Health and Health Care for Blacks in the United States - Updated January 2018KFF
Blacks account for about 12% of the US population but experience worse health outcomes and less access to care compared to whites. Blacks have higher rates of poverty, lower rates of private health insurance, and higher reliance on Medicaid. While some health measures have improved for blacks, they still have higher rates of obesity, diabetes, asthma, and report poorer health overall than whites. Barriers like lower education levels, food insecurity, and unsafe neighborhoods also disproportionately affect black communities.
- TANF cash benefits for families have fallen by over 20% in most states since 1996 after adjusting for inflation. Benefits in 2016 were below 50% of the poverty line in every state.
- Seven states and DC raised TANF benefits between 2015-2016, but 41 states did not adjust for inflation, allowing benefits to erode further.
- TANF benefits in every state fall far short of local housing costs. In 30 states and DC, benefits cover less than half of the average rent for a modest two-bedroom apartment. This housing instability harms families.
- Restoring the lost purchasing power of TANF benefits over the past 20 years is needed to strengthen this critical
Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medic...KFF
- An estimated 3.7 million nonelderly adults fall into the coverage gap where they earn too much to qualify for Medicaid in states that did not expand Medicaid under the ACA, but too little to qualify for subsidies to purchase insurance through the Marketplaces.
- Over half of the adults in the coverage gap are people of color, especially Black adults who are more likely to fall into the coverage gap than other racial/ethnic groups.
- If all states adopted the Medicaid expansion, the coverage gap would be eliminated and 64% of the nonelderly uninsured would be eligible for financial assistance to obtain health insurance.
50 US Health-Care Statistics that will Absolutely Astonish you !!Surgerica
The health care system in the United States is so broken that it probably cannot be repaired. The entire thing needs to be dismantled and completely reinvented..Have a look at the presentation and you will understand WHY. Research carried on by Mr. Amit Bhagat ,Co-Founder & CMO of MedicYatra & Kritika Beri, Intern @ MedicYatra, currently studying in SIMC
This document discusses factors that contribute to effective public transit systems. Effective transit prioritizes high frequency service on simple routes that connect major employment and activity centers. It emphasizes reliable and competitive trip times through dedicated lanes, priority signaling, and station placement in walkable areas near the centers of destinations. Good information and easy transfers also improve customer experience. While technology choices are less important than service quality, light rail can attract more riders and development when lines are placed along arterial streets rather than elevated above freeways. Overall, transit works best when government agencies cooperate to implement frequent, direct services linking high-density mixed-use areas through pedestrian-friendly infrastructure.
Health and Health Care for Blacks in the United States - Updated January 2018KFF
Blacks account for about 12% of the US population but experience worse health outcomes and less access to care compared to whites. Blacks have higher rates of poverty, lower rates of private health insurance, and higher reliance on Medicaid. While some health measures have improved for blacks, they still have higher rates of obesity, diabetes, asthma, and report poorer health overall than whites. Barriers like lower education levels, food insecurity, and unsafe neighborhoods also disproportionately affect black communities.
- TANF cash benefits for families have fallen by over 20% in most states since 1996 after adjusting for inflation. Benefits in 2016 were below 50% of the poverty line in every state.
- Seven states and DC raised TANF benefits between 2015-2016, but 41 states did not adjust for inflation, allowing benefits to erode further.
- TANF benefits in every state fall far short of local housing costs. In 30 states and DC, benefits cover less than half of the average rent for a modest two-bedroom apartment. This housing instability harms families.
- Restoring the lost purchasing power of TANF benefits over the past 20 years is needed to strengthen this critical
Who is Impacted by the Coverage Gap in States that Have Not Adopted the Medic...KFF
- An estimated 3.7 million nonelderly adults fall into the coverage gap where they earn too much to qualify for Medicaid in states that did not expand Medicaid under the ACA, but too little to qualify for subsidies to purchase insurance through the Marketplaces.
- Over half of the adults in the coverage gap are people of color, especially Black adults who are more likely to fall into the coverage gap than other racial/ethnic groups.
- If all states adopted the Medicaid expansion, the coverage gap would be eliminated and 64% of the nonelderly uninsured would be eligible for financial assistance to obtain health insurance.
50 US Health-Care Statistics that will Absolutely Astonish you !!Surgerica
The health care system in the United States is so broken that it probably cannot be repaired. The entire thing needs to be dismantled and completely reinvented..Have a look at the presentation and you will understand WHY. Research carried on by Mr. Amit Bhagat ,Co-Founder & CMO of MedicYatra & Kritika Beri, Intern @ MedicYatra, currently studying in SIMC
This document discusses factors that contribute to effective public transit systems. Effective transit prioritizes high frequency service on simple routes that connect major employment and activity centers. It emphasizes reliable and competitive trip times through dedicated lanes, priority signaling, and station placement in walkable areas near the centers of destinations. Good information and easy transfers also improve customer experience. While technology choices are less important than service quality, light rail can attract more riders and development when lines are placed along arterial streets rather than elevated above freeways. Overall, transit works best when government agencies cooperate to implement frequent, direct services linking high-density mixed-use areas through pedestrian-friendly infrastructure.
NC’s Public Programs Providing Quality Health Care for Kids: Health Check / NC Health Choice, Health Check/NC Health Choice & Medical Home, Healthy & Ready to Learn Webinar, December 11, 2012
KidsWell Florida is a collaborative grassroots movement to expand health coverage for uninsured children in Florida. It aims to connect organizations, providers, families, businesses, and the public to build support for policy solutions. The movement is staffed and intends to provide long-term research, organizing, communications, and advocacy resources. It will launch publicly in September after holding regional meetings to gather input and identify policy priorities across 11 regions of Florida. The goals are to simplify eligibility, maximize funding, and streamline enrollment to cover more children under existing programs and the Affordable Care Act.
This document summarizes findings from the 2009 Rhode Island KIDS COUNT Factbook regarding child well-being in Pawtucket, Rhode Island. It highlights that Pawtucket has a diverse child population, high rates of child poverty, lower rates of parental education attainment compared to the state average, and worse outcomes for children on several health and education indicators. The presentation was given by Stephanie Geller of Rhode Island KIDS COUNT to provide data to help address challenges facing children in Pawtucket.
