Podcasts about health care access

So, the show today, it's sort of an encore but not really an encore because I recorded this whole new introduction that you are currently listening to. And I also did a few inserts that we popped into the show itself. Inserts from the future, you might say. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. But why did I pull this episode from 2021, you might be wondering, as an immediate follow-on to the show from last week (EP469) about possible Medicaid cuts? Well, for one thing, the show last week about Medicaid cuts was about how the cuts might impact plan sponsors. And it left me feeling a little bit like part of the story was going unsaid. So much of what happens in healthcare, we see numbers on a spreadsheet but can easily lose track of human beings. I was reading something the other day. It reminded me of the people behind these numbers. I don't know if this happened in rural America, but it easily could have. Here's the link. Someone could not get a needed surgery. This surgery had all of the medical necessity boxes checked, except the hospital would not perform the needed surgery without cash up front in prepayment. This patient, he did not have enough money to cover the prepayment. So, somebody in the hospital finance department gave him a solution: Just wait until the situation becomes life-threatening, and then I guess you can go to the ER with your newly life-threatening condition, and they will have to perform the surgery without the money up front. And here we have the theme of people not being able to afford or not being able to access primary care or, in this case, I guess something more than that—a surgery—and they wind up in the emergency room. As John Lee, MD, put it, the healthcare system in this country is like a balloon. And the way we are currently squeezing it, everybody is getting squeezed into the emergency room—which is the very most expensive place to obtain care, of course, especially when that care is non-emergent. In rural America, this is particularly true. Now, by no means am I suggesting any kind of magic bullet to this Medicaid situation. As we all know, health and healthcare are not the same thing as health insurance; and we all know enough about the issues with Medicaid. That is not what the show is about. The episode that follows with Nikki King, who is my guest today, offers some great advice when there's just such a scarcity of clinicians available; and she does a great job of it. So, I am going to spend my time with you in this intro talking about rural hospitals in rural areas—the place where many patients wind up when they cannot get primary care in their community, just exacerbating all of the issues we have with Medicaid and affording Medicaid. But yeah, even if there is adequate or even great primary care, you still kind of need a hospital. The thing is, if an economic situation emerges where, say, for example—and this is the case in a lot of rural places—let's just say a factory or two or a mine or whatever closes down. It might mean the local hospital also closes down if that local hospital was dependent on commercial lives and cost shifting to those commercial lives. Like, this is not higher math or anything. It's easy to see how a doom loop immediately gets triggered. Recall that one big reason—and Cynthia Fisher (EP457) talked about this in an episode from a few months ago—one reason why employers in rural areas are choosing to move facilities somewhere else or overseas is that hospital costs are too high in the USA in these rural areas. So, they are closing their factory down because the hospital is charging too much. The lower the volume of commercial lives, the higher the hospital winds up raising their prices for the other employers in the area. Now, there's a point that comes up a lot in 2025 in conversations about rural hospital financials or just hospital financials in general, I guess. I had a conversation with Brad Brockbank about this a while back, and I've been mulling over it ever since. There are many who strongly suggest the reason why rural and other hospitals are in trouble is squarely because they don't have enough patients with commercial insurance in their payer mix. As Nathan Kaufman wrote on LinkedIn the other day, he wrote, “The ‘tipping point' is the percent of commercial gross revenues. When most hospitals hit 25%, if they don't have commercial rates in the high 300% [over Medicare] range, things begin to unravel.” And look, I'm not gonna argue any of the points here. How would I know? For any given hospital, it could be a financial imperative to try to get 300% over Medicare out of the local employers. I don't doubt it. The question I would ask, if someone knows that hospital finances are currently dependent on cost shifting, especially in a rural area with unstable industry, what are the choices that are made by hospital boards or leadership? Is this current dependency used as a justification to level up the cost shifting to local employers just as volume diminishes keep charging more, which is ultimately going to cause even more employers to leave the area? Which seems to be kind of a default. It's like the safety valve is, charge the local employers more. The point I'm making here is not all that profound, actually. It's just to point out that safety valve, taking advantage of it, comes with downstream impact that actually worsens a situation. So, what do we do now? And similar to the Medicaid, what I just said about Medicaid, I'm not showing up with any silver bullet here. And running a hospital is ridiculously hard. So, I do not wanna minimize that. And I certainly do not wanna minimize Medicare advantage paying less than Medicare going on and the mental health crisis and the just crippling issues that a lot of rural hospitals face. Here's a link to a really interesting report by the Center for Healthcare Quality & Payment Reform (CHQPR) about the ways hospitals can restructure and rethink how they deliver services, but I will take a moment to point out some case studies of success for what happens when people crossed off go get more money from the local employers off the list. Then there's also FQHCs (Federally Qualified Health Centers) doing some amazing things even in rural areas. Listen to the episode a while back with Doug Eby, MD, MPH, CPE (EP312) about the Nuka System of Care in Alaska, serving areas so rural, you need to take a prop plane to get to them. Their patients, their members have some of the best outcomes in the entire country. Their secret: yeah … great primary care teams that include behavioral health, the doctor, the nurse, a whole crew. And look at us. We've come full circle. Primary care (good primary care, I mean) is an investment. Everything else is a cost. Lastly, let me just offer a very large update: Today, you cannot just say rural hospital anymore and automatically mean a hospital in dire financial straits struggling to, like, make the rent. Large consolidated hospital systems have bought up so many rural hospitals for all kinds of reasons that may (or maybe not) have less to do with mission and more to do with all the things I discussed with Brennan Bilberry (EP395) in the episode entitled “Consolidated Hospital Systems and Cunning Anticompetitive Contracts.” Here is the original episode with Nikki King. Nikki, let me just mention, has gotten a new job since she was on the pod. She is now the CEO of Alliance Health Centers in Indiana. Also mentioned in this episode are Alliance Health Centers; John Lee, MD; Cynthia Fisher; Patient Rights Advocate; Brad Brockbank; Nathan Kaufman; Doug Eby, MD, MPH, CPE; Nuka System of Care; and Brennan Bilberry.   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, is the chief executive officer for Alliance Health Centers, Inc. Her work serves both urban and rural populations and is focused on substance abuse, communities underserved in healthcare, affordable housing, and economic development. Before working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities. Growing up as a first-generation college student in Appalachia, she brings lived experience of rural communities and approaches her work in healthcare as pivotal in breaking the cycle of poverty. Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University.   08:14 How dire is the rural hospital situation right now? 08:33 How could freestanding ERs be a potential solution for rural hospitals? 09:56 Advice from CHQPR: Rural hospitals should not be forced to eliminate inpatient care. 11:22 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:52 What are other potential rural health access solutions? 15:37 The “hot potato” of nurse practitioners in the healthcare world. 16:34 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 20:28 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 22:00 What's the issue with maternity care in rural America? 24:09 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 27:57 How is mental health care affected in rural communities? 28:29 “Rural communities are trying very hard to hang on to what they have.” 29:52 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 31:37 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 32:32 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.”   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, discusses #ruralhospitals and #ruralprimarycare. #healthcare #podcast #changemanagement #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! James Gelfand (Part 2), James Gelfand (Part 1), Matt McQuide, Stacey Richter (EP467), Vivian Ho, Chris Crawford (EP465), Al Lewis, Betsy Seals, Wendell Potter (Encore! EP384), Dr Scott Conard, Stacey Richter (INBW42)

