"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.
Congress has kept key drug assistance funding at $900.3 million annually since 2014. New enrollments for state programs jumped 30% from 2022 to 2024, in part because states cut off pandemic-era Medicaid assistance. As of January, at least 18 states have pulled back their Ryan White AIDS Drug Assistance Programs, known as ADAPs, in some way.
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.
Doctors told us my grandson wouldn't live past three months, but they didn't know Elijah was capable of. Today he's 7 years old, stubborn as ever and fighting every day to prove them wrong. Elijah was born with cerebral palsy. Caring for him is a full-time, all-hands-on-deck operation that includes in-home nurses, physical and occupational therapy, school support and a small pharmacy's worth of medications.
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.
The latest Census data also suggest the next phase of U.S. politics will be shaped less by a single national economy than by who benefited from growth and where they live. By the numbers: The U.S. median household income rose to $80,734, the 2020-2024 American Community Survey released Thursday and examined by Axios showed. That's a 4.4% jump from 2015-2019 after inflation.
The issue is particularly critical right now for people who have insurance plans through the Affordable Care Act marketplace. Prices for those plans have skyrocketed this year after Congress failed to extend critical tax credits. Without those credits, monthly premiums for ACA plans have, on average, more than doubled. Early data on ACA enrollments for 2026 not only suggests that fewer people are signing up for the plans, but also that those who are enrolling are often choosing bronze plans, which are high-deductible plans.
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?
Everything is changing, and in the face of that, America is failing. Over 90,000 souls have paid for our failing. Millions more are living in terror for their livelihoods and their families. But Covid-19 isn't a technology problem, or a science question, or a supply chain issue, or even a question of doctoring. This challenge is public health, and that is something we've been failing at for a damn long time.