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Close or go to urgent care?

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Rural Hospitals, urgent care, healthcare, medical facilities


A KFF Health News report shows that almost half of rural hospitals across America are experiencing financial losses, and 418 hospitals in these communities are susceptible to closing. To address this, in January 2023, the White House launched a program requiring rural hospitals to convert to urgent care centers in exchange for $3 million in funding and increased Medicare reimbursements. While this solves the solvency problem of some hospitals, according to ABC News, residents of those rural communities often feel abandoned since the medical care that urgent care facilities can provide is restricted.

An ideal example is Irwin County Hospital in Oscilla, Georgia. Soon before conversion for the agricultural urgent care center, the hospital took out a $1 million loan from the county for which it is called pay their employees. County Board of Supervisors Chairman Scott Carver doubted he would have the opportunity to return the cash, but told ABC News he thought it was well worth the risk.

“We operate on a $6 million county budget, so it was somewhat dangerous on our part to extend this type of line of credit,” Carver said. “But… we felt we had to try.”

Irwin County Hospital CEO Quentin Whitwell told the ability it has been a boon for the hospital, which now has $4 million within the bank after receiving tax credits and participating in state programs. Whitwell operates six other rural hospitals within the Southeast, most of which have converted to rural acute care facilities or are within the means of doing so.

“We’re still figuring out what some of the impacts are, given that this is a new case,” Whitwell said. “But the change to a rural emergency hospital changed the hospital.”

City residents, like Traci Harper, learned the hard way that a brand new hospital policy could create a barrier to providing timely medical care if the hospital was unable to meet a patient’s needs inside 24 hours. Harper’s son needed take care of meningitis and was transferred to one other hospital in Georgia after which to a facility in Jacksonville, Florida, where he received treatment. Harper felt like she could have gotten her son taken care of more quickly if she had been informed about her options earlier.

“It’s in two hours,” Harper said. “I could have taken him there myself all along, but no one told me.”

As for the financial risks many rural hospitals face, Michael Topchik, director of the Chartis Rural Health Center, told KFF News he expects their condition to worsen.

“In healthcare and many industries we say, ‘No margin, no mission,’” Topchik said of the difference between revenues and expenses. Rural hospitals, he said, “are mission-driven organizations that simply do not have the margin to reinvest in themselves or their communities due to deteriorating margins. I’m very, very worried about their future.”

Alan Morgan, CEO of the National Rural Health Association, a nonprofit advocacy group, told KFF News that he believes the agricultural emergency hospital designation is ultimately not a superb policy to address the particular needs of rural communities and the hospitals that serve them. Meanwhile, Topchik stressed that Congress will need to provide rural hospitals with more funding to prevent them from closing.

According to Morgan, “It’s good that we’ve retained emergency room care now, but I think it masks the fact that 28 communities lost hospital care last year alone. I fear the hospital closure crisis will now fly under the radar.”

He concluded: “Ultimately, this means more costs for local and state governments and more for the federal government in treatment dollars. This is simply bad public policy. And bad policy towards local communities.”


This article was originally published on : www.blackenterprise.com
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Health and Wellness

Africa desperately needs mpox vaccines. But donations from wealthy countries won’t fix this or the next health crisis

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Africa says it needs estimates ten million doses MPox vaccine to manage this public health threat.

The situation is especially worrying in the Democratic Republic of Congo, where he reported This yr, there have been over 27,000 suspected cases of MPox and over 1,300 deaths.

Europe and United States promised to donate mpox vaccines. In emergencies, donations are welcome. But donations are a “stop-gap” charitable solution that can’t be relied upon.

Here’s what needs to be done to make sure equitable access to MPox vaccines in the face of this and the next public health emergency.

How did we get here?

Less than a month has passed since the World Health Organization (WHO) mpox declared a global public health threat of international concern on account of the increasing variety of cases in the Democratic Republic of the Congo and the potential risk of further spread of the disease.

Mpox virus, formerly referred to as monkeypox, has spread to countries where it had never been seen before, likely on account of a brand new, more contagious strain of the virus.

But the WHO has not yet approved the mpox vaccines. This is needed before groups resembling Gavi, the Vaccine Alliance AND UNICEF can begin purchasing vaccines and distributing them to affected countries which have not yet approved them independently.

