Health
Is Baby Recession Over? US Births Up After Years of Decline
MIKE STOBBE, AP Medical Writer
NEW YORK (AP) — It appears the baby recession really is over: Preliminary figures show U.S. births were up last year for the first time in seven years.
About 53,000 more babies were born in 2014 than the year before — a 1 percent increase. Births were up for nearly every racial and ethnic group, and there were improvements in several other key measures. Teen births hit another historic low and there were fewer cesarean sections and preterm deliveries.
“It looks like perhaps we’re seeing the turnaround that many experts have been anticipating,” said Gretchen Livingston, a birth trends expert at Pew Research Center. She was not involved in the report.
The nation has been in a baby recession since 2007 — a decline in births that experts have blamed mainly on the nation’s economy. It looked like it might have ended in 2013, with preliminary figures showing the number of births rising slightly.
But the final tally showed yet another decline.
Government statisticians said they’ve taken extra steps to make sure the preliminary 2014 numbers hold up. Still, some experts are cautious about declaring a lasting upswing.
“I’ve learned not to prognosticate,” said Brady Hamilton of the Centers for Disease Control and Prevention. He’s lead author of the new report, which is based on a review of nearly all birth certificates.
Highlights from the 2014 report released Wednesday:
—There were just under 4 million babies born. Births rose for white, black, Asian and Hispanic women. For some unknown reason, it fell for Native American moms.
— The birth rate for women of child-bearing age rose 1 percent, to just under 63 births per 1,000 women. In 2013, the rate was 62.5 percent — the lowest it had ever been.
—The total fertility rate rose slightly, by less than 1 percent. That tells how many children a woman can be expected to have if current birth rates continue. The figure was just shy of 1.9 children last year. Experts say 2.1 is a goal if you want to keep the population at its current size.
—About 32 percent of babies were delivered through cesarean section, marking the second straight decline. In the 1980s, health officials set a goal of 15 percent, believing that many C-sections are done out of convenience or unwarranted caution.
—The preterm birth rate — delivery at less than 37 weeks — fell to a little under 10 percent, as part of a continuing decline.
—The birth rates women in their 30s and early 40s continued to rise. The rate for women in their late 20s — who have the most babies — held steady after years of decline.
—The teen birth rate fell 9 percent, continuing a decline that started in 1991. The number of babies born to teens last year — about 249,000 — is less than half the peak of nearly 645,000 in 1970.
Some experts had expected to see that decline level off at some point.
“What we have seen is quite remarkable,” said Bill Albert of the National Campaign to Prevent Teen and Unplanned Pregnancy.
Experts attribute the decline to a range of factors, including less sex and more use of contraception. Related to that, apparently, is a change in social norms for many teens, Albert said. They are more wary of pregnancy, and less likely to know someone who became pregnant as a teen or even to know someone who is the daughter of a teen mother, he suggested.
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Online:
CDC report: http://www.cdc.gov/nchs/
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Activism
NAACP California-Hawaii State Convention Highlights Black Voter Engagement, and More
A Friday panel featuring NAACP Chairman Leon W. Russell and Regina Wilson, Executive Director of California Black Media, examined Project 2025, an initiative perceived as a potential threat to civil rights, healthcare access, and environmental protection. This session emphasized Project 2025’s projected impact on Black communities, noting that policies within the initiative could diminish gains in civil and environmental rights over decades. Russell and Wilson highlighted the need for vigilant monitoring and community mobilization to address these challenges.
By Bo Tefu, California Black Media
The 37th NAACP California-Hawaii State Convention concluded on Sunday, Oct 27, following four days of discussions and workshops at the Los Angeles Airport Marriott. Bringing together civil rights leaders, policymakers, and advocates from California and Hawaii, the convention operated under the theme “All In.” The participants discussed critical issues impacting Black communities, including criminal justice reform, health equity, economic empowerment, education, environmental justice, and voting rights.
A Friday panel featuring NAACP Chairman Leon W. Russell and Regina Wilson, Executive Director of California Black Media, examined Project 2025, an initiative perceived as a potential threat to civil rights, healthcare access, and environmental protection. This session emphasized Project 2025’s projected impact on Black communities, noting that policies within the initiative could diminish gains in civil and environmental rights over decades. Russell and Wilson highlighted the need for vigilant monitoring and community mobilization to address these challenges.
