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.
Guest Blog: Researching community health needs assessments at rural hospitals - turning personal inquiry into academic credit and professional experience
On March 23, 2012, the Federal Government began requiring rural and critical access hospitals to complete community health needs assessments (CHNAs). As a condition of their not-for-profit status, the Affordable Care Act mandates that these hospitals assess the health status of the communities they serve. By conducting regular CHNAs, it is believed that these hospitals can better align their healthcare services with identified community needs.
The Center for Rural Health recently completed the strategic planning process and we are pleased to announce a new strategic plan to guide our organization over the next 3-5 years. Before I get to specifics of our new plan, I’d like to share how we got to this point.
An important vehicle for providing healthcare services to individuals in the rural setting is telemedicine. Telemedicine uses telecommunications technology with healthcare providers and specialist consults to providers and patients who are located in areas that do not have that level of service available.
Our Center recently received some exciting news as we have been named the Outstanding Rural Health Organization for 2013 by the National Rural Health Association (NRHA). We are greatly humbled to join the other organizations and individuals which will be recognized by the NRHA at their annual conference next week in Louisville, Kentucky.
Nestled within Arizona’s Santa Cruz County and only about 10 miles from the US-Mexico border, Rio Rico is a community with a diverse identity much like many of Arizona’s rural towns. Les Caid is the Fire Chief of the Rio Rico Fire District which is charged with providing fire and emergency medical services to the approximately 20,000 members of the District’s community. Caid has observed the toll that growing rates of chronic illnesses and poor access to health care can have on the population he serves.