Dr. Hoffman continues his conversation with Dr. Kieran Murphy, author of “The Essence of Invention: Medicine and the Joy of Creativity,”

In this episode of the Intelligent Medicine podcast, Dr. Ronald Hoffman interviews Professor Kieran Murphy, an interventional neuro radiologist and prolific inventor from Toronto Western Hospital. Dr. Murphy has developed numerous innovative medical devices and filed 60 patents. He shares insights from his book, “The Essence of Invention: Medicine and the Joy of Creativity,” discussing his work on medical innovation, his unique background, and personal experiences that have driven his creative solutions. The conversation covers various topics, including the importance of creativity, the impact of bureaucracy on modern medicine, and groundbreaking innovations like ozone therapy for herniated discs and a radio-protective supplement for medical personnel. Dr. Murphy emphasizes mindfulness and paying attention to phenomena as key components for fostering creativity and innovation in medicine.

What's the new long COVID study? How bad is this year's flu? How many measles vaccines do you need? What food has been recalled? When to get RSV vaccine pregnancy? AMA's Vice President of Science, Medicine and Public Health, Andrea Garcia, JD, MPH, discusses the ongoing flu season, 2025 measles outbreak news, a new study on long COVID in women, uptake of maternal RSV vaccines, as well as food recalls and financial challenges faced by rural healthcare facilities. American Medical Association CXO Todd Unger hosts.

Youth in the juvenile justice system in Nevada can now access health care under Medicaid 30 days before they're released.

In this episode, I sit down with LaToya Ruby Frazier, a visionary artist whose work intersects social justice, cultural change, and the American experience. Recognized as one of Time 100's most influential people of 2024, LaToya shares insights into her groundbreaking practice, which blends photography, video, performance, and installation to amplify voices often excluded from dominant narratives.We explore the inspiration and meticulous process behind her latest installation, More Than Conquerors, currently on view at the Baltimore Museum of Art. LaToya discusses the vital role of community health workers during the COVID-19 pandemic, the systemic injustices they face, and the significance of honoring these unsung heroes through art.From her reflections on growing up in a steel town to her commitment to bridging the working class and creative sectors, LaToya offers a powerful perspective on the intersection of art and activism. Whether you're interested in socially engaged art, health equity, or the power of storytelling, this episode delivers an inspiring and thought-provoking conversation. Tune in to hear LaToya's vision for transformative, community-centered art. Photo Credit: Sean Eaton ★ Support this podcast ★

In this second part of our conversation with SLP and health services researcher Jen Oshita, she expands on strategies people with communication disabilities can use to express themselves and more fully participate in their own health care.Hear why Oshita feels SLPs play a pivotal role in improving health care equity for these patients, and what organizations can do to increase communication access.Plus, hear from patients and care partners, including personal accounts from Hari Kannan, Vidya Thirumalai, and Lyn Piper.(This conversation was originally published in January 2024.)Transcript

SLP Jen Oshita provides strategies SLPs can share with people with communication disabilities to facilitate effective communication in health care. She discusses how communication access in health care interactions can contribute to health disparities, and she addresses barriers to care related to communication, such as rushed appointments with providers or the use of confusing medical jargon.Throughout this conversation, we'll hear from patients and care partners as they share their experiences with the health care system, including advocate Matthew LeFluer and health communications strategist Karen Hilyard, who shares strategies as well.(This conversation was originally published in January 2024.)Transcript

Jose Figueroa is an associate professor of health policy and management at the Harvard T.H. Chan School of Public Health and an assistant professor of medicine at Harvard Medical School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J.M. McWilliams and S.B. Dusetzina. Affordability of Health Care in the United States — Old Problems Awaiting a New Administration. N Engl J Med 2024;391:1372-1374. M. Alsan and R. Yearby. Health Equity in the 2024 U.S. Presidential Election. N Engl J Med 2024;391:1374-1377. S. Glied and B.D. Sommers. Health Coverage, Access, and the 2024 U.S. Elections. N Engl J Med 2024;391:1369-1372.

