<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	
	xmlns:georss="http://www.georss.org/georss"
	xmlns:geo="http://www.w3.org/2003/01/geo/wgs84_pos#"
	>

<channel>
	<title>Policy - Medika Life</title>
	<atom:link href="https://medika.life/tag/policy/feed/" rel="self" type="application/rss+xml" />
	<link>https://medika.life/tag/policy/</link>
	<description>Make Informed decisions about your Health</description>
	<lastBuildDate>Mon, 10 Feb 2025 12:07:31 +0000</lastBuildDate>
	<language>en-US</language>
	<sy:updatePeriod>
	hourly	</sy:updatePeriod>
	<sy:updateFrequency>
	1	</sy:updateFrequency>
	<generator>https://wordpress.org/?v=6.5.5</generator>

<image>
	<url>https://i0.wp.com/medika.life/wp-content/uploads/2021/01/medika.png?fit=32%2C32&#038;ssl=1</url>
	<title>Policy - Medika Life</title>
	<link>https://medika.life/tag/policy/</link>
	<width>32</width>
	<height>32</height>
</image> 
<site xmlns="com-wordpress:feed-additions:1">180099625</site>	<item>
		<title>The Silent Threat: How Censorship in Medicine, Science, and Psychology Endangers Innovation and Public Health</title>
		<link>https://medika.life/the-silent-threat-how-censorship-in-medicine-science-and-psychology-endangers-innovation-and-public-health/</link>
		
		<dc:creator><![CDATA[Gil Bashe, Medika Life Editor]]></dc:creator>
		<pubDate>Mon, 10 Feb 2025 12:07:28 +0000</pubDate>
				<category><![CDATA[Digital Health]]></category>
		<category><![CDATA[Diseases]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[For Doctors]]></category>
		<category><![CDATA[General Health]]></category>
		<category><![CDATA[Policy and Practice]]></category>
		<category><![CDATA[Public Health]]></category>
		<category><![CDATA[Trending Issues]]></category>
		<category><![CDATA[Access to Information]]></category>
		<category><![CDATA[Censorship]]></category>
		<category><![CDATA[Gil Bashe]]></category>
		<category><![CDATA[Innovation]]></category>
		<category><![CDATA[Peer Reveiw]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Science]]></category>
		<guid isPermaLink="false">https://medika.life/?p=20703</guid>

					<description><![CDATA[<p>When Governments Erase Knowledge, They Erase Progress: Why the Free Flow of Scientific Ideas is Vital to Future Breakthroughs</p>
<p>The post <a href="https://medika.life/the-silent-threat-how-censorship-in-medicine-science-and-psychology-endangers-innovation-and-public-health/">The Silent Threat: How Censorship in Medicine, Science, and Psychology Endangers Innovation and Public Health</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p id="7d80">Science thrives on scrutiny — peer review, assessment, and criticism. Medicine advances through iterative stages of dialogue. Psychology deepens through exploration. Yet, as a recent&nbsp;<a href="https://www.nytimes.com/2025/02/02/upshot/trump-government-websites-missing-pages.html" rel="noreferrer noopener" target="_blank"><em>New York Times</em></a>&nbsp;report reveals, government websites are quietly erasing critical pages on climate, medicine, and science, turning off the World Wide Web lights on public knowledge.</p>



<p id="2c0f">This isn’t just about politics; it’s about public health, our ability to foresee and tackle future crises, and the integrity of scientific progress. When information disappears, the imagination about future possibilities disappears, and trust eventually disappears. And when trust erodes, so does our clear path to innovate, treat, and prevent the conditions that threaten human lives.</p>



<h2 class="wp-block-heading" id="d2c8"><strong>The Hidden Costs of Scientific Censorship</strong></h2>



<p id="002f">Censorship in science, medicine, and psychology doesn’t just suppress facts; it stifles breakthroughs. Scientific dissent is often the birthplace of innovation. Imagine if&nbsp;<a href="https://en.wikipedia.org/wiki/Ignaz_Semmelweis" rel="noreferrer noopener" target="_blank">Ignaz Semmelweis</a>&nbsp;had been silenced when he proposed handwashing to prevent infections or if HIV research had been blocked because it challenged biased narratives.</p>



<p id="713e">Silencing scientists today means fewer opportunities for tomorrow’s cures. Consider:</p>



<ul>
<li><strong><em>Medical Research and Public Health</em></strong> — Data on Alzheimer’s, STD treatments, and overdose prevention trends guide policies and innovation. If public health agencies quietly remove or limit access to this knowledge, how will researchers or in-the-trenches public health professionals develop new treatments or preventive strategies?</li>



