Health
Obama Administration: 16.4M Have Gained Health Insurance
Ricardo Alonso-Zaldivar and Julie Pace, ASSOCIATED PRESS
WASHINGTON (AP) — More than 16 million Americans have gained coverage since President Barack Obama’s health care law took effect five years ago, the administration said Monday. But an independent expert who used some of the same underlying data had the much lower estimate of 9.7 million.
The Department of Health and Human Services estimated that 16.4 million adults have gained health insurance since the law’s major coverage provisions began taking effect in 2010. At the same time, data from a large daily survey called the Gallup-Healthways Well-Being Index show that there are 9.7 million fewer uninsured adults now compared with the first part of 2010.
There seems to be no dispute that Obama’s law has significantly reduced the number of uninsured Americans. The question is, by how much?
It will take time for authoritative statistics to emerge, particularly when the government and outside experts are using different estimating methods.
The HHS estimate comes as the administration prepares to commemorate the fifth anniversary of the law’s signing on Mar. 23, 2010. The Affordable Care Act has been politically divisive from the start.
HHS Secretary Sylvia M. Burwell said it’s brought about “the largest reduction in the uninsured in four decades.”
Democrats hailed the law’s passage as the culmination of decades of effort to guarantee health coverage for all Americans, including people with health problems who previously could be turned away by insurance companies.
Republicans called it government overreach, and haven’t stopped trying to repeal or roll back what they dismiss as “Obamacare.” That opposition has helped the GOP win control of Congress.
The health care law offers subsidized private coverage for people who don’t have health insurance on the job, along with an expanded Medicaid program that a majority of states have accepted.
According to the HHS estimate, 14.1 million adults got their insurance after the law’s big expansion began at the end of 2013. HHS said it used Gallup-Healthways data to arrive at that figure.
Even before that, another 2.3 million people had gained coverage under a provision that lets young adults stay on a parent’s plan until age 26, the administration said. HHS reached that estimate using data from a different source, a government survey.
The administration says that means 16.4 million people gained coverage since Obama’s law took effect.
Gallup’s lower number was computed in a different way.
Dan Witters, research director for the Gallup-Healthways Well-Being Index, said his survey shows the uninsured rate declined from 16.3 percent in early 2010 to 12.3 percent this year among adults 18-64. That translates to about 9.7 million fewer uninsured adults over that time period.
Witters said he has not had time to review the government’s methodology.
But he noted that the uninsured rate has fluctuated during the past five years. On balance, fewer young adults went without coverage starting in 2010. However, older adults saw coverage losses until 2013 and the opening of the health care law’s insurance markets.
Witters added he would want to know more about how HHS combined its two separate estimates to arrive at the figure of 16.4 million gaining coverage.
HHS official Richard Frank, in charge of the government report, said the two numbers “can be added together as coverage gains associated with our policy.”
But asked if the overall figure represents a net reduction in the US uninsured rate in the five years since the law’s passage, Frank responded “that is not precisely what they represent.”
He said they are “two sets of net reductions, but they are slightly separate in the analysis.”
The administration said all racial and ethnic groups have seen gains in coverage, but the biggest improvement has come among minority groups such as Hispanics and African Americans. States that agreed to expand Medicaid continue to outperform those that did not broaden coverage for low-income people.
The law’s coverage gains haven’t settled the political debate. Republicans now in charge of both chambers of Congress remain committed to repeal, although Obama is sure to veto any such legislation.
The biggest question hanging over the law now is a Supreme Court case in which opponents argue that subsidies are illegal in most states. They contend that the exact wording of the law only allows subsidized coverage in states that have set up their own insurance markets, and most have not done so, relying instead on the federal marketplace. The administration counters that the context of the law makes it clear the purpose was to expand coverage in every state.
Independent estimates say about 8 million people could lose coverage if the subsidies are rolled back. A decision is expected by the end of June.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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Activism
2024 in Review: Seven Questions for Frontline Doulas
California Black Media (CBM) spoke with Frontline Doulas’ co-founder Khefri Riley. She reflected on Frontline’s accomplishments this year and the organization’s goals moving forward.
By Edward Henderson, California Black Media
Frontline Doulas provides African American families non-medical professional perinatal services at no cost.
This includes physical, emotional, informational, psychosocial and advocacy support during the pregnancy, childbirth and postpartum period. Women of all ages — with all forms of insurance — are accepted and encouraged to apply for services.
California Black Media (CBM) spoke with co-founder Khefri Riley. She reflected on Frontline’s accomplishments this year and the organization’s goals moving forward.
Responses have been edited for clarity and length.
Looking back at 2024, what stands out to you as your most important achievement and why?