Why do prior authorizations take so long? Is prior authorization required for emergency services? Why would insurance deny a medication? Melissa Garretson, MD, a pediatric emergency physician at Cook Children's Health Care System and a member of the AMA Board of Trustees, discusses how to talk to patients about prior authorization, why prior auth takes so long, and how the AMA is fighting to fix prior authorization. American Medical Association CXO Todd Unger hosts.

Health Affairs' Editor-in-Chief Alan Weil interviews Andrew Feher of Department of Health Care Access and Information about his recent paper exploring how the incorporation of email reminders saw increases in eligibility verification and continued subsidy receipt for enrollees in California's Affordable Care Act marketplace.Order the September 2024 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.

Timely access to health care is set up to be an important election issue in the Sussex area. Host Rachel Cavespeaks with two members of the community about recruitment efforts and the future of the town's emergency department.

As Tropical Storm Francine forms, we’re keeping an eye on nasty weather in the Gulf and will have the latest on the impact to Texas energy as peak hurricane season arrives.On the political front, cross-party endorsements are raising eyebrows. Political expert Daron Shaw of the University of Texas at Austin weighs in on the significance.With […] The post Clinic teams up with barbershops to boost health care access for Black men appeared first on KUT & KUTX Studios -- Podcasts.

Ben Gamache, Policy Consultant for the Office of Health Workforce Development at the Department of Health Care Access and Information, explains why California has created a new position; Dr. Lisa Villarroel, Chief Medical Officer for Public Health at the Arizona Department of Health Services, discusses how AZ reach helps smaller hospitals; and an ASTHO webinar will teach you how state health agencies can address gaps in the policy review process. California Wellness Coach Webpage ASTHO Blog Article: State Policies Bolster Rural Healthcare Workforce AZ Reach Webpage Arizona Department of Health Services Webpage: Arizona Surge Line Public Health Review Podcast Episode: Improving Public Health by Modernizing Data Exchange ASTHO Webinar: How State Health Agencies Can Address Gaps in the Policy Review Process  

Health and income, high BP in the hospital, and more on subclinical AF and when to use anticoagulants are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic   I. Health and Income  A Cash Giveaway to Improve Health https://www.medscape.com/viewarticle/cash-giveaway-improve-health-2024a1000dhf?form=fpf JAMA RCT https://jamanetwork.com/journals/jama/fullarticle/2821454 NBER RCT https://www.nber.org/papers/w32711 Have We Missed the Hidden Cause of Medical Overuse? https://www.medscape.com/viewarticle/908309 Mar 17, 2023 This Week in Cardiology Podcast https://www.medscape.com/viewarticle/989775 Other References  Health Care Access and Management of Cardiovascular Risk Factors Among Working-Age Adults With Low Income by State Medicaid Expansion Status https://jamanetwork.com/journals/jamacardiology/article-abstract/2793120 Rand Link https://www.rand.org/pubs/reports/R3055.html The Oregon Health Insurance Experiment https://www.healthaffairs.org/do/10.1377/hpb20150716.236899/full/ Effect of Health Insurance in India: A Randomized Controlled Trial https://www.nber.org/papers/w29576 Full Coverage for Preventive Medications after Myocardial Infarction https://www.nejm.org/doi/full/10.1056/nejmsa1107913 Effect of Medication Co-payment Vouchers on P2Y12 Inhibitor Use and Major Adverse Cardiovascular Events Among Patients With Myocardial InfarctionThe ARTEMIS Randomized Clinical Trial https://jamanetwork.com/journals/jama/fullarticle/2720024 II. Elevated BP in the hospital JAMA-IM https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2821364 III. Short-duration Subclinical AF Apixaban Cuts Stroke but Ups Bleeding in Subclinical AF: ARTESIA https://www.medscape.com/viewarticle/998379 ARTESiA https://www.nejm.org/doi/full/10.1056/NEJMoa2310234 ARTESiA CHADSVASC Subgroup  https://www.jacc.org/doi/10.1016/j.jacc.2024.05.002 NOAH https://www.nejm.org/doi/full/10.1056/NEJMoa2303062 EHJ NOAH subanalysis https://doi.org/10.1093/eurheartj/ehae225 Stroke: Prolonged Heart Rhythm Monitoring After Stroke https://www.ahajournals.org/doi/10.1161/STROKEAHA.123.045843 EHRA Analysis https://esc365.escardio.org/EHRA-Congress/sessions/10668   You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington   Questions or feedback, please contact news@medscape.net