<li><strong><em>Environmental and Health Links</em></strong> — Climate change affects respiratory diseases, heat-related illnesses, and infectious disease spread. If we erase data on these connections, we blind policymakers and health providers to the realities they must address.</li>



<li><strong><em>Mental Health and Social Science</em></strong> — From trauma to the role of social determinants in disease, psychological research informs how we treat and support people’s wellness and well-being. When access to that knowledge is restricted, so are our tools to address crises like teen suicide and PTSD.</li>
</ul>



<h2 class="wp-block-heading" id="a8e4"><strong>Government Justification — and the Risks of Overreach</strong></h2>



<p id="a662">While concerns over misinformation and national security are often cited as reasons for limiting public access to specific data, history warns us of the dangers of excessive control. Governments may argue that restricting specific information helps prevent panic, misinformation, or harmful misinterpretations (or, even worse, disinformation). However, when public agencies remove health and science data without transparent discussion, they risk undermining trust and accountability.</p>



<p id="a0a8">The balance between information security and the right to knowledge must be carefully maintained because progress suffers once suppression becomes the norm.</p>



<h2 class="wp-block-heading" id="4325"><strong>Censorship Kills Creativity — and Delays Life-Saving Discoveries</strong></h2>



<p id="d47a">Discarding certain points of view does more damage than suppressing voice — it suffocates creativity. Science, like art, thrives on curiosity, challenge, and critique. Often, significant breakthroughs in medicine and psychology were once outlier ideas met with skepticism or resistance.</p>



<ul>
<li><strong><em>The Germ Theory of Disease</em></strong> was ridiculed before it revolutionized infection control.</li>



<li><strong><em>Helicobacter pylori’s</em></strong> role in ulcers was dismissed — until its discoverers won a Nobel Prize.</li>



<li><strong><em>The link between social determinants and mental health</em></strong><em> </em>was ignored for decades, delaying holistic approaches to care and addressing the needs of populations most at risk for illness.</li>
</ul>



<p id="b172">When institutions decide which ideas deserve visibility, they don’t just silence voices but extinguish innovation sparks. Fear of professional or political backlash discourages scientists from pursuing unconventional theories, slowing progress at a time when the urgency of medical advancements has never been greater. Fear of losing access to grants places outside-the-box thinkers into a smaller world where wondering why and questioning the status quo of disease becomes too risky to contemplate.</p>



<h2 class="wp-block-heading" id="ed0d"><strong>The False Promise of ‘Controlling the Narrative’</strong></h2>



<p id="ea0d">Some argue that removing certain information prevents misinformation. But proper scientific progress comes from debate, peer review, and constant re-evaluation — not from a government deciding which truths deserve visibility. Mistakes and failures are stepping stones to better approaches and are not institutionalized as “forever approaches” to people’s care.</p>



<p id="9b36">We live in an era when AI can generate misinformation faster than fact-checkers can catch it. But the solution isn’t erasure; it’s education. Censorship doesn’t correct falsehoods; it breeds skepticism and fuels conspiracy theories. Timely transparency, however, builds credibility, trust, and working communities around solutions.</p>



<p id="7297">When institutions decide which ideas deserve visibility, they don’t just silence voices; they extinguish sparks of innovation. Fear of professional or political backlash discourages scientists from pursuing unconventional theories, slowing progress at a time when the urgency of medical advancements has never been greater. Remember&nbsp;<a href="https://en.wikipedia.org/wiki/McCarthyism#:~:text=McCarthyism%2C%20also%20known%20as%20the,late%201940s%20through%20the%201950s." rel="noreferrer noopener" target="_blank">McCarthyism</a>&nbsp;in US history — the Great Red Scare? How did that play out in Hollywood and politics? Not well.</p>



<h2 class="wp-block-heading" id="2a65"><strong>What’s at Stake? Our Future</strong></h2>



<p id="dd01">If researchers cannot access past data, how can they track disease patterns or health trends? How can medical professionals provide the best care if they lose access to evolving best practices? If scientists fear retribution for discussing controversial topics, how will we ever challenge flawed assumptions and advance knowledge?</p>



<p id="3e24">Censorship is the enemy of innovation. It does not protect people; it weakens them. Progress depends on an open marketplace of ideas, where competing viewpoints sharpen theories, refine treatments, and spark breakthroughs. If we allow the erasure of uncomfortable or politically inconvenient knowledge, we risk living in a world where the next significant medical advance never sees the light of day.</p>