In 2024, we are humbled to have been awarded the contract for the Los Angeles County Medical Doula Hub, which means that we are charged with creating a hub of connectivity and support for generating training and helping to create the new doula workforce for the medical doula benefit that went live in California on Jan. 1, 2023.
How did your leadership and investments contribute to improving the lives of Black Californians?
We believe that the revolution begins in the womb. What we mean by that is we have the potential and the ability to create intentional generational healing from the moment before a child was conceived, when a child was conceived, during this gestational time, and when a child is born.
And there’s a traditional saying in Indigenous communities that what we do now affects future generations going forward. So, the work that we do with birthing families, in particular Black birthing families, is to create powerful and healthy outcomes for the new generation so that we don’t have to replicate pain, fear, discrimination, or racism.
What frustrated you the most over the last year?
Working in reproductive justice often creates a heavy burden on the organization and the caregivers who deliver the services most needed to the communities. So, oftentimes, we’re advocating for those whose voices are silenced and erased, and you really have to be a warrior to stand strong and firm.
What inspired you the most over the last year?
My great-grandmother. My father was his grandmother’s midwife assistant when he was a young boy. I grew up with their medicine stories — the ways that they healed the community and were present to the community, even amidst Jim Crow.
What is one lesson you learned in 2024 that will inform your decision-making next year?
I find that you have to reach for your highest vision, and you have to stand firm in your value. You have to raise your voice, speak up and demand, and know your intrinsic value.
In a word, what is the biggest challenge Black Californians face?
Amplification. We cannot allow our voices to be silent.
What is the goal you want to achieve most in 2025?
I really would like to see a reduction in infant mortality and maternal mortality within our communities and witness this new birth worker force be supported and integrated into systems. So, that way, we fulfill our goal of healthy, unlimited birth in the Black community and indeed in all birthing communities in Los Angeles and California.
Activism
A Student-Run Group Provides Critical Support Services to Underserved Residents
Those visiting The Suitcase Clinic can get legal advice, sign up for food assistance, receive housing resources, get medical help, or enjoy a hot, fresh meal. They can also get haircuts and foot washes from the student volunteers. Nilo Golchini, executive director of the clinic, said one of the goals for most of the students working there is helping bridge the gap of trust that exists between many unhoused people and the healthcare and social welfare systems.
Part One
By Magaly Muñoz
Every Tuesday evening, the dining hall of First Presbyterian Church fills up with dozens of people eating, laughing and moving from table to table, receiving much-needed services from UC Berkeley students – just a few blocks away from the university’s campus.
Individuals seeking support services can be found in this multi-stationed room on the south end of the church talking to law students, student case managers, or receiving medical attention in a corner by healthcare professionals.
This weekly event is hosted by Cal students through a volunteer-run program called The Suitcase Clinic.
The clinic, founded in 1989, was intended to offer free resources to underserved communities in Berkeley and surrounding cities. The majority of the clinic’s clientele are unhoused or low-income people looking for extra support.
Those visiting the clinic can get legal advice, sign up for food assistance, receive housing resources, get medical help, or enjoy a hot, fresh meal. They can also get haircuts and foot washes from the student volunteers.
Nilo Golchini, executive director of the clinic, said one of the goals for most of the students working there is helping bridge the gap of trust that exists between many unhoused people and the healthcare and social welfare systems.
During their tenure in the program, many of the students say they become strong advocates for homelessness rights.
“We’re also standing in solidarity with them. So, it’s not saying, ‘I’m going to help you, but I’m also going to stand with you,’” Golchini said.
Student volunteers get extensive training prior to working directly with clients. Those interested have to take a semester-long class to become versed in areas such as outreach, intersectionality, how to interact with unhoused people, how to sign people up for social services. and more.
Volunteers then get to pick from three different clinics: General, Women’s, or Youth and LGBTQ+.
The General Clinic is the most popular among visiting residents, while Women’s and Youth/LQBTQ+ have more specialized services for attendees.
The Women’s Clinic has many of the similar services to General, but also includes nail painting, childcare, and massages.
The Youth and LGBTQ+ Clinic offers a safe space for young people navigating living on the streets, with services that include housing referrals, wellness and recreation classes and employment resources.
Golchini explained that it’s important for them to keep these clinics separate because the different demographics experience poverty and homelessness differently than those who visit the General Clinic.
“We’re able to provide spaces where people can come in and feel safe and not feel like they’re constantly worried that something’s going to happen to them,” she said.
An outreach team also visits encampments every other Saturday in the Berkeley area to provide hygiene kits and encourage people to visit the in-person clinic, if possible.