There is a troubling rise in suicide deaths among young Black Americans. One of the drivers of that crisis is a shortage of mental health providers. Fred de Sam Lazaro reports from Chicago for our series, Race Matters. A warning: this story discusses topics of suicide. PBS News is supported by - https://www.pbs.org/newshour/about/funders

2024 Legislative & Budget Priorities2024 #1 Priority Legislation AB 1955 (Ward, LGBTQ Caucus) – SAFETY ActThe Support Academic Futures & Educators for Today's Youth Act (SAFETY Act), would strengthen existing California protections against forced outings of LGBTQ+ students in schools; provide critical resources for parents and families of LGBTQ+ students to support them in working towards family acceptance on their own terms; and provide additional protections to educators who face retaliatory actions from administrators and school boards for seeking to create an inclusive and safe school environment. 2024 Priority “Sponsored” Legislation AB 1899 (Cervantes) – Gender-Inclusive Jury QuestionnairesThis bill requires Judicial Council to create a template juror questionnaire that is inclusive of gender expression and identity.AB 1979 (Ward) – Doxing Victims Recourse ActThis bill provides recourse for victims who have been harmed as a result of being doxed by allowing a victim to pursue civil action to receive restitution for the harms endured as a result of being doxed.AB 2258 (Zbur) – Protecting Access to Preventive ServicesThe bill codifies longstanding federal guidance that health plans and insurers must cover services that are integral to providing recommended preventive care – including anesthesia and polyp removal during a colonoscopy; placement, management, and removal of long-acting reversible contraceptives; and, ancillary and support services for PrEP including HIV and other STI screening – without cost sharing.AB 2442 (Zbur) – Expedited Medical Licensure for Gender-Affirming CareThis bill requires the expedited processing of licensure applications by the Medical Board of California, the Osteopathic Medical Board of California, the Board of Registered Nursing, the Physician Assistant Board, the Board of Behavioral Sciences, and the Board of Psychology for applicants demonstrating a commitment to providing gender-affirming health care or gender-affirming mental health care services within their licensed scope of practice.AB 2477 (Zbur) – Foster Care Cash SavingsThis bill permits youth transitioning to adulthood from foster care the chance to grow the best financial safety net possible by updating state law to clarify that young adults have the ability to accumulate cash savings while in foster care.AB 2498 (Zbur) – California Housing Security ActThis bill aims to prevent individuals from falling into homelessness by providing rent subsidies to a range of rent-burdened populations, including former foster youth, older adults, adults with disabilities, people experiencing unemployment or homelessness, and recently incarcerated people.AB 3031 (Lee and Low) – Statewide LGBTQ+ CommissionThis bill establishes a Statewide LGBTQ+ Commission to serve as a state-level focal point for identification of key issues for the Caucus to prioritize in the future.SB 11 (Menjivar) – California State University Mental Health [Two-Year Bill]This bill would require the CSU to decrease the ratio of students to mental health counselors to address increased student needs and work to create a pipeline for CSU students to become mental health professionals. Also, this bill would increase data collection on CSU's mental health services and student wellbeing.SB 729 (Menjivar) – Health Care Coverage for Infertility and Fertility Treatment [Two-Year Bill]This bill would expand access to fertility care for Californians, including coverage for in vitro fertilization (IVF). Also, this bill would revise the definition of infertility to ensure same-sex couples are covered by health care insurance and are treated without discrimination.SB 954 (Menjivar) – Youth Health Equity + Safety (YHES) Act This bill seeks to address the sexually transmitted infection (STI) epidemic among California youth and improve equitable public health outcomes statewide by expanding teen access to condoms in schools and communities.SB 957 (Wiener) – SOGI Data CollectionThis bill requires the California Department of Public Health (CDPH) to collect sexual orientation and gender identity (SOGI) data from third-party entities, including local health jurisdictions, on any forms or electronic data systems, unless prohibited by federal or state law. The bill also requires CDPH to provide an annual report to the public and to the Legislature on its efforts to collect, analyze, and report SOGI data.SB 959 (Menjivar) – TGI Resources WebsiteThis bill establishes an online resource for transgender, gender diverse, and intersex (TGI) people and their families to combat misinformation and provide accurate information about access to trans-inclusive health care, existing legal protections for patients and health care providers, and other available support services.SB 990 (Padilla) – LGBTQ+ Disaster Relief PlansThis bill requires Cal-OES to consult with LGBTQ+ organizations and advocates in the community when creating the State Disaster Plan.SB 1278 (Laird) – World AIDS DayThis bill enshrines December 1st as World AIDS Day, a day globally recognized in solidarity with people affected by HIV.SB 1333 (Eggman) – HIV Data SharingThis bill requires state and local health department employees and contractors to annually sign the agreement and would repeal the annual review of the agreements. Additionally, this bill authorizes disclosure to other local, state, or federal public health agencies or to medical researchers when confidential information is necessary for the coordination of, linkage to, or reengagement in care for the person.SB 1491 (Eggman) – LGBTQ+ Higher Education EquityThis bill, beginning with the 2026–27 school year, requires the Student Aid Commission to provide a written notice to students who receive state financial aid regarding whether their postsecondary educational institution has an exemption from either the Equity in Higher Education Act or Title IX on file with the commission.  