In this extended interview with food and nutrition writer Marion Nestle, we discuss Michelle Obama's anti-childhood obesity campaign, what food companies are doing to fight it, and how to get kids to eat their broccoli.
In all the political coverage lately, you may have missed Missouri House Bill 1063: it would make "the exercise commonly known and referred to as 'jumping jacks'" the official exercise of the state of Missouri. In this week's Health & Wealth update, could getting more kids jumping help reduce childhood obesity?
Last session, Republicans in the Missouri Senate blocked the creation of a state-run health insurance exchange. The online insurance marketplace is required under Obama's health reform law, but has become a political football in states like Missouri, with a Republican-controlled legislature. In this week's Health & Wealth update, Republican senators move to put one more roadblock on the path to a state exchange.
Missouri has one of the highest smoking rates in the nation -- at 21 percent, it's double the rate in states like Utah and California. But some segments of the population smoke even more. In this week's Health & Wealth update, I talk with MU researchers who have found that the smoking rate among lesbian, gay, bisexual and transgender Missourians is much higher than in the population at large.
Each year, the United Health Foundation ranks states' health. And almost every year, Missouri drops in the rankings. This year, the Show Me State fell from the 39th spot, to 40th. In this week's Health & Wealth update, why we're getting less healthy and what we can do about it. I speak with Thomas McAuliffe, policy analyst with the Missouri Foundation for Health.
In this week's Health & Wealth update, a story about both health and wealth: drug companies have paid doctors in Missouri close to $19 million over the past few years, according to data compiled by the investigative nonprofit, ProPublica. KBIA's Jessica Pupovac has been looking into the financial relationships between Missouri doctors and drug companies, and I sat down to talk with her about what she's found out.
In April 1924, Radio News Magazine ran a splashy futuristic cover story: "The Radio Doctor – Maybe!" Kids sit around a new-fangled doohickey and say "ahhh" for a distant doctor on a video screen. In this weekly Health & Wealth update, the future is now! Telemedicine is expanding to rural hospitals across the country.
This year marks a grim birthday: it was thirty years ago that the first AIDS victims were officially diagnosed. Though the rate of new HIV infections in the US has stabilized in recent years, the percentage of those in rural areas has been on the rise. In this weekly Health & Wealth update, World AIDS Day.
In rural Missouri, there are roughly half as many primary care doctors per person, compared to urban parts of the state. That's a problem, when you consider that rural residents are also older (about three years, on average) and poorer (about five percent more live in poverty). In this Health & Wealth report, small towns in Missouri are facing the shortage by "growing their own" doctors and nurses, starting as early as middle school.
The US Postal Service is hemorrhaging money – over the past year, it lost more than $5 billion. To staunch the negative cash flow, the postmaster general is looking at closing nearly 3,700 post offices – the vast majority in rural America. In this week's Health & Wealth update, KBIA's Austin Fax checks in to some very small towns where post offices may be on the chopping block.
Women in rural Missouri are more likely to be diagnosed with breast cancer at a late stage than women in urban or suburban counties. In this weekly Health & Wealth update, the urban / rural disparity in breast cancer detection.
Heck yeah!! So should lunch. But two researchers say making medical school free could send more young doctors into primary care and rural practice, thus solving one of the big challenges facing health care today. And they've got a way to pay for it too.
Missouri families pay close to twenty percent of income on health insurance premiums. If that sounds like a lot, stay away from Mississippi. Families in that state pay the highest percentage of their income toward health insurance: 28 percent. This, according to a new study by the Commonwealth Fund.
Backers compare health insurance exchanges to Travelocity or Expedia. Websites where you can quickly compare prices and features to get the best deal. But detractors oppose them as a federal intrusion into the health care market. In this weekly Health & Wealth update, Missourians debate the merits of Obama's health reform law, as state lawmakers try to decide whether to authorize an exchange.
Six months ago, an EF5 tornado plowed through the center of Joplin, leaving about one-fifth of the city's population without a home. Now, people are slowly getting back to normal. For some, normal means lacing up the running shoes and hitting the streets.
Missouri state senators listened to over 3 hours of impassioned testimony on health care reform yesterday. The hearing was supposed to be on the rather mundane question of whether Missouri should set up an online health care exchange starting in 2014, or let the federal government do so. But the hearing quickly became a forum for debating the merits of health reform itself. After the jump, two interviews with senators on the committee: a Democrat representing one of the state's most liberal districts, and a Republican who has been at the forefront of Missouri's pushback against "Obamacare."
