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What do you need to connect with meaningful https://www.georgemarioattard.com/zithromax-z-pak-price-walgreens employment? how to get zithromax online. As we grappled with major changes in the workforce and the zithromax’s many challenges, that’s the question we asked military spouses who were transitioning with their service member from active duty last year. The answer. Better information on the job search and application process, from crafting a compelling resume to marketing themselves to negotiating salaries how to get zithromax online. In order to provide a successful path to plan and prepare for job searches, the U.S.

Department of Labor’s Veterans’ Employment and Training Service created a new series of stand-alone virtual workshops that we call TEAMS – Transition Employment Assistance for Military Spouses. Last fall we introduced the first four how to get zithromax online courses. We’re excited to roll out five more this May, during Military Appreciation Month. Federal Hiring Interview Skills LinkedIn Profiles LinkedIn Job Search Salary Negotiations Participants can engage with the facilitators and get expert feedback, and we offer these live classes on a monthly basis across many time zones to meet the needs of military spouses stationed worldwide. Our goal is to provide current how to get zithromax online and relevant employment training, tools and resources for military spouses.

More than 558 people have already attended the courses, and they’ve described them as “very helpful,” “eye opening” and “great.” Visit veterans.gov/milspouses/events today to learn more and register for upcoming workshops. Tim Winter is the director of the Transition Assistance Program in the department’s Veterans’ Employment and Training Service. Follow VETS on Twitter at @VETS_DOL..

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Young people see this website are urged to quit vaping and know the zithromax z pak 250mg side effects facts and dangers of e-cigarettes, which can contain harmful substances found in cleaning products, nail polish remover, weed killer and bug spray. Health Minister Brad Hazzard and zithromax z pak 250mg side effects Minister for Education and Early Learning Sarah Mitchell have launched Get the Facts – Vaping Toolkit and NSW Health awareness campaign. The campaign, which is aimed at secondary students, reminds parents, carers, young people and teachers vaping is not safe and can have harmful, long-term effects to the physical and brain development of young people. Minister Hazzard said that research has proven that e-cigarettes are just as addictive and harmful as regular zithromax z pak 250mg side effects cigarettes. €œA respiratory researcher once told me that e-vaping liquids have chemicals that are similar to antifreeze, with 500 different flavours to attract kids,” Mr Hazzard said.

€œIt makes it pretty obvious as to the harm it can cause to youngsters’ lungs.” Many vapes contain nicotine, some at extremely high concentrations, even if they are not labelled zithromax z pak 250mg side effects as such, and evidence suggests they can lead to a lifelong nicotine addiction. NSW Health has worked with the NSW Department of Education to develop the Vaping Toolkit, which contains evidence-based resources and educational materials for parents, carers, young people and schools, to combat the rising number of children and young people who are trying or taking up vaping. Minister Mitchell urged parents to discuss the dangers of zithromax z pak 250mg side effects e-cigarettes with their children and to report any usage in schools to principals. €œThe number of young people zithromax z pak 250mg side effects vaping without consideration to the effects is concerning. I encourage all parents and young people to find out more and talk about the hidden, dangerous impacts of e-cigarettes,” Ms Mitchell said.

€œEducating our young people about the dangers of vaping is zithromax z pak 250mg side effects essential when there continues to be a large number of reckless individuals selling nicotine products to minors.” The Vaping Toolkit and campaign is designed to increase young people’s awareness of the dangers of vaping and support parents, carers, families, schools and educators, health and community bodies with information and strategies to educate and protect young people from the harms of e-cigarettes. The campaign will target secondary students to raise awareness of the hidden chemicals in vapes, and provide a resource for teachers, parents and carers to kick start conversations. It is zithromax z pak 250mg side effects illegal to sell e-cigarettes or vapes to anyone under the age of 18. There are severe penalties for business or others who provide them to minors, including fines of up to $11,000 for individuals, and up to $55,000 for corporations, for first offences. NSW Health continues to take action against retailers who sell e-cigarettes and e-liquids zithromax z pak 250mg side effects containing nicotine.

NSW Health seized over 100,000 e-cigarettes worth an estimated street value of over zithromax z pak 250mg side effects $2 million from 1 July 2020 to 31 December 2021. Parents and young people can get the facts about the dangers of vaping by visiting Vaping. Find the facts zithromax z pak 250mg side effects. For vape footage, watch this video.South-western Sydney communities can look forward to accessing more first class health services close to home, with construction beginning on a six-storey hospital tower as part of the $790 million Liverpool Health and Academic Precinct.Premier Dominic Perrottet said the new hospital would deliver enhanced health facilities and will include an integrated cancer centre, a larger emergency department, intensive care unit and more theatres. "The $790 million health and academic precinct the NSW Government is building here at Liverpool is one of the largest hospital redevelopments across the state – and will transform healthcare zithromax z pak 250mg side effects services in this rapidly growing part of Sydney," Mr Perrottet said."We have the best health system in the nation and we are ensuring that no matter where you live in our State you have access to the best healthcare facilities."The new hospital will also include a larger neonatal intensive care unit and six new in-patient units including paediatric, maternity and women's health services – all designed to cater to the area's growing population.

A new multi-storey car park, which is nearing completion, will also provide an additional 500 spaces across the campus.Minister for Health Brad Hazzard and Member for Holsworthy Melanie Gibbons today turned the sod on the site of the new hospital tower and toured the project's 'Buraga Gul' skilling and employment hub which will help drive education and jobs throughout construction and beyond.Mr Hazzard said the new precinct in the heart of Liverpool would be an attractive drawcard for clinicians, specialists, researchers and educators locally and worldwide, which would boost the community and deliver better long term health outcomes."The NSW Government is investing an unprecedented $790 million into south-western Sydney to meet the community's healthcare needs and also provide employment opportunities for our future generations of nurses, doctors, researchers and educators," Mr Hazzard said.Project builder Lendlease has opened a new skilling and employment hub next to the hospital construction site to create more education and employment opportunities for south-western Sydney communities and boost the local workforce.Minister for Skills and Training Alister Henskens said the establishment of the skills and employment hub is one of the key components of the project. "Working in partnership with NSW Health, TAFE NSW and Liverpool City Council, the hub will offer construction pre-employment programs and Aboriginal employment initiatives to support people of all ages to acquire new skills for construction and health-related roles," Mr Henskens said.Ms Gibbons said the NSW Government is catering to the needs of the local community now and into the future, with close to 1.3 million people expected to call south-western Sydney home by 2031."This significant redevelopment will ensure both the long-term health and economic wellbeing of local communities here in south-western Sydney," Ms zithromax z pak 250mg side effects Gibbons said."With around 850 construction jobs to be supported throughout the redevelopment and the potential for thousands more jobs over the project's life, the on-site skills and employment hub will help attract, retain and upskill local workers in yet another fantastic win for our community." The new precinct forms part of the NSW Government's record $10.8 billion investment in health infrastructure over four years to 2024-2025. Since 2011, the NSW Government has delivered more than 170 hospitals and health facilities across the state, with more than 110 currently underway.Learn more about the $790 million redevelopment of Liverpool Hospital at Liverpool Health and Academic Precinct See vision, including a new demolition timelapse..

Young people are urged to quit vaping and know the facts and dangers of e-cigarettes, which can contain harmful substances found in cleaning products, nail polish remover, weed how to get zithromax online killer and bug spray. Health Minister Brad Hazzard and Minister for Education and Early Learning how to get zithromax online Sarah Mitchell have launched Get the Facts – Vaping Toolkit and NSW Health awareness campaign. The campaign, which is aimed at secondary students, reminds parents, carers, young people and teachers vaping is not safe and can have harmful, long-term effects to the physical and brain development of young people. Minister Hazzard said that research has proven how to get zithromax online that e-cigarettes are just as addictive and harmful as regular cigarettes. €œA respiratory researcher once told me that e-vaping liquids have chemicals that are similar to antifreeze, with 500 different flavours to attract kids,” Mr Hazzard said.

€œIt makes how to get zithromax online it pretty obvious as to the harm it can cause to youngsters’ lungs.” Many vapes contain nicotine, some at extremely high concentrations, even if they are not labelled as such, and evidence suggests they can lead to a lifelong nicotine addiction. NSW Health has worked with the NSW Department of Education to develop the Vaping Toolkit, which contains evidence-based resources and educational materials for parents, carers, young people and schools, to combat the rising number of children and young people who are trying or taking up vaping. Minister Mitchell urged parents to discuss the how to get zithromax online dangers of e-cigarettes with their children and to report any usage in schools to principals. €œThe number of young people vaping without consideration to the effects how to get zithromax online is concerning. I encourage all parents and young people to find out more and talk about the hidden, dangerous impacts of e-cigarettes,” Ms Mitchell said.

€œEducating our young people about the dangers of vaping is essential when there continues to be a large number of reckless individuals selling nicotine products to minors.” The Vaping Toolkit and campaign is designed to increase young people’s awareness of the dangers of vaping and support parents, carers, families, schools and educators, health and community bodies with information and strategies to educate and protect young people from how to get zithromax online the harms of e-cigarettes. The campaign will target secondary students to raise awareness of the hidden chemicals in vapes, and provide a resource for teachers, parents and carers to kick start conversations. It is illegal to sell e-cigarettes or vapes to anyone under the age of 18 how to get zithromax online. There are severe penalties for business or others who provide them to minors, including fines of up to $11,000 for individuals, and up to $55,000 for corporations, for first offences. NSW Health continues to how to get zithromax online take action against retailers who sell e-cigarettes and e-liquids containing nicotine.

NSW Health seized over 100,000 e-cigarettes worth how to get zithromax online an estimated street value of over $2 million from 1 July 2020 to 31 December 2021. Parents and young people can get the facts about the dangers of vaping by visiting Vaping. Find the how to get zithromax online facts. For vape footage, watch this video.South-western Sydney communities can look forward to accessing more first class health services close to home, with construction beginning on a six-storey hospital tower as part of the $790 million Liverpool Health and Academic Precinct.Premier Dominic Perrottet said the new hospital would deliver enhanced health facilities and will include an integrated cancer centre, a larger emergency department, intensive care unit and more theatres. "The $790 million health and academic precinct the NSW Government is building here at Liverpool is one of the largest hospital redevelopments across the state – and will transform healthcare services in this rapidly growing part of how to get zithromax online Sydney," Mr Perrottet said."We have the best health system in the nation and we are ensuring that no matter where you live in our State you have access to the best healthcare facilities."The new hospital will also include a larger neonatal intensive care unit and six new in-patient units including paediatric, maternity and women's health services – all designed to cater to the area's growing population.

A new multi-storey car park, which is nearing completion, will also provide an additional 500 spaces across the campus.Minister for Health Brad Hazzard and Member for Holsworthy Melanie Gibbons today turned the sod on the site of the new hospital tower and toured the project's 'Buraga Gul' skilling and employment hub which will help drive education and jobs throughout construction and beyond.Mr Hazzard said the new precinct in the heart of Liverpool would be an attractive drawcard for clinicians, specialists, researchers and educators locally and worldwide, which would boost the community and deliver better long term health outcomes."The NSW Government is investing an unprecedented $790 million into south-western Sydney to meet the community's healthcare needs and also provide employment opportunities for our future generations of nurses, doctors, researchers and educators," Mr Hazzard said.Project builder Lendlease has opened a new skilling and employment hub next to the hospital construction site to create more education and employment opportunities for south-western Sydney communities and boost the local workforce.Minister for Skills and Training Alister Henskens said the establishment of the skills and employment hub is one of the key components of the project. "Working in partnership with NSW Health, TAFE NSW and Liverpool City Council, the how to get zithromax online hub will offer construction pre-employment programs and Aboriginal employment initiatives to support people of all ages to acquire new skills for construction and health-related roles," Mr Henskens said.Ms Gibbons said the NSW Government is catering to the needs of the local community now and into the future, with close to 1.3 million people expected to call south-western Sydney home by 2031."This significant redevelopment will ensure both the long-term health and economic wellbeing of local communities here in south-western Sydney," Ms Gibbons said."With around 850 construction jobs to be supported throughout the redevelopment and the potential for thousands more jobs over the project's life, the on-site skills and employment hub will help attract, retain and upskill local workers in yet another fantastic win for our community." The new precinct forms part of the NSW Government's record $10.8 billion investment in health infrastructure over four years to 2024-2025. Since 2011, the NSW Government has delivered more than 170 hospitals and health facilities across the state, with more than 110 currently underway.Learn more about the $790 million redevelopment of Liverpool Hospital at Liverpool Health and Academic Precinct See vision, including a new demolition timelapse..

