Healthcare
fromThe Atlantic
2 days agoHHS Is Exiling Top Officials to the Indian Health Service
The Department of Health and Human Services reassigned top officials to the Indian Health Service after nearly a year of administrative leave.
"This argues for the need to sustain such policies and shows that it is possible to right the wrongs retroactively, which is a powerful idea," said Kenneth Michelson, MD, MPH, associate professor of Pediatrics in the Division of Emergency Medicine and a co-author of the study.
HHS Chief Information Officer Clark Minor stated that consolidating the CTO, CDO, and CAIO roles within his office allows the department to move faster on shared platforms and protect systems more effectively.
If it continues to spread past the demarcation that we usually draw using a skin marker-we say Sharpie, but it's a skin marker-we say that this is spreading. Diagnosis: possible sepsis. Varshavski was not talking to the patient or to nursing staff. He was not even in a hospital. He was speaking into a camera in a two-bedroom apartment on the fifty-sixth floor of a building in Hell's Kitchen, in a makeshift studio where he records videos and his popular podcast.
Because of budget cuts, the Los Angeles County Department of Public Health has ended clinical services at seven of its public health clinic sites. As of Feb. 27, the county is no longer providing services such as vaccinations, sexually transmitted infection testing and treatment, or tuberculosis diagnosis and specialty TB care at the affected locations, according to county officials and a department fact sheet.
In light of the systemic dismantling of America's public health agencies, these moves essentially create a shadow infrastructure to maintain some of what is being lost. While this is a promising development, it does nothing to stop a troubling trend that has been emerging for some time: The country is quickly becoming fragmented along partisan lines when it comes to public health.
Health Minister Sylvia Jones says about 275,000 people have been attached to primary care so far in the first year of the government's plan. More than half of that progress is due to moving people off the Health Care Connect wait list.
In fact, last January, I decided to finally look at my macros - how much protein, fiber, carbs, and other nutrients I was actually eating. I've always tried to eat "healthy," but I was nervous about tracking anything too closely. I came of age during the clean-eating era, of salads, raw vegetables, and the demonization of carbs. In college, that slid into disordered eating: severe under-eating as a way to avoid "danger" foods.
February is a time to honor Black history, resilience, and progress. It is also a moment to confront an uncomfortable truth: in New York City, equity in health, family stability, and community well-being is still shaped by race and zip code. For too many Black families, structural inequities continue to limit access to care, not because of individual choices, but because of where people live and how our systems are designed.
When I came into this world and met her, I never really saw her smile. Having a focus in rural areas is really important because sometimes they're scared to go to the dentist. I'm not able to restore my grandmother's smile, but with my patients, I treat them like they're my own family members. Just showing them love and care-having that small interaction-can really change their trajectory.
My dad was in the emergency room, short of breath, chest tight, upper back aching. He looked pale and confused. An ultrasound showed excess fluid between his lung and chest wall. "We'll drain it," a resident said, as if he were unclogging a sink. For the next five days, thick, red-tinged fluid filled a plastic container beside my dad's hospital bed. Doctors sent his cells for "staining," a way to identify cancer. But no one used that word.
But these studies typically require large numbers of patients, huge amounts of data, and thorough follow-ups, none of which comes easy or free. The upshot is fewer investigations into scenarios that are clinically important but unlikely to yield a profit for the firms funding them. Accordingly, researchers have been developing an option that uses real-world data from insurers to save patients from falling through the cracks.
If you're smoking three packs of cigarettes a day, should you expect society to pay when you get sick?" He added that while Americans would always have the right to "eat donuts all day," nevertheless, "should you then expect society to care for you when you predictably get very sick at the same level as somebody who was born with a congenital illness?
The most significant immediate change arrived Jan. 1 with the expiration of enhanced premium tax credits, which help defray the cost of monthly premiums for Americans enrolled in plans sold by health insurance exchanges such as Covered California. RELATED: Bay Area Affordable Care Act policyholders brace for price hikes With Congress not renewing these subsidies, which arrived in 2021 and are in addition to the initial income-based credits made available under the Affordable Care Act, enrollees will see their payments increase significantly this year.
In 2026, the US healthcare system is changing. Enhanced Affordable Care Act subsidies have expired, causing premiums for marketplace plans to spike - and pricing some families out of health insurance entirely. President Donald Trump's One Big Beautiful Bill Act will reduce coverage for some patients with Medicaid and funding for hospitals, especially those in rural areas. Costs for Medicare and private insurance are also rising: Employer-based healthcare premiums have increased by 9%, the largest rise in more than a decade.
Public health consultant Dr Ross Keat said supporting people earlier to make small preventative changes would make "a big difference later on". Some 3,500 people in the north of the island within that age bracket are eligible for the checks. The checks will be carried out by two pre-existing nurses that support GP staff and would not replace GP appointments, Keat explained, adding that the cost would be minimal and absorbed by Ramsey Group Practice.
Adult literacy advocate Toni Cordell recounts the story of feeling comforted when her doctor told her that her medical concern could be solved with an easy surgery. She agreed to proceed without asking further questions and didn't understand the medical consent forms because she didn't read well. At a follow-up office visit a couple of weeks after the procedure, Cordell was shocked when the nurse asked, "How are you feeling since your hysterectomy?"
Between March 2020 and March 2022, over 100 million telemedicine services were delivered to approximately 17 million Australians. The Australian government invested $409 million to make telehealth permanent, whilst the UK announced £600 million for digital health infrastructure in April 2025. Patient adoption is equally impressive: 60% find telemedicine more convenient than in-person appointments, 55% report higher satisfaction with teleconsultations, and 74% of millennials prefer virtual appointments for routine care. These aren't temporary shifts; they represent a fundamental transformation in healthcare delivery.
Reducing those kinds of barriers to me is creating longevity of life for our residents, she said. A lot of times what happens is they don't get the services that they need, and as a result their life changes.