This document summarizes data from the 2009 Rhode Island KIDS COUNT Factbook about child well-being in Woonsocket, Rhode Island. It finds that Woonsocket has higher rates of child poverty, lower levels of parental education, more single-parent families, and worse educational and health outcomes for children compared to statewide averages. For example, 31.7% of Woonsocket's children lived below the poverty level between 2005-2007, compared to 18.1% statewide. It also details specific issues like higher lead poisoning rates, lower high school graduation rates, and more disciplinary actions in Woonsocket schools than in other core cities or the state overall.
The document summarizes key indicators of child well-being in Providence, Rhode Island from the 2009 Rhode Island KIDS COUNT Factbook. Some key findings include:
- Over 40% of Providence's children lived in poverty in 2000 and 2007.
- Over 50% of Providence's children lived in single-parent families in 2000.
- 29% of new mothers in Providence had less than a high school diploma in 2003-2007.
- In 2008, 9% of Providence babies were born with risk factors like a young, unmarried mother without a high school degree.
B R I E FWho Are America’s Poor ChildrenThe Official.docxjasoninnes20
This document summarizes key characteristics and statistics about poor children in America according to the official poverty measure. Some key points:
- Over 15 million (21%) American children live in families with incomes below the federal poverty level.
- Rates of child poverty vary by state and are disproportionately high among black, Hispanic, American Indian, and young children.
- Many poor children experience hardships like food insecurity, lack of health insurance, and unstable housing situations.
- The official poverty measure is criticized for being outdated and not capturing benefits received. Alternative measures usually find higher poverty rates.
This document provides a summary of data from the 2009 Rhode Island KIDS COUNT Factbook about child well-being indicators in Warwick, Rhode Island. It finds that while Warwick performs better than the state average on many indicators, there are still challenges such as high rates of alcohol, drug and cigarette use among high school students. It also shows improvements over time, such as decreases in teen birth rates and the percentage of children with elevated blood levels, but there is still work to be done to improve outcomes for Warwick's children.
In this presentation, myself and my group members Mary Lenon Bates, Lauryn Waters, and Rachel McPhaul explored the reasons behind why the United States has high infant mortality rates. We also took comparisons from other countries and paid close attention to how things like socioeconomic status affect the outcome of an infant.
Child Abuse and Neglect Facilities: Statistics and Interventionsvc3jdcasa
Despite efforts to address the issue, child abuse and neglect fatalities remain a serious problem in the US. Young children under age 4 make up the majority of victims. Parents are the perpetrators in most cases. Child fatality review teams work to accurately track fatalities, improve responses, and identify prevention strategies through multidisciplinary coordination and data collection. Their reviews aim to prevent future deaths and keep children safe.
The document summarizes efforts by the Chicago Department of Public Health to address health disparities in Chicago. It discusses priorities such as healthy mothers and babies, adolescent health, obesity prevention, tobacco use, and violence prevention. It provides data on racial and ethnic disparities in health outcomes for issues like infant mortality. It also describes initiatives the department is undertaking in schools and communities to promote health equity, such as expanding access to healthy foods, tobacco control programs, and violence prevention collaborations. The department plans to continue this work through activities like implementing its food plan, improving immunization rates, and engaging stakeholders in policy.
C ommentariesEnding Childhood Poverty in America 0c—Mari.docxjasoninnes20
C ommentaries
Ending Childhood Poverty in America 0c—
Marian Wright Edelman
From the Children’s Defense Fund, Washington, DC
The author reports no conflicts of interest.
Address correspondence to Marian Wright Edelman, Children’s Defense Fund, 25 E St NW, Washington, DC 20001 (e-mail: [email protected]
childrensdefense.org).
A cademic Pediatrics 2016;16:S6-S7
SARAH IS 3 years old. She and her 6-year-old brother,
Bryce, are inseparable except when it’s time for him to visit
the summer food program that provides meals at a school
near their Ohio home for children who otherwise would
go hungry. Sarah’s too young to make the trip. One morn
ing after Bryce had his fill of food for the day he made a
detour before heading home. He walked to the trash cans
and began rummaging through food others threw away.
Winnie Brewer, the Food Services Supervisor in Marion
City Schools, noticed the little boy and tapped him on
the shoulder to ask why he was sifting through the garbage.
“My little sister,” he explained. “She's hungry.” Bringing
her leftover food was the only way he knew to help.
“We run into a lot of situations where kids will come and
say they have younger siblings at home,” Brewer says.
“They always want to know if they can take something
back.” After Brewer spoke with Bryce, staff members fol
lowed him home with a care package for little Sarah. This
was a temporary solution to a huge problem Brewer
worries about every day. “Until we see that child digging
food out of a trash can, it doesn’t hit home,” Brewer
says. “When it does, you know you have to do something.”
Sarah and Bryce (not their real names) are far from
alone. Hunger is only one of the dangerous risks of growing
up poor in rich America. Despite 6 years of economic re
covery, children remain the poorest group in America
and the younger they are the poorer they are. The United
States has the second highest child poverty rate among
35 industrialized countries despite having the largest econ
omy in the world. More than 1 in 5 children in America
(21.1%) were living in poverty in 2014, compared with
13.5% of people ages 18 to 64 years and 10% of those
aged 65 years and older. Nearly 1 in 4 children younger
than the age of 5 years (23.8%) are poor during some of
the years of greatest brain development. Seventy percent
of the 15.5 million poor children in America were children
of color— who already constitute most of our nation’s
youngest children and will be the majority of all the chil
dren in our nation by 2020.
Poverty hurts children, creates opportunity gaps that can
last a lifetime, and hurts the nation’s economy. The toxic
stress of early poverty stunts children’s emotional and
physical development and increases the likelihood of
poor academic achievement and dropping out of high
school, which then increases the likelihood of unemploy
ment, economic hardship, and involvement in the criminal
justice system as an adult. These effects ...
The document summarizes research on housing and transportation issues facing older adults in the United States. It finds that subsidized housing located near public transit is important for the livability and mobility of older populations but that existing affordable housing near transit is at risk of being lost. The research looked at differences between housing located near versus far from transit and the location of subsidized housing in 20 cities. Case studies of Cleveland and the Twin Cities provide examples of how housing location impacts older residents' access to transportation.
This document provides an overview of sociodemographic trends and health data in Jefferson County, Colorado. It discusses factors that influence health such as income, education levels, race/ethnicity and food access. Health data is presented for adults, youth and children. For children ages 2-14, it notes there were 85,339 in 2010 and poverty levels have risen. Hispanic and Black children have twice the obesity rates of White children. Fruit/veggie consumption decreases as children age while fast food intake rises.
