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.
Across the country, in both rural and urban settings, there is considerable interest and activity in the implementation of electronic health records (EHRs). EHRs are often discussed as a means to reducing patient utilization and costs by providing patients with online access to health information and physicians. However, a new study in JAMA casts doubts on those assumptions.
Policy talks, a proclamation, webinars and photo contests: November 12-16th is National Rural Health Week and the Center for Rural Health is partnering with several state and national groups to make the week a special one.
On October 9th, in partnership with the Children’s Action Alliance and our hosts, the Desert Senita Community Health Center, the CRH co-sponsored a community town hall type meeting on healthcare in Ajo, Arizona.
Healthcare delivered in a collaborative environment consisting of interprofessional teams has gained widespread acceptance in recent years. In addition, there exists evidence that healthcare delivery is optimized in this type of environment. Yet, truly integrated team-based care remains far from the norm in today’s healthcare environment. Why is this?
While the focus of the provision of healthcare services in rural communities is on improving health-related outcomes (and rightly so), these services also have another tangible positive impact on these communities: economic benefits. A new report from the National Center for Rural Health Works quantifies this impact.