I’m one of many people who are increasingly living longer with or past cancer. In the 1970s, only 49 percent of patients survived five years after their illness, but that rate has risen to 70 percent. Doctors now commonly talk about cancer as a chronic disease which can be managed.
But even as older cancer patients receive the gift of extra time, greater longevity brings its own challenges.
When California rolled out its 988 mental health crisis response hot line in July 2022, architects believed it would lead to an overhaul of the emergency medical system.
That hasn’t quite come to pass, but most communities across the state have taken steps toward this vision — and some of them have robust systems. Now they are worried about losing them due to looming federal and state budget cuts.
Recent ICE actions threaten the stability of the current and future caregiver workforce, impacting those who are undocumented, as well as nearly 500,000 workers with legal status.
On Feb. 26, 109 organizations sent a letter to Congress calling for reining in ICE actions due to the harm to older adults, people with disabilities and their caregivers.
For the past two years, I’ve co-facilitated meetings in five counties and helped lead numerous projects across California to help these organizations cope with the state’s demands. In nearly every meeting, I observe the same pattern: Community-based organizations are financing California’s Medicaid transformation out of their own organizational capacity.
This dynamic has equity implications that deserve attention.
Shari Horne spends much of her day caring for her husband Hal in their sunny apartment in Orange County’s Laguna Woods, where she was once mayor.
I’m sharing the Hornes’ story in my inaugural column for the California Health Report. Over the next year, I’ll write about health equity and aging, drawing on my personal experiences, as well as those of the people I interview.
Medically tailored groceries are just one of the more creative methods advocates are using to get food to the most vulnerable Californians, including those who are disabled or elderly.
With federal delays in dispersing SNAP benefits in November and other looming changes, people who work on the front lines of food access say this creativity is essential; it’s an all-hands-on-deck situation.
For many older adults, especially those with low incomes, mobility is not a luxury. It is the foundation of independence, emotional well-being and dignity. Yet access to basic mobility support varies widely across the state. That gap has serious consequences.
As a physical therapist working in post-acute and long-term care, I see this divide every day.
As federal health programs shift and immigration raids continue, a Bay Area alliance is stepping up its work to help families and prevent child abuse, which can increase during times of stress.
”We need to really take a step back and take a look at what we are doing as a society to ensure that no one is living in poverty,” said Pegah Faed CEO of Safe & Sound in San Francisco.
As a rehabilitation clinician and director working directly with older adults, I see how effective early mobility support can be. Mild losses in leg strength or balance respond well to structured, simple routines when they are addressed early. The greatest need is access.
Several programs across California demonstrate how this access can be expanded.
The COVID-19 pandemic highlighted the value of multiple generations sharing living spaces. However, people living in multi-generational households also have increased risk of infections.
These risks can be reduced with preventative health measures, experts say.
As a licensed vocational nurse who has worked in emergency rooms and mental health settings throughout Southern California, I’ve seen the impact of Substance Use Disorder.
While California has taken major strides in addressing the opioid epidemic and decreasing the risk of unnecessary opioid prescriptions for patients, a major gap exists for some of the most vulnerable populations.
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