The document provides data on various social indicators related to child well-being in Central Falls, Rhode Island. It summarizes that in Central Falls in 2000, 48% of children lived in single-parent families, the second highest rate in the state. It also notes that 36% of new mothers in Central Falls had less than a high school diploma, more than double the state rate. Additionally, it reports that in 2008, 9% of Central Falls babies were born with risk factors of a mother under age 20, unmarried, and without a high school degree.
1) Approximately 3.2 million allegations of child abuse and neglect were made in 2007 involving 5.8 million children. 794,000 children were found to be victims that year.
2) CASA/GAL volunteers advocate for abused and neglected children in court. In 2008, there were 68,842 volunteers who donated over 5.8 million hours to serve 240,894 children.
3) Studies show that children with a CASA volunteer spend less time in foster care and are more likely to achieve permanency in their living situations.
2021 Key Drivers in Healthcare- Michele Holcomb, Cardinal Health for mHealth ...Levi Shapiro
Presentation by Michele Holcomb, EVP, Chief Strategy & Business Development Officer, Cardinal Health, May 19th, 2021 for mHealth Israel. The pandemic accelerated and intensified key trends. Patients are more proactive in their health, Providers are taking a more holistic approach, Digital acceleration is unlocking opportunities. Patients are more proactive in their health. Online searching for health information continues to rise. People say looking up their symptoms is overwhelming, but they can’t stop. U.S. adults go online to identify a medical condition. Telehealth and home-based healthcare jumps. Telehealth makes up ~10% of physician visits; up from <1% of physician visits pre-pandemic. Hospital at home companies like Medically Home cared for 10X more patients. On-line pharmacy market accelerates. The North America online pharmacy market estimated at $31B in 2020 and it’s expected to grow 18.2% CAGR from 2020-2027. Providers are taking a more holistic approach. Social determinants of health have come into sharp focus. Economic stability, Physical environment, Education, Food Security, Community and Social Context, Healthcare Access. U.S. Population vs. COVID-19 cases. Race gaps in COVID-19 death rates. Mental health challenges escalate across the population. Significant rise in adults aged 65+ reporting anxiety or depression. More women compared to men are reporting significant increases in depression. Mental health related ER visits in youth are rising. Digital acceleration is unlocking opportunities faster than ever. Growth of digital health continues to set new records. The new gold rush: retrieving, analyzing, and leveraging data. “Most interesting” health tech M&A deals in 2020. Data and analytics critical across healthcare. Half of healthcare organizations are already using patient data predictive analytics. One third of the world’s data production (750 quadrillion bytes of data) is generated in healthcare everyday. Artificial intelligence set to transform treatment. The number of active AI startups has increased 14-fold since 2000. The healthcare AI powered tools market will exceed $34 billion by 2025.
This document discusses health care policy issues in Texas, including:
1) Over 6 million Texans are uninsured, most of whom are working-age adults below 400% of the federal poverty level. Hispanics in Texas have particularly high uninsured rates.
2) If Texas expands Medicaid, over 1 million residents could gain coverage, bringing in an estimated $6 billion in new annual federal funds. This would significantly benefit large urban and South Texas counties.
3) Without expansion, about 1 million low-income Texans will remain in a "coverage gap" below the poverty line and ineligible for subsidies. Stakeholders will continue advocating for inclusion of these working poor.
Describe rationale for free care in Providence Rhode Island, the mission and aims of the Clinica Esperanza / Hope Clinic, the current patient demographics, and plans for the future.
This document summarizes issues related to homelessness and education of children and youth. It provides background on the growing number of homeless families and children, and the barriers they face to enrolling and attending school regularly. It discusses the McKinney-Vento Act which aims to remove these barriers, but notes that funding has not kept up with demand. While progress has been made, many challenges remain, including high mobility, lack of resources, and meeting the needs of special populations like unaccompanied homeless youth. Increased funding is needed to fully implement programs that support homeless students' education.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
NC’s Public Programs Providing Quality Health Care for Kids: Health Check / NC Health Choice, Health Check/NC Health Choice & Medical Home, Healthy & Ready to Learn Webinar, December 11, 2012
KidsWell Florida is a collaborative grassroots movement to expand health coverage for uninsured children in Florida. It aims to connect organizations, providers, families, businesses, and the public to build support for policy solutions. The movement is staffed and intends to provide long-term research, organizing, communications, and advocacy resources. It will launch publicly in September after holding regional meetings to gather input and identify policy priorities across 11 regions of Florida. The goals are to simplify eligibility, maximize funding, and streamline enrollment to cover more children under existing programs and the Affordable Care Act.
This document summarizes findings from the 2009 Rhode Island KIDS COUNT Factbook regarding child well-being in Pawtucket, Rhode Island. It highlights that Pawtucket has a diverse child population, high rates of child poverty, lower rates of parental education attainment compared to the state average, and worse outcomes for children on several health and education indicators. The presentation was given by Stephanie Geller of Rhode Island KIDS COUNT to provide data to help address challenges facing children in Pawtucket.
This document summarizes data from the 2009 Rhode Island KIDS COUNT Factbook about child well-being in Woonsocket, Rhode Island. It finds that Woonsocket has higher rates of child poverty, lower levels of parental education, more single-parent families, and worse educational and health outcomes for children compared to statewide averages. For example, 31.7% of Woonsocket's children lived below the poverty level between 2005-2007, compared to 18.1% statewide. It also details specific issues like higher lead poisoning rates, lower high school graduation rates, and more disciplinary actions in Woonsocket schools than in other core cities or the state overall.
The document summarizes key indicators of child well-being in Providence, Rhode Island from the 2009 Rhode Island KIDS COUNT Factbook. Some key findings include:
- Over 40% of Providence's children lived in poverty in 2000 and 2007.
- Over 50% of Providence's children lived in single-parent families in 2000.
- 29% of new mothers in Providence had less than a high school diploma in 2003-2007.
- In 2008, 9% of Providence babies were born with risk factors like a young, unmarried mother without a high school degree.
B R I E FWho Are America’s Poor ChildrenThe Official.docxjasoninnes20
This document summarizes key characteristics and statistics about poor children in America according to the official poverty measure. Some key points:
- Over 15 million (21%) American children live in families with incomes below the federal poverty level.
- Rates of child poverty vary by state and are disproportionately high among black, Hispanic, American Indian, and young children.
- Many poor children experience hardships like food insecurity, lack of health insurance, and unstable housing situations.