<p id="7932">Knowledge is not a partisan issue. It is the foundation for human progress. If we start treating scientific inquiry and imagination as something that can be controlled or curated, we lose history and the future.</p>
<p>The post <a href="https://medika.life/the-silent-threat-how-censorship-in-medicine-science-and-psychology-endangers-innovation-and-public-health/">The Silent Threat: How Censorship in Medicine, Science, and Psychology Endangers Innovation and Public Health</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">20703</post-id>	</item>
		<item>
		<title>Patient Engagement is a Pointless Pursuit</title>
		<link>https://medika.life/patient-engagement-is-a-pointless-pursuit/</link>
		
		<dc:creator><![CDATA[Robert Turner, Founding Editor]]></dc:creator>
		<pubDate>Wed, 08 Mar 2023 13:53:59 +0000</pubDate>
				<category><![CDATA[Diseases]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[General Health]]></category>
		<category><![CDATA[Healthcare Policy and Opinion]]></category>
		<category><![CDATA[Policy and Practice]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Fragmentation]]></category>
		<category><![CDATA[Health Ecosystem]]></category>
		<category><![CDATA[Patient Engagement]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Profit]]></category>
		<guid isPermaLink="false">https://medika.life/?p=17855</guid>

					<description><![CDATA[<p>To suggest patients can influence the machine that drives modern healthcare is naïve and indicative of a flawed understanding of the realities of the industry</p>
<p>The post <a href="https://medika.life/patient-engagement-is-a-pointless-pursuit/">Patient Engagement is a Pointless Pursuit</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>The internet is littered with examples of groups attempting to empower patients. The patient’s voice needs to be heard, the patient’s rights matter and my all-time favorite, empowering the patient to be an active participant in the care they receive. All true, all worthy aspirations and in 99% of cases, all pointless.</p>



<p>To suggest patients can influence the machine that drives modern healthcare is naïve and indicative of a flawed understanding of the realities of the industry. It is nothing more than pandering to the cash cows of the industry – you and I.</p>



<p>It is not merely the patients who are powerless cogs in the machinations of healthcare. Their care providers suffer a similar fate. Caregivers are not responsible for the systematic erosion of patient centered medicine, they too are victims. Focusing on relationships between provider and patient is therefore a wholly fruitless endeavor.</p>



<h2 class="wp-block-heading">Systemic remedies are required</h2>



<p>As an analogy, consider if you will, the provider and the patient as cellmates in a high security prison constructed and manned by pharma, insurers and their intermediaries. No amount of debate and planning between the two cellmates is going to result in their release or an improvement in their living conditions. Their only hope lies in reprieve and relying on the humanity of their jailers. If it is lacking, the pair are doomed.</p>



<p>Call me cynical (guilty as charged) but I cannot envision a world in which healthcare companies suddenly decide to eschew profitability for the benefit of their customers. If anything, with every passing decade, rampant capitalistic profiteering will likely worsen the lot of patients and providers, as more intermediaries emerge in the ever growing chain of healthcare and market share declines with negative population growth.</p>



<p>In short, our current health system globally, warped over decades from a humanity based, service industry into the profit based system of exploitation we now deal with, is as good as it gets for you and I. It cannot and will not change.</p>



<h2 class="wp-block-heading">Appeasing the masses</h2>



<p>No one likes to feel they are trapped in a system over which they have little or no control. As the healthcare system evolves and refines itself, incremental changes will center care on establishing dependency (treatment, not cure) and further isolating the farmers (providers) and their flocks (you and I) into managed farming units focused on maximizing revenues.</p>



<p>If you’ve seen intensive chicken farming, you get the idea.</p>



<p>All the signs are there and have been for the last two decades, but like all unpleasant realities, we simply turn a blind eye, as we understand on an instinctive level that we are powerless to affect change. And yet, we continue to posture, we continue to whistle into the wind. All to no effect.</p>



<p>While it is true that patient advocacy groups do occasionally secure small victories, these victories inevitably come at a price, usually exacted on services or pricing in a fashion so subtle that the further erosion of control goes unnoticed.</p>



<p>Patient activism is even encouraged by the industry to pacify the masses. The industry will go as far as sponsoring and participating in many of the patient advocacy groups that proliferate the healthcare market. Appearances matter, results however, cost extra and never at the expense of the bottom line or without a quid pro quo.</p>



<h2 class="wp-block-heading">Escaping Alcatraz</h2>



<p>So what choice then, for patient and provider, caught up in the gears of a machine intent on using them for the pursuit of profits? It is too late to walk any of this back and it cannot be undone. We lack the social backbone to address it and those who can address it lack any form of incentive that supersedes profit.</p>



