SAN FRANCISCO — Chinese Hospital, located in the heart of this city’s legendary Chinatown, struggles with many of the same financial and demographic challenges that plague small independent hospitals in underserved areas across the country. Many of its patients are aging Chinese speakers with limited incomes who are reliant on Medicare and Medi-Cal, which pay less than commercial insurance and often don’t fully cover provider costs. And due to an arcane federal rule, Chinese Hospital receives a lower rate of reimbursement than many other hospitals that treat a large number of low-income patien ..read more

For the past year, police Detective Tim Lillard has spent most of his waking hours unofficially investigating his wife’s death. The question has never been exactly how Ann Picha-Lillard died on Nov. 19, 2022: She succumbed to respiratory failure after an infection put too much strain on her weakened lungs. She was 65. For Tim Lillard, the question has been why. Lillard had been in the hospital with his wife every day for a month. Nurses in the intensive care unit had told him they were short-staffed, and were constantly rushing from one patient to the next. Lillard tried to pitch in where he c ..read more

SACRAMENTO, Calif. — Gov. Gavin Newsom’s administration has compromised on long-sought rules that would protect indoor workers from extreme heat, saying tens of thousands of prison and jail employees — and prisoners — would have to wait for relief. The deal comes a month after the administration unexpectedly rejected sweeping heat standards for workers in sweltering warehouses, steamy kitchens, and other dangerously hot job sites. The rules had been years in the making, and a state worker safety board voted to adopt them March 21. But in a controversial move, the administration upended the pro ..read more

The Host Mary Agnes Carey KFF Health News @maryagnescarey Read Mary Agnes' stories. Lawmakers in Washington this week held the first congressional hearing on the Change Healthcare cyberattack, a breach that sent shock waves through the health care system as payments for care ground to a halt and left some providers in financial trouble. Republicans and Democrats alike zeroed in on how big health care conglomerations — like Change’s parent company, UnitedHealth Group — are leaving patients vulnerable. And nearly 1 in 4 adults who lost Medicaid coverage in the past year are now uninsured, accor ..read more

A team of Montana researchers is playing a key role in the development of a more effective vaccine against tuberculosis, an infectious disease that has killed more people than any other. The BCG (Bacille Calmette-Guérin) vaccine, created in 1921, remains the sole TB vaccine. While it is 40% to 80% effective in young children, its efficacy is very low in adolescents and adults, leading to a worldwide push to create a more powerful vaccine. One effort is underway at the University of Montana Center for Translational Medicine. The center specializes in improving and creating vaccines by adding wh ..read more

Carrie Lester looks forward to the phone call every Thursday from her doctors’ medical assistant, who asks how she’s doing and if she needs prescription refills. The assistant counsels her on dealing with anxiety and her other health issues. Lester credits the chats for keeping her out of the hospital and reducing the need for clinic visits to manage chronic conditions including depression, fibromyalgia, and hypertension. “Just knowing someone is going to check on me is comforting,” said Lester, 73, who lives with her dogs, Sophie and Dolly, in Independence, Kansas. At least two-thirds of Medi ..read more

Paris Hilton, heredera de la cadena hotelera y celebrity, está respaldando el impulso de legisladores de California para aumentar la transparencia de los centros terapéuticos residenciales para adolescentes, al exigir que estos programas informen sobre el uso de restricciones o salas de aislamiento en la disciplina de menores. “No deberíamos estar poniendo a los jóvenes en instalaciones sin saber a qué serán sometidos”, declaró Hilton el lunes 15 de abril, ante el Comité de Servicios Humanos del Senado en Sacramento. “La Ley de Responsabilidad en el Tratamiento de Niños es una medida simple de ..read more

Heiress Paris Hilton is on a mission to shine a light on the “troubled teen industry,” a largely unregulated multibillion-dollar industry that is gaining public scrutiny for alleged abuse of vulnerable youths. Hilton told state lawmakers in Sacramento on Monday she was subjected to abuse disguised as therapy decades ago when she was housed in residential facilities for teenagers struggling with substance abuse, mental illness and problematic behavior.  She testified at the state Capitol in support of a bill ordering disclosure of the use of restraints or seclusion rooms in disciplining mi ..read more

Celebrity hotel heiress Paris Hilton is backing California lawmakers’ push to increase the transparency of residential teen therapeutic centers by requiring these programs to report the use of restraints or seclusion rooms in disciplining minors. “We shouldn’t be placing youth in facilities without knowing what these children will be subjected to,” Hilton testified Monday to the Senate Human Services Committee in Sacramento. “The Accountability in Children’s Treatment Act is a simple transparency measure that would make a lasting impact and show the world what truly happens behind closed doors ..read more

HISLE, S.D. — Katherine Goodlow is only 20, but she has experienced enough to know that people around her are dying too young. Goodlow, a member of the Lower Brule Sioux Tribe, said she’s lost six friends and acquaintances to suicide, two to car crashes, and one to appendicitis. Four of her relatives died in their 30s or 40s, from causes such as liver failure and covid-19, she said. And she recently lost a 1-year-old nephew. “Most Native American kids and young people lose their friends at a young age,” said Goodlow, who is considering becoming a mental health therapist to help her community ..read more