2024 Endorsed “Supported” Legislation AB 1810 (Bryan) – Incarcerated Peoples' Menstrual ProductsCaucus Co-Author: Assemblymember Zbur This bill ensures that any incarcerated person and/or youth who menstruates or experiences uterine or vaginal bleeding has ready access to, is allowed to use, and continues to use materials necessary for personal hygiene without having to request them.AB 1825 (Muratsuchi) – The California Freedom to Read ActCaucus Principal Co-Author: Assemblymember Ward This bill prohibits public libraries from banning books based on partisan or political reasons, view point discrimination, gender, sexual identity, religion, disability, or on the basis that the books contain inclusive and diverse perspectives.AB 3161 (Bonta) – Equity in Health Care Act: Ensuring Safety and AccountabilityCaucus Co-Author: Assemblymember Jackson This bill requires hospitals to analyze patient safety events by sociodemographic factors, like race, ethnicity, language, sexual orientation, and disability status. This will allow us to see the disparities in health that communities of color and LGBTQ communities are facing. Additionally, AB 3161 requires hospital safety plans to include a process for addressing racism and discrimination and its impacts on patient health and safety.SB 1022 (Skinner) – Defending Housing, Employment, and Other Civil Rights ViolationsCaucus Co-Author: Senator Wiener This bill empowers the Civil Rights Department (CRD) to stop systemic workplace discrimination by doing the following: (1) Clarify that deadlines that apply to individual complaints do not apply to complaints initiated by CRD or to group/class claims being prosecuted by CRD; (2) Allow CRD to rectify longrunning civil rights violations for the benefit of all victims, not only recent victims; (3) Allow CRD to pause investigations when the parties agree; and, (4) Allow housing discrimination cases to be brought in any county where CRD has an office.  May Revise Budget Priorities Preserve all funding for the LBTQ Women's Health Equity Initiative Fund within CDPH Office of Health Equity's Gender Health Equity Section by authorizing existing funds to transfer from FY23/24 to FY24/25.Reject proposed cuts to the CYBHI – Public Education and Change Campaign funding within CDPH Office of Health Equity to ensure LGBTQ+ preventive mental health programs are prioritized including local LGBTQ organizations and the statewide LGBTQ campaign, and replace proposed cuts with a more equitable level of funding reduction.Reject proposed cuts for “The Future of Public Health” initiative at CDPH Office of Health Equity to ensure LGBTQ community services within local health departments are supported for sexual health and harm reduction programs.Support requested expenditure authority of $725,000 with Department of Health Care Services (DHCS) to support addition of intersexuality to voluntary self-identification information to be collected by state departments and entities, pursuant to the requirements of AB 1163 (Lesbian, Gay, Bisexual, and Transgender Disparities Reduction Act).Support requested expenditure authority of $710,000 with Department of Public Health (CDPH) to implement system changes to collect voluntary self identification information pertaining to intersexuality in the course of collecting demographic data, pursuant to the requirements requirements of AB 1163 (Lesbian, Gay, Bisexual, and Transgender Disparities Reduction Act).Support requested expenditure authority of $718,000 with Health Care Access and Information (HCAI) to to support implementation of required planning by hospitals for increasing the diversity of procured vendors, pursuant to the requirements of AB 1392 (Rodriguez), Chapter 840, Statutes of 2023.  Priority Budget Requests (In Alphabetical Order) ADAP Rebate Fund Loan Reduction & Modernizations – This budget request reduces the Governor's proposed $500 million loan from the AIDS Drug Assistance Program (ADAP) Rebate Fund to the General Fund (GF) to $250 million, of which $5 million of the loaned ADAP-to-GF must go towards SB 954 (Menjivar, 2024), the YHES Act. Additionally, this budget request seeks the following modernizations to ADAP: (1) ADAP and PrEP-AP eligibility increase from 500% Federal Poverty Level (FPL) to 600% FPL – $3.5 million (one-time); (2) Harm Reduction Clearinghouse Increase: $10 million (one-time); (3) Health Insurance Premium Payment Cap on Premium Payments Lift: $3.5 million (one-time) & $7 million (ongoing); (4) TGI Wellness and Equity Fund: $5 million (ongoing); and, (5) Needs assessments and analyses for both gap identification of client navigation and retention services, as well as PrEP Navigation Program: $400 thousand (onetime).California Coalition of Transgender Immigrants – This budget request seeks $250,000 in funding to be divided into three programs to help bring equity, justice, and inclusion for Transgender, Gender NonConforming, and Intersex (TGI) immigrants: (1) Trans Immigrant Asylee program – $150,000; (2) Trans Inter-Sectional Unity program – $50,000; and, (3) Trans Emerging Leadership and Artist program – $50,000.Raise-A-Child Foster Family Recruitment & Retention Expansion – This budget request seeks $1 million in funding to accelerate the expansion of Raise-A-Child services throughout California to go towards: (1) Recruitment Promotion Campaigns; (2) Community Events and Engagement; (3) Virtual Information and Orientation Sessions; and, (4) Technical Assistance and Support.Renewal of Preservation of LGBTQ+ History Program Historical Archives – This budget request seeks to renew previously allocated funding for the “Preservation and Accessibility of California's LGBTQ+ History Program,” which is a competitive grant program that is administered by the California State Library. This program supports LGBTQ+ archives of all sizes for projects that work to preserve and make publicly accessible collections relevant to the LGBTQ+ movement, culture, experience, and/or history in California, as well as provides vital information services, including research opportunities, youth engagement, and academic enrichment. Specifically, this San Francisco Harvey Milk Plaza ADA Updates – This budget request seeks to invest $5 million in funding to be used towards the installation of a new ADA-compliant main stair and a new escalator to access the entrance to the Castro Muni Station for Harvey Milk Plaza. AB 1955 (Ward, LGBTQ Caucus) – SAFETY Act 

This week's guest is Nick Vailas, founder and CEO of Bedford Surgical Ambulatory Center (BASC), who discusses the current state of health care, such as affordability and access, and how his suite of programs helps to bridge the challenging gaps in the industry.