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Latest Healthy Kids zithromax z pak cost walmart News SUNDAY, average cost of zithromax Jan. 10, 2021 (HealthDay News) – A new year can be a fresh start for you and your kids -- and perhaps no year has needed a fresh start more than this one. So, a leading doctors' zithromax z pak cost walmart group is offering parents tips for a healthy "reset" in 2021.Get immunized. First of all, the American Academy of Pediatrics (AAP) is recommending you make sure your family is up to date on treatments.

If your family hasn't zithromax z pak cost walmart yet been vaccinated for the flu, do that now, and be sure to call your pediatrician to make sure your kids are also up-to-date on their routine immunizations. And to help reduce the spread of germs -- including the new antibiotics -- be sure to teach kids good hand-washing habits.Practice car safety. Parents of younger children should keep them safe in the car by keeping their car seats rear-facing as long as possible. The AAP recommends this for virtually all children under the age of 2 and zithromax z pak cost walmart most children up to age 4.

Be sure to transmit your concerns to anyone who transports your child as well. Also, find out if your state has zithromax z pak cost walmart any new car seat laws.Use online time wisely. Establish good digital habits, the AAP suggests, by researching age-appropriate media and making a "family-use plan." Try to prevent unhealthy online gaming habits, and watch a show or play a video game together, so that your kids' screen time isn't always alone time.Get out there. It's easy, especially during buy antibiotics lockdowns, for kids to spend all their time indoors staring at screens.

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All rights reserved. SLIDESHOW Childhood Diseases. Measles, Mumps, &. More See Slideshow.

Latest Healthy my explanation Kids how to get zithromax online News SUNDAY, Jan. 10, 2021 (HealthDay News) – A new year can be a fresh start for you and your kids -- and perhaps no year has needed a fresh start more than this one. So, a leading doctors' group is offering parents tips for a healthy how to get zithromax online "reset" in 2021.Get immunized. First of all, the American Academy of Pediatrics (AAP) is recommending you make sure your family is up to date on treatments. If your family hasn't yet been vaccinated for the flu, do that now, and be sure to call your pediatrician to make how to get zithromax online sure your kids are also up-to-date on their routine immunizations.

And to help reduce the spread of germs -- including the new antibiotics -- be sure to teach kids good hand-washing habits.Practice car safety. Parents of younger children should keep them safe in the car by keeping their car seats rear-facing as long as possible. The AAP recommends this for virtually all children under the age of 2 and most children how to get zithromax online up to age 4. Be sure to transmit your concerns to anyone who transports your child as well. Also, find out how to get zithromax online if your state has any new car seat laws.Use online time wisely.

Establish good digital habits, the AAP suggests, by researching age-appropriate media and making a "family-use plan." Try to prevent unhealthy online gaming habits, and watch a show or play a video game together, so that your kids' screen time isn't always alone time.Get out there. It's easy, especially during buy antibiotics lockdowns, for kids to spend all their time indoors staring at screens. Offset all that screen use how to get zithromax online by spending more time outdoors -- it's even good for your child's eye health to look at something other than screens. Being outdoors can also boost your children's mood and their levels of the "sunshine vitamin," vitamin D, while helping the whole family stay active.Be good to yourself, too. Physically and how to get zithromax online mentally healthy parents are what kids need most.

So, make sure you get proper rest and stay healthy, including regular check-ups. Practice self-care, the AAP suggests, and know how to get zithromax online that help is near if you're experiencing depression or anxiety.More informationThe U.S. Centers for Disease Control and Prevention has more information on the benefits of spending time outdoors.SOURCE. American Academy of Pediatrics, Jan. 6, 2021Copyright how to get zithromax online © 2020 HealthDay.

All rights reserved. SLIDESHOW how to get zithromax online Childhood Diseases. Measles, Mumps, &. More See Slideshow.

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The National Health Service is facing rising demands for services, issues of funding, variations in quality and safety, and labour challenges.1 2 These challenges are felt acutely within genitourinary medicine, which has one of the lowest fill rates nationally,3 one-third of sexual and reproductive consultants are due to retire zithromax alcohol interaction in the next 5 years and sexual health services face budget cuts of more than 20%.4A range of solutions have been proposed, including new models of care and modernisation of the workforce.1 2 5 Modernising the workforce will involve securing the supply of staff, creating a flexible workforce, widening participation and broadening career pathways5 and the development of extended and advanced practice roles.1 2 5 It is anticipated these solutions http://maxatp.com/uncategorized/hello-world/ will increase efficiency and efficacy, facilitate professionals to work at the top of their licence, thus reducing variations in practice and improve standards of care.5To support ….

The National Health Service is facing rising demands for services, issues of funding, variations in quality how to get zithromax online and safety, and labour challenges.1 2 These challenges are felt acutely within genitourinary medicine, which has one of the lowest fill rates nationally,3 one-third of sexual and reproductive consultants are due to retire in the next 5 years and sexual health services face budget cuts of more than 20%.4A range of solutions have been proposed, including new models of care and modernisation of the workforce.1 2 5 Modernising the workforce will involve securing the supply of staff, creating a flexible workforce, widening participation and broadening career pathways5 and the development of extended and advanced practice roles.1 2 5 It is anticipated these solutions will increase efficiency and efficacy, facilitate professionals to work at the top of their licence, thus reducing variations in practice and improve standards of care.5To support ….

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Letters to the Editor is http://go-fore-the-green.com/?p=825 a periodic zithromax during pregnancy feature. We welcome all comments and will publish a selection. We edit for length and zithromax during pregnancy clarity and require full names. A Harrowing Tale of Racism I liked the article “The Making of Reluctant Activists. A Police Shooting in a Hospital Forces One Family to Rethink American Justice” (May 10).

As a physician in Texas, zithromax during pregnancy I reached out to the senior Dr. Pean the day after the shooting. I encouraged the Harris County Medical Society to advocate for this family and got nowhere. I wrote several times to the then-current zithromax during pregnancy president of the medical society and got nowhere. Medicare threatened to shut down the hospital because of this incident and then the president of the medical society protested the shutdown but not the shooting.

Although the president of the medical society was Latino, he showed no concern for the doctor’s part-Latino son getting shot. I have stayed in touch with the family and have been pleased with zithromax during pregnancy their successes. €” Dr. Robert Jackson, Houston — S.E. Smith, Fort Bragg, zithromax during pregnancy Colorado The article about the Pean family is informative about this pernicious, persistent type of American racism.

As a 70-year-old African American woman, I know it well. My question is, What is the health industry doing to alleviate the scourge that destroys the minds and bodies of people of color?. Publishing a meaningful article on the zithromax during pregnancy Pean family is not enough. €” Evonnie Gbadebo, Windsor, Connecticut Care Inequities Extend Beyond Race I’m tired of hearing about racial disparities (“Stark Racial Disparities Persist in Vaccinations, State-Level CDC Data Shows,” May 20). How about some comments about people with disabilities who live independently and don’t have caretakers to do everything for them?.

I had a negative experience at a local pharmacy getting zithromax during pregnancy my buy antibiotics shots. The first shot, I bore with it but complained loudly about lack of accessibility. The second shot, nothing had changed so I made a bigger scene about it. I hope they finally got their act together, but I can’t go to every single pharmacy in the country and tell them we need signage to tell zithromax during pregnancy us where to go for accessible service. (In this case, the pharmacy counter might have worked.) Also, they need to have their questions in writing, in advance.

I’m not surprised that the Centers for Disease Control and Prevention data is incomplete. I haven’t seen any stories about outreach zithromax during pregnancy to deaf or hard-of-hearing people either, and given that everyone is wearing masks, I found getting a shot unpleasant for lack of communication during the process. The waiting line was wholly audist-oriented with no hand signals, the questions were incomprehensibly spoken, and the drugstore had no signage to help anyone with disabilities. €” Therese Shellabarger, North Hollywood, California — Dr. Céline Gounder, New York City The Push-Pull of Dentistry zithromax during pregnancy Here’s another questionable dental revenue-generating tactic.

When many dentists say, “We take all PPOs,” it really means. €œEven though we are out-of-network, we will bill your PPO instead of you having to submit an out-of-network claim.” It’s a common business practice in dentistry (“Why Your Dentist Might Seem Pushy,” May 19). People get hit with surprise balance bills and think it’s their “bad” insurance zithromax during pregnancy coverage instead of the intentionally misleading (and usually nonexistent) explanation of their dentist’s out-of-network relationship with their insurance carrier. The front desk does this, the dentists themselves do this, and their webpages about insurance do it. And again, it all boils down to dentists generating more revenue than they otherwise would, either because they’d have to accept the lower contract rate if they were in-network or they’d outright lose the patient when they find out they are actually out-of-network.

Making matters worse, some people “love” their dentist and don’t take the time to research in-network dentists who they might also love zithromax during pregnancy if they went to them, so they pay the extra to stay with their dentist and figure it’s “worth it.” The widespread fear of dentistry plays into this, too — the dentists act nice, the patient likes them and believes they are therefore a good dentist because they are nice and the patient didn’t have a bad dentistry experience, in the end creating loyalty that is then exploited with the PPO scam. Hashtag caveat emptor. €” Jonathan Greer, Rockridge Health Insurance, Oakland, California After my previous dentist retired, he sold his practice to a new dentist. The new zithromax during pregnancy dentist immediately found many problems that weren't a problem before.via @KHNews https://t.co/GjXR1N1piR— Harry Sit (@TheFinanceBuff) May 20, 2021 — Harry Sit, Reno, Nevada Dental Care Is Essential I write in response to your article “Why Your Dentist Might Seem Pushy” (May 19). The piece’s lack of empirical or systemic data is troubling and dangerously downplays the important work done by dental professionals every day.

There are often allegations of fraud and abuse in all industries, unfortunately including health care. However, the percentage of complaints has been zithromax during pregnancy consistently low in the dental industry. According to the National Health Care Anti-Fraud Association, each year roughly 5% of the $250 billion spent on dental care procedures are associated with alleged fraud or abuse, compared with up to 10% in other health care fields, as noted in the article. Suggesting that dentists regularly push unnecessary procedures to drive up profits is false and damaging to the dental profession and patients’ perception of dentistry. Dentists provide essential care zithromax during pregnancy that keeps patients healthy.

At the core of improving oral health is the dentists and their entire team who play a crucial role in providing safe and accessible health care for communities across the country, especially in underserved areas. Many studies have shown that that dental care is critical for early detection and prevention of diseases, including heart disease, stroke and diabetes. Additionally, more recent studies have shown that increased dental hygiene also greatly zithromax during pregnancy increases a patient’s chances of surviving buy antibiotics. Many of the Association of Dental Support Organizations members, in fact, provide charitable care and dentistry to thousands of patients annually. As executive director of the ADSO, I am proud of our members who always put patients and their safety first.

Our members zithromax during pregnancy are enabling their supported dentists to focus on patients, expand access to underserved communities, and maintain high-quality standards for essential dental care and business operations. €” Andrew Smith, executive director of the Association of Dental Support Organizations, Arlington, Virginia I recieved a Moderna treatment, so this tells me, get the treatment but still keep your distance from others. Hey I can do that because I am not a people person who hangs around big crowds anyway. Https://t.co/WGACm78I1P— David Hodges (@DavidHo00768274) April 28, 2021 — David Hodges, Portland, Oregon A Footnote on Breakthrough buy antibiotics zithromax during pregnancy Cases Regarding Steven Findlay’s article “The Shock and Reality of Catching buy antibiotics After Being Vaccinated” (April 16). First of all, Mr.

Findlay, I am sorry to hear that you got buy antibiotics after your second shot. That’s a zithromax during pregnancy drag. But in your article, don’t you think you might have given the wrong impression about the likelihood of this happening?. You wrote. €œA tiny but growing number are contending with the disturbing experience of getting buy antibiotics despite having had one shot — or even two.” A “growing” number, I think, gives the wrong impression that the proportion of breakthrough cases is growing zithromax during pregnancy.

That would be worrying. But isn’t the number only “growing” because more people are getting vaccinated?. In that case, it is entirely unremarkable that the number is growing, so zithromax during pregnancy why the “but”?. I’m extremely concerned about treatment hesitancy in this country, and I’m far more worried about your article reinforcing that hesitancy than I am about myself contracting a breakthrough case. €” Jason Hodin, zithromax during pregnancy Friday Harbor, Washington — Chris Collins, New Orleans An Aha Moment on Stroke Care Thank you.

I am more educated, and quite horrified, about the condition of the state of our state‘s and nation’s health care predicament (“In Appalachia and the Mississippi Delta, Millions Face Long Drives to Stroke Care,” May 4). Your insightful investigative reporting should be a catalyst for communities to seek funding for our loved ones. I plan to share with my county commissioners and zithromax during pregnancy state legislators. Again, many thanks. €” Judge Tammy Jackson Montgomery, Coatopa, Alabama — Jessica Gottlieb, Los Angeles My Primary Care Physician Virtually Aced It Really excellent and insightful cautionary commentary on the “virtual medicine” phenomenon (“Telemedicine Is a Tool — Not a Replacement for Your Doctor’s Touch,” May 6).