- The official poverty measure is criticized for being outdated and not capturing benefits received. Alternative measures usually find higher poverty rates.
This document provides a summary of data from the 2009 Rhode Island KIDS COUNT Factbook about child well-being indicators in Warwick, Rhode Island. It finds that while Warwick performs better than the state average on many indicators, there are still challenges such as high rates of alcohol, drug and cigarette use among high school students. It also shows improvements over time, such as decreases in teen birth rates and the percentage of children with elevated blood levels, but there is still work to be done to improve outcomes for Warwick's children.
In this presentation, myself and my group members Mary Lenon Bates, Lauryn Waters, and Rachel McPhaul explored the reasons behind why the United States has high infant mortality rates. We also took comparisons from other countries and paid close attention to how things like socioeconomic status affect the outcome of an infant.
Child Abuse and Neglect Facilities: Statistics and Interventionsvc3jdcasa
Despite efforts to address the issue, child abuse and neglect fatalities remain a serious problem in the US. Young children under age 4 make up the majority of victims. Parents are the perpetrators in most cases. Child fatality review teams work to accurately track fatalities, improve responses, and identify prevention strategies through multidisciplinary coordination and data collection. Their reviews aim to prevent future deaths and keep children safe.
The document summarizes efforts by the Chicago Department of Public Health to address health disparities in Chicago. It discusses priorities such as healthy mothers and babies, adolescent health, obesity prevention, tobacco use, and violence prevention. It provides data on racial and ethnic disparities in health outcomes for issues like infant mortality. It also describes initiatives the department is undertaking in schools and communities to promote health equity, such as expanding access to healthy foods, tobacco control programs, and violence prevention collaborations. The department plans to continue this work through activities like implementing its food plan, improving immunization rates, and engaging stakeholders in policy.
C ommentariesEnding Childhood Poverty in America 0c—Mari.docxjasoninnes20
C ommentaries
Ending Childhood Poverty in America 0c—
Marian Wright Edelman
From the Children’s Defense Fund, Washington, DC
The author reports no conflicts of interest.
Address correspondence to Marian Wright Edelman, Children’s Defense Fund, 25 E St NW, Washington, DC 20001 (e-mail: [email protected]
childrensdefense.org).
A cademic Pediatrics 2016;16:S6-S7
SARAH IS 3 years old. She and her 6-year-old brother,
Bryce, are inseparable except when it’s time for him to visit
the summer food program that provides meals at a school
near their Ohio home for children who otherwise would
go hungry. Sarah’s too young to make the trip. One morn
ing after Bryce had his fill of food for the day he made a
detour before heading home. He walked to the trash cans
and began rummaging through food others threw away.
Winnie Brewer, the Food Services Supervisor in Marion
City Schools, noticed the little boy and tapped him on
the shoulder to ask why he was sifting through the garbage.
“My little sister,” he explained. “She's hungry.” Bringing
her leftover food was the only way he knew to help.
“We run into a lot of situations where kids will come and
say they have younger siblings at home,” Brewer says.
“They always want to know if they can take something
back.” After Brewer spoke with Bryce, staff members fol
lowed him home with a care package for little Sarah. This
was a temporary solution to a huge problem Brewer
worries about every day. “Until we see that child digging
food out of a trash can, it doesn’t hit home,” Brewer
says. “When it does, you know you have to do something.”
Sarah and Bryce (not their real names) are far from
alone. Hunger is only one of the dangerous risks of growing
up poor in rich America. Despite 6 years of economic re
covery, children remain the poorest group in America
and the younger they are the poorer they are. The United
States has the second highest child poverty rate among
35 industrialized countries despite having the largest econ
omy in the world. More than 1 in 5 children in America
(21.1%) were living in poverty in 2014, compared with
13.5% of people ages 18 to 64 years and 10% of those
aged 65 years and older. Nearly 1 in 4 children younger
than the age of 5 years (23.8%) are poor during some of
the years of greatest brain development. Seventy percent
of the 15.5 million poor children in America were children
of color— who already constitute most of our nation’s
youngest children and will be the majority of all the chil
dren in our nation by 2020.
Poverty hurts children, creates opportunity gaps that can
last a lifetime, and hurts the nation’s economy. The toxic
stress of early poverty stunts children’s emotional and
physical development and increases the likelihood of
poor academic achievement and dropping out of high
school, which then increases the likelihood of unemploy
ment, economic hardship, and involvement in the criminal
justice system as an adult. These effects ...
The document summarizes research on housing and transportation issues facing older adults in the United States. It finds that subsidized housing located near public transit is important for the livability and mobility of older populations but that existing affordable housing near transit is at risk of being lost. The research looked at differences between housing located near versus far from transit and the location of subsidized housing in 20 cities. Case studies of Cleveland and the Twin Cities provide examples of how housing location impacts older residents' access to transportation.
This document provides an overview of sociodemographic trends and health data in Jefferson County, Colorado. It discusses factors that influence health such as income, education levels, race/ethnicity and food access. Health data is presented for adults, youth and children. For children ages 2-14, it notes there were 85,339 in 2010 and poverty levels have risen. Hispanic and Black children have twice the obesity rates of White children. Fruit/veggie consumption decreases as children age while fast food intake rises.
The document provides data on various social indicators related to child well-being in Central Falls, Rhode Island. It summarizes that in Central Falls in 2000, 48% of children lived in single-parent families, the second highest rate in the state. It also notes that 36% of new mothers in Central Falls had less than a high school diploma, more than double the state rate. Additionally, it reports that in 2008, 9% of Central Falls babies were born with risk factors of a mother under age 20, unmarried, and without a high school degree.
1) Approximately 3.2 million allegations of child abuse and neglect were made in 2007 involving 5.8 million children. 794,000 children were found to be victims that year.
2) CASA/GAL volunteers advocate for abused and neglected children in court. In 2008, there were 68,842 volunteers who donated over 5.8 million hours to serve 240,894 children.
3) Studies show that children with a CASA volunteer spend less time in foster care and are more likely to achieve permanency in their living situations.
