DENVER - Coloradans increasingly are concerned about rising health-care costs, according to a new poll. It found many Colorado families are struggling to pay bills even if they have insurance, and that cost burdens disproportionately are affecting communities of color.
When pollsters asked what word comes to mind when they think of health care, said Chris Keating, president of Keating Research, the group that produced the survey for the group Consumers for Quality Care, most respondents said, "Expensive."
"One in four Coloradans currently have an unpaid or overdue medical bill that they are struggling to pay off," he said. "It's a burden. Among Latinos in Colorado, nearly half say they have an unpaid medical bill."
Seventy-five percent of the Colorado voters surveyed agreed that the cost of health care seems to rise each year, with out-of-pocket costs - such as deductibles, premiums and copays - major barriers to accessing care. Across party lines, a majority also supports recent state legislation designed to rein in rising costs. The Colorado Standard Health Benefit Plan Act would create a public health-insurance option if the industry fails to meet cost-reduction targets.
The polling, also done in other states, showed that the pandemic has had a significant impact on how voters view the nation's health-care system. Jim Manley, a board member at Consumers for Quality Care, said polls in the last year indicated more than eight in 10 Americans believe COVID-19 has exposed flaws in the health-care system.
"Obviously, the pandemic is driving a lot of health-care-related issues," he said, "but I think it's pretty clear that especially in the wake of the COVID pandemic, voters want to make sure that their insurance is affordable and protects them, especially if they have preexisting conditions."
Manley said voters nationally were more concerned with health-care costs than costs related to child care, higher education, housing and retirement. National polls also showed strong support for elected officials to keep insurance deductibles low enough so they don't get in the way of receiving quality care. Nine out of 10 polled Colorado voters agreed.
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Groups across the state are working to reduce overdose deaths among minority populations.
According to state data, overdose deaths are on the decline but among Black residents, there were around 68 deaths per 100,000 people last year; more than 51% greater than the overall rate of deaths.
Matt Johnson, board member of the nonprofit CARES Coalition in Franklin County, said the county is struggling with a lack of emergency shelter and medical services for undocumented individuals. The coalition's Community Connectors Project aims to go door-to-door in neighborhoods to help residents access the services they need.
"People who don't necessarily have a visa or a green card, or even health insurance," Johnson outlined. "We need them to be able to go and receive services; for kids to be able to see dentists, especially within our minority population has been a challenge."
The coalition is one of 10 organizations awarded $50,000 grants from the Foundation for a Healthy Kentucky's Funding for Recovery Equity and Expansion program, a partnership with the Cabinet for Health and Family Services' Kentucky Overdose Response Effort.
In Western Kentucky, the Four Rivers Foundation has expanded mental health and health care services in underserved schools.
Dr. Alex Wright, CEO of Wright Medical who works with the foundation, said gaps in access often result in students either not receiving or experiencing long delays in care. He noted so far, more than 3,000 students have been served in the classroom.
"In some of our districts, we estimated up to 50% of children were lacking any continuity of health care," Wright reported. "Many of these children haven't had a pediatrician or primary care provider, usually since they were an infant or a toddler."
Research points to increased stigma surrounding substance use disorder and mental health in communities of color. According to the Yale School of Medicine, treatment inequities persist. Nationwide in 2018, the majority of Black and Hispanic people diagnosed with the substance use disorder did not receive treatment.
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By Cat Sandoval for WISH-TV.
Broadcast version by Joe Ulery for Indiana News Service reporting for the WISH-TV-Free Press Indiana-Public News Service Collaboration
Respiratory syncytial virus (RSV) is on the rise in Indiana, according to the Centers for Disease Control and Prevention, and it's forcing some hospitals to implement visitor restrictions.
Dr. Christopher Doehring, of Franciscan Health in Indianapolis, spoke with News 8 about why this respiratory virus increases during winter months and what hospitals are doing to prevent its spread.
"Like most of the respiratory viruses, as the weather turns cooler and people spend more time inside and around each other, its a just a highly contagious respiratory virus," Doehring said. "Like all respiratory viruses, we tend to see an increase in cases this time of year."
Holiday get-togethers can help spread the virus.
"You start to see around Thanksgiving time, you start having families coming together," Doehring said. "They're spending times in doors and it's multiple generations together. It's a natural epidemiologic phenomenon."
According to medical experts, RSV causes infections in the lungs. In healthy adults and older children, symptoms are mild, similar to the common cold.
RSV can be prevented by using good hygiene, such as washing hands and avoiding touching one's face.
Doehring said babies, premature babies, and immunocompromised elderly adults can experience severe cough, shortness of breath, and pneumonia, or even death. Doehring recommends getting vaccinated.
"Once you have the symptoms or are under the weather, take the time to recover, heal, and minimize exposing others as best as you can," Doehring said.
At Franciscan Health Hospital, masks and hand sanitizers stations are readily available to prevent the spread. Those under the age of 18 because younger visitors are more likely to spread respiratory viruses. Other hospitals in Marion County are doing the same.
Doehring says he has seen an increase of RSV cases, which is typical this time of year, but it's not alarming.
"Certainly in our hospitals and around other hospitals in central Indiana, we're not at a point where we're overrun or overcrowded in our ICUs or emergency department," Doehring said.
Cat Sandoval wrote this article for WISH-TV.
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A coalition of Montana groups will rally at the Capitol Wednesday to advocate for the protection of Medicaid expansion, which legislators will debate this session before the program's scheduled expiration in June.
The state's 10-year-old Medicaid expansion program covers 75,000 low-income Montanans at an annual cost of about $1 billion, according to KFF Health News. The state picks up about 10% of the tab.
Kristen Stewart of Billings is a caregiver for her 90-year-old grandmother, and enrolled in Medicaid herself. As an organizer with the advocacy group Big Sky 55+, she noted many Medicaid enrollees work but the work is often undervalued.
"Medicaid supports a lot of people who are doing unpaid work," Stewart pointed out. "Things that were we to monetize, you would see an economic boost from their production level, often more than the cost of their care."
The Gianforte administration already tightened eligibility for the program, cutting the number of enrollees by nearly 40% between May 2023 and October 2024. The program currently covers nondisabled adults ages 19 to 64 who make less than $21,000 a year.
Jeannie Brown, a bus driver for the Belgrade Public School District and a full-time caregiver and legal guardian for her teenage granddaughter, said if Medicaid expansion does not get reauthorized, she will be on a "slippery slope."
"Because I'm 60 years old and I'm having my own health issues after being a caregiver, it's hard work and it takes a toll on you physically, financially and emotionally," Brown explained. "I'm hoping these legislators really take all of these things into consideration and reauthorize it."
Any laws passed on the issue could also affect the state's behavioral health services, which Gov. Greg Gianforte has made a priority.
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