<p>How do we return healthcare to its former heady days of doctors serving their patients, of ethical medicine, of deep bonds of trust and respect between both patient and provider. How do we ensure that future generations can benefit from technology and medical advances to improve their health, rather than being cycled into a chain of dependency, for those fortunate enough to afford anything approximating to care.</p>



<p>If we cannot change the existing system, the unpleasant alternative is to part ways with it. To strike out into the medical wilderness, forgoing healthcare insurers, pharma and the wretched leeches that inhabit the spaces between. To separate, permanently, the ties that bind both patient and provider to flawed systems that perpetuate abhorent levels of care.</p>



<p>I firmly believe this to be our only option if we are to ensure fair and free access to healing for future generations.</p>



<p>How this future would look and what it would encompass for doctors and patients remains to be seen, but the break needs to be made, before the gates shut for good on the flock.</p>
<p>The post <a href="https://medika.life/patient-engagement-is-a-pointless-pursuit/">Patient Engagement is a Pointless Pursuit</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">17855</post-id>	</item>
		<item>
		<title>Why Waste Money on School Lunches for Poor Kids?</title>
		<link>https://medika.life/why-waste-money-on-school-lunches-for-poor-kids/</link>
		
		<dc:creator><![CDATA[Pat Farrell PhD]]></dc:creator>
		<pubDate>Sun, 28 Aug 2022 14:02:53 +0000</pubDate>
				<category><![CDATA[Diseases]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[General Health]]></category>
		<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[Public Health]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[Government]]></category>
		<category><![CDATA[Patricia Farrell]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Public Helath]]></category>
		<guid isPermaLink="false">https://medika.life/?p=16153</guid>

					<description><![CDATA[<p>Politics don't mix well with biology and child development, especially regarding nourishing lunches that promote educational efforts.</p>
<p>The post <a href="https://medika.life/why-waste-money-on-school-lunches-for-poor-kids/">Why Waste Money on School Lunches for Poor Kids?</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p id="38ea"><a href="https://moveforhunger.org/just-hunger-lasting-impact-food-insecurity-children?gclid=CjwKCAjwu5yYBhAjEiwAKXk_eGnYFCJGwXiebn3WSZf2unEdRmQg0bwirme3ILCsMKVrzU6HbLxA-hoC2H4QAvD_BwE" rel="noreferrer noopener" target="_blank">Over 13 million children in the U.S.</a>&nbsp;live in a state of&nbsp;<a href="https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/definitions-of-food-security/" rel="noreferrer noopener" target="_blank">food insecurity</a>, which sets out a biological life plan for them and will affect everyone in this country. It is not an issue that affects only these kids and their poverty-level families because, as John Donne said:</p>



<pre class="wp-block-preformatted"><a href="https://web.cs.dal.ca/~johnston/poetry/island.html" rel="noreferrer noopener" target="_blank">No man is an island entire of itself</a>; every man <br>is a piece of the continent, a part of the main; <br>if a clod be washed away by the sea, Europe <br>is the less, as well as if a promontory were, as <br>well as any manner of thy friends or of thine <br>own were; any man's death diminishes me, <br>because I am involved in mankind. <br>And therefore never send to know for whom <br>the bell tolls; it tolls for thee.</pre>



<p id="1f88">We are &#8220;<em>a part of the main</em>&#8221; and will be in their lives as long as we live. Some will blame crime on these kids when they are teens. They will be vilified as criminal types without considering how the roots of their behavior may have been sown by poverty, discrimination, and a lack of respect for them.</p>



<p id="cdfc">The jails will burst with populations of now-grown kids who never had a chance because they were denied that once daily free school lunch or breakfast. How can a simple school lunch bring on such cultural destruction? How can it not?</p>



<p id="994a">Each morning, kids will trek off to school hungry with empty stomachs and know that little will be there for them when they return home. Their one hope is that the school will provide the two meals a day that will sustain them and ward off the illnesses found in the&nbsp;<a href="https://journals.sagepub.com/doi/10.1177/0002764297041003010" rel="noreferrer noopener" target="_blank">poverty pockets of our country</a>.</p>



<p id="a590">There’s a program for kids whose families exist on the poverty level;&nbsp;<a href="https://www.donorschoose.org/" rel="noreferrer noopener" target="_blank">DonorsChoose.o</a>rg. I heard a heartwarming story about two little boys who had received their only pair of pajamas from their teacher. They were so thrilled that&nbsp;<em>they wanted to wear the pajamas home</em>. Is your heart moved? Mine is.</p>



<p id="8d28">Teachers often ask the program for things like afternoon snacks for their students or bottled water, or even clothes detergent that the family can’t afford. Those education saints provide many of the schoolroom supplies with their own money, and the charity has meant a way to give the kids a bit more.</p>