2021 Key Drivers in Healthcare- Michele Holcomb, Cardinal Health for mHealth ...Levi Shapiro
Presentation by Michele Holcomb, EVP, Chief Strategy & Business Development Officer, Cardinal Health, May 19th, 2021 for mHealth Israel. The pandemic accelerated and intensified key trends. Patients are more proactive in their health, Providers are taking a more holistic approach, Digital acceleration is unlocking opportunities. Patients are more proactive in their health. Online searching for health information continues to rise. People say looking up their symptoms is overwhelming, but they can’t stop. U.S. adults go online to identify a medical condition. Telehealth and home-based healthcare jumps. Telehealth makes up ~10% of physician visits; up from <1% of physician visits pre-pandemic. Hospital at home companies like Medically Home cared for 10X more patients. On-line pharmacy market accelerates. The North America online pharmacy market estimated at $31B in 2020 and it’s expected to grow 18.2% CAGR from 2020-2027. Providers are taking a more holistic approach. Social determinants of health have come into sharp focus. Economic stability, Physical environment, Education, Food Security, Community and Social Context, Healthcare Access. U.S. Population vs. COVID-19 cases. Race gaps in COVID-19 death rates. Mental health challenges escalate across the population. Significant rise in adults aged 65+ reporting anxiety or depression. More women compared to men are reporting significant increases in depression. Mental health related ER visits in youth are rising. Digital acceleration is unlocking opportunities faster than ever. Growth of digital health continues to set new records. The new gold rush: retrieving, analyzing, and leveraging data. “Most interesting” health tech M&A deals in 2020. Data and analytics critical across healthcare. Half of healthcare organizations are already using patient data predictive analytics. One third of the world’s data production (750 quadrillion bytes of data) is generated in healthcare everyday. Artificial intelligence set to transform treatment. The number of active AI startups has increased 14-fold since 2000. The healthcare AI powered tools market will exceed $34 billion by 2025.
This document discusses health care policy issues in Texas, including:
1) Over 6 million Texans are uninsured, most of whom are working-age adults below 400% of the federal poverty level. Hispanics in Texas have particularly high uninsured rates.
2) If Texas expands Medicaid, over 1 million residents could gain coverage, bringing in an estimated $6 billion in new annual federal funds. This would significantly benefit large urban and South Texas counties.
3) Without expansion, about 1 million low-income Texans will remain in a "coverage gap" below the poverty line and ineligible for subsidies. Stakeholders will continue advocating for inclusion of these working poor.
Describe rationale for free care in Providence Rhode Island, the mission and aims of the Clinica Esperanza / Hope Clinic, the current patient demographics, and plans for the future.
This document summarizes issues related to homelessness and education of children and youth. It provides background on the growing number of homeless families and children, and the barriers they face to enrolling and attending school regularly. It discusses the McKinney-Vento Act which aims to remove these barriers, but notes that funding has not kept up with demand. While progress has been made, many challenges remain, including high mobility, lack of resources, and meeting the needs of special populations like unaccompanied homeless youth. Increased funding is needed to fully implement programs that support homeless students' education.
Similar to 09 15-12 - kc pres for houston economic summit kcb (20)
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
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Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
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আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
7. The U.S. added 2 million kids in last
decade
2M
@cppp_tx
U.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau
#kidscount
8. Texas accounted for half of that
growth!
50%
@cppp_tx
U.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau
#kidscount
9. Texas added nearly ONE MILLION Kids
2010
6.9 M
2000
(5.9M) Source: 2000 and 2010 Decennial Census data, U.S. Census Bureau
10. Harris Co grew to over 1.1 M kids, with largest
growth occurring in the Hispanic population
589K 2000 2010
403K
324K
274K
221K
195K
56K 62K
7K
Anglo Black Hispanic Asian Other
Source: 2000 and 2010 Decennial Census Data, U.S. Census Bureau
11. 93%
OF HARRIS CO
KIDS ARE
CITIZENS
2010 American Community Survey, U.S. Census Bureau
12.
13. Struggling from the Start
1 OF EVERY 8
HARRIS CO
BABIES BORN
PRETERM @cppp_tx
2008, Texas Department of State Health Services #kidscount
14. Struggling from the Start
Percentage of HARRIS CO
BABIES BORN
Weighing less than 5.5 lbs
Up 35%
2000-2008, Texas Department of State Health Services
15. Struggling from the Start
Births to Harris Co. teens going up after
decline throughout 1990s and early 2000s
1998 12.4%
2004 11.8%
2008 14.1%
@cppp_tx
Texas Department of State Health Services #kidscount
16. Struggling from the Start
Of Harris Co. babies born to teens, more than 1 in 5
were born to teens who were already moms
21%
@cppp_tx
2008 Texas Dept of State Health Svcs #kidscount
17. Struggling from the Start
43%
OF HARRIS CO
BABIES BORN
WITHOUT PRENATAL CARE
2008 Texas Department of State Health Services
18. Choices:
And to make matters
worse . . .
• New state rule for
Medicaid Women’s
Health Program violates
federal law
• We will lose 90% of
funding
• On top of $73M
statewide cut Family
Planning Program
19. 1 of every 4
HARRIS CO
KIDS ARE
UNINSURED
2010 Small Area Health Insurance Estimates
20. Public health insurance buffers loss of
private health insurance for Texas kids
62% Private Health Insurance
51%
Public Health Insurance 39%
21%
15%
Uninsured
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percentage of kids 0-17 in each category, March supplement, Current Population Survey
21. Choices: Texas’ Public Policy Decisions
Affect Whether Harris Co.’s Kids Become
and Stay Enrolled in Medicaid and CHIP
180K
136K 134K
Medicaid 106K
82K
34K 38K
CHIP 18K
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
@cppp_tx
Texas Health and Human Services Commission data & CPPP analysis of state policies #kidscount
22. Texas’ poor and uninsured kids less likely to
be in excellent/very good health
90%
93%
69% 85%
58% 74%
59%
Uninsured Public Ins Private Ins.
< Poverty 100-199% 200-399% 400% +
FPL
2007 National Survey of Children’s Health
23.
24. We have made choices that cut older adult
poverty by nearly two-thirds nationally
25%
16%
12%
10% 9%
1970 1980 1990 2000 2011
US poverty rates for people 65+, March supplement, Current Population Survey
25. We haven’t made the same commitment
to reduce poverty for Texas kids
27%
15%
10%
Working
Kids -age 65+
@cppp_tx
2011 Poverty rates, March supplement, Current Population Survey #kidscount
26. Harris Co. child poverty has risen in recent
years, coinciding with unemployment
27.1%
Child Poverty 23.3%
21.8%
19.1%
Unemployment
8.5%
7.0%
4.3% 4.3%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Poverty: SAIPE, Unemployment: TWC
27. To be considered “officially poor,” a family of three
has to make less than
Source: 2012 Poverty Thresholds for a family of 3 with two related children under 18 years old
28. Work Supports actually do make a
difference for kids!