On Saturday, the President’s Fireside Chat brought together NAACP President Derrick Johnson and CA/HI State Conference President Rick Callender, who discussed the urgency of voter engagement and community advocacy.
Guest speakers included Congresswoman Maxine Waters (D-CA-43), who spoke at the Women in NAACP (WIN) Labor Luncheon about the intersection of labor rights and civil rights. California State Superintendent Tony Thurmond delivered remarks at the Leadership Dinner on education equity, focusing on policies to ensure all students have access to high-quality education.
Honors were given to longtime social justice advocate and former Assemblymember Mike Davis for his work in community activism. At the same time, actor and activist Danny Glover and the Rev. Dr. Amos C. Brown received the 2024 Legacy Hall of Fame Awards, recognizing their lifelong commitments to advancing civil rights.
The convention also offered practical workshops, including “What’s On Your Ballot?,” where coalition leaders provided analyses of California propositions, explaining their potential impacts on community rights and resources. The Voter Turnout Workshop provided background and encouraged participants to promote voter turnout through community-centered outreach strategies.
Sunday’s events closed with a Prayer and Memorial Breakfast honoring the contributions of past and current civil rights leaders.
Activism
Atty Gen Bonta: U.S. Law Mandating Emergency Care to All Patients Faces Threats
The attorney general highlighted that EMTALA is vital for ensuring that no individual is turned away from emergency services based on financial status or insurance coverage. Bonta stated that the law has been a cornerstone of emergency healthcare for decades, providing peace of mind to millions of Americans who might otherwise hesitate to seek urgent medical attention due to cost concerns.
By Bo Tefu, California Black Media
California Attorney General Rob Bonta emphasized the critical need to protect the Emergency Medical Treatment and Labor Act (EMTALA), mandating that hospitals provide emergency care to all patients regardless of their ability to pay.
In a recent statement, Bonta highlighted the potential threats to this essential legislation amid ongoing discussions about healthcare accessibility in the U.S.
“EMTALA ensures that no one is denied access to emergency medical care, including abortion care, and this federal law is more imperative than ever following the overturn of Roe v. Wade,” said Bonta.
The attorney general highlighted that EMTALA is vital for ensuring that no individual is turned away from emergency services based on financial status or insurance coverage. Bonta stated that the law has been a cornerstone of emergency healthcare for decades, providing peace of mind to millions of Americans who might otherwise hesitate to seek urgent medical attention due to cost concerns.
This decision to support the federal government’s case comes at a time when many healthcare providers are facing pressure from rising costs and legislative changes that could undermine existing protections. Bonta called on lawmakers to reinforce EMTALA’s provisions and to combat any efforts aimed at weakening the act, asserting that equitable access to emergency care is a fundamental right.
He urged state and federal governments to ensure that all Americans, particularly marginalized communities, have the necessary access to emergency services without fear of financial repercussions. The brief indicates the coalition’s commitment to healthcare equity, emphasizing that maintaining strong protections under EMTALA is crucial for safeguarding public health.
As discussions around healthcare policy continue, Bonta remains steadfast in promoting initiatives that protect emergency care access, asserting that everyone deserves timely and appropriate medical treatment in emergencies. His efforts align with ongoing legal and advocacy battles to preserve the rights established by EMTALA in the face of evolving healthcare challenges.
Alameda County
Access Better Health with Medically Tailored Meals – Transforming Health Through Nutrition for Medi-Cal Patients
Launched in 2018, the Medically Tailored Meals pilot program was designed to help Medi-Cal patients with congestive heart failure by reducing hospital readmissions and emergency department visits by providing tailored meals meeting specific dietary needs. The program’s success in improving health outcomes and reducing costly emergency room visits encouraged the Department of Health Care Services (DHCS) to expand the Medically Tailored Meals program to all 58 counties through Medi-Cal transformation and a new set of services called Community Supports.
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Launched in 2018, the Medically Tailored Meals pilot program was designed to help Medi-Cal patients with congestive heart failure by reducing hospital readmissions and emergency department visits by providing tailored meals meeting specific dietary needs.
The program’s success in improving health outcomes and reducing costly emergency room visits encouraged the Department of Health Care Services (DHCS) to expand the Medically Tailored Meals program to all 58 counties through Medi-Cal transformation and a new set of services called Community Supports.