Once the vaccines are approved by WHO, vaccine donations may also be distributed. These include: approximately 175,000 doses from the European Commission and one other 40,000 from vaccine producer Bavarian Nordic. The United States has also committed 50,000 doses from national stockpiles.

Even in countries like the Democratic Republic of Congo, which issued emergency approval for vaccines in June, donated vaccines have only reached apparently he just arrived.

Other wealthy countries haven’t been as willing to donate vaccines. Canada has to date he didn’t commit to share any of several million doses. Australia has secured some doses of the vaccine for its population, but didn’t mention anything about donations.

There are also worries on how effective current vaccines shall be against the recent strain of the virus.

We’ve seen this before

In 2022, the Democratic Republic of Congo recorded one other mbox explosionThe United States, Canada and the European Union were concerned enough that I purchased vaccines from Bavarian Scandinavia. But that left nothing for the poorer countries.

If vaccines had been available in Africa at the moment, the current state of emergency might have been stopped in the bud, he said. Ahmed Ogwell OumaActing Director of the Africa Centers for Disease Control and Prevention.

Low-income countries, especially those in Africa, are all the time last in the queue in relation to accessing vaccines, diagnostics and coverings.

This is a story that was repeated again and again over the previous few many years – with HIV/AIDS, Ebola and most recently COVID.

In the first yr of availability of COVID-19 vaccines, 75-80% of individuals in high-income countries have been vaccinated against lower than 10% in low-income countries.

This uneven distribution will not be inevitable. It is a legacy of the exploitation of the natural resources of the colonized world by wealthy countries, a practice that continues today. global economic trade and investment rules that keep low-income countries poor and depending on richer ones.

Here’s What Happened to COVID Products

One key example is the international mental property system governed by the World Trade Organization (WTO) Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). This agreement gives corporations control over the production and pricing of their products—including COVID vaccines—until their patents expire. As a result, only wealthy countries can afford these vaccines.

In 2020, India and South Africa, supported eventually by greater than 100 other low- and middle-income countries, he offered to waive for COVID medical products for a limited time. This would liberate scientific knowledge, technology and other mental property to enable the ramp-up of production of vaccines, diagnostics, treatments and other products needed to deal with the pandemic.

Less than two years later, the World Trade Organization approved heavily diluted version The waiver, which lasts just five years, only marginally facilitated the export of COVID vaccines. It didn’t cover every other COVID medical products, including treatments and diagnostics, or the transfer of know-how and technology needed to soundly and effectively scale up production as quickly as possible.

We have to ensure this doesn’t occur again.

Outbreaks of Mpox and future infectious diseases are certain to occur as climate change and environmental degradation increase the risk of disease transmission from animals to humans.

Such epidemics is not going to be prevented or controlled by charitable actions, voluntary sharing of data by pharmaceutical corporations, or the goodwill of countries in the WTO.

African countries have recognized the need strengthen self-sufficiency their public health systems. To address current global imbalances, they recognized that they needed to strengthen their collective voice on global health issues and turn out to be simpler in preparing for and responding to disease threats. There is a framework for motion.

But the global maldistribution of emergency medicines will not be an issue that Africa can solve alone. A brand new set global rules It can also be needed to be sure that all countries work together to forestall, prepare for, and reply to pandemics and to share vaccines and other needed medical supplies. This is crucial to be sure that the global vaccine inequity experienced by COVID will not be repeated.

WHO Member States agreed to barter such an agreement in December 2021. But they didn’t meet the deadline they set for its conclusion by mid-2024.

While we usually are not facing a pandemic at this stage, the current public health emergency in MPOX reinforces the need for a coordinated, global effort to barter arrangements to make sure a more equitable distribution of vaccines, medicines and diagnostic tests.

All countries should take note. Perhaps the upcoming negotiations on the WHO pandemic agreement – ​​which sets out how the world manages pandemic prevention, preparedness and response – are the perfect opportunity.

This article was originally published on : theconversation.com
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Health and Wellness

NYFW Celebrity Look Of The Day: Day 2, Tanner Adell – Essence

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Getty photos

In what appears to be her first New York Fashion Week, country artist Tanner Adell is killing it. On the second day of the much-praised gathering, the rising artist opted for a sleek Sergio Hudson look styled by Lex Robinson. She wore the memorable ensemble while attending Hudson’s spring/summer 2025 show at Manhattan’s NeueHouse.