<h2 class="wp-block-heading" id="d5f7">A Young Mind&#8217;s Need for Nutrition</h2>



<p id="30f5"><a href="https://academic.oup.com/nutritionreviews/article/72/4/267/1859597" rel="noreferrer noopener" target="_blank">Numerous research article</a>s have supported the importance of adequate nutrition for the body and the brain during a child&#8217;s&nbsp;<a href="https://www.pregnancybirthbaby.org.au/the-first-1000-days#:~:text=What%20is%20'the%20first%201%2C000,system%20grows%20and%20develops%20significantly." rel="noreferrer noopener" target="_blank">first one thousand days</a>&nbsp;of life. It is a time of growth, potential resilience, and potential for the future.</p>



<p id="1749">The pathway to adult life is formed early in a child&#8217;s life, and long-term brain function, cognition, productivity, and life, generally will be laid down during those early years. Normal brain development depends on early, adequate nutrition during pregnancy and infancy and those critical growth periods as they progress through the school system.</p>



<p id="bc0e">How does an undernourished, and consequently unmotivated child, respond to any educational environment? That&#8217;s where the neurons in the brain will be the ones upon which later development (aka&nbsp;<strong>stacking where&nbsp;</strong><em>learning new concepts are stacked onto older concepts already learned</em>) will depend. If we do not tend to those early brain connections (<a href="https://en.wikipedia.org/wiki/Synapse" rel="noreferrer noopener" target="_blank">synapses</a>), we are committing the gravest of sins.</p>



<p id="40a3"><a href="https://www.sciencedirect.com/science/article/pii/S0022347620305679" rel="noreferrer noopener" target="_blank">Protein is probably the most important element</a>&nbsp;in a child&#8217;s diet because if it is not there, their development will not progress. Yes,&nbsp;<a href="https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/protein/" rel="noreferrer noopener" target="_blank">the body can make</a>&nbsp;certain essential proteins, but not all of them. Decreased amounts may be responsible for potential atrophy in the brain.</p>



<p id="3f9b">How does a child with brain atrophy (usually before the age of 3–4) respond in a school setting? We all know the answer; they have low IQs and they are discriminated against even further. There&#8217;s no secret regarding&nbsp;<a href="https://health.choc.org/how-much-protein-does-my-child-need/" rel="noreferrer noopener" target="_blank">how much protein a child needs each day</a>; if they don&#8217;t get it at school, they will lag behind others. Then they become the object of derision and bullying.</p>



<p id="d769"><a href="https://theconversation.com/what-is-a-protein-a-biologist-explains-152870" rel="noreferrer noopener" target="_blank">Estimates are that over 20K proteins</a>&nbsp;make up our bodies. But we cannot make all of them and of the needed proteins or&nbsp;<a href="https://my.clevelandclinic.org/health/articles/22243-amino-acids" rel="noreferrer noopener" target="_blank">amino acids</a>, some must be gotten from food.&nbsp;<a href="https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/protein/" rel="noreferrer noopener" target="_blank"><em>Nine amino acids</em></a><em>&nbsp;( — histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine — known as the essential amino acids,&nbsp;</em><strong><em>must come from food.&nbsp;</em></strong>What if a child&#8217;s diet doesn&#8217;t contain all of them? You&#8217;ve already read the answer above.</p>



<p id="e4b0">Yes, the poor around the world have tried creative ways to work with meager budgets and still provide families with needed protein — usually in recipes that meld the ingredients to form proteins.&nbsp;<a href="https://en.wikipedia.org/wiki/Rice_and_beans" rel="noreferrer noopener" target="_blank">Rice and beans</a>&nbsp;aren&#8217;t simply delicious, they are nutritious and provide needed protein on a fixed income.</p>



<h2 class="wp-block-heading" id="653f">School Breakfast and Lunch</h2>



<p id="9f7a">The free meals program for children who would get breakfast and lunch free of charge at a school was adjusted during the pandemic. No applications were required, and each child who needed one was given a free meal each day. An act known as the&nbsp;<a href="https://schoolnutrition.org/news-publications/press-releases/2022/sna-lauds-passage-of-the-keep-kids-fed-act/" rel="noreferrer noopener" target="_blank">Keep Kids Fed Act</a>, signed in 2022 did provide additional funding for school meal programs and extended waivers but not all students were eligible.</p>



<p id="c6e7">Some families were given meals at a reduced price, some were free and others were required to pay for school meals. What happens when a child doesn&#8217;t have the money to pay for their school meal? You guessed it, they go hungry. Unless some kind person on the lunch line decides to give them a free meal at the potential loss of their job, they will not get fed.</p>