Do you ever wish you had a child psychiatrist on speed dial? Well, now you can!  This week, we talk about how to get connected to a Pediatric Mental Health Care Access Program (PMHCAP) near you that offers:* phone consultation with child psychiatrists to help you care for kids in your office* care navigation services to help you find resourcesI will walk you through what to expect when you call your local PMHCAP and how they can be helpful for you and for your patients.For a list of statewide PMHCAPs near you, check out:https://mchb.hrsa.gov/programs-impact/programs/pmhca-awardee-teleconsultation-phone-linesLink also available on our website, PsychEd4Peds.comCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Tuesday, April 16th, 2024Today, jury selection is underway in the first criminal trial of a former president and current candidate in history; expelled Congressman George Santos talks about his fundraising efforts for his bid to run again; Justice Clarence Thomas is absent from the bench for arguments this week; Trump Media shares plunge again on the announcement to file additional shares; transgender veterans are suing the Department of Veterans Affairs; Trump files his response to Jack Smith with the Supreme Court in the immunity case; plus Allison and Dana deliver your good news. Our Guest:US House Rep. Dan Goldmanhttps://twitter.com/danielsgoldmanJustice Clarence Thomas misses Supreme Court arguments (NBC News)Trump stock tanks after announcing massive share sale (CNN)George Santos Explains Why He's Raised $0 for Return Congressional Bid (Daily Beast)Transgender veterans file 2nd lawsuit against VA for gender-affirming surgery coverage (NBC NEWS)Subscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Check out other MSW Media podcastshttps://mswmedia.com/shows/Follow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://post.news/@/MuellerSheWrote?utm_source=TwitterAG&utm_medium=creator_organic&utm_campaign=muellershewrote&utm_content=FollowMehttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsBlue Wave Postcard Movementhttps://shop.bluewavepostcards.orgUtah State Board of Educationhttps://www.schools.utah.govUpcoming Live Show Dateshttps://allisongill.com (for tickets and show dates)Sunday, June 2nd – Chicago IL – Schubas TavernFriday June 14th – Philadelphia PA – City WinerySaturday June 15th – New York NY – City WinerySunday June 16th – Boston MA – City WineryWednesday July 10th – Portland OR – Polaris Hall(with Dana!)Thursday July 11th – Seattle WA – The Triple Door(with Dana!)6/17/2024 Boston, MA https://tinyurl.com/Beans-Bos27/25/2024 Milwaukee, WI https://tinyurl.com/Beans-MKE7/28/2024 Nashville, TN - with Phil Williams https://tinyurl.com/Beans-Tenn7/31/2024 St. Louis, MO https://tinyurl.com/Beans-STL8/16/2024 Washington, DC - with Andy McCabe, Pete Strzok, Glenn Kirschner https://tinyurl.com/Beans-in-DC8/24/2024 San Francisco, CA https://tinyurl.com/Beans-SF Live Show Ticket Links:Chicago, IL https://tinyurl.com/Beans-ChiPhiladelphia, PA https://tinyurl.com/Beans-PhillyNew York, NY https://tinyurl.com/Beans-NYCBoston, MAhttps://tinyurl.com/Beans-Bos2Portland, ORhttps://tinyurl.com/Beans-PDXSeattle, WAhttps://tinyurl.com/Beans-SEA Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

The COVID-19 pandemic has caused major disruptions in ambulatory care. In this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, Rishi K. Wadhera, MD, MPP, MPhil, of Harvard Medical School discusses how access to care and preventive services changed for different racial and ethnic groups in the US from 2019 to 2022. Related Content: Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity

The COVID-19 pandemic has caused major disruptions in ambulatory care. In this interview with JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, Rishi K. Wadhera, MD, MPP, MPhil, of Harvard Medical School discusses how access to care and preventive services changed for different racial and ethnic groups in the US from 2019 to 2022. Related Content: Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity

Under the California Department of Health Care Access and Information, Elizabeth shares how the newly created Officer of Healthcare Affordability is helping the most populous state to manage healthcare costs through growth targets and other efforts for 40M Californians.

In this second part of our conversation with SLP and health services researcher Jen Oshita, she expands on strategies people with communication disabilities can use to express themselves and more fully participate in their own health care.Hear why Oshita feels SLPs play a pivotal role in improving health care equity for these patients, and what organizations can do to increase communication access.Plus, hear from patients and care partners, including personal accounts from Hari Kannan, Vidya Thirumalai, and Lyn Piper.Transcript