Medically Tailored Meals are one of 14 new services offered through Medi-Cal that provide members with access to new and improved services to get well-rounded care that goes beyond the doctor’s office or hospital.
Medically Tailored Meals: Overview
Malnutrition and poor nutrition can lead to severe health outcomes, especially among Medi-Cal patients with chronic health conditions. Medically Tailored Meals aim to improve health outcomes, reduce hospital readmissions, and enhance patient satisfaction by providing essential nutrition.
Key Features:
- Post-Discharge Delivery: Meals are delivered to patients’ homes immediately following discharge from a hospital or nursing home.
- Customized Nutrition: Meals are tailored to meet the dietary needs of those with chronic diseases, designed by registered dietitians (RD) or certified nutrition professionals based on evidence-based guidelines.
- Comprehensive Services: Includes medically tailored groceries, healthy food vouchers, and food pharmacies.
- Educational Support: Behavioral, cooking, and nutrition education is included when paired with direct food assistance.
Key Benefits:
- Address Food Insecurity: Mitigates poor health outcomes linked to food insecurity.
- Support Complex Care Needs: Tailored to individuals with chronic conditions.
- Improve Health Outcomes: Studies show improvements in diabetes control, fall prevention, and medication adherence.
Patient Testimonial:
“My diabetes has gotten better with the meals. I’ve kept my weight down, and I feel much better now than I have in a long time. I’m one of the people this program is meant for.” — Brett
Eligibility:
- Eligible Populations: Eligible Medi-Cal members include those with chronic conditions like diabetes, cardiovascular disorders, congestive heart failure, stroke, chronic lung disorders, HIV, cancer, gestational diabetes, and chronic mental or behavioral health disorders. Also, those being discharged from a hospital or skilled nursing facility or at high risk of hospitalization or nursing facility placement are also eligible.
- Service Limitations: Up to two meals per day for up to 12 weeks, extendable if medically necessary. Meals eligible for reimbursement by alternate programs are not covered.
Cost Savings and Improved Health Outcomes:
- Health Outcomes: Research indicates a 22% to 58% decrease in emergency department visits and a 27% to 63% decrease in inpatient admissions among Medically Tailored Meals recipients, translating to significant health care cost savings.
Project Open Hand: A Success Story
Project Open Hand has been a leader in providing Medically Tailored Meals, significantly impacting the lives of Bay Area Medi-Cal patients with chronic illnesses. Since its inception, Project Open Hand has delivered nutritious meals to individuals with diabetes, HIV, and other serious health conditions, demonstrating remarkable health improvements and cost savings.
Key Achievements:
- Improved Health Outcomes: Project Open Hand’s research found a 50% increase in medication adherence among recipients of Medically Tailored Meals.
- Reduced Hospitalizations: Their program showed a 63% reduction in hospitalizations for patients with diabetes and HIV.
- Enhanced Quality of Life: Patients reported better health and increased energy levels.
Project Open Hand ensures that each meal is prepared using fresh, wholesome ingredients tailored to meet the specific dietary needs of its clients. By partnering with Medi-Cal managed care plans, Project Open Hand continues to provide life-saving nutrition to those who need it most.
Join Us in Our Mission
You can experience the profound impact of Medically Tailored Meals by joining the Medi-Cal Community Supports services initiative. Your involvement can make a difference in promoting your health through nutrition.
Learn More
For more information about Medically Tailored Meals and how to get involved, call the state’s Medi-Cal Health Care options at 800-430-4263 or contact your local managed care plan.
In Alameda County, Medi-Cal recipients can contact:
* Alameda Alliance for Health: 510-747-4567
* Kaiser Permanente: 855-839-7613
In Contra Costa County, Medi-Cal recipients can contact:
* Contra Costa Health Plan: 877-661-6230
* Kaiser Permanente: 855-839-7613
In Marin County, Medi-Cal recipients can contact:
* Partnership Health Plan of California: 800-863-4155
* Kaiser Permanente: 855-839-7613
In Solano County, Medi-Cal recipients can contact:
* Partnership Health Plan of California: 800-863-4155
* Kaiser Permanente: 855-839-7613
Your health and well-being are your health care provider’s top priority. Medically Tailored Meals are designed to enhance quality of life by advancing health care through the power of nutrition. Experience the benefits today, and take the first step toward a healthier you.
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