It is true that most of one’s interactions with one’s doctor are informational (assuming that one does not zithromax during pregnancy suffer from a dread disease). But communication via email is optimal only when one has an established relationship with the physician over time, and when the physician has access to the patient’s rich electronic medical record (EMR). The best expression of the role of “virtual medicine” is the use of multi-modality communication between patient and primary care physician in the Kaiser Permanente model. I’ve been a KP Medicare Advantage member for over zithromax during pregnancy eight years, and my health status is managed as a collaboration with my KP primary care physician. In our initial intake physician exam, I told him I have a boring EMR, but I’m a whiner, so he could expect to hear from me regularly.

I asked him to make sure that I continued to perform well on the tennis court. He responded zithromax during pregnancy by saying that it is a mutual responsibility. So, over the past eight years, we have communicated almost exclusively by email. He always responds within 24 hours, and usually by the end of the day. Twice during this period, I reported symptoms that could have indicated a serious clinical zithromax during pregnancy issue.

In each case, the response was immediate, with a referral to a specialist(s) within KP who, of course, had access to my complete EMR. When I received a buy antibiotics vaccination outside the KP network, we made sure that documentation was added to my EMR. So, within the KP model, “virtual medicine” is clinically efficient and cost-effective, because patient and physician zithromax during pregnancy are communicating within a very high-quality health care delivery system. Immediate access to well-informed clinicians is assured. This is very different from the many emerging for-profit ventures that promote services of dubious quality or clinical effectiveness — really, most are little more than rebranded, app-enhanced “nurse advice lines.” Thanks for a great op-ed.

€” Tony Pfannkuche, Los Angeles — zithromax during pregnancy Torshira Moffett, Washington, D.C. Public health systems all over the world were overwhelmed by #buy antibiotics19, even the best-funded ones. @GavinNewsom made the right moves. Which is why CA is a zithromax during pregnancy world leader in vaccination success. Single-payer countries?.

Not so much.— Steven Maviglio (@stevenmaviglio) May 6, 2021 — Steven Maviglio, Sacramento, California The zithromax Demanded Workarounds This article’s implicit conclusion of wrongdoing at the expense of a public agency is quite egregious and short-sighted (“Salesforce, Google, Facebook. How Big Tech Undermines California’s Public Health System,” May zithromax during pregnancy 6). This unprecedented health crisis needed quick, decisive actions and policies. The current bureaucracy has consistently proven itself to be too slow in response due to its many layers of management’s accountability. The governor’s working relationship with high tech was instrumental in zithromax during pregnancy keeping California’s health crisis under control.

Why people complain after the fact is representative of what is wrong currently in society, creating unnecessary division. I’m not saying unbridled praise should be heaped upon Gov. Newsom, but to look for negativity or wrongdoing for the sake of an zithromax during pregnancy article was pretty shallow. €” Warren Young, San Francisco — Tom Merrill, Salt Lake City CHL link, May 18. Https://californiahealthline.org/news/article/zithromax-seniors-lose-strength-conditioning-may-need-rehabilitative-services/ Bolstering Medicare Coverage to Keep Seniors Strong As you rightly point out, after 15 months of sheltering in place, older Americans are increasingly being negatively impacted by the indirect health effects of buy antibiotics — including loss of strength, mobility and independence (“As zithromax Eases, Many Seniors Have Lost Strength, May Need Rehabilitative Services,” May 21).

For many seniors, this prolonged period of “physical zithromax during pregnancy deconditioning” has put them at serious risk of long-term disability, injuries and falls, which cause 2.8 million emergency room visits every year. Recognizing the long-term health impact of the zithromax on America’s seniors, physical therapy services will only grow in importance. That’s why it’s troubling that Medicare has chosen to push forward with significant payment cuts for physical, occupational and speech therapy services. Though Congress temporarily reduced the cuts last year, our specialty faced one zithromax during pregnancy of the steepest declines in Medicare spending — a whopping 34% — during the first six months of 2020. As demand for our services grows, it is critical for Medicare to protect seniors’ access to the medically necessary therapy services they need.

Instead of implementing these devastating cuts in 2022 and beyond, Medicare should rethink its approach to ensure stability to the system and, ultimately, improve the health and independence of older Americans. €” Nikesh Patel, executive director, Alliance for Physical Therapy zithromax during pregnancy Quality and Innovation (APTQI), Washington, D.C. In pain and crisis, when someone w/SUD is ready for help, she may not be able to research a facility's quality. We need standards &. Accountability.

"Addiction Treatment Providers in Pa. Face Little State Scrutiny Despite Harm to Clients https://t.co/y3If2bU2eo via @khnews— Kristin Gourlay (@kristingourlay) April 30, 2021 — Kristin Gourlay, Oak Park, Illinois Altering Mindsets on Addiction Although I haven’t been personally affected by the addiction/overdose crisis, I still understand the callous politics involved with this most serious social issue (“Addiction Treatment Providers in Pa. Face Little State Scrutiny Despite Harm to Clients,” April 30). The mere mention of government funding to make proper treatment available to low- and no-income hard-drug addicts, however much it would alleviate their great suffering, generates firm opposition by the general socially and fiscally conservative electorate. The reaction is largely due to the preconceived notion that drug addicts are but weak-willed and/or have somehow committed a moral crime.

Ignored is that such intense addiction usually does not originate from a bout of boredom, where a person repeatedly consumed recreationally but became heavily hooked on an unregulated often-deadly chemical that eventually destroyed their life and even that of a loved one. The greater the drug-induced euphoria or escape one attains from its use, the more one wants to repeat the experience. And the more intolerable one finds their sober reality, the more pleasurable that escape should be perceived. By extension, the greater one’s mental pain or trauma while sober, the greater the need for escape from reality, thus the more addictive the euphoric escape-form will likely be. Regardless, we now know pharmaceutical corporations intentionally pushed their very addictive opiate painkillers (perhaps the real moral crime), for which they got off relatively lightly, considering the resulting immense suffering and overdose death numbers.

€” Frank Sterle Jr., White Rock, British Columbia — Angela Biesecker, Philadelphia Going to Bat for Nurse Anesthetists As the buy antibiotics outlook improves, the toll on health care providers caused by the zithromax is unprecedented. Nurses have risked their lives as they dealt with shortages of protective equipment, medications and personnel — all while s, hospitalizations and deaths from the disease soared. Yet nurses have risen to the challenges, courageously caring and providing life-sustaining services to millions of patients. So, why do some question a nurse’s right to practice to the full extent of their education and training?. Nurses do most of their demanding work out of the public eye.

And even less understood by the public is the number of specialties in nursing, particularly those of advanced practice registered nurses. Consider the “nurse anesthetist” or Certified Registered Nurse Anesthetist (CRNAs). Unless you have had surgery and/or delivered a baby, chances are you have never heard of the highly educated, expertly trained CRNA. Surveys show that more than 70% of CRNAs report treating buy antibiotics patients. We have seen these health care professionals travel to hot spots to provide lifesaving care.

Because of a CRNA’s expertise in airway and ventilation management and other critical care skills, CRNAs have become a highly sought-after health care provider — capturing the attention of the federal government. Recognizing the need for CRNAs to be working to the top of their training, the U.S. Department of Health and Human Services waived the federal physician supervision requirements for nurse anesthetists. Because of the temporary changes to the law, CRNAs have been able to safely fill essential health care needs during the national crisis. A new report from the National Academy of Medicine, “The Future of Nursing 2020-2030,” prioritized several opportunities in the nursing profession for eliminating health care disparities, including the permanent removal of barriers to nursing care that were enacted in response to the zithromax.

It also calls for allowing nurses to practice to the full extent of their education and training as well as ensuring that they can bill for those services. So, why snatch back a CRNA’s full practice rights, after hundreds of thousands of patients received safe, exceptional, life-sustaining care before and during the zithromax?. Some special interest groups argue that the federal physician supervision requirement is necessary, asserting that the waiver lowers the standard of care and risks patients’ lives. This kind of fearmongering lacks true evidence and attempts to confuse the public. Nurse anesthetists are highly educated practitioners whose patient safety records stand for themselves.

In fact, 42 U.S. States do not require physician supervision of a CRNA in their state nurse practice act. Now is the time to put an end to any type of pronouncement that questions the role, value and safety of CRNA-delivered care. €” Steven M. Sertich, president of the American Association of Nurse Anesthetists, Park Ridge, Illinois Related Topics Contact Us Submit a Story TipCassandra Rollins’ daughter was still conscious when the ambulance took her away.

Shalondra Rollins, 38, was struggling to breathe as buy antibiotics overwhelmed her lungs. But before the doors closed, she asked for her cellphone, so she could call her family from the hospital. It was April 7, 2020 — the last time Rollins would see her daughter or hear her voice. The hospital rang an hour later to say she was gone. A chaplain later told Rollins that Shalondra had died on a gurney in the hallway.

Rollins was left to break the news to Shalondra’s children, ages 13 and 15. More than a year later, Rollins said, the grief is unrelenting. Rollins has suffered panic attacks and depression that make it hard to get out of bed. She often startles when the phone rings, fearing that someone else is hurt or dead. If her other daughters don’t pick up when she calls, Rollins phones their neighbors to check on them.

€œYou would think that as time passes it would get better,” said Rollins, 57, of Jackson, Mississippi. €œSometimes, it is even harder. €¦ This wound right here, time don’t heal it.” With nearly 600,000 in the U.S. Lost to buy antibiotics — now a leading cause of death — researchers estimate that more than 5 million Americans are in mourning, including more than 43,000 children who have lost a parent. The zithromax — and the political battles and economic devastation that have accompanied it — have inflicted unique forms of torment on mourners, making it harder to move ahead with their lives than with a typical loss, said sociologist Holly Prigerson, co-director of the Cornell Center for Research on End-of-Life Care.

The scale and complexity of zithromax-related grief have created a public health burden that could deplete Americans’ physical and mental health for years, leading to more depression, substance misuse, suicidal thinking, sleep disturbances, heart disease, cancer, high blood pressure and impaired immune function. €œUnequivocally, grief is a public health issue,” said Prigerson, who lost her mother to buy antibiotics in January. €œYou could call it the grief zithromax.” Like many other mourners, Rollins has struggled with feelings of guilt, regret and helplessness — for the loss of her daughter as well as Rollins’ only son, Tyler, who died by suicide seven months earlier. €œI was there to see my mom close her eyes and leave this world,” said Rollins, who was first interviewed by KHN a year ago in a story about buy antibiotics’s disproportionate effects on communities of color. €œThe hardest part is that my kids died alone.

If it weren’t for this buy antibiotics, I could have been right there with her” in the ambulance and emergency room. €œI could have held her hand.” The zithromax has prevented many families from gathering and holding funerals, even after deaths caused by conditions other than buy antibiotics. Prigerson’s research shows that families of patients who die in hospital intensive care units are seven times more likely to develop post-traumatic stress disorder than loved ones of people who die in home hospice. The polarized political climate has even pitted some family members against one another, with some insisting that the zithromax is a hoax and that loved ones must have died from influenza, rather than buy antibiotics. People in grief say they’re angry at relatives, neighbors and fellow Americans who failed to take the antibiotics seriously, or who still don’t appreciate how many people have suffered.

€œPeople holler about not being able to have a birthday party,” Rollins said. €œWe couldn’t even have a funeral.” It’s been more than a year since Cassandra Rollins’ daughter Shalondra died of buy antibiotics, but Rollins says the grief is unrelenting. In April of last year, just an hour after an ambulance took Shalondra away, the hospital called to say she was gone. Rollins is now raising Shalondra’s two teenage daughters.(Imani Khayyam / for KHN) Indeed, the optimism generated by treatments and falling rates has blinded many Americans to the deep sorrow and depression of those around them. Some mourners say they will continue wearing their face masks — even in places where mandates have been removed — as a memorial to those lost.

€œPeople say, ‘I can’t wait until life gets back to normal,’” said Heidi Diaz Goff, 30, of the Los Angeles area, who lost her 72-year-old father to buy antibiotics. €œMy life will never be normal again.” Many of those grieving say celebrating the end of the zithromax feels not just premature, but insulting to their loved ones’ memories. €œGrief is invisible in many ways,” said Tashel Bordere, a University of Missouri assistant professor of human development and family science who studies bereavement, particularly in the Black community. €œWhen a loss is invisible and people can’t see it, they may not say ‘I’m sorry for your loss,’ because they don’t know it’s occurred.” “You would think that as time passes it would get better. Sometimes, it is even harder.

