Gas prices have been surging — especially in California, where an average gallon of fuel is now just under $6. While everyone is feeling the pain, advocates urge older adults and people with disabilities to consider some of the available low-cost or free transportation solutions.
But because transportation is a fragmented offering — from your health insurance company to government agencies and nonprofits — it may take a bit of sleuthing to understand the available services in your area.
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.
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.
The holiday season is further adding to social isolation and feelings of loneliness many seniors have experienced during COVID-19. Many won’t be able to celebrate the holidays with loved ones and some have lost spouses or other family members to the virus.
The Social Bridging Project and other organizations that serve the elderly are ramping up efforts to reach vulnerable seniors living alone. Solutions include meal deliveries, phone check-ins and crisis hotlines.
The pandemic and protests have laid bare the depths of our nation’s disparities. Your race should not determine whether you live or die. It should not influence whether your doctor listens to you, or whether you can breathe clean air.
But—too often—it does.
In my own family, I’ve seen the results of racism and redlining play out over generations in Los Angeles, limiting where some family members could purchase homes, raise their children and retire.
The coronavirus pandemic has taken a toll on millions of Californians. This is especially true among low-income families, including my patients at Harbor-UCLA Medical Center.
Most of our families barely get by in the best of times. How will they fare during a viral-induced economic downturn? The pandemic is exposing how fragile their lives are.
As Californians across the state shelter at home amid the COVID-19 outbreak, an estimated 1 million of them lack access to clean drinking water, one of the most fundamental resources for maintaining health and hygiene.
Many of these residents are concentrated in rural parts of the state, particularly in the San Joaquin Valley, where dozens of small public water systems fail to meet safety standards.
As public health officials call on Californians to help stop the spread of the virus, many low-wage workers are being forced to make potentially life-threatening choices: whether to heed the precautions and lose income they rely on, or to show up for work anyway in order to put food on their tables and pay their rent.
These choices could be critical because low-wage earners often have jobs involving interactions with the public, such as serving food, caring for the elderly or cleaning hotel rooms.
Gov. Gavin Newsom has outlined innovative reforms to curb drug prices, including CalRx, a California-owned, generic drug label.
But CalRx is not a magic bullet. Magic bullets and general solutions often overlook the impacts on communities of color.
If CalRx does not intentionally build a path of access for low-income folks and communities of color, it will just be creating cheaper, but still unattainable, prescription drugs.