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Trump pushes House GOP to pass his budget bill; Medicaid critical for maternal and infant health in rural CO; Fear of detention prevents some WA migrants from getting food; Report says many AL adults want college degrees but face barriers; MT Native leaders say civic engagement brings legislative wins.

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Kristi Noem incorrectly defines habeas corpus during a Senate hearing. Senate passes a bipartisan bill to eliminate taxes on tips, and Native American civic engagement fosters legislative wins in the West.

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New Mexico's acequia irrigation system is a model of democratic governance, buying a house in rural America will get harder under the Trump administration's draft 2026 budget, and physicians and medical clinics serving rural America are becoming a rarity.

Report Ranks Tennessee Among Least Healthy States for Older Adults

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Wednesday, May 24, 2023   

May is Older Americans Month, and a new report shows the Volunteer State is among the bottom of states when it comes to caring for its most vulnerable adults.

America's Health Rankings 2023 Senior Report from UnitedHealthcare ranks Tennessee 42nd in health outcomes for those age 65 and older. Notable challenges include a high prevalence of frequent mental distress, drug deaths, smoking, lack of physical activity, and increased poverty.

Michele Johnson, executive director of the Tennessee Justice Center, said elected leaders are not focused on creating policies to serve all Tennesseans.

"We need to have elected officials to roll up their sleeves and address the health care infrastructure," Johnson asserted. "Expanding Medicaid is vitally important not just for people who are in the coverage gap, which it is important for them, but it's important for older Tennessee because we have health care deserts."

Tennessee is among 11 states to not expand Medicaid. Johnson noted some states are six times more likely to lose a hospital when they have not expanded Medicaid, and she believes expanding Medicaid would strengthen the state's health care infrastructure and economy.

Johnson is also concerned about the unwinding of the public health emergency, which is in the process of redetermining health care for older Tennesseans. She contended state leaders should make it simple and ensure it protects seniors.

"This should be a fair process that is simple and lacking in bureaucracy as possible," Johnson argued. "And unfortunately that right now we're really concerned like hundreds of thousands of people, including seniors, will go without health care, not because they're not eligible but because the process is just so daunting."

The report found about 10% of Tennessee adults age 65 and older are living in poverty.

Dr. Rhonda Randall, chief medical officer of Employer and Individual for UnitedHealthcare, said the comprehensive report found poverty increased overall by 10% between 2019 and 2021.

"We know that's really important because it has impacts on how much of their dollars are they spending on housing, food, medical care and more," Randall explained. "We want to make sure that not only are we seeing that number decrease, where seniors are living in poverty that the communities are aware of it."

Randall noted because of the pandemic, they saw more seniors receive access to home-delivered meals and seniors who were eligible for the Supplemental Nutritional Assistance Program signed up. She added as we age, nutrition is very important and a decrease in food insecurity by 6% was an improvement, as fewer worried about accessing nutritious food.

Disclosure: UnitedHealthcare contributes to our fund for reporting on Health Issues. If you would like to help support news in the public interest, click here.


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