€¦ This wound right here, time don’t heal it.”Cassandra Rollins, of Jackson, Mississippi Communities of color, which have experienced disproportionately higher rates of death and job loss from buy antibiotics, are now carrying a heavier burden. Black children are more likely than white children to lose a parent to buy antibiotics. Even before the zithromax, the combination of higher infant and maternal mortality rates, a greater incidence of chronic disease and shorter life expectancies made Black people more likely than others to be grieving a close family member at any point in their lives. Rollins said everyone she knows has lost someone to buy antibiotics. €œYou wake up every morning, and it’s another day they’re not here,” Rollins said.

€œYou go to bed at night, and it’s the same thing.” A Lifetime of Loss Rollins has been battered by hardships and loss since childhood. She was the youngest of 11 children raised in the segregated South. Rollins was 5 years old when her older sister Cora, whom she called “Coral,” was stabbed to death at a nightclub, according to news reports. Although Cora’s husband was charged with murder, he was set free after a mistrial. Rollins gave birth to Shalondra at age 17, and the two were especially close.

€œWe grew up together,” Rollins said. Just a few months after Shalondra was born, Rollins’ older sister Christine was fatally shot during an argument with another woman. Rollins and her mother helped raise two of the children Christine left behind. Heartbreak is all too common in the Black community, Bordere said. The accumulated trauma — from violence to chronic illness and racial discrimination — can have a weathering effect, making it harder for people to recover.

€œIt’s hard to recover from any one experience, because every day there is another loss,” Bordere said. €œGrief impacts our ability to think. It impacts our energy levels. Grief doesn’t just show up in tears. It shows up in fatigue, in working less.” Rollins hoped her children would overcome the obstacles of growing up Black in Mississippi.

Shalondra earned an associate’s degree in early childhood education and loved her job as an assistant teacher to kids with special needs. Shalondra, who had been a second mother to her younger siblings, also adopted a cousin’s stepdaughter after the child’s mother died, raising the girl alongside her two children. Rollins’ son, Tyler, enlisted in the Army after high school, hoping to follow in the footsteps of other men in the family who had military careers. Yet the hardest losses of Rollins’ life were still to come. In 2019, Tyler killed himself at age 20, leaving behind a wife and unborn child.

€œWhen you see two Army men walking up to your door,” Rollins said, “that’s unexplainable.” Tyler’s daughter was born the day Shalondra died. €œThey called to tell me the baby was born, and I had to tell them about Shalondra,” Rollins said. €œI don’t know how to celebrate.” Cassandra Rollins’ son, Tyler, killed himself at age 20 in 2019, leaving behind a wife and an unborn child. Tyler’s daughter was born in 2020, on the day Rollins’ daughter Shalondra died of buy antibiotics.(Imani Khayyam / for KHN) Shalondra’s death from buy antibiotics changed her daughters’ lives in multiple ways. The girls lost their mother, but also the routines that might help mourners adjust to a catastrophic loss.

The girls moved in with their grandmother, who lives in their school district. But they have not set foot in a classroom for more than a year, spending their days in virtual school, rather than with friends. Shalondra’s death eroded their financial security as well, by taking away her income. Rollins, who worked as a substitute teacher before the zithromax, hasn’t had a job since local schools shut down. She owns her own home and receives unemployment insurance, she said, but money is tight.

Makalin Odie, 14, said her mother, as a teacher, would have made online learning easier. €œIt would be very different with my mom here.” The girls especially miss their mom on holidays. €œMy mom always loved birthdays,” said Alana Odie, 16. €œI know that if my mom were here my 16th birthday would have been really special.” Asked what she read this loved most about her mother, Alana replied, “I miss everything about her.” Grief Complicated by Illness The trauma also has taken a toll on Alana and Makalin’s health. Both teens have begun taking medications for high blood pressure.

Alana has been on diabetes medication since before her mom died. Mental and physical health problems are common after a major loss. €œThe mental health consequences of the zithromax are real,” Prigerson said. €œThere are going to be all sorts of ripple effects.” The stress of losing a loved one to buy antibiotics increases the risk for prolonged grief disorder, also known as complicated grief, which can lead to serious illness, increase the risk of domestic violence and steer marriages and relationships to fall apart, said Ashton Verdery, an associate professor of sociology and demography at Penn State. People who lose a spouse have a roughly 30% higher risk of death over the following year, a phenomenon known as the “the widowhood effect.” Similar risks are seen in people who lose a child or sibling, Verdery said.

Grief can lead to “broken-heart syndrome,” a temporary condition in which the heart’s main pumping chamber changes shape, affecting its ability to pump blood effectively, Verdery said. From final farewells to funerals, the zithromax has robbed mourners of nearly everything that helps people cope with catastrophic loss, while piling on additional insults, said the Rev. Alicia Parker, minister of comfort at New Covenant Church of Philadelphia. Cassandra Rollins leans on daughter Shalondra’s car outside Rollins’ home in Jackson, Mississippi. Shalondra, who earned an associate’s degree in early childhood education and loved her job as an assistant teacher to kids with special needs, died of buy antibiotics in April 2020.(Imani Khayyam / for KHN) “It may be harder for them for many years to come,” Parker said.

€œWe don’t know the fallout yet, because we are still in the middle of it.” Rollins said she would have liked to arrange a big funeral for Shalondra. Because of restrictions on social gatherings, the family held a small graveside service instead. Funerals are important cultural traditions, allowing loved ones to give and receive support for a shared loss, Parker said. €œWhen someone dies, people bring food for you, they talk about your loved one, the pastor may come to the house,” Parker said. €œPeople come from out of town.

What happens when people can’t come to your home and people can’t support you?. Calling on the phone is not the same.” While many people are afraid to acknowledge depression, because of the stigma of mental illness, mourners know they can cry and wail at a funeral without being judged, Parker said. €œWhat happens in the African American house stays in the house,” Parker said. €œThere’s a lot of things we don’t talk about or share about.” Funerals play an important psychological role in helping mourners process their loss, Bordere said. The ritual helps mourners move from denying that a loved one is gone to accepting “a new normal in which they will continue their life in the physical absence of the cared-about person.” In many cases, death from buy antibiotics comes suddenly, depriving people of a chance to mentally prepare for loss.

While some families were able to talk to loved ones through FaceTime or similar technologies, many others were unable to say goodbye. Funerals and burial rites are especially important in the Black community and others that have been marginalized, Bordere said. €œYou spare no expense at a Black funeral,” Bordere said. €œThe broader culture may have devalued this person, but the funeral validates this person’s worth in a society that constantly tries to dehumanize them.” In the early days of the zithromax, funeral directors afraid of spreading the antibiotics did not allow families to provide clothing for their loved ones’ burials, Parker said. So beloved parents and grandparents were buried in whatever they died in, such as undershirts or hospital gowns.

€œThey bag them and double-bag them and put them in the ground,” Parker said. €œIt is an indignity.” Coping With Loss Every day, something reminds Rollins of her losses. April brought the first anniversary of Shalondra’s death. May brought Teacher Appreciation Week. Yet Rollins said the memory of her children keeps her going.

When she begins to cry and thinks she will never stop, one thought pulls her from the darkness. €œI know they would want me to be happy. I try to live on that.” Liz Szabo. lszabo@kff.org, @LizSzabo Related Topics Contact Us Submit a Story TipWhen the zithromax sidelined in-office visits at his practice, Dr. Dael Waxman “wasn’t exactly thrilled with being at home.” But he quickly shifted gears to video and telephone appointments.

Now, he finds, there are good reasons to keep these options open even as in-office visits have resumed and many parts of the country have sharply loosened antibiotics restrictions. One is that some patients “have to overcome a lot of obstacles to get to me,” said Waxman, a family physician with Atrium Health in Charlotte, North Carolina. €œI have lots of single mothers. They have to leave work, get their kids out of school and then take two buses. Why would they want to do that if they don’t have to?.

€ Telehealth served as a lifeline for many during the zithromax, ramping up from a minority share of office visits to a majority, at least for a while. Still, it cannot replace hands-on care for some conditions, and for those not blessed with speedy broadband internet service or smart devices it can be difficult or impossible to use. As things head toward a new normal, lawmakers and insurers, including Medicare, are debating how to proceed, the biggest question being whether to continue reimbursing providers at the same payment rate as for in-person coverage once the buy antibiotics public health emergency ends. While that debate rages — one side pointing to the costs associated with setting up such services, the other arguing that payment rates should decline because telehealth services are cheaper to provide — patients are left to decide if such visits meet their needs. KHN put such questions to physicians, who gave tips on the types of concerns that are best handled in person, and when video visits are most useful.

Not surprisingly, they recommended that patients ask their provider which type of visit is most appropriate for their particular circumstance. Four additional things we learned. 1. Some things just need to be done in person. Chest pains, new shortness of breath, abdominal pain, new or increased swelling in the legs — all those things point to the need for an in-person visit.

And, of course, blood tests, vaccinations and imaging scans must be done in person. €œIf your blood pressure is really high or you have some symptoms of concern like chest pain, one needs to go to the office,” said Dr. Ada Stewart, president of the American Academy of Family Physicians, which posted an online guide for telemedicine visits. If patients are concerned enough about the situation that they are considering going to an urgent care clinic or even an emergency room, “they should be seen,” said Waxman. And that would occur in person.

If a condition, even something seemingly simple, hasn’t resolved in a reasonable time, go to the office. Waxman recalled a patient with an eye issue who went to urgent care and received antibiotics, but the eye was still irritated after treatment. €œBecause it had not resolved, I was worried about shingles of the eye,” he said. It turned out not to be shingles, but a different problem, Waxman learned after referring the patient to an ophthalmologist. In-person visits can also prove more productive because a physician gains visual clues to what might be wrong by watching how a patient walks, sits or speaks.

While video visits are wonderful, said Dr. David Anderson, a cardiologist affiliated with Stanford Health Care in Oakland, California, sometimes things come up in person that might not over video. €œI can’t say how many times I sit with a patient and I think we’re done — then the thing that’s really the problem gets brought up and we spend the next 45 minutes on it,” he said. Finally, a good reason to go in is, simply, if that’s what you prefer. €œI had a patient the other day who said he could have done a phone visit but was old-school and just preferred being in the office,” Waxman said.

2. Sometimes a televisit is better. It’s not always necessary to trek into a medical office or clinic. Stewart, at the family physician group, said check-ins for chronic conditions, such as diabetes or hypertension, “that are basically under control” can easily be handled remotely. Cardiologist Anderson concurred, especially for periodic assessments or checking how a patient is handling a new medication.

€œIf I have a [stable] 82-year-old patient and her daughter needs to miss work and come from 30 miles away to bring Mom in for us to sit there for 15 minutes to chat, that’s something where the efficiency of a video visit is good,” he said. But if that same patient complains that “when they take a morning walk, they are short of breath and they were not before, that person I would want to see face to face.” And, sometimes, video follow-ups for stable patients with chronic illnesses are preferable. €œOn the phone or by video, I found there to be a lot more non-distracted time for education,” he said. It is helpful if patients can monitor their blood sugar or blood pressure at home and then report their statistics during the televisit. But some patients cannot afford a home blood pressure monitor, so that can be a limitation, Waxman cautioned.

And even those who have a monitor should initially take it into the office to make sure it is accurate, he said. Some dermatologic conditions — think rashes and such — can be handled by video, so long as the patient is comfortable using the camera on their smartphone or computer tablet and can get a good picture of the problem area. While 70% to 80% of skin issues can start with a video visit, he estimated, the rest require in-person evaluation, perhaps even a biopsy. 3. Everything works better when both sides prepare.

Both patients and providers can get the most out of a video visit if they first take a few simple steps, the experts said. Find a quiet place without distractions. Turn off the TV. Have a family member present if you want a second set of ears, but choose a private setting if you don’t. €œYou will not believe the circumstances where people Zoom in to me,” said Anderson.

Some are in their cars, “maybe because that’s the best place where they get internet service,” or they’re in their pajamas, just finishing breakfast. €œThere’s a whole lack of preparation and seriousness that occurs,” he said. Have a list of medications you’re taking and write down the problem or symptoms you wish to discuss, as well as specific questions you have, to make the most out of the time available, advised Stewart. Providers, too, need to take steps. Anderson said they should read patients’ medical records ahead of time and focus because there are fewer cues to a patient’s concerns over video than in person.

