations and partners and employers," Pride explained. "Trying to translate their skills and their experiences into a resume, I think, is one of the hardest things."

The National Veterans' Training Institute found veteran unemployment dropped by more than 3% in 2023 but Pride pointed out veterans also run into what he calls the "paper ceiling," a barrier keeping workers without college degrees from getting higher-wage jobs.

Given the frequency of moves, service members often do not finish their schooling in one place. Price observed many times, they leave the military with some college, or maybe a couple classes away from a degree.

"When an employer has a paper ceiling in place, where the minimum expectation is a college degree, sometimes that disqualifies many qualified veterans and veteran spouses who could do very well in these roles," Pride noted. "But because they don't have a college degree, they're barred from entry into that employer."

Pride stressed NPower looks past the degree requirements to work directly with employers to place veterans in apprenticeships, so they can learn on the job, pursue an education and earn a paycheck.

Normally, troops go through a Transition Assistance Program. Now, the Employment Navigator and Partnership Program provides one-on-one coaching to military members and their spouses.

James Rodriguez, assistant Secretary of Labor for Veterans Employment and Training Services, said he hopes to expand the program as it leaves the pilot phase.

"We're going to look to build that out even more in the future, so we can hope to do the same type of support for every service member in the future, which would be ideal," Rodriguez emphasized. "However, it does take a lot more work and a lot more resources to make sure that this program can be successful in the future."

As of August, the Employment Navigator and Partnership Program has helped more than 18,000 veterans and family members.


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If state and local governments want healthier populations, new findings suggest they should be more aggressive in tackling income inequality. A Nebraska organization feels that approach is on point.

A new study from Johns Hopkins University looked at obesity levels in more than 3,000 counties across the country. The places with minimum wages of at least $9 an hour had greater success in reducing obesity rates.

Christine Cary, who helps address economic justice with the group Stand In for Nebraska, said other data routinely show that healthier foods tend to cost more, so the connection made in this new research is pretty clear.

"Raising the minimum wage is obviously a way to increase access to healthier food," she said. "You just have more money to spend on it."

In 2022, Nebraska voters approved a gradual increase in the state's minimum wage, which is set to reach $15 an hour in 2026. At the same time, the state doesn't fare well in obesity rankings.

Cary said she sees a chance for numbers to improve as wages go up, but noted that not all communities have stores that sell healthy foods, potentially hindering that progress.

The study's authors also called for "place-based" interventions, such as urban farming initiatives and subsidies for healthy food retailers to go along with higher wages. Cary said that's an important step in tackling this issue.

"It's pretty well known among geographers that we shop at the closest place," she said, "meaning don't expect people who are already low income to seek these things out."

She said creating more awareness and options in underserved communities can help maximize the impact of higher wages from a public health standpoint. Cary said that's especially important in a rural state such as Nebraska, which has seen its food retail and health facility options disappear in smaller towns and cities.


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The latest "Speak Up MO" report reveals the economic struggles facing Missourians, adding to earlier findings about community concerns and the challenge of accessing affordable health care.

Although 59% feel financially comfortable, many say they can't save. Around one in four people couldn't afford food at least once in the past year, and nearly 10% faced possible eviction.

This hardship hits people of color, those with disabilities, and households earning under $50,000 per year the hardest.

Sheldon Weisgrau, vice president of health policy and advocacy at from the Missouri Foundation of Health, highlighted the report's overall message.

"What's really interesting, especially in the wake of the election we just had, in that folks are satisfied with where they are," said Weisgrau, "but have a feeling that things are heading in the wrong direction and that their neighbors are not doing so well."

Although the report identified the cost of living as the state's biggest challenge, it found Missourians remain moderately optimistic about their local economy.

Another key part of the report asked people whether the problem was having enough jobs overall, or having enough well-paying jobs.

Weisgrau noted most respondents pointed to the lack of well-paying jobs as the bigger problem.

"We saw that reflected in Missouri in the vote on Proposition A," said Weisgrau, "which voted to raise the minimum wage and mandate some paid sick leave for workers."

The report also highlights how financial insecurity seriously impacts the mental and physical well-being of Missourians, with one participant mentioning financial security reduces stress and frustration.