As Senate Republicans struggle to repeal and replace the Affordable Care Act, one thing they can agree on is cutting federal spending on Medicaid.
The program was expanded under the ACA as a way of extending coverage to more people, mostly school-age children and adults who previously weren’t eligible. There are 37 million kids, the biggest group of Medicaid enrollees, who would be hit hard by cuts to coverage and benefits. Read more
It’s a rainy weekday morning in North Philadelphia, and once again, as I have been doing for the last 15 years, I sign on to our electronic health-records database and prepare for the 26 young patients, ages 1 month to 20 years, on my schedule. It’s a few days after the White House’s 2018 budget proposal, “A New Foundation for American Greatness,” was released last month.
Most of my patients are on Medicaid, although I also check to see whether any have insurance benefits such as discounted gym memberships, a big help for low-income families struggling with obesity.
Reviewing clinical notes, I’m reminded that several of the families have what’s known as food insecurity, Read more
If you are a foster child getting medications for emotional and mental health issues in the United States you may be getting more than you need. A 2011 report by the Government Accountability Office (GAO) showed that foster children in five surveyed states “were prescribed psychotropic drugs at rates 2.7 to 4.5 higher than were nonfoster children in Medicare in 2008” (GAO-12-270T). This was true for all three age ranges examined, from birth to age 17. In a follow-up 2012 GAO nationwide survey, 18 percent of foster children were taking at least one psychotropic medication (GAO-14-651T). Many were taking multiple medications concurrently.
One major reason for this problem is polypharmacy, or the use of multiple medications by a single patient, often to treat the same condition. Approximately 13 percent of foster children Read more
Proposed federal budget cuts threaten to defund programs that help children and families meet basic needs or recover after a difficult life event. On Friday, April 21, Sen. Bob Casey joined advocates and community members at Calvary United Methodist Church in Philadelphia to discuss how these cuts could impact millions of Pennsylvanians.
Casey said, “What some extreme members of Congress want to do is cut basic programs in ways we have never seen before, so wealthy Americans get more of a tax break.” He pointed out that the Trump administration’s proposed repeal of the Patient Protection and Affordable Care Act was “a big tax cut bill” that would Read more