Physicians “have to be doubly vigilant,” Anderson said, pay attention to all their suspicions and be extra thorough because “it would be much easier to miss something important.” 4. What might happen next?. Some advocates say insurers should make sure that their reimbursement policies don’t favor one type of visit over another and that no patient feels pressured into a televisit. During the buy antibiotics emergency, Congress and the agency that oversees Medicare temporarily made it easier for beneficiaries to use telehealth — for instance, by removing geographic restrictions and allowing audio-only visits in some circumstances. Medicare also began reimbursing providers equally for telehealth and in-person care.

Many private insurers followed Medicare’s lead. Some also voluntarily waived cost-sharing requirements for telehealth patients. Many expect Medicare Advantage plans to keep covering televisits once the emergency is officially over, and traditional Medicare could follow suit. The Medicare Payment Advisory Commission, a nonpartisan agency that advises Congress, has recommended temporarily continuing to cover some services while the agency gathers data about a wide range of effects, including concerns that telehealth raises spending and the advantages it may offer. That data is important, said Fred Riccardi, president of the Medicare Rights Center.

The expansion has helped many Medicare beneficiaries, he added, but “has left some communities behind,” including the oldest adults, those with disabilities and those in areas with spotty internet service. And future policies should ensure that patients who prefer in-person visits can continue them, he said. Anderson, the cardiologist, agreed that televisits “have a wonderful place” in the range of options, but he warned against cost-saving measures by insurers that might require patients to have a video visit before being granted coverage for an office visit. €œI would see that as an unfortunate delay in care,” he said. Julie Appleby.

jappleby@kff.org, @Julie_Appleby Related Topics Contact Us Submit a Story TipCalifornia Attorney General Rob Bonta, a longtime Democratic state lawmaker, comes to his new role well known for pursuing an unabashedly progressive agenda on criminal justice issues. He has pushed for legislation to eliminate cash bail and to ban for-profit prisons and detention centers. But Bonta also has a distinctive record on health care, successfully advancing legislation to protect consumers from so-called surprise medical bills when they inadvertently get treatment from out-of-network providers and framing environmental hazards like pollution as issues of social justice. He was among the Democratic lawmakers leading the charge at the California Capitol to take on Big Soda, pushing to cut consumption of sugary drinks through taxes and warning labels. Such proposals so far have faltered under the influence of the soda industry.

Bonta, 49, was an infant when his family, in 1971, moved to California from the Philippines, where his parents worked as missionaries. His father, Warren Bonta, a native Californian, worked for the state for decades as a health care official, setting up clinics to expand access to medical care in rural and refugee communities. Rob Bonta’s first elected position was to the Alameda Health Care District, overseeing local medical services. Appointed by Gov. Gavin Newsom this year, Bonta in April succeeded former state Attorney General Xavier Becerra, who was tapped by President Joe Biden to serve as secretary of the U.S.

Department of Health and Human Services. In the weeks since, Bonta has beefed up the number of lawyers working in the Department of Justice’s Bureau of Environmental Justice and has created a Racial Justice Bureau that he said will play a pivotal role in ensuring equal access to health care for Black and Latino residents. A graduate of Yale Law School, Bonta spent nine years as a deputy city attorney in San Francisco before his election to the state Assembly in 2012, representing Oakland and the East Bay. He was the first Filipino American elected to the California legislature, and is now the first Filipino American to serve as the state’s chief law enforcement officer. As attorney general, Bonta said he envisions a far different relationship with the Biden administration than his predecessor had with the Trump administration.

Becerra emerged as one of former President Donald Trump’s fiercest critics during his tenure as the state’s top cop, filing more than 120 lawsuits to oppose Trump administration policies on the environment and health care, including leading the ongoing fight to preserve the Affordable Care Act in its case before the U.S. Supreme Court. Vice President Kamala Harris also once served as California’s attorney general, and Bonta said he sees tremendous opportunity to shape a more progressive agenda on issues such as reproductive health and universal, single-payer health care working in concert with the new administration. Bonta spoke with KHN about how health care would shape his agenda as attorney general. The interview has been edited for length and clarity.

Q. Your predecessor made health care a priority. Will it be one of yours?. It’s going to be a top priority for me, and it was a top priority for me as a legislator. I was chair of the Assembly Health Committee or a health committee member the entire time I was there, almost nine years.

Before that, I was on a health care district board. My very first elected office I ever had was making sure we provided true access to high-quality, affordable health care to the community that I served. This is a really foundational part of who I am, and who my family is — our legacy and our values and what we stood for. I think health care is a right, not a privilege. It’s for all, not the few.

Q. You’ve said you would make racial justice a priority. Do you believe racism is a public health crisis?. Yes, I do. buy antibiotics revealed a lot of what was inequitable and racist about our systems — the disparate impacts that we saw, the inequity that we saw.

And I think racism is not just a public health crisis — it is a public health crisis — but it also infects our economic system, it infects our criminal justice system, it infects all of our systems. And it has led to a public health crisis. Q. What does that look like in health care?. How does inequity show up?.

It looks like making sure that in health care there aren’t disparate impacts on communities of color. That race is not correlated to less access or less quality, and making sure that no one is left out. That can look like access to reproductive health care. That can look like access to real health insurance as opposed to sham health insurance plans. It can look like a charge that is inappropriately placed on a treatment — treatments are supposed to be free.

That’s something else we worked on recently. Q. Can you elaborate?. Through a joint investigation with U.S. Health and Human Services, as well as the U.S.

Attorney’s office, we identified that treatments — which should be provided to individuals for free under the law — that a charge was being placed on the treatment. The treatment should be universally accessible. And when that isn’t being done, barriers are being put up in vulnerable communities, keeping people from their treatment that we all need right now. That is a problem. We put out an alert and reminded people of the laws that provide free treatments to all individuals under the Centers for Disease Control and Prevention program.

Q. What areas of environmental health might you look into?. The building of huge warehouses. In the Inland Empire, there are quite a few being built. They’re being built adjacent to or in disadvantaged communities.

And all the goods movement activity — and all of the emissions that are created from the goods movement — create a threat, and a risk to those communities. Q. Like Amazon, for instance?. The corporation has come under scrutiny for environmental harms associated with its sprawling warehouses. Yeah.

These warehouses have really created problems for disadvantaged communities in California. We expanded the Bureau of Environmental Justice to provide more resources and more ability to go after big polluters, and to protect communities that live at the intersection of poverty and pollution who are being forced to drink dirty water and breathe unhealthy air. I see the role of the attorney general as standing up for everyday people who are abused or hurt and neglected or mistreated, and generally protecting the little guy from the overreach and abuse of power of the big guy. We have more authority in the environmental realm than in many other areas. And we want to use those tools — that authority, that influence, that power — to protect communities, often low-income communities, often communities of color, who are being hurt by polluters.

Q. Becerra filed a lawsuit and sponsored legislation going after health industry mergers alleged to be anti-competitive, a practice he argues drives up health care prices. Will you continue to go after anti-competitive practices in health care?. That’s definitely a priority. That’s a critical tool in the toolbox that the California attorney general uniquely has to approve — or put conditions on, or not approve — proposed mergers involving a nonprofit hospital.

The lens to see that through is. How does it impact patients?. How does it impact access to quality care, and cost of care?. And so that is exactly why the attorney general has that role, to review these proposed mergers with an eye towards patients and communities that don’t necessarily have a voice in the merger. Q.

As attorney general, do you support single-payer health care?. My involvement will be different. Having said that, I co-authored the single-payer bill from a few years back. And I was a co-author of this year’s single-payer bill that Assemblyman Ash Kalra was leading that I think is no longer moving. [Kalra has withdrawn the bill from consideration for this year.] I support single-payer health care.

I support universal health care. I think single-payer health care is a way to get to that aspiration. As the attorney general, I enforce the law. We don’t have a single-payer law in California. So, I’ll enforce the existing laws, which are very strong, to help make sure Californians have the most accessible, affordable, highest-quality health care.

Q. The U.S. Supreme Court has agreed to hear a Mississippi abortion case that some say could threaten abortion rights at the state level. If upheld, how could that affect the abortion protections in California?. That’s going to be a really important case for reproductive freedom, and important, in my view, for California to be involved in given our leadership in this space.

As the case gets briefed and prepped for consideration and argument before the U.S. Supreme Court, I expect we will be very active in making arguments to the court to help guide [the justices’] thinking and their decisions. Q. What will California’s relationship with the federal government be like?. I think the posture and the relationship between the federal administration and California over the last four years are very different than what they will be for the next four.

Attorney General Becerra was the warrior and the champion that we needed, and that was necessary as we faced a full-frontal assault on California, our people, our values and our resources, and he fought back and protected us and defended us and stood up for our values time and time again. Now, I think we have a Biden-Harris administration that largely does agree that we should have, certainly, the Affordable Care Act, that we should have reproductive freedom, that we should address the inequities in our health care system, that we should have affordable, accessible, high-quality health care for all — and will help us get there. So, with the new administration, I look to collaboration. California can and should continue to be who we are. We lead.

We go first. We pioneer. We’re bold and we’re big in how we think. That’s who we are, so that leading role is our natural place to be, including in health care. This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Angela Hart. ahart@kff.org, @ahartreports Related Topics Contact Us Submit a Story Tip.

Letters to the how to get zithromax online Editor is buy zithromax online ireland a periodic feature. We welcome all comments and will publish a selection. We edit how to get zithromax online for length and clarity and require full names. A Harrowing Tale of Racism I liked the article “The Making of Reluctant Activists.

A Police Shooting in a Hospital Forces One Family to Rethink American Justice” (May 10). As a physician in Texas, I reached out to how to get zithromax online the senior Dr. Pean the day after the shooting. I encouraged the Harris County Medical Society to advocate for this family and got nowhere.

I wrote several times to the then-current president of the medical society and how to get zithromax online got nowhere. Medicare threatened to shut down the hospital because of this incident and then the president of the medical society protested the shutdown but not the shooting. Although the president of the medical society was Latino, he showed no concern for the doctor’s part-Latino son getting shot. I have stayed in touch how to get zithromax online with the family and have been pleased with their successes.

€” Dr. Robert Jackson, Houston — S.E. Smith, Fort Bragg, Colorado The article how to get zithromax online about the Pean family is informative about this pernicious, persistent type of American racism. As a 70-year-old African American woman, I know it well.

My question is, What is the health industry doing to alleviate the scourge that destroys the minds and bodies of people of color?. Publishing a meaningful article on the Pean family is not how to get zithromax online enough. €” Evonnie Gbadebo, Windsor, Connecticut Care Inequities Extend Beyond Race I’m tired of hearing about racial disparities (“Stark Racial Disparities Persist in Vaccinations, State-Level CDC Data Shows,” May 20). How about some comments about people with disabilities who live independently and don’t have caretakers to do everything for them?.

I had a negative experience how to get zithromax online at a local pharmacy getting my buy antibiotics shots. The first shot, I bore with it but complained loudly about lack of accessibility. The second shot, nothing had changed so I made a bigger scene about it. I hope they finally got their act together, but I can’t go to every single pharmacy in the country and tell them we need signage to tell us where to go for how to get zithromax online accessible service.

(In this case, the pharmacy counter might have worked.) Also, they need to have their questions in writing, in advance. I’m not surprised that the Centers for Disease Control and Prevention data is incomplete. I haven’t seen any stories about outreach to deaf or hard-of-hearing people either, and given that how to get zithromax online everyone is wearing masks, I found getting a shot unpleasant for lack of communication during the process. The waiting line was wholly audist-oriented with no hand signals, the questions were incomprehensibly spoken, and the drugstore had no signage to help anyone with disabilities.

€” Therese Shellabarger, North Hollywood, California — Dr. Céline Gounder, New how to get zithromax online York City The Push-Pull of Dentistry Here’s another questionable dental revenue-generating tactic. When many dentists say, “We take all PPOs,” it really means. €œEven though we are out-of-network, we will bill your PPO instead of you having to submit an out-of-network claim.” It’s a common business practice in dentistry (“Why Your Dentist Might Seem Pushy,” May 19).

People get hit with surprise how to get zithromax online balance bills and think it’s their “bad” insurance coverage instead of the intentionally misleading (and usually nonexistent) explanation of their dentist’s out-of-network relationship with their insurance carrier. The front desk does this, the dentists themselves do this, and their webpages about insurance do it. And again, it all boils down to dentists generating more revenue than they otherwise would, either because they’d have to accept the lower contract rate if they were in-network or they’d outright lose the patient when they find out they are actually out-of-network. Making matters worse, some people “love” their dentist how to get zithromax online and don’t take the time to research in-network dentists who they might also love if they went to them, so they pay the extra to stay with their dentist and figure it’s “worth it.” The widespread fear of dentistry plays into this, too — the dentists act nice, the patient likes them and believes they are therefore a good dentist because they are nice and the patient didn’t have a bad dentistry experience, in the end creating loyalty that is then exploited with the PPO scam.