<p id="27a8">Of course, in any large program during a time of serious health problems, supply chain disruptions happened in 2021 and 98% of the programs reported shortages of either supplies or packaging and some items were discontinued by the vendors.</p>



<p id="75c5">The benefits<a href="https://schoolnutrition.org/aboutschoolmeals/schoolmealtrendsstats/" rel="noreferrer noopener" target="_blank">&nbsp;of free school meals</a>&nbsp;to undernourished, poverty-stricken children and their families (sometimes children will be given extra meals to take home) cannot be overstated. Some of the benefits of these programs include&nbsp;<em>obesity prevention</em>, and<em>&nbsp;increase in overall student health and academic achievements</em>&nbsp;and, of course,&nbsp;<em>combating children&#8217;s hunger</em>.</p>



<p id="8516">A few food programs are&nbsp;<a href="https://schoolnutrition.org/uploadedFiles/About_School_Meals/What_We_Do/Breakfast-Benefits-final.PDF" rel="noreferrer noopener" target="_blank">School Breakfast Program</a>,&nbsp;<a href="http://schoolnutrition.org/uploadedFiles/About_School_Meals/What_We_Do/Lunch-Benefits.pdf" rel="noreferrer noopener" target="_blank">National School Lunch Program</a>, and&nbsp;<a href="https://schoolnutrition.org/aboutschoolmeals/pediatricians-perspective/" rel="noreferrer noopener" target="_blank">pediatrician Robert Murray, MD</a>, noted the importance of nutrients and brain/child development. He and others believe that&nbsp;<a href="https://schoolnutrition.org/uploadedFiles/About_School_Meals/What_We_Do/School-Breakfast-Matters.pdf" rel="noreferrer noopener" target="_blank">breakfast does matter</a>&nbsp;for these kids.</p>



<p id="ff76">Do these kids only need meals during the school months? Most certainly not. What about the summer when some kids go away to camp or their relatives&#8217; beach houses? These kids are left behind, which is why the&nbsp;<a href="https://www.fns.usda.gov/sfsp/summer-food-service-program" rel="noreferrer noopener" target="_blank">Summer Food Service Program</a>&nbsp;exists. What about winter or spring breaks? I hope the planning has included them, too.</p>



<p id="b61d">We can&#8217;t say we&#8217;re fighting crime by putting people in jail if we also fail to fight childhood nutrition. OK, not all criminals were hungry kids, but I&#8217;ll bet many of them were or felt humiliated by how they were treated in school.</p>



<p id="2466">&#8220;<strong><em>As the twig is bent, so is the tree inclined</em></strong>&#8221; has more meaning than we care to consider. Hunger is one of those weights bending the twig.</p>
<p>The post <a href="https://medika.life/why-waste-money-on-school-lunches-for-poor-kids/">Why Waste Money on School Lunches for Poor Kids?</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">16153</post-id>	</item>
		<item>
		<title>Will Health Centers Become A Casualty of the COVID-19 Pandemic?</title>
		<link>https://medika.life/will-health-centers-become-a-casualty-of-the-covid-19-pandemic/</link>
		
		<dc:creator><![CDATA[Sarah True MSW, MPH]]></dc:creator>
		<pubDate>Thu, 17 Sep 2020 15:01:52 +0000</pubDate>
				<category><![CDATA[Coronavirus]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[For Doctors]]></category>
		<category><![CDATA[Trending Issues]]></category>
		<category><![CDATA[Covid-19]]></category>
		<category><![CDATA[covid19]]></category>
		<category><![CDATA[Health Centers]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[Healthcare Funding]]></category>
		<category><![CDATA[Policy]]></category>
		<guid isPermaLink="false">https://medika.life/?p=5545</guid>

					<description><![CDATA[<p>The coronavirus pandemic has again laid bare stark racial and economic inequalities in the United States. People of color and the working poor have suffered disproportionately</p>
<p>The post <a href="https://medika.life/will-health-centers-become-a-casualty-of-the-covid-19-pandemic/">Will Health Centers Become A Casualty of the COVID-19 Pandemic?</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>The coronavirus pandemic has again laid bare stark racial and economic inequalities in the United States. People of color and the working poor have <a href="https://www.kff.org/health-costs/issue-brief/state-data-and-policy-actions-to-address-coronavirus/" rel="noreferrer noopener" target="_blank">suffered disproportionately</a> from severe illness, death, and economic hardship wrought by the disease, <a href="https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fneed-extra-precautions%2Fracial-ethnic-minorities.html" rel="noreferrer noopener" target="_blank">due to inequalities which have long existed</a>.</p>



