NORTH HAVEN, Conn. - Amidst talk of raising the federal debt ceiling and balancing the budget through massive cuts to domestic spending, a new study focuses on the price many families whose children have special health care needs would have to pay if the Medicaid budget is cut. Almost 3 million such children rely on Medicaid or state Children's Health Insurance Programs (CHIP).

One of them is Tesha Imperati's 12-year-old son, who is autistic. Imperati, a single, working mother of two from North Haven, says she depends on Medicaid coverage through Healthcare for Uninsured Children and Youth (HUSKY).

"If we didn't have medical insurance and dental and the pediatrician, unless it was an emergency I couldn't afford to take them to the doctor."

The study, from the Georgetown University Center for Children and Families, says children with conditions such as autism, cancer, cerebral palsy, genetic disorders and epilepsy, and also some who suffer from common childhood diseases like asthma and diabetes, could lose their health coverage if Medicaid is cut.

Liz Arjun is the lead author of the report. She points out that health emergencies strike unexpectedly.

"Any family could find itself in this position at any time: a child suddenly diagnosed with a significant health condition. Medicaid is the one thing that can keep that family, often, from bankruptcy."

She adds that hundreds of thousands of additional families have private insurance but rely on Medicaid to pay uncovered expenses.

Supporters of the cuts say they are needed to balance the budget and keep some programs from going broke.

The study, "Medicaid and its Role for Children and Youth with Special Health Care Needs (CYSHCN): A Family Perspective," is available at http://ccf.georgetown.edu//index/medicaid-children-and-youth-with-special-health-care-needs.



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Diabetes diagnoses are climbing, with about 37,000 adults diagnosed in Indiana every year, and doctors caution they are seeing more cases in younger patients.

Diabetes means the body is unable to maintain a healthy blood glucose or blood sugar level. Type 1 is caused by an autoimmune process affecting the pancreatic cells which make insulin. Type 2 diabetes means the body has reduced sensitivity to the insulin it naturally produces.

Dr. Tamara Hannon, pediatric endocrinologist at Indiana University's Riley Hospital for Children, explained why the body's response function changes.

"The pancreas can stop making enough insulin for a number of reasons," Hannon noted. "Could be genetic, the cells get damaged over time by having to work too hard, an infection, high blood fat levels, or just getting exhausted over time."

The Centers for Disease Control and Prevention predicts if the rate of new diagnoses in kids and teens continues to climb, Type 1 diabetes cases would increase by about 65 % and Type 2 by about 700% by the year 2060.

There is no cure for Type 1 diabetes but its progression can be delayed with medication. For the more common Type 2, cell damage can be delayed or even reversed through weight loss, exercise, lifestyle changes and medication.

Hannon pointed out with the epidemic of childhood obesity, younger people are developing diseases traditionally diagnosed in adults, in part because of their food and beverage choices and other environmental factors. She added research shows sugary drinks in particular increase the risk for not only Type 2 diabetes, but liver disease and cardiovascular disorders.

"If you think about when you drink sugar versus when you eat foods that contain sugar, there's a different way that is absorbed and metabolized," Hannon observed. "If you drink something that's sugary, the sugar goes into your bloodstream quite quickly."

Hannon stressed the body has to mount a quick metabolic response to a rapid sugar download but the natural sugars in whole foods, like fresh produce and certain vegetables, are not absorbed by the body as quickly. According to the American Diabetes Association, 12%, or about 666,000 Hoosiers, are diabetic.


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The Missouri Foundation for Health has named the first five winners of its new "Spark Prize," an award backing Missourians who are working to promote health equity.

Each winner gets $200,000 in no-strings-attached funding to fuel their vision. Awardees were chosen for their potential to create meaningful, lasting change in the Show-Me State.

Evonnia Woods, a community organizer and movement builder, was one recipient, chosen for her progress and vision to advance racial, reproductive and economic justice across Missouri. She shared why the award from the foundation is unique.

"A lot of foundations, they want to see evidence that you're already doing what you're asking for funds to continue doing," Woods explained. "In this regard, it's like, 'Oh, you believe in me. This is good because I believe in me.'"

Unlike traditional grants, the Spark Prize is flexible and trust-based, given directly to individuals and not organizations. The recipients were selected from more than 170 nominations from diverse backgrounds, regions and sectors across Missouri.

Ciearra "CJ" Walker, founder and CEO of the Community Health Worker Coalition, which has trained more than 300 community health workers in St. Louis and supported more than 600 statewide, was a recipient. Walker, a Detroit transplant, shared the motivation behind starting her organization and her vision for the future.

"What we are hoping to do is to replicate across the country what's possible when we position ourselves," Walker noted. "Not just to extract from our community leaders, but to truly allow them to be architects of the system that they participate in and benefit from them accordingly."

Walker added her coalition also reinvested $30,000 dollars into its members through pay, training and growth support.

More St. Louis County libraries are teaming up with the American Heart Association to offer blood pressure cuffs for checkout, to help people take charge of their health.

Library branches have 100 "Libraries at Heart" kits available to check out. They include a blood pressure cuff, instructions, a tracking sheet, and information on how to manage blood pressure.

Cidney Grimes, community impact manager for the Missouri Chapter of the American Heart Association, explained why they chose libraries for this potentially life-saving initiative.

"The library is a great place to meet people where they are," said Grimes. "The libraries already have the trust of the communities. They're already doing so much community-focused work, and people are already going to be there."

Grimes said the kits can be used at the library kiosk or checked out for home use. The program is supported by a corporate sponsor, Edward Jones.

According to the American Heart Association, nearly half of U.S. adults have high blood pressure, and many either don't know it or have it under control.

The Heart Association also warns that unmanaged high blood pressure puts extra strain on the heart, arteries, and organs - raising the risk for health problems like heart attacks, strokes, and kidney disease.

Grimes emphasized that people monitoring their own blood pressure should take two readings, at least one minute apart, and ensure their posture is correct.

"Make sure you're sitting straight up in the chair," said Grimes. "Your feet are touching the ground and you're just calm. You haven't drunk any alcohol or any beverages, anything like that, within 30 minutes of you taking the measurement."

High blood pressure doesn't affect everyone equally. About 56% of Black adults have it, compared to 48% of white adults and 39% of Hispanic adults.

The numbers are even higher for Black women, at around 58%.