National Child Poverty Rates
22.5%
18.2%
Official Poverty Supplemental
Measure Poverty Measure @cppp_tx
2010 CPS and Supplemental Poverty Rates, US Census Bureau #kidscount
29. Choices: Income support for kids in
the poorest families virtually eliminated
7.50%
Texas
6.9% 2003: Start of Texas’
4.50%
full family sanctions
3.9%
Harris Co. 1.40%
1996: Start of federal
welfare reform
0.7%
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Texas Health and Human Services Commission
30. Choices: More Harris Co. kids receiving food
assistance (SNAP) thanks to improved enrollment system
23%
5%
2000 2010
@cppp_tx
Texas Health and Human Services Commission #kidscount
31. Choices: Expansion of Summer Food Program
Source: Texas Department of Agriculture. Summer food data is the average daily participation from summer 2010.
32.
33. One of Every Four Texas Preschoolers Not Read
to Regularly
Source: 2007 National Survey of Children’s Health from Annie E. Casey Foundation, KIDS COUNT Data Center
34. Choices: Increase in Harris Co. 4-yr-olds in
pre-k due, in part, to pre-k expansion grants
43% 62%
@cppp_tx
Texas Education Agency #kidscount
35. Economically Disadvantaged kids who went
to pre-k did better on their TAKS tests
No Pre-K Pre-K
88% 85%
83%
79%
Passed TAKS 3rd grade reading Passed TAKS 3rd grade math
Analysis of TEA 2011 TAKS data by the Office of Rep. Mike Villarreal
36. Harris Co. TAKS reading achievement
gap shrinking
94%
Not Economically Disadvantaged
10 points
81%
GAP 84%
21 points
Economically Disadvantaged
60%
2003 2011 @cppp_tx
CPPP analysis of Texas Education Agency data #kidscount
37. Harris Co. Dropouts:
Still Not Great, But Improving
47%
32%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Attrition rate, Intercultural Development Research Association
38. In Texas, dropouts only make 36 cents for
every dollar earned by college graduates
Median earnings for adults 25+ yrs by educational attainment, 2010 American Community Survey
39. Choices: Texas’ Educational
th
Investment
Per pupil spending
before the cuts @cppp_tx
NCES, Kids Count Data Center #kidscount
40. Choices: We
underfunded
public education
by $5.3 Billion for
2012-13
CPPP analysis of data from the Legislative Budget Board
41. Choices:
Including the elimination of
High
Pre-k school
expansion completion
grants grants
CPPP analysis of data from the Legislative Budget Board
43. Choices:
Helping support a safe
home environment
70%
of kids who receive child
protective services are
served in their homes
Department of Family and Protective Services
44. Choices: When Harris Co. kids are removed
from their homes, fewer are going to foster care,
81%
62%
thanks to increased focus on
placing kids with relatives
@cppp_tx
Department of Family and Protective Services #kidscount
45. Even with more
kids placed with
relatives
Nearly
4,900
Harris County children
lived in foster care
Department of Family and Protective Services
46. Choices:
Because we
underfunded in-home
services to save
money, we may see a
shift back to putting
kids in Foster Care
which, ironically may
actually cause us to
spend more than we
saved because . . .
CPPP analysis of 2012-13 budget for Department of Family and Protective Services
47. Foster Care services cost 26X more per year
than providing in-home or reunification services
$12,567 vs. $481
In-home and
Foster Care Reunification Services
Average annual spending per year per child, DFPS
50. Children with special health care needs
Communities in
Schools program Cuts to Kids Family Planning
Services
Provider rate cuts
in Medicaid and Community Mental
CHIP Health services
State and Early Childhood Intervention
community
mental health Community-based obesity prevention
hospitals
Foundation School
Financial support
Program for Family Based
Child Newborn Services for abused
abuse, neglect, and health
Initiative to kids
delinquency screenings
prevention improve rural
health care
51. "We have no choice, unless we want to
continue to try to grow our
population and continue to shrink
spending significantly," Straus said. "I
think at some point you can't cut
your way to prosperity."
Texas House Speaker Joe Straus
Oct 28, 2011, El Paso Times
So what’s the story in Texas?Recently, many Texas leaders have been using the phrase “the Texas Century” to tell one Texas story. I like the poetry of that phrase. It summarizes a portion of our recent past and what we envision for the future. The Texas Century is based on the idea that since 2000, Texas has not only weathered the economic storm better than most states, but that we have in fact set the bar that other states should strive for.Recently, Texas was ranked as the best state in which to do business.E1 But we were also recently ranked 35th in overall child well-being, 42nd in child poverty, 48th in teen births, and 50th in repeat teen births and percentage of uninsured children.E2The contrast between the successes of our business community and the struggles of our human community were noticeably juxtaposed on the front page of the AAS at the beginning of last session.
What do the numbers and these two stories say about our priorities?
17% growth in number
But as our numbers grow, so do our needs. Texas’ growing child population will always be an asset, as long as we educate them and provide them opportunities to contribute to our economy.
Table B05003We need to implement policies that will enable our kids to grow into healthy, educated adults, which means anticipating growth and embracing the opportunities inherent in our diversity.
Texas’ population is growing rapidly in large part because of our high birth rate. In 20087, 405,242 babies were born in Texas—the 2nd highest birth rate in the country (behind only Utah)But entering the world healthy is no guarantee.
TX = 39%Early, consistent, quality prenatal care is paramount for the health of mom and baby. Babies born to women who receive prenatal care are less likely to be born too small or to die before their first birthday.9 The moms are also more likely to be in better health and to access pediatric care for their baby.10 For many women, prenatal care is their first entry into the health care system. An important step to improving maternal and infant outcomes is to connect women to the health care system throughout their lifetimes. That way, if and when they decide to have children, they will be healthier to begin with, and will be better prepared to access prenatal care.
Medicaid WHP saved Texas Medicaid over $45 million in a year from 2009-2011. LBB estimates cuts will lead to over 20,000 additional low-income pregnancies, costing Texas Medicaid about $100 million in 2012-13!This comes on top of a 66 percent funding cut ($73 million) for the Department of State Health Services’ Family Planning Program which already eliminated basic prevention and birth control for at least 150,000 women. DSHS Family Planning Program cuts in 2011 session to 2012-13 budget = 66%FPP cuts affected 150,000 women + 130,000 women affected by WHP changesTexas’ choices should prioritize fiscal and physical health. Ending 80 percent of Texas’ family planning programs does neither.
