Health

Opinion: Changing Medicare Would Threaten Hispanics’ Health

Published

7 years ago

October 14, 2017

Oakland Post

By Dr. Yanira Cruz

Hispanics are 50 percent more likely than whites to die from diabetes and liver disease.

This gap could widen if lawmakers proceed with a plan to alter the Medicare Part D prescription drug benefit. The Part D program has increased access to prescription drugs for millions of Hispanic seniors. Without it, they would struggle to afford the medicines they need to stay healthy.

Implemented in 2006, Part D provides affordable prescription drugs to seniors and those with disabilities. It does this by subsidizing the cost of private prescription insurance plans. Seniors pick from a variety of plans and pay a monthly premium, and the government picks up the rest of the tab.

Part D is cost effective. In its first decade, the program cost 45 percent less than the Congressional Budget Office initially projected.
Medicare Part D isn’t just affordable for the government — it’s also affordable for beneficiaries. Some Part D drug plans cost as little as $14.60 each month.

Part D is, quite literally, a lifesaver for seniors who would not be able to afford their prescriptions on their own. A study by the Federal Reserve Bank of San Francisco found that Part D saved the lives of up to 26,000 individuals in its first year.
Hispanics, especially, have benefited from Part D. Following Part D’s implementation, adherence to heart medications among Hispanics increased by 60 percent. Thanks to this program, Hispanic seniors save an average of $143 a year in out-of-pocket expenses.

With these sorts of savings, it’s no wonder that nine out of 10 Part D participants report satisfaction with their coverage.

Even though Part D is working exceptionally well, some members of Congress think that it would work even better if the government negotiated the prices of drugs offered under Part D plans.

Currently, the government lets private insurers negotiate prices with drug makers. Insurers fight hard to secure discounts. After all, bigger discounts enable insurers to offer lower-cost plans that attract new senior customers. The CBO recently lowered its Part D spending projections because insurers have obtained “significantly higher” than expected rebates, according to the Kaiser Family Foundation.

The government wouldn’t have any more negotiating power than private insurers. In fact, the CBO has warned that giving federal officials the power to negotiate prices would have a “negligible effect” on Part D drug costs.

The only way the government could substantially lower drug spending would be to refuse to cover certain medicines. A move like that would be disastrous for seniors. Right now, each Part D plan has its own list of covered drugs. If seniors know they need a particular medicine, they can enroll in a plan that covers that drug.

If the government stopped covering certain drugs, those medicines would be excluded from all plans. Seniors would lose access to those medicines unless they could afford to pay for them out of pocket. That wouldn’t be feasible for many seniors, especially Hispanics. The typical Hispanic Medicare beneficiary earned less than $13,000 in 2014.

Reducing the number of drugs covered by Part D would harm Hispanics and other vulnerable populations. There’s no reason for Congress to mess with Medicare Part D. It is cost-effective, saves lives, and makes health care more accessible and equitable.

Dr. Yanira Cruz is the president and CEO of the National Hispanic Council on Aging.

Oakland Post

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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.

Published

8 hours ago

December 18, 2024

Oakland Post

UC Berkeley Law Students help a clinic visitor with legal advice at their Tuesday night services. The Clinic offers a variety of resources, including medical, to those in the community who have little access to these services. Photo by Magaly Muñoz

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.

Visitors of the Suitcase Clinic can receive haircuts and foot washing by student volunteers every Tuesday evening. Photo by Magaly Muñoz.

“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.

Suitcase Clinic student workers posing for a photo with a frequent clinic attendee. The Clinic is open to Berkeley unhoused and low-income residents who need medical or legal service, or a hot meal. Photo by Magaly Muñoz.

“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.

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Activism

Delta Sigma Theta Alumnae Chapters Host World AIDS Day Event

With members from Berkeley Bay Area, Oakland East Bay (OEB) and Hayward Tri-City chapters present, the event opened with Oakland City Councilmember Treva Reid sharing data and legislation that has passed to address the safety, health, and well-being of Black women in the state of California. Attendees were able to learn directly from expert guest speakers, including Shimere Harrington from ViiV Healthcare, Barbara Green-Ajufo, an epidemiologist from UCSF Center for AIDS Prevention Studies (CAPS), and Dot Theodore, director of the HIV Care Program Division of Center for Disease Control and Prevention (CDC) for Alameda County.

Published

1 week ago

December 10, 2024

Oakland Post

Petrina A. Perteet, Takija Gardner and Oakland City Councilmember Treva Reid at the World AIDS Day event on Dec. 1. Photo by Kevin Hicks.

