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.
Imagine knowing exactly what you want to say, but the words don’t make it from your brain to your lips. You know how you want to move, but your body fails to comply.
This is the reality of living with something called full-body apraxia, a term I hadn’t heard until recently, despite my 30 years of being diagnosed with this and or that disorder. Many treatment providers fail to recognize how these motor and sensory differences might manifest.
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.
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 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.
State leaders estimate that the federal Medicaid cuts will force 3.4 million Californians out of our version of the program, known as Medi-Cal. But we do not have to sit idly by and wait for the fallout. In fact, states and communities still hold real power to blunt the worst outcomes and protect coverage for millions.
California can implement the law in the least harmful way: creating broad exemptions, simplifying paperwork and deploying technology to reduce administrative friction.
As the federal government continues Immigration and Customs Enforcement raids in Southern California and across the country, mental health professionals are seeing a heightened need for their services, as they work to help clients cope with stress, anxiety and the loss of normalcy.
The situation is difficult, but there are mental health resources available. Our reporter compiled resources and spoke with therapists who offer guidance.
California’s top health priority should be making sure that people who need mental health treatment can get it, over 90 percent of respondents said in a recent poll.
People of color often feel the lack of access more acutely, researchers found, with 75 percent of black and 57 percent of Latino respondents noting that their communities don’t have enough mental health providers, compared to 49 percent of white participants.
Apple users are the only ones who can access their health records on their phones. CommonHealth, a new app for Android users, wants to change that and tackle health disparities in the process.
“Android users tend to earn lower incomes, so medical centers using the Apple app are cutting out (a large fraction of patients),” said Ida Sim, a professor of medicine at UC San Francisco, where she leads the team piloting the app.
Newly released data reveals that more than a quarter of California children in foster care don’t receive timely medical or dental exams, increasing their risk of having health problems that go unaddressed.