However, Golchini said engagement has been low for some time now due to a recent decision by the U.S. Supreme Court that allows cities to ban and cite people for sleeping on the streets.
She said a lot of their clientele got displaced to other cities over time, making it difficult to stay in contact with the services the Clinic was providing for them.
But that hasn’t slowed down the students at the Clinic, if anything, it has pushed them to do more for the community they serve.
Activism
Post News Group Hosts Second Virtual Town Hall on Racism
“While our society tends to rebrand over the decades, we find hate as the new word, broadening its arch of issues in society,” said show host and Post News Group Global Features Journalist Carla Thomas. “However, the very first form of hate, which is racism, built this country.”
By Post News Group
Post News Group Global Features Journalist Carla Thomas recently hosted a second Virtual Town Hall on Racism, with guests including community builders Trevor Parham of Oakstop and Chien Nguyen of Oakland Trybe.
Thomas opened the town hall by paying homage to the ancestral losses of the African diaspora and to the Indigenous tribes, the enslaved, the freed, and the trailblazers of the Civil Rights Movement, Black Lives Matter Movement, and those more recently victimized by police brutality.
After thanking Bay Area non-profits for their work, Thomas led a thoughtful discussion on the importance of acknowledging racism as the first form of hate that built America.
“While our society tends to rebrand over the decades, we find hate as the new word, broadening its arch of issues in society,” she said. “However, the very first form of hate, which is racism, built this country,” she said.
“That act of othering, creating a narrative that made African people, indigenous people, and ultimately melanated people, labeled as less than human justified the colonizers act of subjugating our ancestors to inhumane, incomprehensible treatment for over 400 years,” said Thomas.
Parham of Oakstop, located at 1721 Broadway, explained that Nazi Germany patterned its mistreatment and extinction of Jews in the Holocaust after chattel slavery in America and the Jim Crow apartheid system that followed it.
“Nazi Germany found America’s treatment of Blacks so inhumane and denigrating that they (decided) it would actually be the perfect ingredient to undermine another group of people,” said Parham. “So, they essentially borrowed from what Americans did to Black people.”
Thomas pivoted the discussion to the limitations placed on Black America’s generational wealth through policies of red-lining, redevelopment, and title deeds to this day, based on the idea that no Black or indigenous person is allowed to purchase property or land.
“For this reason, there continue to be impoverished Black communities throughout the nation,” she said.
“The structures of racism from red-lining to lack of access to capital continue to restrict Black (people) in America; this structural racism kind of finishes you before you even start,” added Parham. “The lack of generational wealth has left our communities at a disadvantage because with generational wealth we’d have the resources to police our own communities and build further.”
Nguyen, Clinton Park site director for Oakland Trybe, spoke about his parents’ journey as immigrants from Vietnam, the challenges of being teased in school, and how his troubled brother was murdered.
Nguyen has turned his personal tragedies into triumph, pivoting from a career as an eight-year business owner in the Little Saigon community of East Oakland, to now a non-profit leader transforming and reclaiming the community’s Clinton Park at International Boulevard and Sixth Street..
“A park represents community, and between the pandemic, illegal activities, and homelessness, the park needed to be re-established, and we now offer programming for the youth and extended community,” he said.
“Between Oakstop’s business model of purchasing commercial properties and transforming them into beautiful spaces for community ownership, business space, and special event hubs, and Oakland Trybe’s ability to transform public spaces central to a community and empower our communities, we have solutions,” Thomas said.
Throughout the conversation, Parham referred to a press conference hosted at Oakstop in August where NBA icons Jason Kidd and Jaylen Brown pledged to raise $5 billion for Black businesses in the nation.
“Inspired by Black Wall Street, Jaylen began with Boston and created the Boston Xchange because he became aware of a statistic noting that white households in Boston average $250,000 and Black households averaged a mere $8 in wealth,” Parham said.
In Oakland, he established the Oakland Xchange to expand the movement right at Oakstop, he said.
Thomas encouraged viewers to connect with her guests and tap into the dozens of organizations making a change. “I encourage you to join your chambers of commerce, your community-based organizations, non-profits, and churches to uplift and rebuild the community,” she said.
Thomas also suggested that the NAACP as a great start. “The Oakland chapter’s resolution developed around racism was adopted by the national NAACP, and at the Afrotech Conference, national NAACP leader Derrick Johnson announced a $200 million fund to support Black funders.”
Thomas informed viewers of the California vs. Hate, initiative, a non-emergency hate incident and hate-crime reporting system to support individuals and communities targeted for hate.
“Your reports inform the state of where to designate resources and extra support,” said Thomas.
For more information, visit PostNewsGroup.com, CAvsHATE.ORG or call 1-833-8-NO-HATE.
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