The Affordable Care Act (ACA) includes a groundbreaking nondiscrimination provision known as Section 1557, or the “Health Care Rights Law,” which serves as the first federal law to prohibit sex discrimination in health care. Section 1557 is critical to protecting women and LGBTQ individuals from discrimination in health care. Unfortunately, Section 1557 is not immune from ongoing efforts to sabotage the ACA: The Trump Administration indicated that it intends to roll back or repeal parts of the rule that the Obama administration issued in 2016 implementing Section 1557.
What is Section 1557 and how did the Obama rule interpret it?
If health care advocacy were a sport, there’d be no question about our defensive strategy. Much of our collective efforts over the last few years have centered around defeating threats to Medicaid and Medicare, and protecting the Affordable Care Act. Defense is crucial; defense is where games are lost. And defense is exciting. There’s a palpable urgency in the crunch to defend needed programs that piques the interest of otherwise passive spectators, and as our state partners have seen,.... Read More
Health Needs of Older Rural Immigrants Often Overlooked
by Beth Baker. This article originally appeared on Next Avenue.
Micaela Rios, 64, who immigrated to rural western Kansas from Mexico 20 years ago, has a difficult job in a meatpacking plant. After years of packing beef in cold, wet conditions, she developed arthritis and high blood pressure. When she was 60, she had a heart attack.
Many immigrants and refugees work alongside her, some of them older than she, Rios said. Despite the arduous work, she feels lucky that the job comes with health insurance. She hopes to retire once Medicare kicks in.
“One reason she hasn’t retired is because of her health insurance,” said her daughter, Karla Davila, who acted as her mother’s interpreter for this interview..... Read More
Heart Disease Still Deadly for African American Women
The future remains uncertain for the Affordable Care Act (ACA), which opened the door for a major overhaul of the United States healthcare system with President Barack Obama’s signature in 2010, and which continues to be attacked and subjected to legislative revisions initiated by President, Donald J. Trump and his Republican colleagues.
But women, who tend to serve as the primary caregivers for their families while often ignoring their own health, can ill afford to wait until the dust finally clears, particularly when it comes to their hearts.
Often thought of as a “man’s disease,” heart disease stands as the leading cause of death for women in the United.... Read More
Take it from our family, long-term care takes a devastating toll on finances and emotional health
by Andrew Lam. Andrew is the author of two books of personal essays: “Perfume Dreams: Reflections on the Vietnamese Diaspora,” and “East Eats West: Writing in Two Hemispheres,” and a book of short stories, “Birds of Paradise Lost.” This article was originally published by the Center for Health Journalism.
The cost of aging in America is exorbitant, which my siblings and I are finding out firsthand through our struggles over the past three years to take care of our aged parents.
My mother, suffering from Alzheimer’s, spends her remaining days mostly in a hospital bed in hospice care, but mercifully next to my father. Both live in an apartment in.... Read More
Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries
Air conditioners for people with asthma, healthy groceries, rides to medical appointments and home-delivered meals may be among the new benefits offered to Medicare beneficiaries who choose private sector health plans, when new federal rules take effect next year.
On April 3, the Centers for Medicare & Medicaid Services (CMS) expanded how it defines the “primarily health-related” benefits that private insurers are allowed to include in their Medicare Advantage policies. And insurers would include these extras on top of providing the benefits traditional Medicare provides.
“Medicare Advantage beneficiaries will have more supplemental benefits, making it easier for them to lead healthier, more independent lives,” said CMS.... Read More
We Hear You: Why Being Culturally Competent Matters in Aging Services
Salma Abdul* was born and grew up in Bangladesh. Her children left for the US to study, then settled in the country as permanent residents. When her husband died, she found herself alone. Her children, unable to leave their lives in the US, but worried about her aging alone, asked her to come and join them in America. When Abdul arrived in the USA at 69 years of age, she had to find her feet in a brand new country and culture. Her adopted country was technologically more advanced and spoke a language she didn’t understand. Its culture was completely different from hers. Its systems were complex and, because she couldn’t speak fluent English, harder to navigate.
For many Southeast Asian Americans, the Affordable Care Act (ACA) repeal fight last year felt personal.
When the ACA was first passed, uninsured rates in Cambodian, Hmong, Lao, and Vietnamese American communities were high. Compared to the 15% of Americans overall who did not have health insurance in 2011, 20% of Cambodian, 20% of Vietnamese, 19% of Laotian, and 16% of Hmong Americans were uninsured. Too many families used emergency rooms as last-resort healthcare providers or went for years without regular check-ups.
Only four years later in 2015, the uninsured rate was cut in half. Thousands of families were finally accessing the preventative and life-saving care that they needed. Some accessed care through the healthcare exchange, supported by subsidies to.... Read More
Worried About Care for Your Aging Parents? Support Racial Justice.
As a long-term care advocate, the most common question I get from friends is about access. A friend needs home care for his father with dementia, but he doesn’t know where to start or whether he can afford it. Another friend who has begun applying for Medicaid for her mother soon discovers that the application process is arduous and deeply invasive. Worse, she learns that paying for a nursing home will quickly deplete her mother’s savings—as designed by Medicaid—just to qualify for government support. The safety net for people who need long-term care is fractured, unfair and complicated—a painful realization at the worst possible time.
I think of these scenarios when I’m caught in policy debates about.... Read More
A Culturally Relative Approach to Outreach in Rural & Frontier Communities
by Clarissa Durán, Program Manager for the Rio Arriba County – Northern NM BEC. This article originally appeared on the website of the National Council on Aging (NCOA).
The Northern New Mexico Benefits Enrollment Center (NNM BEC) is a partnership of entities in North Central New Mexico comprised of Rio Arriba County Health and Human Services (RAC HHS) Department Senior Care Services Division, Santa Fe County Human Services Department, Holy Cross Hospital in Taos, and North Central Community Based Services (a non-profits agency in the northern frontier area of Rio Arriba County) as well as many nonprofit supporting partners.
Covering an 8,000 square mile tri-county area, the NNM BEC serves many rural.... Read More
Paiute Tribe Elders Navigate a Faltering Health Care System
Dennis and Betty Smartt live in a neatly painted white-and-blue home on the Fort McDermitt Paiute and Shoshone Reservation, on the Nevada-Oregon border. They’ve spent their entire lives here, in this small tribal community of 600 people.
The Smartts, members of the Paiute Tribe, exemplify the challenges Native elders face as they get older in remote communities with poor health care access.
At their home, Dennis’ handcrafted eagle feather headdress adorns a stand in the living room. He recently returned from a trip to Fort Bidwell, Calif., where he spoke at a traditional gathering of elders for prayer and cultural talks. That trip illustrated some of the challenges the Smartts and.... Read More
Texans With HIV Cope With Homes And Medicines Ruined By Hurricane Harvey
This story by Kaiser Health News senior national correspondent Sarah Varney aired Nov. 24, 2017, on Here & Now.
Angelia Soloman watched out the window of her ranch house in northeastern Houston as the floodwaters rose up to the windowsills.
She huddled inside with her three adopted children (ages 12 to 15), a nephew and her 68-year-old mother. “They were looking and crying, like, ‘We’re gonna lose everything,’” said Soloman. “And I’m like, ‘No, it’ll be OK.’”
When the water began rushing under the front door, filling up the house like a bathtub, Soloman led her family outside, and plunged into a river of water up to her chest.
The hurricane couldn’t have come at a worse time.... Read More