By Rebekah Sager for the Pennsylvania Independent.
Broadcast version by Danielle Smith for Keystone State News Connection reporting for the Pennsylvania Independent-Public News Service Collaboration

On Jan. 23, Sen. Rand Paul of Kentucky introduced a bill called the Defund Planned Parenthood Act, which states, "Notwithstanding any other provision of law, no Federal funds may be made available to Planned Parenthood Federation of America, or to any of its affiliates."

A press release on Paul's Senate website links the bill to the "March for Life" event staged by abortion opponents every year in Washington, D.C., and says, "The Defund Planned Parenthood Act would ensure federal tax dollars aren't going to organizations, like Planned Parenthood, to perform abortions."

But the reality is that federal funding for abortion has been prohibited by the Hyde Amendment, a restriction included in annual federal spending bills since 1976, except in cases of medical emergencies in which a pregnant woman's life is at stake.

Instead, what prohibiting federal funding of Planned Parenthood would do is put an end to Medicaid reimbursement to providers of the costs of an array of reproductive health care services for those who wouldn't otherwise be able to afford them.

Fadia Halma, 55, was just 12 when she found her way to a Planned Parenthood clinic in Bethlehem, Pennsylvania. She told the Pennsylvania Independent that she'd gotten her period at school; her family hadn't discussed anything related to sex education with her, and not knowing what was happening to her, she believed she was dying.

"I had no idea what was going on," Halma said. "I just knew I was in a lot of pain, and there was blood, and I was being sent to the nurse's office."

She said that after a few hours during which the school tried unsuccessfully to reach her mother, who worked in a factory, a teacher gave her a piece of paper with an address on it and told her to go there for help. Halma said she walked five miles to what turned out to be a Planned Parenthood clinic, where she was given menstrual pads and told what was happening with her body.

"I told them that we didn't have health insurance. We were very poor and didn't know how I was going to be able to buy pads. So they gave me, like, six months' worth of pads and had somebody drive me home because I was so shaken up over it," Halma said. "It literally had such an impact on my view of the world and helping others that I didn't want what happened to me to happen to others."

The health care services offered by Planned Parenthood include screenings for cervical and breast cancer and sexually transmitted infections, prenatal and postpartum care, and education on contraception. The organization reported that its clinics had seen 2.05 million patients in 2022-2023.

Halma said she used Planned Parenthood clinics for her reproductive health care through college and into her late 20s, for everything from birth control to help with recurring urinary tract infections.

Planned Parenthood funding comes from private donations, Medicaid, and federal grants that reimburse clinics for providing services to patients who are unable to pay, the latter through the federal Title X program, established in 1970 to make family planning and reproductive health care accessible.

In addition to Sen. Rand Paul's bill, which has seven Republican cosponsors, two pending lawsuits pose a threat to the organization.

The U.S. Supreme Court is currently considering Kerr v. Planned Parenthood South Atlantic (now called Medina v. Planned Parenthood), a case on whether South Carolina can end all Medicaid funding to Planned Parenthood. The case was brought by by the Alliance Defending Freedom, an anti-abortion legal group.

"The Kerr case could hobble Planned Parenthood and dramatically reduce access to family planning services in lots of states," Elizabeth Sepper, a professor at the University of Texas School of Law and a scholar on religious liberty and health law, told Slate.

In a statement, Jenny Black, the president and CEO of Planned Parenthood South Atlantic, said, "This case is politics at its worst: anti-abortion politicians using their power to target Planned Parenthood and block people who use Medicaid as their primary form of insurance from getting essential health care like cancer screenings and birth control."

In 2023, U.S. District Judge Matthew Kacsmaryk ordered a jury trial for a lawsuit initially filed in 2021 against Planned Parenthood and its Texas affiliates with the claim that the clinics had defrauded the Medicaid system by continuing to bill the state after it made Planned Parenthood ineligible to participate in Medicaid. Texas officials are seeking $1.8 billion in repayment and civil penalties, an amount that could cripple the organization.

After years of fundraising, talking to people about the organization, and organizing volunteer escorts for patients, Halma recently became a Planned Parenthood board member.

Halma said she's been working to help people understand what rights they have and what legal challenges the organization may face, and making sure that people understand that those facilities are going to stay open for them.

"People don't realize that all people use Planned Parenthood. It's not just poor people. They think that we're offering this to just kids who are having early sex and getting pregnant. That's not what it's about at all," Halma said. "There's all different age groups that come to Planned Parenthood, all different types of constituencies, white, Black, brown, Asian - there's many different constituents that actually come to Planned Parenthood and use it. ... A woman has the right to have health care. It's just a basic human right, and they should not have the ability to dictate where we get that health care."


