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Airline travel and more disrupted by global tech outage; Nevada gets OK to sell federal public lands for affordable housing;Science Moms work to foster meaningful talks on climate change; Scientists reconsider net-zero pledges to reach climate goals.

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As Trump accepts nomination for President, delegates emphasize themes of unity and optimism envisioning 'new golden age.' But RNC convention was marked by strong opposition to LGBTQ rights, which both opened and closed the event.

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It's grass-cutting season and with it, rural lawn mower races, Montana's drive-thru blood project is easing shortages, rural Americans spend more on food when transportation costs are tallied, and a lack of good childcare is thwarting rural business owners.

Report: Community Health Centers Work to Address Primary-Care Shortage

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Tuesday, March 28, 2023   

Health insurance does not help you if you can't find a primary-care doctor - and that is a problem for 100 million Americans, according to a new report. Researchers from the National Association of Community Health Centers have found that one-quarter of medically disenfranchised people are children.

Joe Dunn, senior vice president for public policy, National Association of Community Health Centers said one-third of the nation struggles to get an appointment - a percentage that has risen over the past decade.

"That's largely due to the consolidation across the health-care system, and the worsening shortage of primary-care providers. Our health centers, especially in this post-COVID environment, they want to retain and recruit new providers, but it's just a real challenge," Dunn said.

Officials estimate the state need about 4,700 additional primary-care clinicians in 2025 and about 4,100 additional providers in 2030 to meet demand. California has multiple programs designed to attract more medical students to choose primary care - and then to practice in rural areas, where the need is greatest.

Dunn says 30 million low-income patients per year depend on community health centers.

"40% of health centers are in rural areas," Dunn said. "And those are often in communities where there's little other kind of network infrastructure to take care of the patients that typically go to a health center. 90% of the patients are at or below the 200% of the federal poverty level."

Denise Nix, a spokesperson for Physicians Retraining and Reentry - an education company started by a professor at UC San Diego that helps specialists re-train to serve as primary care physicians, said says California needs more hands on deck to lighten the load.

"Physicians today are struggling with large caseloads, requirements to keep exams short, administrative demands, insurance requirements. And then there's the burnout that comes with working in a deadly pandemic for the last few years," she said.

A state program called Let's Get Healthy California has mapped out the physician shortage, and finds that Alpine, Calaveras, Glenn, San Benito and Sierra counties have the biggest deficit.

Disclosure: Sierra Club contributes to our fund for reporting on Climate Change/Air Quality, Energy Policy, Environment, Environmental Justice. If you would like to help support news in the public interest, click here.


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