May is National Women's Health Month, and experts are reminding women to prioritize their health and well-being.
Brenda Shelton-Dunston, executive director of the Philadelphia Black Women's Health Alliance, said the worst of the pandemic showed that Black women's health was at the top of the curve as far as health disparities.
She said her organization works to help improve healthcare outcomes and reduce disparities for women of color through awareness.
"We provide education and increase knowledge," said Shelton-Dunston. "First, explain what a health disparity is. Health disparities are basically preventable differences in the burden of disease, injury, violence or opportunities to achieve an optimal health status."
Shelton-Dunston said they provide strategies and approaches that can be used to prevent chronic conditions such as obesity, heart disease, and diabetes.
She said the Office of Minority Health reports that - per the Centers for Disease Control and Prevention - African American women are nearly 50% more likely to have high blood pressure, compared with non-Hispanic white women.
The Centers for Disease Control and Prevention warns that women who are caregivers are at greater risk for poor physical and mental health.
Shelton-Dunston said it is important for women to focus on their mental health and to take time out for themselves while they are caring for their loved ones.
"You have ultimate responsibility for you and for your self-care," said Shelton-Dunston. "How do you accomplish that? Making that a priority, making you a priority."
She added that their Prime Time Sister Circle program helps women understand that they won't be able to take care of anyone else unless they take care of themselves first.
Dr. Donna O'Shea is an Obstetrician/Gynecologist and the chief medical officer for population health at UnitedHealthcare. She said as younger women begin adulthood, it's important to take preventive steps so chronic health issues don't begin to take hold.
"It still is important to eat a balanced diet, and perhaps even more; and to have a consistent strength and cardiovascular training routine, that can also help minimize the stress," said O'Shea. "As you know, stress hurts us in many ways."
O'Shea urged women to make appointments for any screenings they may have put off during COVID, such as a mammogram or screenings for cervical or colon cancer.
She added that the good news is that colon cancer screening is an excellent way to catch it early, so it can be treated and cured.
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In rural Arkansas, access to healthcare can be a distant dream - literally - as almost 60 counties in the state do not have enough providers to serve their populations. A new initiative with the Health Resources and Services Administration is working to improve access in these areas, through telehealth.
Heather Dimeris, director, Office for the Advancement of Telehealth at the Health Resources and Services Administration, said delivering care remotely online fills a crucial gap. Arkansans can visit telehealth.hhs.gov to explore their options, including behavioral and mental-health services.
"You can look at anxiety or depression screening through telehealth," she said. "You can also receive treatment for your anxiety or depression and other mental health needs, through one-on-one therapy as well as group therapy. And telehealth has also been extremely helpful in treating patients with substance-use disorders."
Dimeris noted 40% of all behavioral healthcare is now done virtually, including therapy, addiction counseling, and mental-health screening. She adds HRSA also provides telehealth services for treatment of chronic diseases, like diabetes, and information for healthcare providers.
However, the growth of telehealth spotlights another challenge for rural Arkansas - the lack of reliable, affordable internet service. Dimeris added some people can use their cell phones for telehealth services. Or they can apply for discounted internet access through two programs offered by the Federal Communications Commission.
"The Affordable Connectivity Program, as well as the Lifeline Program," she continued. "Both of these programs have eligibility requirements. But if you meet them, you really are able to access either free or reduced cost for broadband services and cell phone services."
Lower-income households can get up to $30 a month off their internet service bill, or $75 a month if they live on tribal lands, according to the FCC.
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California's medical aid-in-dying law is back in court. Three patients with disabilities and two doctors are asking to intervene in a lawsuit challenging the law - and they want the judge to dismiss the suit.
In April, a coalition of disability rights groups and people with disabilities sued to stop the End of Life Option Act, claiming it is discriminatory and "coerces" people with disabilities into using medical aid in dying.
Jess Pezley is the senior staff attorney with Compassion & Choices, which supports the bill.
"It's not discriminatory to offer an additional end-of-life option," said Pezley. "And there's a lot of safeguards built in within the act to make sure that this law is not being used by people who do not want it. The only people who qualify for it are terminally ill with a prognosis of six months to live, and who have the capacity to make the decision."
California is one of ten states - plus Washington, D.C. - that allow doctors to prescribe medication that would allow mentally capable, terminally ill adults to peacefully end their suffering if they choose to take it.
Peter Sussman is a retired journalist and author from the Bay Area who said he lives with constant and disabling pain after a series of spinal surgeries. He said he supports medical aid in dying, and has joined the motion to intervene in the lawsuit.
"When my time comes and I am certified by doctors to be dying within six months, I do not want to die suffering needlessly," said Sussman. "The government shouldn't be able to tell me the manner of my own death."
The State of California, the defendant in the lawsuit, has also filed a motion to dismiss.
Earlier this year, the same judge dismissed a different challenge to the suit brought by the Christian Medical and Dental Association - after it reached a settlement with the state that said doctors who have a religious objection don't have to record a patient's request for medical aid in dying on their chart.
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Open enrollment begins soon for employer-sponsored health insurance for coverage starting Jan 1.
Most people will have multiple options to choose from. Some are complex, so now is the time to do your research. According to the website USA Facts.org, about 7.5% of Indiana residents do not have health insurance. Experts say it is important to shop for plans, see exactly what they offer, and if a choice fits a family's needs and budget.
Dr. Rhonda Randall, chief medical officer of Employer and Individual for UnitedHealthcare, said understanding some of the basic insurance jargon is a good place to start.
"Things like deductibles, copays, coinsurance, premiums, etc.," Randall outlined. "Be familiar with what those terms are and what the costs associated with each one is for the plans that you're offered and the plans that you're considering."
Randall advised paying close attention to out-of-pocket costs and monitoring changes which can occur within a plan each year. She suggested the online health insurance glossary Just Plain Clear, which UnitedHealthcare has compiled. In 2021, more than one-third of Indiana's population was covered by public health insurance funded by governments at the federal, state or local level.
Nearly 17% of Indiana's population is 65 or older and eligible for Medicare. But it does not cover everything, so most people also buy a supplemental policy for added coverage, and a prescription drug plan. The Medicare annual enrollment period starts Oct. 15 and ends Dec. 7, when people can get new coverage or change what they've had.
Randall noted UnitedHealthcare has also compiled an online guide to help people navigate those plans.
"Medicare beneficiaries want to make sure they're understanding and learning the difference between original Medicare -- Medicare Parts 'A' and 'B' -- and Medicare Advantage, Medicare Part 'C' and 'D,' the prescription drugs," Randall explained.
Randall encouraged Hoosiers to consider insurance plans including coverage for telehealth -- virtual 24-hours-a day, 7-days-a-week mental and behavioral health services, or management of chronic conditions, such as migraines, plus physical therapy and wellness visits.
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