<p>Community Health Centers, also known as Federally Qualified Health Centers, specialize in providing much-needed medical care and social services to the <a href="https://www.kff.org/coronavirus-covid-19/issue-brief/impact-of-coronavirus-on-community-health-centers/" rel="noreferrer noopener" target="_blank">underserved and vulnerable communities</a> most impacted by COVID-19. CHCs provide care on a sliding fee scale, regardless of insurance status or ability to pay.</p>



<p>To date, federal coronavirus relief funds allocated to CHCs <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2020576" rel="noreferrer noopener" target="_blank">fall far short</a> of what is needed to provide testing and treatment to the high-risk communities they serve. <a href="https://www.kff.org/coronavirus-covid-19/issue-brief/impact-of-coronavirus-on-community-health-centers/" rel="noreferrer noopener" target="_blank">Clinics have been plagued by short staffing and forced to close sites</a> amid declines in non-essential visits, even as they ramp up coronavirus-related services.</p>



<p>“Community Health Centers are under-resourced for the job Congress has asked them to do”, said Amy Simmons-Farber, Associate Vice President of Media Relations at the National Association of Community Health Centers (NACHC).</p>



<p><a href="https://www.nachc.org/wp-content/uploads/2020/03/Americas-HC-FC.pdf" rel="noreferrer noopener" target="_blank">There are about 1400 CHCs providing care to 30 million people</a> in the United States, over half of which are people of color. Seventy percent of CHC patients earn income below the federal poverty level, and many work in retail, food service, or caregiving occupations where they face higher risk of exposure to the coronavirus. Patients are often “doubled up” in unstable housing or living in multigenerational households with other essential workers where social distancing and quarantine are impossible.</p>



<p>In response to the current pandemic, CHCs have added COVID-19 testing and treatment to an already vast array of services, with <a href="https://www.nachc.org/wp-content/uploads/2020/08/Health-Center-Response-to-COVID-19-Infographic-August-14.pdf" rel="noreferrer noopener" target="_blank">96% of CHCs able to administer tests</a>. By testing and treating patients who contract COVID-19, they offload some of the burden from overwhelmed hospitals, yet <a href="https://www.nachc.org/wp-content/uploads/2020/07/Health-Centers-and-PPP-Loans-Final.pdf" rel="noreferrer noopener" target="_blank">these “hotspot” CHCs have been largely left out of federal relief funds available to providers during the pandemic.</a></p>



<p>One such CHC is Morris Heights Health Center (MHHC), which operates eight clinics and several school-based health centers in the Bronx, providing care to over 80,000 patients, many of whom suffer from chronic diseases and social problems such as unstable housing, food insecurity, and fluctuating health insurance status. The Bronx, <a href="https://www.census.gov/quickfacts/fact/table/bronxcountybronxboroughnewyork,queenscountyqueensboroughnewyork,kingscountybrooklynboroughnewyork,newyorkcountymanhattanboroughnewyork/PST045219" rel="noreferrer noopener" target="_blank">where household income is lowest of all New York City boroughs and the majority of residents are people of color</a>, has been <a href="https://www.nytimes.com/2020/05/18/nyregion/coronavirus-deaths-nyc.html" rel="noreferrer noopener" target="_blank">hardest-hit by covid-19</a>, with the highest rate of cases, hospitalizations, and deaths in the city.</p>



<div class="wp-block-image td-caption-align-center"><figure class="aligncenter size-large"><img fetchpriority="high" decoding="async" width="642" height="482" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=642%2C482&#038;ssl=1" alt="" class="wp-image-5546" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?w=642&amp;ssl=1 642w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=600%2C450&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=300%2C225&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=559%2C420&amp;ssl=1 559w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=80%2C60&amp;ssl=1 80w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST1.png?resize=265%2C198&amp;ssl=1 265w" sizes="(max-width: 642px) 100vw, 642px" data-recalc-dims="1" /><figcaption>Morris Heights Health Center, Bronx, NY — 137th Street location (source: http://www.freeclinics.com)</figcaption></figure></div>



<p>Because they employ over 500 staff, MHHC does not qualify for the largest source of federal coronavirus relief funding available to smaller CHCs: the Paycheck Protection Program. These funds provided half of total federal support for CHCs with less than 500 employees, matching funds from federal grants and the Provider Relief Fund <em>combined.</em> Larger clinics ineligible for the Paycheck Protection Program also <a href="https://www.nachc.org/wp-content/uploads/2020/07/Health-Centers-and-PPP-Loans-Final.pdf" rel="noreferrer noopener" target="_blank">care for 30% of CHC patients</a> nationwide.</p>