By Don-Neva E. Johnson and Petrina Alexander Perteet
Special to The Post

The International Awareness and Involvement (IA&I) committees of East Bay chapters of Delta Sigma Theta Inc. proudly hosted a successful World AIDS Day event on Dec.1, bringing together community members, healthcare professionals, and advocates to raise awareness and support the fight against HIV/AIDS.

Attendees were able to learn directly from expert guest speakers, including Shimere Harrington from ViiV Healthcare, Barbara Green-Ajufo, an epidemiologist from UCSF Center for AIDS Prevention Studies (CAPS), and Dot Theodore, director of the HIV Care Program Division of Center for Disease Control and Prevention (CDC) for Alameda County.

The speakers provided valuable insights into the current state of HIV/AIDS, advancements in treatment, and the importance of prevention and support.

L-R Petrina A. Perteet, Dr. Natalie Wilson, Don-Neva Johnson, Tracy Diop, Sonji Walker and Takija Gardner were part of the World AIDS Day event. Photo by Kevin Hicks.

“The outcome of this day is more than what we could have hoped for, and we are deeply grateful for the participation of our distinguished speakers and the support of our sponsors,” said Don-Neva Johnson and Tracy Diop, IA&I committee chairs for Berkeley Bay Area and Hayward Tri-City.

“Their contributions helped us create an informative and empowering event for our community,” said event organizer Dr. Natalie Wilson, associate professor of UCSF School of Nursing and IA&I committee chair.

Held at the Samuel Merritt Health Education Center at 400 Hawthorne Ave. in Oakland, the event was made possible by the generous support of sponsors ViiV healthcare, Gilead Sciences, and Good Health WINs. Attendees received gift bags and had the opportunity to engage with educational tables from Gilead, participate in a Q&A session with speakers led by Wilson.

Delta Sigma Theta Incorporated is an organization of college-educated women committed to the development of its members and offer public service with a primary focus on the Black community. We are dedicated to empowering our communities through education, advocacy, and support around the world.

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Activism

Outgoing D.A. Pamela Price Releases Report on County Gun Violence Epidemic

The 84-page report is divided into two parts: the Public Health Impact of Violence and the Contribution of Structural Inequalities; and the Public Safety Impact of Gun Violence and the Regulation of Firearms. Each section documents trends in rising gun violence in the wake of the COVID-19 pandemic, with special attention to the rise in gun-related deaths of women and children in Alameda County. Each section advises innovative approaches for the County to address gun violence and build safe communities.

Published

1 week ago

December 8, 2024

Oakland Post

Exclusive interview with County D.A. Price days before recall election. Photo by Ken Epstein.

Pamela Price was recalled in the election on Nov. 5. File photo.

By Post Staff

Criminal Justice Reformer District Attorney Pamela Price, who is leaving office this week after losing a recall election, released a comprehensive report on the gun violence epidemic and public health emergency in Alameda County: “Tackling Gun Violence Epidemic in Alameda County: A Public Health Emergency (2019-2023).”

This report represents an unprecedented collaboration between public safety and public health partners and provides data and recommendations to guide the County’s continued work to reduce violence while advancing justice reform.

Each section documents trends in rising gun violence in the wake of the COVID-19 pandemic, with special attention to the rise in gun-related deaths of women and children in Alameda County. Each section advises innovative approaches for the County to address gun violence and build safe communities.

“Between 2019 to 2023, an average of three residents were killed by firearms each week in Alameda County, and behind every statistic is a shattered family and community,” said Price.

“Under my administration, the DA’s office has taken bold steps to combat gun violence while promoting equity and healing for survivors,” she said.

The report highlights strategies for keeping guns out of the hands of dangerous people. Last month, the DA’s office secured a $5.5 million grant from the California Judicial Council to help improve compliance and case management for gun cases and gun relinquishment orders —the removal of guns from people prohibited from possessing a firearm – with law enforcement and court partners.

This effort builds on Price’s work in 2023 and 2024 in attacking the gun violence epidemic.

“We launched an innovative Gun Violence Restraining Order Outreach Project to educate communities about the availability of tools to remove guns and ammunition from people who are a danger to themselves and others and the intersectionality of domestic violence and gun violence and convened gun violence roundtable conversations with our law enforcement partners and collaborated with the Alameda County Public Health Department to produce this comprehensive report,” she said.

“We supported Oakland’s CEASEFIRE program through its transition and implemented a pilot Mentor Gun Diversion Program with our collaborative court partners, offering non-violent youth in possession of a gun pathways to interrupt the potential for escalating harm.” added Price.