Hashtag caveat emptor. €” Jonathan Greer, Rockridge Health Insurance, Oakland, California After my previous dentist retired, he sold his practice to a new dentist. The new dentist immediately found many problems that weren't a problem before.via @KHNews https://t.co/GjXR1N1piR— Harry Sit (@TheFinanceBuff) May 20, 2021 — Harry Sit, Reno, how to get zithromax online Nevada Dental Care Is Essential I write in response to your article “Why Your Dentist Might Seem Pushy” (May 19). The piece’s lack of empirical or systemic data is troubling and dangerously downplays the important work done by dental professionals every day.

There are often allegations of fraud and abuse in all industries, unfortunately including health care. However, the percentage of how to get zithromax online complaints has been consistently low in the dental industry. According to the National Health Care Anti-Fraud Association, each year roughly 5% of the $250 billion spent on dental care procedures are associated with alleged fraud or abuse, compared with up to 10% in other health care fields, as noted in the article. Suggesting that dentists regularly push unnecessary procedures to drive up profits is false and damaging to the dental profession and patients’ perception of dentistry.

Dentists provide how to get zithromax online essential care that keeps patients healthy. At the core of improving oral health is the dentists and their entire team who play a crucial role in providing safe and accessible health care for communities across the country, especially in underserved areas. Many studies have shown that that dental care is critical for early detection and prevention of diseases, including heart disease, stroke and diabetes. Additionally, more recent studies have shown that how to get zithromax online increased dental hygiene also greatly increases a patient’s chances of surviving buy antibiotics.

Many of the Association of Dental Support Organizations members, in fact, provide charitable care and dentistry to thousands of patients annually. As executive director of the ADSO, I am proud of our members who always put patients and their safety first. Our members are enabling their supported dentists to focus on patients, expand access to underserved communities, and maintain how to get zithromax online high-quality standards for essential dental care and business operations. €” Andrew Smith, executive director of the Association of Dental Support Organizations, Arlington, Virginia I recieved a Moderna treatment, so this tells me, get the treatment but still keep your distance from others.

Hey I can do that because I am not a people person who hangs around big crowds anyway. Https://t.co/WGACm78I1P— David Hodges (@DavidHo00768274) April 28, 2021 — David Hodges, Portland, Oregon A Footnote on Breakthrough buy antibiotics Cases Regarding Steven Findlay’s article “The Shock and Reality of Catching buy antibiotics After Being Vaccinated” how to get zithromax online (April 16). First of all, Mr. Findlay, I am sorry to hear that you got buy antibiotics after your second shot.

That’s a how to get zithromax online drag. But in your article, don’t you think you might have given the wrong impression about the likelihood of this happening?. You wrote. €œA tiny but growing number are contending with the disturbing experience of getting buy antibiotics despite having had one shot — or even two.” how to get zithromax online A “growing” number, I think, gives the wrong impression that the proportion of breakthrough cases is growing.

That would be worrying. But isn’t the number only “growing” because more people are getting vaccinated?. In that case, it is entirely unremarkable that the number is growing, so why the “but”? how to get zithromax online. I’m extremely concerned about treatment hesitancy in this country, and I’m far more worried about your article reinforcing that hesitancy than I am about myself contracting a breakthrough case.

€” Jason Hodin, Friday Harbor, Washington — Chris how to get zithromax online Collins, New Orleans An Aha Moment on Stroke Care Thank you. I am more educated, and quite horrified, about the condition of the state of our state‘s and nation’s health care predicament (“In Appalachia and the Mississippi Delta, Millions Face Long Drives to Stroke Care,” May 4). Your insightful investigative reporting should be a catalyst for communities to seek funding for our loved ones. I plan to share with my how to get zithromax online county commissioners and state legislators.

Again, many thanks. €” Judge Tammy Jackson Montgomery, Coatopa, Alabama — Jessica Gottlieb, Los Angeles My Primary Care Physician Virtually Aced It Really excellent and insightful cautionary commentary on the “virtual medicine” phenomenon (“Telemedicine Is a Tool — Not a Replacement for Your Doctor’s Touch,” May 6). It is true that most how to get zithromax online of one’s interactions with one’s doctor are informational (assuming that one does not suffer from a dread disease). But communication via email is optimal only when one has an established relationship with the physician over time, and when the physician has access to the patient’s rich electronic medical record (EMR).

The best expression of the role of “virtual medicine” is the use of multi-modality communication between patient and primary care physician in the Kaiser Permanente model. I’ve been a KP Medicare Advantage member how to get zithromax online for over eight years, and my health status is managed as a collaboration with my KP primary care physician. In our initial intake physician exam, I told him I have a boring EMR, but I’m a whiner, so he could expect to hear from me regularly. I asked him to make sure that I continued to perform well on the tennis court.

He responded by saying that it is a how to get zithromax online mutual responsibility. So, over the past eight years, we have communicated almost exclusively by email. He always responds within 24 hours, and usually by the end of the day. Twice during this period, I reported how to get zithromax online symptoms that could have indicated a serious clinical issue.

In each case, the response was immediate, with a referral to a specialist(s) within KP who, of course, had access to my complete EMR. When I received a buy antibiotics vaccination outside the KP network, we made sure that documentation was added to my EMR. So, within the KP model, “virtual medicine” is clinically efficient and cost-effective, because patient and physician how to get zithromax online are communicating within a very high-quality health care delivery system. Immediate access to well-informed clinicians is assured.

This is very different from the many emerging for-profit ventures that promote services of dubious quality or clinical effectiveness — really, most are little more than rebranded, app-enhanced “nurse advice lines.” Thanks for a great op-ed. €” Tony Pfannkuche, Los Angeles — how to get zithromax online Torshira Moffett, Washington, D.C. Public health systems all over the world were overwhelmed by #buy antibiotics19, even the best-funded ones. @GavinNewsom made the right moves.

Which is why CA is a world leader in vaccination how to get zithromax online success. Single-payer countries?. Not so much.— Steven Maviglio (@stevenmaviglio) May 6, 2021 — Steven Maviglio, Sacramento, California The zithromax Demanded Workarounds This article’s implicit conclusion of wrongdoing at the expense of a public agency is quite egregious and short-sighted (“Salesforce, Google, Facebook. How Big Tech Undermines California’s Public Health System,” how to get zithromax online May 6).

This unprecedented health crisis needed quick, decisive actions and policies. The current bureaucracy has consistently proven itself to be too slow in response due to its many layers of management’s accountability. The governor’s working relationship with high tech was instrumental in how to get zithromax online keeping California’s health crisis under control. Why people complain after the fact is representative of what is wrong currently in society, creating unnecessary division.

I’m not saying unbridled praise should be heaped upon Gov. Newsom, but to look for negativity or wrongdoing how to get zithromax online for the sake of an article was pretty shallow. €” Warren Young, San Francisco — Tom Merrill, Salt Lake City CHL link, May 18. Https://californiahealthline.org/news/article/zithromax-seniors-lose-strength-conditioning-may-need-rehabilitative-services/ Bolstering Medicare Coverage to Keep Seniors Strong As you rightly point out, after 15 months of sheltering in place, older Americans are increasingly being negatively impacted by the indirect health effects of buy antibiotics — including loss of strength, mobility and independence (“As zithromax Eases, Many Seniors Have Lost Strength, May Need Rehabilitative Services,” May 21).

For many seniors, this prolonged period of “physical deconditioning” has put them at serious risk of how to get zithromax online long-term disability, injuries and falls, which cause 2.8 million emergency room visits every year. Recognizing the long-term health impact of the zithromax on America’s seniors, physical therapy services will only grow in importance. That’s why it’s troubling that Medicare has chosen to push forward with significant payment cuts for physical, occupational and speech therapy services. Though Congress temporarily reduced the cuts last year, our specialty faced one how to get zithromax online of the steepest declines in Medicare spending — a whopping 34% — during the first six months of 2020.

As demand for our services grows, it is critical for Medicare to protect seniors’ access to the medically necessary therapy services they need. Instead of implementing these devastating cuts in 2022 and beyond, Medicare should rethink its approach to ensure stability to the system and, ultimately, improve the health and independence of older Americans. €” Nikesh Patel, executive director, Alliance for Physical Therapy Quality and Innovation (APTQI), Washington, how to get zithromax online D.C. In pain and crisis, when someone w/SUD is ready for help, she may not be able to research a facility's quality.

We need standards &. Accountability. "Addiction Treatment Providers in Pa. Face Little State Scrutiny Despite Harm to Clients https://t.co/y3If2bU2eo via @khnews— Kristin Gourlay (@kristingourlay) April 30, 2021 — Kristin Gourlay, Oak Park, Illinois Altering Mindsets on Addiction Although I haven’t been personally affected by the addiction/overdose crisis, I still understand the callous politics involved with this most serious social issue (“Addiction Treatment Providers in Pa.

Face Little State Scrutiny Despite Harm to Clients,” April 30). The mere mention of government funding to make proper treatment available to low- and no-income hard-drug addicts, however much it would alleviate their great suffering, generates firm opposition by the general socially and fiscally conservative electorate. The reaction is largely due to the preconceived notion that drug addicts are but weak-willed and/or have somehow committed a moral crime. Ignored is that such intense addiction usually does not originate from a bout of boredom, where a person repeatedly consumed recreationally but became heavily hooked on an unregulated often-deadly chemical that eventually destroyed their life and even that of a loved one.

The greater the drug-induced euphoria or escape one attains from its use, the more one wants to repeat the experience. And the more intolerable one finds their sober reality, the more pleasurable that escape should be perceived. By extension, the greater one’s mental pain or trauma while sober, the greater the need for escape from reality, thus the more addictive the euphoric escape-form will likely be. Regardless, we now know pharmaceutical corporations intentionally pushed their very addictive opiate painkillers (perhaps the real moral crime), for which they got off relatively lightly, considering the resulting immense suffering and overdose death numbers.

€” Frank Sterle Jr., White Rock, British Columbia — Angela Biesecker, Philadelphia Going to Bat for Nurse Anesthetists As the buy antibiotics outlook improves, the toll on health care providers caused by the zithromax is unprecedented. Nurses have risked their lives as they dealt with shortages of protective equipment, medications and personnel — all while s, hospitalizations and deaths from the disease soared. Yet nurses have risen to the challenges, courageously caring and providing life-sustaining services to millions of patients. So, why do some question a nurse’s right to practice to the full extent of their education and training?.

Nurses do most of their demanding work out of the public eye. And even less understood by the public is the number of specialties in nursing, particularly those of advanced practice registered nurses. Consider the “nurse anesthetist” or Certified Registered Nurse Anesthetist (CRNAs). Unless you have had surgery and/or delivered a baby, chances are you have never heard of the highly educated, expertly trained CRNA.

Surveys show that more than 70% of CRNAs report treating buy antibiotics patients. We have seen these health care professionals travel to hot spots to provide lifesaving care. Because of a CRNA’s expertise in airway and ventilation management and other critical care skills, CRNAs have become a highly sought-after health care provider — capturing the attention of the federal government. Recognizing the need for CRNAs to be working to the top of their training, the U.S.

Department of Health and Human Services waived the federal physician supervision requirements for nurse anesthetists. Because of the temporary changes to the law, CRNAs have been able to safely fill essential health care needs during the national crisis. A new report from the National Academy of Medicine, “The Future of Nursing 2020-2030,” prioritized several opportunities in the nursing profession for eliminating health care disparities, including the permanent removal of barriers to nursing care that were enacted in response to the zithromax. It also calls for allowing nurses to practice to the full extent of their education and training as well as ensuring that they can bill for those services.

So, why snatch back a CRNA’s full practice rights, after hundreds of thousands of patients received safe, exceptional, life-sustaining care before and during the zithromax?. Some special interest groups argue that the federal physician supervision requirement is necessary, asserting that the waiver lowers the standard of care and risks patients’ lives. This kind of fearmongering lacks true evidence and attempts to confuse the public. Nurse anesthetists are highly educated practitioners whose patient safety records stand for themselves.

In fact, 42 U.S. States do not require physician supervision of a CRNA in their state nurse practice act. Now is the time to put an end to any type of pronouncement that questions the role, value and safety of CRNA-delivered care. €” Steven M.

Sertich, president of the American Association of Nurse Anesthetists, Park Ridge, Illinois Related Topics Contact Us Submit a Story TipCassandra Rollins’ daughter was still conscious when the ambulance took her away. Shalondra Rollins, 38, was struggling to breathe as buy antibiotics overwhelmed her lungs. But before the doors closed, she asked for her cellphone, so she could call her family from the hospital. It was April 7, 2020 — the last time Rollins would see her daughter or hear her voice.