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

- Overview of Cancer & the LGBTQI+ Community, Including HIV & HPV - The LGBTQI+ Community's Disproportionate Cancer Burden - Addressing the LGBTQI+ Health Disparities Gap, Including Mistrust of Health Care Providers - Barriers to Health Care Access, Including Discrimination - Health Care, Cancer Screening, Palliative and Supportive Care, Affordable Housing - Gay Men & Lesbian Cancer Issues - Transgender/Gender-Nonconforming People's Cancer Concerns - Challenges for LGBTQI+ Caregivers - Social Security Disability Benefits for LGBTQI+ People Living with Cancer - Military Service and the LGBTQI+ Community - Practical, Financial, Emotional & Social Concerns - Cancer Resources for the LGBTQI+ Community - Questions to Ask Our Panel of Experts

SLP and health services researcher Jen Oshita provides strategies SLPs can share with people with communication disabilities to facilitate effective communication in health care. She discusses how communication access in health care interactions can contribute to health disparities, and she addresses barriers to care related to communication, such as rushed appointments with providers or the use of confusing medical jargon.Throughout this conversation, we'll hear from patients and care partners as they share their experiences with the health care system, including advocate Matthew LeFluer and health communications strategist Karen Hilyard, who shares strategies as well.Transcript

The Iowa Caucuses and Political Momentum Shifting our attention to the realm of political influence and public opinion, the conversation turns to the anticipation surrounding the state of play within the Iowa Caucuses. In this traditional kickoff to the election season, all eyes focus on which presidential hopefuls will gain momentum and which might wane. As the caucuses approached, the political landscape in Iowa seemed stable, with turnout being the decisive factor. The discussion delves into analyzing the momentum of various candidates, particularly Nikki Haley, whose comments in New Hampshire stirred controversy. Rather than resonating with grassroots voters, Haley's remarks hinted at a disparaging view of Iowa's electorate, which some might perceive as elitist. Comments or strategies that alienate voters can significantly affect a campaign, especially in such a localized, hands-on atmosphere as the caucuses. The Upcoming Iowa Legislative Session Beyond the caucuses, the Iowa General Assembly session looms, with critical legislative matters on the horizon. In addition to another round of income tax reforms, ITR will be advocating for two proposed constitutional amendments aimed at fortifying taxpayer protections. Firstly, the requirement of a two-thirds majority in both houses for increasing income tax rates stands as a safeguard for taxpayers against potential tax hikes. This measure intends to insulate taxpayers from the fickleness of changing political winds, necessitating stringent justification for any spending that could necessitate increased tax rates. Secondly, is an amendment to bolster integrity of the taxpayer relief fund, with the proposal to enshrine its use strictly for income and sales tax relief into the constitution, thus ensuring that it remains a vehicle for giving back to the taxpayers it was intended to benefit. Further strengthening Iowa's fiscal responsibility could be the entrenchment of a 99% spending limitation into the state constitution. This would serve to secure current fiscally conservative measures and make it challenging for future administrations to deviate without substantial legislative consensus. Regulatory Reform and Economic Growth The notion of regulatory reform is integral to the philosophy of ensuring sustainable and robust economic growth in Iowa. The discussion on this episode turns to to several significant advantages to be garnered from prudent regulatory reform measures. Crafting a Responsive and Efficient Regulatory Framework Iowans deserve a regulatory environment that is, above all, responsive and efficient. Regulatory sandboxes, for instance, represent innovative policy solutions that provide entrepreneurs with the opportunity to develop and test new products or services in a controlled setting. This limited regulatory relief can prove to be invaluable for the nurturing of emerging industries and the fostering of economic innovation. Occupational Licensing Reform The reform of occupational licensing represents another aspect of regulatory overhaul aimed at lowering barriers to entry in various professions. By making it easier for individuals to earn a living and encouraging entrepreneurship, the legislature has already set a precedent for fostering a more inclusive economic environment where talent and hard work are rewarded. Health Care Access and Certificate of Need Reform The debate around Certificate of Need (CON) laws in healthcare is indicative of ongoing efforts to dismantle monopolies and open up the market to competition. As highlighted, other states have seen positive results from repealing outdated CON laws, such as expanded access to health care services and reduced costs. Iowa could potentially follow suit and champion free-market principles to improve healthcare affordability and accessibility.

This week on The Florida Roundup, we spoke with Florida Senate President Kathleen Passidomo about her top priorities for the upcoming legislative session including her health care proposal. We also talked about how the plan aims to expand health care access with Politico reporter Arek Sarkissian. Then, we talked about how the issue of free speech is playing out on Florida campuses, with State University System Chancellor Ray Rodrigues. Later, FPREN meteorologist Megan Borowski joined us for an update on a developing storm, and we shared two stories at the intersection of water and health.

Join J. Wesley Boyd, a psychiatrist, to dive into the critical issue of child and adolescent mental health care accessibility. Drawing insights from a recent study, we'll explore how the COVID-19 pandemic has exacerbated challenges in obtaining timely treatment for young individuals, particularly those with Medicaid. We shed light on the barriers, disparities, and potential solutions, offering a compelling perspective on the urgent need for collaborative efforts to prioritize mental well-being in the younger generation. J. Wesley Boyd is a psychiatrist. He discusses the KevinMD article, "Accessing needed pediatric mental health care was difficult before the pandemic and is now at crisis levels." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. Ambient intelligence augments human capabilities to make our lives easier. The applications are many, especially in health care. Ambient clinical intelligence is offsetting the most pressing challenges in health care today, such as burnout, physician shortages, physician and patient dissatisfaction, and underperforming financial outcomes, by applying the technology to clinical documentation.  The Nuance Dragon Ambient eXperience, or DAX for short, utilizes artificial intelligence and natural language processing to automatically document care. It securely listens to and captures the natural, clinician-patient encounter conversation unobtrusively, and turns that conversation into a clinical note for the clinician's review and signature directly in the electronic health record. You just talk naturally, and DAX does the rest.  DAX is being used by thousands of physicians across 30 different specialties nationwide. It has already won the Silver Stevie award in the health care technology category and was ranked #1 for improving clinician experience in KLAS's top 20 emerging solutions. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/niDOCI Powered by CMEfy.