We all know that whether rich or poor, Black or White, every Texas child deserves to be healthy and have access to the care they need. Yet 1.2 million kids in this state (nearly 236K in Harris Co.) lack the access to care they need to grow healthy and strong. Harris Co = 291,960 (19.5%)
Table HIB-5 from CPS Historical Tableswww.census.gov/hhes/www/hlthins/data/historical/HIB_tables.htmlThe good news is that the percentage of uninsured kids is significantly lower than it was just a few years ago. Texas provided additional resources for the eligibility system (e.g. more eligibility staff, better training, IT improvements) and reduced barriers to enrollment (e.g., allowing applications and renewal by mail) in our public health insurance programs
CHIP2000: CHIP established2003: CHIP 6-month eligibility (lost 16,000)2007: CHIP 12-month eligibility reinstatedMedicaid2002: applying for Medicaid made simpler2006-2008: Failed privatization attempt leads to crisis in applications for public health insurance2009-2011: Improved eligibility systemUnfortunately, the 2011 Legislature made substantial cuts to Medicaid and the Children’s Health Insurance Program (CHIP), which threaten that progress. Facing a $27 billion revenue shortfall, our legislators chose to reduce health and human services spending by $10 billion for the next two years—pledging to restore $5 billion of that funding in January 2013—rather than raising new revenues or using the state’s rainy day fund. Even if the 2013 Legislature makes good on that pledge, the remaining cuts are projected to significantly affect access to care for low-income Texas children and affect the health of our whole community
Geography: TX = 78%, U.S. = 84%When 7.5 million Texans no longer have a lifetime limit on their health insurance, it’s obvious that health reform is good!More than 300,000 young Texans have stayed on their parent’s insurance thanks to ACA.More than 15% of Texas children now have access to additional preventive services through their insurer thanks to #ACA.
In times of crisis, we rally around our family because they give us support and strength. Families know that when one member is not doing well, the whole family is affected. But that doesn’t just hold for the traditional nuclear family. We’ve rallied around each other as a nation (9/11), and at the state (Hurricane Katrina) and local levels (2011 wildfires) in times of crisis. We came together—as a family—to help those in need get back on their feet because it was the right thing to do for them, and for the whole community.For a community, poverty is as much a crisis as a one-time disaster. The effects are just as powerful and devastating. But unlike a one-time disaster, poverty is ongoing. It’s also something we can change.
We have made specific choices over the last several decades to fight poverty for our oldest residents. Our choices to secure their physical (Medicare) and financial (Social Security) health has cut poverty for people over 65 by nearly 2/3http://www.census.gov/hhes/www/poverty/data/historical/people.html
But we haven’t made as strong a commitment to reducing child poverty, even though children living in poverty are at a high risk for cognitive, emotional, educational, and health problems that last into adulthood. CPS Table Creator
Today, more than one of every four Texas kids live in poverty, a 24 percent increase since 2000. Unfortunately, as the child poverty rate rose, we made choices that make it even harder for kids and families to get their financial footing by cutting those programs designed to support Texans in times of crisis.
Thresholds from -- http://aspe.hhs.gov/poverty/12poverty.shtmlFamily of 3 = $18,530Family of 4 = 22,350Thresholds from: http://www.census.gov/hhes/www/poverty/data/threshld/index.html
WHEN YOU COUNT WORK-SUPPORTS, MANY CHILDREN PROTECTED FROM POVERTY NATIONALLYThe Official Poverty Measure is based solely on income and doesn’t take into account programs that help kids. Though still considered experimental, the Supplemental Poverty Measure’s rate for children is lower because it shows the success of nutrition and housing assistance, the Earned Income Tax Credit, child care subsidies, and child health insurance programs in lifting children and families out of poverty.
Beginning in 1996, the number of kids receiving Temporary Assistance for Needy Families (TANF, aka cash assistance) declined due to policies attempting to help parents find work combined with strict time restrictions for benefits. In 2003, the goal of reducing the rolls in Texas, rather than moving families to work, became the focus when full-family sanctions pushed droves of kids off assistance.26 Although many TANF kids ended up receiving Supplemental Security Income (SSI) because they have been evaluated as disabled, SSI cannot fully absorb the more than two-thirds loss from TANF since 2003.27
Harris: 2000 = 50,584 (5.1%); 2010 = 263,012 (22.9%) – the number on SNAP has quadrupledTexas: 2000 = 539,696 (9.2%); 2010 = 1,809,902 (26.4%) 1999: State appropriated funds for SNAP outreach and application assistance2001: SNAP requirements are simplified and funding appropriated to support fresh produce programs at food banksThe federal nutrition safety net protects kids from going hungry and promotes healthy food choices by providing money to states for anti-hunger programs such as the Supplemental Nutrition Assistance Program (SNAP, formerly Food Stamps), WIC, and the School Breakfast/School Lunch program. These programs often provide the only nutritious food some children receive each day.
2005: Expanded free lunch program auto-enrollment for kids on SNAPThis is VERY important as Texas ties for worst in food insecurity (with NM, OK, AZ). That’s 1.9 million Texas kids whose families report that they don’t know where their next meal is coming from. State-level policy choices determine the reach and benefits of our food assistance programs. Kids’ nutrition benefitted from several positive choices during 2011, such as expanded access to school breakfast and summer food programs, and easier SNAP enrollment. These gains were tempered by extensive school funding cuts, including eliminating middle school P.E. grants and reducing funding for Fitnessgram, which provides data to schools to help them assess overall student fitness. And nutrition programs face continued risks at the state and federal levels, such as possible across-the-board funding cuts and increased eligibility restrictions.
Hungry children: miss more school, are less attentive, are more likely to fail and be held back, and are more likely to drop out.Many of our youngest Texans are not only getting a rough physical start, but many children also aren’t receiving the cognitive boost they need from their home environment.
Following a statewide trend . . . Harris Co: 2000-2001 = 23,839 (42.8%); 2010-2011 = 40,508 (61.8%)Pre-kindergarten is designed to prepare kids for kindergarten and is targeted to, among others, economically disadvantaged kids.50 But the effects of pre-k last beyond kindergarten.
Economically disadvantaged third graders who had participated in pre-k were more likely to pass their TAKS tests than those who did not.