With her playful curls, Adell wore a skintight denim corset in a deep navy shade. Corset-inspired pieces never exit of favor, so it was refreshing to see her on this number. She also wore a pair of flared trousers in a wealthy tan shade as a part of the look. The entire look was a part of Sergio Hudson’s fall/winter 2024 collection. It was refreshing to see Addell in it—a change for the country star—and we’re glad to see her on this high-fashion moment. Addell sat at Hudson’s presentation alongside DeWanda Wise, Muni Long, June Ambrose, and stylist Byron Javar, and what an elegant row.

NYFW Celebrity Look Of The Day: Day 2, Tanner Adell
Gilbert Flores/WWD via Getty Images

Tanner has been killing it on her press appearances in recent months. With stylist Mandel Korn, Adell, referred to as “Buckle Bunny,” wore a press release Bach Maia Dress on the BET Awards. The all-white gown signified an uplift in her style. Fittingly, a white cowboy hat was paired with the look. Brielle’s offbeat moment was a key search for Adell, which she also wore that very same evening: a white lace sweater with a keyhole detail. The standout pieces marked her performance as the primary female country artist to ever perform on the BET Awards.

Separately, and Christian Siriano’s dress consisting of a dramatic skirt with a whole lot of flowers and a corseted top, the artist wore it in July. The moment was the alternative of restrained – it was whimsical. Each of those separate outfits proves that Adell is just scratching the surface in the case of style.

NYFW Celebrity Look Of The Day: Day 2, Tanner Adell
Michael Ostuni/Patrick McMullan via Getty Images


This article was originally published on : www.essence.com
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Health and Wellness

Group receives $1.5M grant to increase number of blacks on medical boards

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Grant, Black Representation, Medical Boards


Black Directors Health Equity Agenda (BDHEA), a nonprofit health care organization that brings together board members, senior executives, and educators to address health care inequities that affect Black people, has received a $1.5 million grant from Kaiser Permanente to proceed its work.

According to a press release, the grant will likely be used to support the BDHEA Board Diversification and Integration Project, which goals to create diverse boards of hospitals and other healthcare facilities.

The press release also stated that the organization’s goal of eliminating health inequities in Black communities will likely be significantly achieved over the three-year grant funding period. This, in collaboration with their alliances with Deloitte, Ernst & Young, and US World News Report, puts BDHEA ready to push their model forward.

According to BDHEA Executive Director Deborah Phillips, “Representation matters and ensuring diverse voices are heard on boards across the healthcare sector is key. Our work goes beyond representation and invites diverse perspectives and ideas to identify key solutions to equity in healthcare.”

Dr. Ronald L. Copeland, senior vp and chief equity, inclusion and variety officer at Kaiser Permanente, echoed Phillips’ comments.

“To achieve health equity, we must commit to working together to ensure that everyone has access to high-quality care,” said Dr. Copeland. “Through BDHEA’s efforts, we hope to strengthen and empower community health centers and nonprofit hospitals to reduce, if not eliminate, all avoidable and unjust health care disparities, with trustees who are steadfast advocates for their communities.”

According to a March 2024 study by Ernst & White Healthcare inequalities proceed to be a priority despite efforts to create equity in healthcare that delivers value to each patients and industry organizations. The study found that more work is required to achieve the goals of increased equity in healthcare. According to , Black people make up about 12% of board memberswhich is close to 14% of the black representation within the American population. Their reports also indicate that it’s skewed toward black men, who make up 66% of black board members, while black women make up 34%.

According to the report’s summary, “While there is evidence of progress, black representation on health boards has not reached the critical mass needed to trigger a ‘domino effect’ of diversity that will ultimately create significant value for the communities these organizations serve.”

The grant represents a possibility for BDHEA to create a path to equity in health care and medicine, said Caretha Coleman, chair of the BDHEA board.

“Our responsibilities as health care board members go beyond oversight; they are a commitment to the heart of care,” Coleman said. “This grant empowers our health equity shepherds to lead the way to equity, ensuring that those facing the most challenging conditions and barriers find high-quality, equitable care.”


This article was originally published on : www.blackenterprise.com
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