PA’RRIBA Blog & Briefs
The Perfect Storm: Putting America’s Health Care in Peril The American Health Care Act & the President’s Proposed Budget
The AHCA cuts $1.5 trillion dollars in federal funding over 10 years by slashing state Medicaid (-$830B), eliminating Marketplace subsidies (-$665B) to individuals and families, and causing 23 million Americans to become uninsured over 10 years. The President’s budget cuts $2 trillion dollars in health spending over 10 years, disproportionately affecting low-income, elderly and rural Americans.
Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)
A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.
- The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
- Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
- These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.
Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District
The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.
“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.
I moved to Arizona just two months ago from Nova Scotia, Canada, a province on the Atlantic Ocean, northeast of Maine. Other than the city of Halifax, the rest of the province is rural in nature, with many small fishing and farming and forestry communities.
Florence Community Healthcare Hospital has been designated a critical access hospital by the Department of Health and Human Services, bringing the total number of Critical Access Hospitals to 15 in Arizona.
One of the real rural Arizona success stories has to be the Chiricahua Community Health Centers, Inc in Cochise County. I had the opportunity to meet with the CEO of this organization, Jennifer “Ginger” Ryan in her office in Douglas, Arizona. She is a bottle of energy and her enthusiasm for the area of border health care issues is infectious.
A new study finds that the nearest trauma centers are now farther away for 1 in 4 Americans. Where trauma is concerend, minutes can be the difference between life and death--this is definitely a dangerous trend for rural health.
Community gardens are definitely one of the most underrated ways to improve the health of communities. Public health workers have known for a long time how important the surrounding environment and communities are in influencing healthy behaviors and rural areas especially stand to benefit from community gardens. From encouraging self reliance and community interactions to producing nutritious foods and shared resources--community gardens go a long way in promoting health in rural areas.