Missouri is ranked 50th among the states in funding for public health, spending about one third of the national average. Audrain County spends even less, just $7.90 per person. In this weekly Health & Wealth update, voters in Audrain went to the polls yesterday and approved a new property tax that will keep the county's struggling health department afloat. I spoke with reporter Garrett Bergquist, who has been driving around Audrain talking to voters.
Lt. Governor Peter Kinder takes aim at "Obamacare," and Democratic rivals. We discuss his legal challenge to what he calls "the federal health control law," and why he thinks his lawsuit will likely end up before the Supreme Court. We also cover some political turf: Kinder compares his style of leadership with that of Governor Jay Nixon. Missourians, says Kinder, "want a fighter, not someone who will lie down and just take dictation from our federal masters."
Missourians have never been in love with health reform. A year ago, Missouri was the first to pass a state law prohibiting an individual insurance mandate. It was a largely symbolic rejection of the Affordable Care Act, but now, more serious obstacles are looming. Missouri Lieutenant Governor Peter Kinder is one of dozens of officials from around the country challenging "Obamacare" in the courts.
In this weekly Health & Wealth update, the Affordable Care Act moves toward the U.S. Supreme Court.
In the United States, we pay a lot more for our health care than other wealthy countries, but we are no healthier. Missourians actually pay even more per capita than the U.S. average, and are even less healthy. (Missouri is ranked 39th in the nation in overall health, and we are the 9th most obese state.) A big part of the problem is the way we pay for health care, according to Harold Miller, executive director of the Center for Healthcare Quality and Payment Reform.
During the Great Recession, as the ranks of poor and unemployed swelled, enrollment in Medicaid shot up, growing by 7.8 percent in 2009. At the same time, state tax revenues collapsed by nearly 17 percent. States couldn't afford to pay their share of Medicaid costs, and Congress came to the rescue with the Recovery Act, boosting federal Medicaid funding by around $103 billion. But the recovery dollars ran out in June, and now states are facing the biggest yearly increase in Medicaid costs in history, according to projections by the Kaiser Family Foundation. Missouri already spends over a quarter of the state budget on Medicaid.
Able to clean teeth, like a hygienist, but also fill cavities like a dentist. If you've never heard of a registered dental practitioner, it's probably because they are only legal in two states, Alaska and Minnesota. Like nurse practitioners, these mid-level providers are aimed at helping underserved rural areas.
In 2019, the average Missouri family will be $1,471 richer. That’s how much the average family will save on health care each year once Obama’s reform law takes full effect, according to a new study by Families USA, a pro-reform group.
There’s a doctor shortage in rural America. This is not news – just the opposite – it’s been going on for ages. Even old Doc Adams, the country doctor in “Gunsmoke,” was constantly overworked. In one episode, when he finally gets a vacation, he’s kidnapped by outlaws in need of his services. Present-day Missouri ain’t Dodge City, Kansas. But many rural doctors are still overstretched.
For people with chronic conditions, getting Medicaid services can be a confusing, disjointed experience, shuffling from provider to provider. Under a provision of the Affordable Care Act, states can apply for federal money to help coordinate that care. Missouri did just that, and the news came today that the state will be the first to get this kind of funding under the ACA. Missouri’s application was aimed at helping people with chronic mental health issues.
I ran a marathon in Joplin last weekend – the second annual “Mother Road Marathon,” along Route 66. It was hot, there was a head wind, and it was a long slow day. My time was exactly one hour longer than my first marathon six months ago. I didn’t have a good excuse for my slowness – I’ve just been lazy about training. But for locals in Joplin, training for this race was truly challenging.
End-of-life decisions can be wrenching for families. In the early 2000s, the case of Terri Schiavo riveted the nation, as her family battled over whether to remove her feeding tube or keep her on life support. Now, 44 states have so-called “family consent” laws, which help determine which family member should make health care decisions. Missouri is one of the six states with no such law, putting families and doctors in legal limbo. But a bill headed for the Missouri legislature could change that.
Two weeks ago, President Obama told the nation, “Washington has to live within its means.” As Democrats and Republicans continue to scour the federal budget for over a trillion dollars in possible cuts, one group very likely to be affected is rural hospitals in the Midwest and across the nation.