Los recortes propuestos a Medicaid podrían afectar seriamente a los hospitales y a los trabajadores de la salud de Nueva York. El presidente Donald Trump y los republicanos del Congreso están proponiendo recortes por 880 mil millones de dólares, poniendo fin al acceso a la atención médica de alrededor de 73 millones de estadounidenses. Más de una cuarta parte de los neoyorquinos utilizan Medicaid como seguro. Amy Lee Pacholk es enfermera de cuidados críticos de cirugía y traumatología en el Hospital SUNY Stony Brook. Ella dice que perder estos fondos significa que los hospitales no pueden mantener niveles adecuados de personal para atender a los pacientes.

"A menudo se toman atajos con la dotacion de personal. Durante mucho tiempo, hemos estado trabajando para lograr estándares mínimos de personal y proporciones seguras de pacientes para que las enfermeras puedan cuidar a los pacientes en entornos seguros tanto para ellas como para los pacientes," Pacholk dijo.

Pero, según un informe de la Asociación de Enfermeras del Estado de Nueva York, entre enero y octubre de 2024, los hospitales no dotaron de personal a las unidades de cuidados intensivos y a los pacientes de cuidados críticos en las proporciones exigidas por el estado más del 50 por ciento del tiempo. Estos recortes pagarán la extensión de los primeros recortes impositivos de la administración Trump. El Instituto de Política Económica señala que los planes de salud del mercado privado pueden costar a las familias un 20 por ciento más que sus ingresos anuales.

En todo el estado, los hospitales proyectan márgenes operativos de 0,0 por ciento. Aunque es una mejora leve, es insuficiente para que los hospitales puedan manejar la atención al paciente. Pero las bajas tasas de reembolso de Medicaid son responsables de los problemas financieros de SUNY Downstate. El 90 por ciento de los pacientes del hospital utilizan Medicaid o no tienen seguro. Pacholk dice que debido a la estructura de reembolso, el hospital no ha recibido lo que le corresponde.


"Solo por la población que va allí no significa que deban cerrar la institución. Simplemente significa que debes facilitar el flujo de dinero de una manera diferente para seguir sirviendo a las personas que viven en la comunidad," explicó Pacholk.

Parte de la propuesta de recorte de Medicaid implicaría agregar requisitos laborales al programa. Pero esto es parte de una idea errónea común sobre los usuarios de Medicaid: que no funcionan. Pacholk dice que estos programas son demasiado importantes como para recortarlos en aras de un recorte presupuestario al estilo de tala y quema.

"¿No es por eso que pagamos impuestos? ¿No es por eso que pagamos un seguro de Medicare? ¿No es para proteger a las personas o para ayudarnos en el futuro si algo sucede y nos volvemos economicamente indigentes? ¿No es ese el motivo? ¿No es el objetivo ayudar a la gente aqui? ¿Por que tenemos que quitar cosas que realmente ayudan a la gente?", se pregunta la enfermera.

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.

A Minnesota Senate committee today will hear testimony about a rare but scary scenario for families: sudden cardiac events in school settings.

A bill calls for staff training requirements for responding to emergencies. The American Heart Association says each year, more than 23,000 children experience cardiac arrest outside a hospital and 40% are sports-related.

The proposal would require a school district or charter school to develop a Cardiac Emergency Response Plan, so staff know what to do in those critical moments.

Kelly Youland, a Woodbury mother, experienced it firsthand when her baby became unresponsive leaving a Chicago baseball stadium.

"Ultimately, she required CPR for 16 minutes before her pulse came back," Youland recalled.

She and her husband both work in the medical field and had the instincts to help get lifesaving efforts underway. Thankfully, her daughter recovered, inspiring Youland to speak in support of the bill. It includes $2 million to help schools develop plans and secure automated external defibrillators. The Minnesota State High School League testified existing protocols and partnerships already cover this need.

The League did express a desire to work with lawmakers on this measure, citing the need for flexibility amid resource constraints. Youland acknowledged she and her family were lucky but other emergency responses have been slow to come together. She feels such situations can be avoided.

"Our schools prepare for all sorts of emergencies, whether they're fire, weather, lockdown," Youland pointed out. "This is something that our schools need to prepare for."

A bill adopted by the Minnesota Legislature last year called on the Education Department to provide a blueprint for the plans but they remain optional. Last month, a Maple Grove High School track athlete died after going into cardiac arrest following a non-team practice near the school.