<p>The Provider Relief Fund is likewise limited in its ability to provide relief to strapped CHCs. Clinics can get the equivalent of <a href="http://www.nachc.org/community-health-centers-left-out-of-provider-relief-fund-payments-for-safety-net-providers/" rel="noreferrer noopener" target="_blank">2% of their revenue from this funding stream</a>, but this doesn’t amount to much for those serving low-income, uninsured patients. CHCs are eligible for only about a third of the $175 billion Provider Relief Fund, and a portion of that is <a href="http://www.nachc.org/community-health-centers-in-rural-areas-will-receive-support-to-help-combat-covid-19/" rel="noreferrer noopener" target="_blank">designated for rural clinics</a>, which again leaves out large urban clinics in “hotspot” areas.</p>



<p>Nearly 20% of the Provider Relief Fund is earmarked for safety net hospitals that treat similarly high-risk, high-need patients, and hospitals located in “high-impact” areas. <a href="http://www.nachc.org/community-health-centers-left-out-of-provider-relief-fund-payments-for-safety-net-providers/" rel="noreferrer noopener" target="_blank">CHCs are not eligible for these funds either</a>, despite their role in relieving some of the pressure on hospitals. MHHC, for example, has coordinated with area hospitals to treat patients who arrived in swamped emergency departments but did not require hospitalization.</p>



<p>Like other healthcare providers that have seen <a href="https://www.nytimes.com/2020/06/03/health/hospitals-coronavirus.html" rel="noreferrer noopener" target="_blank">sharp decreases in patient visits</a> due to lockdowns and fear of exposure, Morris Heights Health Center has dropped to 30% of its previous productivity levels and has taken a financial hit. Their biggest present need is increased medical staffing for “pop-up” sites they’ve established in the community for COVID-19 testing and treatment.</p>



<p>One of these pop-ups is located at River Park Towers, an affordable housing community in the Bronx where <a href="https://www.nytimes.com/2020/05/26/nyregion/bronx-coronavirus-outbreak.html" rel="noreferrer noopener" target="_blank">many residents have been sickened and some have succumbed to COVID-19.</a> They’re also working to establish outreach sites for undocumented immigrants, in trusted locations such as churches, for immigrants who may be infected but are too fearful of law enforcement to seek care.</p>



<div class="wp-block-image td-caption-align-center"><figure class="aligncenter size-large"><img decoding="async" width="576" height="432" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?resize=576%2C432&#038;ssl=1" alt="" class="wp-image-5547" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?w=576&amp;ssl=1 576w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?resize=300%2C225&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?resize=560%2C420&amp;ssl=1 560w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?resize=80%2C60&amp;ssl=1 80w, https://i0.wp.com/medika.life/wp-content/uploads/2020/09/ST2.jpeg?resize=265%2C198&amp;ssl=1 265w" sizes="(max-width: 576px) 100vw, 576px" data-recalc-dims="1" /><figcaption>River Park Towers, Bronx, NY (source: http://www.forgotten-ny.com)</figcaption></figure></div>



<p>“We’ll do what we can for as long as we can”, says CEO Mari Millet, although “we still haven’t made a dent in what we could do with additional funding. All of what we do takes support and money and the ability to hire people to do the job.” She notes that city and state governments have been helpful in boosting supplies of PPE, however the clinic must still purchase large quantities. CHCs in locations where local and state governments are less supportive of their needs likely confront greater struggles acquiring PPE.</p>



<p>Complicating the ability of CHCs to provide future care — any care, let alone in a pandemic — is an ever-present <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2020576" rel="noreferrer noopener" target="_blank">“funding cliff”</a> looming over operations and planning. The annual federal grant that helps fund CHCs expires on November 30, and has lately been renewed by Congress only in small increments of a few months at most. “It’s hard to provide healthcare for 30 million people under these circumstances”, observes NACHC’s Simmons-Farber.</p>



<p>NACHC estimates it will take $7.5 billion in emergency COVID-19 funding to get clinics back on their feet, offset lost revenue, and support continued testing and treatment. According to Simmons-Farber and other NACHC leaders, a portion of this should be allocated to those subgroups of CHCs — large, urban, suburban, or hotspot — that have been most shortchanged to date.</p>



<p>CHCs provide quality, accessible care to vulnerable patients for whom COVID-19 poses the greatest threat to health and welfare. This makes their services all the more critical amidst the COVID-19 pandemic.</p>
<p>The post <a href="https://medika.life/will-health-centers-become-a-casualty-of-the-covid-19-pandemic/">Will Health Centers Become A Casualty of the COVID-19 Pandemic?</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">5545</post-id>	</item>
	</channel>
</rss>
