The budget that legislators must adopt by June 15 will set California on one of two courses: protecting the health coverage that millions rely on, or allowing federal cuts to decimate Medi-Cal, the insurance program covering 15 million Californians.
Without a strong response from lawmakers in the coming days, millions will be pushed out of coverage or lose critical health benefits, making California sicker and more unequal.
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.
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 policymakers grapple with the government shutdown, Ted Lempert in California is keeping tabs on how it may affect kids here.
The president of the nonprofit Children Now is paying particular attention to potential cuts to Medicaid, or Medi-Cal in California, which provides health coverage for roughly half of the state’s children.
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.