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.
As a follow up to my blog entry on February 18th, the full report from the community conversation on healthcare in Marana, Arizona has now been posted on our website. The report is organized by themes we heard during the forum and includes direct quotes from community members on their experiences with healthcare.
The concepts of safety and quality in healthcare have an interesting, and somewhat complex and controversial, relationship. What are the differences between safety and quality and how can they be improved in the rural health care setting?
In recent years, there has been considerable emphasize to try and strengthen the linkages between researchers and end users of healthcare, including health professionals, health decision makers and patients. According to the NIH Roadmap, some of these activities fall within the T2 category (translation to patients) although most would be included under T3 (translation to practice). Knowledge translation (KT) is another way to define these activities.
The Center for Rural Health and Amigo Bravos, Taos, New Mexico, both member organizations of the Southwest Rural Policy Network, held a Clean Water Workshop in Patagonia, Arizona, Thursday, April 12, 2012, for the Patagonia Area Resource Alliance (PARA).