The hospital rang an hour later to say she was gone. A chaplain later told Rollins that Shalondra had died on a gurney in the hallway. Rollins was left to break the news to Shalondra’s children, ages 13 and 15. More than a year later, Rollins said, the grief is unrelenting.

Rollins has suffered panic attacks and depression that make it hard to get out of bed. She often startles when the phone rings, fearing that someone else is hurt or dead. If her other daughters don’t pick up when she calls, Rollins phones their neighbors to check on them. €œYou would think that as time passes it would get better,” said Rollins, 57, of Jackson, Mississippi.

€œSometimes, it is even harder. €¦ This wound right here, time don’t heal it.” With nearly 600,000 in the U.S. Lost to buy antibiotics — now a leading cause of death — researchers estimate that more than 5 million Americans are in mourning, including more than 43,000 children who have lost a parent. The zithromax — and the political battles and economic devastation that have accompanied it — have inflicted unique forms of torment on mourners, making it harder to move ahead with their lives than with a typical loss, said sociologist Holly Prigerson, co-director of the Cornell Center for Research on End-of-Life Care.

The scale and complexity of zithromax-related grief have created a public health burden that could deplete Americans’ physical and mental health for years, leading to more depression, substance misuse, suicidal thinking, sleep disturbances, heart disease, cancer, high blood pressure and impaired immune function. €œUnequivocally, grief is a public health issue,” said Prigerson, who lost her mother to buy antibiotics in January. €œYou could call it the grief zithromax.” Like many other mourners, Rollins has struggled with feelings of guilt, regret and helplessness — for the loss of her daughter as well as Rollins’ only son, Tyler, who died by suicide seven months earlier. €œI was there to see my mom close her eyes and leave this world,” said Rollins, who was first interviewed by KHN a year ago in a story about buy antibiotics’s disproportionate effects on communities of color.

€œThe hardest part is that my kids died alone. If it weren’t for this buy antibiotics, I could have been right there with her” in the ambulance and emergency room. €œI could have held her hand.” The zithromax has prevented many families from gathering and holding funerals, even after deaths caused by conditions other than buy antibiotics. Prigerson’s research shows that families of patients who die in hospital intensive care units are seven times more likely to develop post-traumatic stress disorder than loved ones of people who die in home hospice.

The polarized political climate has even pitted some family members against one another, with some insisting that the zithromax is a hoax and that loved ones must have died from influenza, rather than buy antibiotics. People in grief say they’re angry at relatives, neighbors and fellow Americans who failed to take the antibiotics seriously, or who still don’t appreciate how many people have suffered. €œPeople holler about not being able to have a birthday party,” Rollins said. €œWe couldn’t even have a funeral.” It’s been more than a year since Cassandra Rollins’ daughter Shalondra died of buy antibiotics, but Rollins says the grief is unrelenting.

In April of last year, just an hour after an ambulance took Shalondra away, the hospital called to say she was gone. Rollins is now raising Shalondra’s two teenage daughters.(Imani Khayyam / for KHN) Indeed, the optimism generated by treatments and falling rates has blinded many Americans to the deep sorrow and depression of those around them. Some mourners say they will continue wearing their face masks — even in places where mandates have been removed — as a memorial to those lost. €œPeople say, ‘I can’t wait until life gets back to normal,’” said Heidi Diaz Goff, 30, of the Los Angeles area, who lost her 72-year-old father to buy antibiotics.

€œMy life will never be normal again.” Many of those grieving say celebrating the end of the zithromax feels not just premature, but insulting to their loved ones’ memories. €œGrief is invisible in many ways,” said Tashel Bordere, a University of Missouri assistant professor of human development and family science who studies bereavement, particularly in the Black community. €œWhen a loss is invisible and people can’t see it, they may not say ‘I’m sorry for your loss,’ because they don’t know it’s occurred.” “You would think that as time passes it would get better. Sometimes, it is even harder.

€¦ This wound right here, time don’t heal it.”Cassandra Rollins, of Jackson, Mississippi Communities of color, which have experienced disproportionately higher rates of death and job loss from buy antibiotics, are now carrying a heavier burden. Black children are more likely than white children to lose a parent to buy antibiotics. Even before the zithromax, the combination of higher infant and maternal mortality rates, a greater incidence of chronic disease and shorter life expectancies made Black people more likely than others to be grieving a close family member at any point in their lives. Rollins said everyone she knows has lost someone to buy antibiotics.

€œYou wake up every morning, and it’s another day they’re not here,” Rollins said. €œYou go to bed at night, and it’s the same thing.” A Lifetime of Loss Rollins has been battered by hardships and loss since childhood. She was the youngest of 11 children raised in the segregated South. Rollins was 5 years old when her older sister Cora, whom she called “Coral,” was stabbed to death at a nightclub, according to news reports.

Although Cora’s husband was charged with murder, he was set free after a mistrial. Rollins gave birth to Shalondra at age 17, and the two were especially close. €œWe grew up together,” Rollins said. Just a few months after Shalondra was born, Rollins’ older sister Christine was fatally shot during an argument with another woman.

Rollins and her mother helped raise two of the children Christine left behind. Heartbreak is all too common in the Black community, Bordere said. The accumulated trauma — from violence to chronic illness and racial discrimination — can have a weathering effect, making it harder for people to recover. €œIt’s hard to recover from any one experience, because every day there is another loss,” Bordere said.

€œGrief impacts our ability to think. It impacts our energy levels. Grief doesn’t just show up in tears. It shows up in fatigue, in working less.” Rollins hoped her children would overcome the obstacles of growing up Black in Mississippi.

Shalondra earned an associate’s degree in early childhood education and loved her job as an assistant teacher to kids with special needs. Shalondra, who had been a second mother to her younger siblings, also adopted a cousin’s stepdaughter after the child’s mother died, raising the girl alongside her two children. Rollins’ son, Tyler, enlisted in the Army after high school, hoping to follow in the footsteps of other men in the family who had military careers. Yet the hardest losses of Rollins’ life were still to come.

In 2019, Tyler killed himself at age 20, leaving behind a wife and unborn child. €œWhen you see two Army men walking up to your door,” Rollins said, “that’s unexplainable.” Tyler’s daughter was born the day Shalondra died. €œThey called to tell me the baby was born, and I had to tell them about Shalondra,” Rollins said. €œI don’t know how to celebrate.” Cassandra Rollins’ son, Tyler, killed himself at age 20 in 2019, leaving behind a wife and an unborn child.

Tyler’s daughter was born in 2020, on the day Rollins’ daughter Shalondra died of buy antibiotics.(Imani Khayyam / for KHN) Shalondra’s death from buy antibiotics changed her daughters’ lives in multiple ways. The girls lost their mother, but also the routines that might help mourners adjust to a catastrophic loss. The girls moved in with their grandmother, who lives in their school district. But they have not set foot in a classroom for more than a year, spending their days in virtual school, rather than with friends.

Shalondra’s death eroded their financial security as well, by taking away her income. Rollins, who worked as a substitute teacher before the zithromax, hasn’t had a job since local schools shut down. She owns her own home and receives unemployment insurance, she said, but money is tight. Makalin Odie, 14, said her mother, as a teacher, would have made online learning easier.

€œIt would be very different with my mom here.” The girls especially miss their mom on holidays. €œMy mom always loved birthdays,” said Alana Odie, 16. €œI know that if my mom were here my 16th birthday would have been really special.” Asked what she loved most about her mother, Alana replied, “I miss everything about her.” Grief Complicated by Illness The trauma also has taken a toll on Alana and Makalin’s health. Both teens have begun taking medications for high blood pressure.

Alana has been on diabetes medication since before her mom died. Mental and physical health problems are common after a major loss. €œThe mental health consequences of the zithromax are real,” Prigerson said. €œThere are going to be all sorts of ripple effects.” The stress of losing a loved one to buy antibiotics increases the risk for prolonged grief disorder, also known as complicated grief, which can lead to serious illness, increase the risk of domestic violence and steer marriages and relationships to fall apart, said Ashton Verdery, an associate professor of sociology and demography at Penn State.

People who lose a spouse have a roughly 30% higher risk of death over the following year, a phenomenon known as the “the widowhood effect.” Similar risks are seen in people who lose a child or sibling, Verdery said. Grief can lead to “broken-heart syndrome,” a temporary condition in which the heart’s main pumping chamber changes shape, affecting its ability to pump blood effectively, Verdery said. From final farewells to funerals, the zithromax has robbed mourners of nearly everything that helps people cope with catastrophic loss, while piling on additional insults, said the Rev. Alicia Parker, minister of comfort at New Covenant Church of Philadelphia.

Cassandra Rollins leans on daughter Shalondra’s car outside Rollins’ home in Jackson, Mississippi. Shalondra, who earned an associate’s degree in early childhood education and loved her job as an assistant teacher to kids with special needs, died of buy antibiotics in April 2020.(Imani Khayyam / for KHN) “It may be harder for them for many years to come,” Parker said. €œWe don’t know the fallout yet, because we are still in the middle of it.” Rollins said she would have liked to arrange a big funeral for Shalondra. Because of restrictions on social gatherings, the family held a small graveside service instead.

Funerals are important cultural traditions, allowing loved ones to give and receive support for a shared loss, Parker said. €œWhen someone dies, people bring food for you, they talk about your loved one, the pastor may come to the house,” Parker said. €œPeople come from out of town. What happens when people can’t come to your home and people can’t support you?.

Calling on the phone is not the same.” While many people are afraid to acknowledge depression, because of the stigma of mental illness, mourners know they can cry and wail at a funeral without being judged, Parker said. €œWhat happens in the African American house stays in the house,” Parker said. €œThere’s a lot of things we don’t talk about or share about.” Funerals play an important psychological role in helping mourners process their loss, Bordere said. The ritual helps mourners move from denying that a loved one is gone to accepting “a new normal in which they will continue their life in the physical absence of the cared-about person.” In many cases, death from buy antibiotics comes suddenly, depriving people of a chance to mentally prepare for loss.

While some families were able to talk to loved ones through FaceTime or similar technologies, many others were unable to say goodbye. Funerals and burial rites are especially important in the Black community and others that have been marginalized, Bordere said. €œYou spare no expense at a Black funeral,” Bordere said. €œThe broader culture may have devalued this person, but the funeral validates this person’s worth in a society that constantly tries to dehumanize them.” In the early days of the zithromax, funeral directors afraid of spreading the antibiotics did not allow families to provide clothing for their loved ones’ burials, Parker said.

So beloved parents and grandparents were buried in whatever they died in, such as undershirts or hospital gowns. €œThey bag them and double-bag them and put them in the ground,” Parker said. €œIt is an indignity.” Coping With Loss Every day, something reminds Rollins of her losses. April brought the first anniversary of Shalondra’s death.

May brought Teacher Appreciation Week. Yet Rollins said the memory of her children keeps her going. When she begins to cry and thinks she will never stop, one thought pulls her from the darkness. €œI know they would want me to be happy.

I try to live on that.” Liz Szabo. lszabo@kff.org, @LizSzabo Related Topics Contact Us Submit a Story TipWhen the zithromax sidelined in-office visits at his practice, Dr. Dael Waxman “wasn’t exactly thrilled with being at home.” But he quickly shifted gears to video and telephone appointments. Now, he finds, there are good reasons to keep these options open even as in-office visits have resumed and many parts of the country have sharply loosened antibiotics restrictions.

One is that some patients “have to overcome a lot of obstacles to get to me,” said Waxman, a family physician with Atrium Health in Charlotte, North Carolina. €œI have lots of single mothers. They have to leave work, get their kids out of school and then take two buses. Why would they want to do that if they don’t have to?.

€ Telehealth served as a lifeline for many during the zithromax, ramping up from a minority share of office visits to a majority, at least for a while. Still, it cannot replace hands-on care for some conditions, and for those not blessed with speedy broadband internet service or smart devices it can be difficult or impossible to use. As things head toward a new normal, lawmakers and insurers, including Medicare, are debating how to proceed, the biggest question being whether to continue reimbursing providers at the same payment rate as for in-person coverage once the buy antibiotics public health emergency ends. While that debate rages — one side pointing to the costs associated with setting up such services, the other arguing that payment rates should decline because telehealth services are cheaper to provide — patients are left to decide if such visits meet their needs.

KHN put such questions to physicians, who gave tips on the types of concerns that are best handled in person, and when video visits are most useful. Not surprisingly, they recommended that patients ask their provider which type of visit is most appropriate for their particular circumstance. Four additional things we learned. 1.

Some things just need to be done in person. Chest pains, new shortness of breath, abdominal pain, new or increased swelling in the legs — all those things point to the need for an in-person visit. And, of course, blood tests, vaccinations and imaging scans must be done in person. €œIf your blood pressure is really high or you have some symptoms of concern like chest pain, one needs to go to the office,” said Dr.