On the good side, dropout rates, no matter how you measure them, are going down thanks to joint community, private sector, and public education investments in dropout prevention programs.Even with these improvements, Texas is 51st in the percentage of residents with a high school diploma (2009 ACS Rankings Table).
Table B20004Making them three times as likely to live in poverty (and almost twice as likely as HS grads).
Table C17003With a high school degree, most single-earners can support families of 2, 3 or 4 above the federal poverty levelThese education gaps leave low-skilled workers with limited employment opportunities, channeling them and their children into a life of poverty and hardship. In our technology and service-oriented economy, our economic well-being will rise and fall with the skills of our workforce.Recent research by Brian Kelsey at CAPCOG showed that one of the largest groups of unemployment insurance claimants were people with some college but no degree. These are likely people who have some debt but none of the benefit of the degree or often a marketable skill. http://dallasfed.org/news/ca/2009/09raise_kelsey.pdf
Per pupil expenditure data from Kids Count Data Center.2011, TX spends $8,439 per student, ahead only of AZ, NC, NV, & UT (lowest at $6,525). WY & VT spend $17K+/student$4B primary school funding formulas$1.3 for categorical funding (aka, state support for full-day pre-K, dropout prevention programs-student success initiative, teacher incentive pay)We say $5.3 billion, but others say $5.4 billion. The smaller number is taking into account all the appropriations bills, not just HB 1. One of the other budget bills gave a little more money to school dropout prevention/at risk programs. (Eva)
Our future success depends on the investment we make in educating our kids now. For Texas to stay a great place to do business, we have to make smart choices about educating our future workforce. We must fully fund public education, prepare for growth, and build on the success of programs that help kids succeed. That is the only viable long-term plan for success.
Home should be a place where every child feels safe. Our policy decisions in recent years reflected a renewed commitment to protecting abused and neglected children and helping support a safe home environment. Policymakers made significant reforms and provided additional money to the Texas Child Protective Services (CPS) agency during the 2005, 2007, and 2009 legislative sessions.Harris Co.: 5,493 kids = 4.9/1000 children
File #: 9047047
Harris Co: % of all kids in substitute care who are in foster careHarris Co: % of all kids in substitute care who are in foster care (Foster Care for ages 0-21 from DFPS Data Book. Texas KIDS COUNT Foster care # in Data Center is only for kids 0-17, so # in notes below and # we report don’t match).2011Substitute care = 7878Foster care = 4888 (62.0%)2000Substitute care = 4271Foster care = 3460 (81.0%)
File #: 3511992Harris Co: % of all kids in substitute care who are in foster care (Foster Care for ages 0-21 from DFPS Data Book. Texas KIDS COUNT Foster care # in Data Center is only for kids 0-17, so # in notes below and # we report don’t match).Harris co: 2011Substitute care = 7878Foster care = 4888 (62.0%)Harris co: 2000Substitute care = 4271Foster care = 3460 (81.0%)
Growing rapidlyToo many living in povertyToo many born too early and too smallToo many dropping outToo many w/out health insurance and unhealthy
Also, the budget bills do not fund caseload growth, cost increases/inflation, or replace the big influx of federal funds in the 2010-2011 budget from the federal ARRA stimulus law. This represents an even deeper under-funding than the rate cuts.For example, when you factor in rate-cuts plus not replacing ARRA or accounting for growth and other increased costs, Medicaid underfunded by $7.6B
Texas House Speaker Joe Straus: We have to correct the deficit By Zahira Torres \\ Austin Bureauelpasotimes.com Posted: 10/28/2011 12:00:00 AM MDT http://www.elpasotimes.com/news/ci_19211497 He added that since the Rainy Day Fund, projected to have about $7 billion by January 2013, "will not be the crutch that it's been to date," lawmakers must act to find solutions for the underperforming Texas Franchise Tax, also known as the "margins tax." "We have no choice, unless we want to continue to try to grow our population and continue to shrink spending significantly," Straus said. "I think at some point you can't cut your way to prosperity."
When it comes to Texas’ children, it’s time to get back to basics. That means investing in the things that helped give us our start—like a strong public education, access to doctors before we get sick, and healthy food on the table. We can make the smart choices to protect the health and well-being of Texas kids and help families build economic security. It doesn’t get any more basic than that.
But the real story is not the numbers. It’s the people behind the numbers.Let’s meet Manuel Luna. He’s a husband and father four living with his family in San Antonio. The Annie E. Casey Foundation interviewed him following his experience being unemployed for almost five months after he lost his job in 2009—a time he calls “our depression.”
Angry and despondent after losing his role as the family breadwinner, Manuel Luna attended anger management classes and family counseling. The family found resources and service providers through the Annie E. Casey Foundation’s Making Connections program and the Casey-supported Center for Working Families, which serves low-income families.
He credits the help he received from several programs with pulling his family through. The Earned Income Tax Credit provided extra cash to help the family catch up on bills and pay off debts. Supplemental Nutrition Assistance Program benefits (formerly food stamps) and the San Antonio Food Bank not only helped feed his family, but also freed up money to buy other essentials, like school uniforms and shoes.
The Energy Assistance Program helped pay for utilities, which allowed other money to pay such bills as the rent.“Right now, we’re stable,” says Luna, 31, who has worked since September 2010 as a utility technician for the city’s public water system and, before that, in a restaurant warehouse. “But we really went through a hard time. The programs helped us.”
After their financial and emotional health improved, Manuel and Hilda Laura Luna plunged into community activities. Manuel has served as a PTA president and coached his children’s sports teams.
The couple has been involved in a neighborhood improvement group and the Volunteer Income Tax Assistance program.
Just like Manuel Luna’s family, every child should have the chance to fulfill his or her full potential. That means seeing a doctor when they need one, having access to nutritious food, feeling safe at home, and obtaining a high quality education. But positive or negative outcomes for kids don’t just happen. They are the inevitable results of effective or failed policy choices.
Every child should have the chance to fulfill his or her full potential. That means seeing a doctor when they need one, having access to nutritious food, feeling safe at home, and obtaining a high quality education. But positive or negative outcomes for kids don’t just happen. They are the inevitable results of effective or failed policy choices.
Who keeps kids healthy? Who keeps kids safe? Who helps educate our kids? We do . . . With our voice. Talk to your families, friends, neighbors, and leaders about how our choices matter. It’s time we learn from our past choices, positive and negative, so that we can shape a different story for our future. If we keep kids as our number one priority, the story about how we turned things around to build a better Texas can be an inspiration for generations to come.