Rebekah Sager wrote this article for the Pennsylvania Independent.


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People who are part of the Deferred Action for Childhood Arrivals program, known as DACA, will be dropped from their CoveredCA health plans at the end of August.

The move comes after the Trump administration changed a Biden-era definition of "lawfully present" to revoke health care eligibility for thousands of immigrants.

Christine Smith, policy and legislative advocate for the nonprofit Health Access California, said people only have a few weeks to get medical appointments in before their coverage ends.

"If you're enrolled in Covered California and you're a DACA recipient, the Trump administration just ended your coverage," Smith emphasized. "People should use as much of your health care as you can before the August 31st deadline."

The Centers for Medicare and Medicaid Services defended the move, saying it will save taxpayers money. CoveredCA estimated the change affects about 2,400 DACA recipients in the state who make too much to qualify for Medi-Cal and have jobs not providing health insurance. They can still buy private insurance but it is much more expensive. People who prepaid for their coverage can seek a refund.

Smith predicted it will be a blow not just to those who lose coverage but to the state's health care system as a whole.

"The lines in the ERs are going to be longer because people are not going to be able to get affordable preventive care," Smith projected. "They're just going to get sicker and then end up in the ERs. People will overall incur more medical debt. Hospitals will have more uncompensated care."

The change is nationwide. As of mid-July, about 538,000 people in the DACA program across the U.S. are ineligible to enroll in any state-based insurance marketplace and are unable to access premium subsidies or cost-sharing assistance.

Artificial intelligence is appearing more prominently in many aspects of life and research suggests older populations are curious, yet remain wary of using the technology in their everyday lives.

According to Stats Indiana, there are more than 1.5 million Hoosiers aged 65 and older, or 18% of the state's population. Experts said it is likely the demographic will use AI in some form in the next few years, either by choice or necessity.

Dr. Shaun Grannis, vice president of data and analytics for the Regenstrief Institute on Aging, said AI offers real benefits.

"It can reduce loneliness through conversation, provide reminders for medications and appointments," Grannis outlined. "It can support cognitive stimulation via games, storytelling, news updates."

The technology can also offer a low-pressure way to access information on public services, he added, which is valuable for those with mobility issues or those who feel intimidated by technology.

Grannis cautioned any tool which can be used for good can also lead to problems. He noted AI can create a false sense of companionship and mask social isolation. Overdependence is a legitimate concern, he argued, if the technology becomes a "crutch" for all forms of interaction.

"All cognitive activities or decision-making, it can actually lead to and create a negative feedback loop, lead to a decline in engagement and even basic self-management skills," Grannis explained. "This is risky."

Grannis believes one solution is designing AI systems to complement, not replace, human interaction. He stressed it can be done though building broader support ecosystems including family, friends, caregivers and community services. Grannis emphasized it would encourage real-world activity, prompting the user to go for a walk, call a grandchild or attend a local senior event.

If you have an extra five minutes, you can save a life because you can learn cardiopulmonary resuscitation at no cost from a new mobile, hands-only CPR kiosk.

The new kiosk is in the lobby of Saint John's Health Center in Santa Monica. The machine's touch screen gives a brief overview of hands-only CPR and you can practice right there, on a mannequin.

Dr. Rigved Tadwalkar, cardiologist at St. John's, said it is an easy way for people to get more comfortable giving chest compressions in an emergency.

"It's a lot like a video game but of course, a lot more important than a video game," Tadwalkar pointed out. "It gives real-time feedback about the depth and rate of compressions, proper hand placement, which are all factors that influence the effectiveness of CPR."

The American Heart Association operates the St. John's mobile kiosk and a stationary model at L-A-X with support from the hospital. Santiago Canyon College in Orange County also has a mobile hands-only C-P-R kiosk now through September, sponsored by Edwards Lifesciences.

Steven Munatones, an Orange County business owner, said he survived what's known as a "widowmaker" heart attack which led to cardiac arrest nine years ago, thanks to his 17-year-old son, who gave him immediate CPR with instructions from a 911 operator.

"You don't have to put your mouth to anybody's mouth," Munatones explained. "You just put your hand on their chest and pump. He saved me, and others can do the same, anywhere. So, it's absolutely a lifesaving, heroic act that anybody can do."

Statistics show 350,000 Americans suffer from cardiac arrest outside a hospital each year and about 90% die, in part because they do not receive CPR. About 70% of those cardiac arrests happen at home, so people often depend on family or friends to give CPR before an ambulance arrives.