Ada Stewart, president of the American Academy of Family Physicians, which posted an online guide for telemedicine visits. If patients are concerned enough about the situation that they are considering going to an urgent care clinic or even an emergency room, “they should be seen,” said Waxman. And that would occur in person. If a condition, even something seemingly simple, hasn’t resolved in a reasonable time, go to the office.

Waxman recalled a patient with an eye issue who went to urgent care and received antibiotics, but the eye was still irritated after treatment. €œBecause it had not resolved, I was worried about shingles of the eye,” he said. It turned out not to be shingles, but a different problem, Waxman learned after referring the patient to an ophthalmologist. In-person visits can also prove more productive because a physician gains visual clues to what might be wrong by watching how a patient walks, sits or speaks.

While video visits are wonderful, said Dr. David Anderson, a cardiologist affiliated with Stanford Health Care in Oakland, California, sometimes things come up in person that might not over video. €œI can’t say how many times I sit with a patient and I think we’re done — then the thing that’s really the problem gets brought up and we spend the next 45 minutes on it,” he said. Finally, a good reason to go in is, simply, if that’s what you prefer.

€œI had a patient the other day who said he could have done a phone visit but was old-school and just preferred being in the office,” Waxman said. 2. Sometimes a televisit is better. It’s not always necessary to trek into a medical office or clinic.

Stewart, at the family physician group, said check-ins for chronic conditions, such as diabetes or hypertension, “that are basically under control” can easily be handled remotely. Cardiologist Anderson concurred, especially for periodic assessments or checking how a patient is handling a new medication. €œIf I have a [stable] 82-year-old patient and her daughter needs to miss work and come from 30 miles away to bring Mom in for us to sit there for 15 minutes to chat, that’s something where the efficiency of a video visit is good,” he said. But if that same patient complains that “when they take a morning walk, they are short of breath and they were not before, that person I would want to see face to face.” And, sometimes, video follow-ups for stable patients with chronic illnesses are preferable.

€œOn the phone or by video, I found there to be a lot more non-distracted time for education,” he said. It is helpful if patients can monitor their blood sugar or blood pressure at home and then report their statistics during the televisit. But some patients cannot afford a home blood pressure monitor, so that can be a limitation, Waxman cautioned. And even those who have a monitor should initially take it into the office to make sure it is accurate, he said.

Some dermatologic conditions — think rashes and such — can be handled by video, so long as the patient is comfortable using the camera on their smartphone or computer tablet and can get a good picture of the problem area. While 70% to 80% of skin issues can start with a video visit, he estimated, the rest require in-person evaluation, perhaps even a biopsy. 3. Everything works better when both sides prepare.

Both patients and providers can get the most out of a video visit if they first take a few simple steps, the experts said. Find a quiet place without distractions. Turn off the TV. Have a family member present if you want a second set of ears, but choose a private setting if you don’t.

€œYou will not believe the circumstances where people Zoom in to me,” said Anderson. Some are in their cars, “maybe because that’s the best place where they get internet service,” or they’re in their pajamas, just finishing breakfast. €œThere’s a whole lack of preparation and seriousness that occurs,” he said. Have a list of medications you’re taking and write down the problem or symptoms you wish to discuss, as well as specific questions you have, to make the most out of the time available, advised Stewart.

Providers, too, need to take steps. Anderson said they should read patients’ medical records ahead of time and focus because there are fewer cues to a patient’s concerns over video than in person. Physicians “have to be doubly vigilant,” Anderson said, pay attention to all their suspicions and be extra thorough because “it would be much easier to miss something important.” 4. What might happen next?.

Some advocates say insurers should make sure that their reimbursement policies don’t favor one type of visit over another and that no patient feels pressured into a televisit. During the buy antibiotics emergency, Congress and the agency that oversees Medicare temporarily made it easier for beneficiaries to use telehealth — for instance, by removing geographic restrictions and allowing audio-only visits in some circumstances. Medicare also began reimbursing providers equally for telehealth and in-person care. Many private insurers followed Medicare’s lead.

Some also voluntarily waived cost-sharing requirements for telehealth patients. Many expect Medicare Advantage plans to keep covering televisits once the emergency is officially over, and traditional Medicare could follow suit. The Medicare Payment Advisory Commission, a nonpartisan agency that advises Congress, has recommended temporarily continuing to cover some services while the agency gathers data about a wide range of effects, including concerns that telehealth raises spending and the advantages it may offer. That data is important, said Fred Riccardi, president of the Medicare Rights Center.

The expansion has helped many Medicare beneficiaries, he added, but “has left some communities behind,” including the oldest adults, those with disabilities and those in areas with spotty internet service. And future policies should ensure that patients who prefer in-person visits can continue them, he said. Anderson, the cardiologist, agreed that televisits “have a wonderful place” in the range of options, but he warned against cost-saving measures by insurers that might require patients to have a video visit before being granted coverage for an office visit. €œI would see that as an unfortunate delay in care,” he said.

Julie Appleby. jappleby@kff.org, @Julie_Appleby Related Topics Contact Us Submit a Story TipCalifornia Attorney General Rob Bonta, a longtime Democratic state lawmaker, comes to his new role well known for pursuing an unabashedly progressive agenda on criminal justice issues. He has pushed for legislation to eliminate cash bail and to ban for-profit prisons and detention centers. But Bonta also has a distinctive record on health care, successfully advancing legislation to protect consumers from so-called surprise medical bills when they inadvertently get treatment from out-of-network providers and framing environmental hazards like pollution as issues of social justice.

He was among the Democratic lawmakers leading the charge at the California Capitol to take on Big Soda, pushing to cut consumption of sugary drinks through taxes and warning labels. Such proposals so far have faltered under the influence of the soda industry. Bonta, 49, was an infant when his family, in 1971, moved to California from the Philippines, where his parents worked as missionaries. His father, Warren Bonta, a native Californian, worked for the state for decades as a health care official, setting up clinics to expand access to medical care in rural and refugee communities.

Rob Bonta’s first elected position was to the Alameda Health Care District, overseeing local medical services. Appointed by Gov. Gavin Newsom this year, Bonta in April succeeded former state Attorney General Xavier Becerra, who was tapped by President Joe Biden to serve as secretary of the U.S. Department of Health and Human Services.

In the weeks since, Bonta has beefed up the number of lawyers working in the Department of Justice’s Bureau of Environmental Justice and has created a Racial Justice Bureau that he said will play a pivotal role in ensuring equal access to health care for Black and Latino residents. A graduate of Yale Law School, Bonta spent nine years as a deputy city attorney in San Francisco before his election to the state Assembly in 2012, representing Oakland and the East Bay. He was the first Filipino American elected to the California legislature, and is now the first Filipino American to serve as the state’s chief law enforcement officer. As attorney general, Bonta said he envisions a far different relationship with the Biden administration than his predecessor had with the Trump administration.

Becerra emerged as one of former President Donald Trump’s fiercest critics during his tenure as the state’s top cop, filing more than 120 lawsuits to oppose Trump administration policies on the environment and health care, including leading the ongoing fight to preserve the Affordable Care Act in its case before the U.S. Supreme Court. Vice President Kamala Harris also once served as California’s attorney general, and Bonta said he sees tremendous opportunity to shape a more progressive agenda on issues such as reproductive health and universal, single-payer health care working in concert with the new administration. Bonta spoke with KHN about how health care would shape his agenda as attorney general.

The interview has been edited for length and clarity. Q. Your predecessor made health care a priority. Will it be one of yours?.

It’s going to be a top priority for me, and it was a top priority for me as a legislator. I was chair of the Assembly Health Committee or a health committee member the entire time I was there, almost nine years. Before that, I was on a health care district board. My very first elected office I ever had was making sure we provided true access to high-quality, affordable health care to the community that I served.

This is a really foundational part of who I am, and who my family is — our legacy and our values and what we stood for. I think health care is a right, not a privilege. It’s for all, not the few. Q.

You’ve said you would make racial justice a priority. Do you believe racism is a public health crisis?. Yes, I do. buy antibiotics revealed a lot of what was inequitable and racist about our systems — the disparate impacts that we saw, the inequity that we saw.

And I think racism is not just a public health crisis — it is a public health crisis — but it also infects our economic system, it infects our criminal justice system, it infects all of our systems. And it has led to a public health crisis. Q. What does that look like in health care?.

How does inequity show up?. It looks like making sure that in health care there aren’t disparate impacts on communities of color. That race is not correlated to less access or less quality, and making sure that no one is left out. That can look like access to reproductive health care.

That can look like access to real health insurance as opposed to sham health insurance plans. It can look like a charge that is inappropriately placed on a treatment — treatments are supposed to be free. That’s something else we worked on recently. Q.

Can you elaborate?. Through a joint investigation with U.S. Health and Human Services, as well as the U.S. Attorney’s office, we identified that treatments — which should be provided to individuals for free under the law — that a charge was being placed on the treatment.

The treatment should be universally accessible. And when that isn’t being done, barriers are being put up in vulnerable communities, keeping people from their treatment that we all need right now. That is a problem. We put out an alert and reminded people of the laws that provide free treatments to all individuals under the Centers for Disease Control and Prevention program.

Q. What areas of environmental health might you look into?. The building of huge warehouses. In the Inland Empire, there are quite a few being built.

They’re being built adjacent to or in disadvantaged communities. And all the goods movement activity — and all of the emissions that are created from the goods movement — create a threat, and a risk to those communities. Q. Like Amazon, for instance?.

The corporation has come under scrutiny for environmental harms associated with its sprawling warehouses. Yeah. These warehouses have really created problems for disadvantaged communities in California. We expanded the Bureau of Environmental Justice to provide more resources and more ability to go after big polluters, and to protect communities that live at the intersection of poverty and pollution who are being forced to drink dirty water and breathe unhealthy air.

I see the role of the attorney general as standing up for everyday people who are abused or hurt and neglected or mistreated, and generally protecting the little guy from the overreach and abuse of power of the big guy. We have more authority in the environmental realm than in many other areas. And we want to use those tools — that authority, that influence, that power — to protect communities, often low-income communities, often communities of color, who are being hurt by polluters. Q.

Becerra filed a lawsuit and sponsored legislation going after health industry mergers alleged to be anti-competitive, a practice he argues drives up health care prices. Will you continue to go after anti-competitive practices in health care?. That’s definitely a priority. That’s a critical tool in the toolbox that the California attorney general uniquely has to approve — or put conditions on, or not approve — proposed mergers involving a nonprofit hospital.

The lens to see that through is. How does it impact patients?. How does it impact access to quality care, and cost of care?. And so that is exactly why the attorney general has that role, to review these proposed mergers with an eye towards patients and communities that don’t necessarily have a voice in the merger.

Q. As attorney general, do you support single-payer health care?. My involvement will be different. Having said that, I co-authored the single-payer bill from a few years back.

And I was a co-author of this year’s single-payer bill that Assemblyman Ash Kalra was leading that I think is no longer moving. [Kalra has withdrawn the bill from consideration for this year.] I support single-payer health care. I support universal health care. I think single-payer health care is a way to get to that aspiration.

As the attorney general, I enforce the law. We don’t have a single-payer law in California. So, I’ll enforce the existing laws, which are very strong, to help make sure Californians have the most accessible, affordable, highest-quality health care. Q.

The U.S. Supreme Court has agreed to hear a Mississippi abortion case that some say could threaten abortion rights at the state level. If upheld, how could that affect the abortion protections in California?. That’s going to be a really important case for reproductive freedom, and important, in my view, for California to be involved in given our leadership in this space.

As the case gets briefed and prepped for consideration and argument before the U.S. Supreme Court, I expect we will be very active in making arguments to the court to help guide [the justices’] thinking and their decisions. Q. What will California’s relationship with the federal government be like?.

I think the posture and the relationship between the federal administration and California over the last four years are very different than what they will be for the next four. Attorney General Becerra was the warrior and the champion that we needed, and that was necessary as we faced a full-frontal assault on California, our people, our values and our resources, and he fought back and protected us and defended us and stood up for our values time and time again. Now, I think we have a Biden-Harris administration that largely does agree that we should have, certainly, the Affordable Care Act, that we should have reproductive freedom, that we should address the inequities in our health care system, that we should have affordable, accessible, high-quality health care for all — and will help us get there. So, with the new administration, I look to collaboration.

California can and should continue to be who we are. We lead. We go first. We pioneer.

We’re bold and we’re big in how we think. That’s who we are, so that leading role is our natural place to be, including in health care. This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. Angela Hart.

ahart@kff.org, @ahartreports Related Topics Contact Us Submit a Story Tip.