As lawmakers push for banning gender-affirming care in their states, the effects are felt by doctors in states where the care is legal. As a result, physicians who provide such care to transgender adolescents say they have been threatened. Megan Messerly talks with host Ben Leonard about the far-reaching effects on doctors and minors nationwide.

ACC Recap No. 2: Pacing in HFpEF, Oral PCSK9 inhibitor, PAH, soft thinking on adherence, and so called metabolically healthy obese are discussed by John Mandrola, MD, in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Pacing in HFpEF No Exercise Boost From Pacemaker in HFpEF With Impaired HR Response: RAPID-HF https://www.medscape.com/viewarticle/989681 - Rate-Adaptive Atrial Pacing for Heart Failure With Preserved Ejection FractionThe RAPID-HF Randomized Clinical Trial https://jamanetwork.com/journals/jama/article-abstract/2802147 - Accelerated Pacing a Possible Strategy for Preserved-EF Heart Failure? https://www.medscape.com/viewarticle/987815 - Could a Breakthrough in Heart Failure With Preserved Ejection Fraction Just Take a Change of Pace? - https://www.medscape.com/viewarticle/988088 - Effect of Personalized Accelerated Pacing on Quality of Life, Physical Activity, and Atrial Fibrillation in Patients With Preclinical and Overt Heart Failure With Preserved Ejection Fraction: The myPACE Randomized Clinical Trial https://jamanetwork.com/journals/jamacardiology/fullarticle/2801001 - Effect of β-Blocker Withdrawal on Functional Capacity in Heart Failure and Preserved Ejection Fraction https://doi.org/10.1016/j.jacc.2021.08.073 II Oral PCSK9i Oral PCSK9 Inhibitor Shows Encouraging LDL Lowering https://www.medscape.com/viewarticle/989655 - Efficacy and safety of the oral PCSK9 inhibitor MK-0616: a phase 2b randomized controlled trial https://www.jacc.org/doi/10.1016/j.jacc.2023.02.018 III PAH 'Unheard of' PAH Improvement With Novel Drug: STELLAR https://www.medscape.com/viewarticle/989612 - Phase 3 Trial of Sotatercept for Treatment of Pulmonary Arterial Hypertension https://www.nejm.org/doi/full/10.1056/NEJMoa2213558 IV Medical Adherence Waiving Co-Pays for CV Meds as Adherence Incentive Doesn't Cut Clinical Risk: ACCESS Trial https://www.medscape.com/viewarticle/989474 - Eliminating Medication Copayments for Low-income Older Adults at High Cardiovascular Risk: A Randomized Controlled Trial https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.123.064188 - Medicaid Expansion: Good First Step, but No Panacea for CV Care https://www.medscape.com/viewarticle/975141 - Health Care Access and Management of Cardiovascular Risk Factors Among Working-Age Adults With Low Income by State Medicaid Expansion Status https://jamanetwork.com/journals/jamacardiology/article-abstract/2793120 - Rand Link https://www.rand.org/pubs/reports/R3055.html - The Oregon Health Insurance Experiment https://www.healthaffairs.org/do/10.1377/hpb20150716.236899/full/ - Effect of Health Insurance in India: A Randomized Controlled Trial https://www.nber.org/papers/w29576 - Full Coverage for Preventive Medications after Myocardial Infarction https://www.nejm.org/doi/full/10.1056/nejmsa1107913 - Effect of Medication Co-payment Vouchers on P2Y12 Inhibitor Use and Major Adverse Cardiovascular Events Among Patients With Myocardial InfarctionThe ARTEMIS Randomized Clinical Trial https://jamanetwork.com/journals/jama/fullarticle/2720024 - Coronary CT Angiography and 5-Year Risk of Myocardial Infarction https://www.nejm.org/doi/full/10.1056/NEJMoa1805971 IV Metabolically Healthy Obese 'Metabolically Healthy Obesity' Rising, but Still Uncommon https://www.medscape.com/viewarticle/989398 - Trends in the Prevalence of Metabolically Healthy Obesity Among US Adults, 1999-2018 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2802164 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

Hurricane Ian has impacted health care facilities across Florida, making it very difficult for medically vulnerable people to get the care they need. Tom Carter is the president and executive director of Health Care Ready, a nonprofit that coordinates public, private and government responses to disasters. He joined William Brangham to discuss the needs of hurricane victims. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders

Undocumented individuals often can't or are afraid to seek health care due to a lack of insurance or fears that services could interfere with their immigration status. Luvia Quiñones, senior director of health policy at the Illinois Coalition for Immigrant and Refugee Rights, and Mervin Dino, who runs a safety net health care program at Advocate Aurora Health in Chicago, talk with Dr. Josh Sharfstein about advocacy efforts to expand health care access to undocumented immigrants, how providers should consider making services more welcoming for this population, and how COVID-19 became a case study in the importance of extending care to all.