🚨 Only 1/4 of the doses allocated to the CVS/Walgreens partnership to vaccinate nursing home residents have been administered.

Mississippi's state public health officer @TCBPubHealth says it's a "fiasco."

@RachelHBluth and me w/ @rachanadixit @KHNews cnn.com/2021/01/15/hea…
Scheduling, paperwork, staffing -- all of it is slowing down the latest privatization of the federal #COVID19 response for the nation's most vulnerable.

“There should never be an excuse about people not getting vaccinated. There’s no excuse for delays," @wassdoc said.
In Illionois, about 12,000 of the state’s roughly 55,000 nursing home residents have received their first dose.

West Virginia has finished its first round after ditching the CVS/Walgreens partnership altogether.
One nursing home in California doesn't expect to get doses til next week.

“It’s been so much worse than anybody expected,” said the chain’s chief medical officer, Dr. Karl Steinberg. “That light at the end of the tunnel is dim.”

khn.org/news/article/c…

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More from @LaurenWeberHP

16 Jan
🚨🚨🚨 Black Americans are receiving covid vaccinations at dramatically lower rates than white Americans, according to our new @KHNews data analysis on the rollout

“We are missing the boat on equity” @MarcusPlescia @ASTHO said

From @hannah_recht and me: nbcnews.com/health/health-…
If the rollout were reaching people of all races equally, the shares of people vaccinated whose race is known should loosely align with the demographics of health care workers.

But in every state, Black Americans were significantly underrepresented among people vaccinated Image
Meanwhile, Black, Hispanic and Native Americans are dying from Covid at nearly three times the rate of white Americans, according to @CDCgov .

And Black and Asian health care workers are more likely to contract Covid and to die from it than white workers.
Read 12 tweets
15 Dec 20
1 in 8 Americans lives in a community that lost a local public health leader, our @AP @KHNews investigation found

Lawmakers in 24 states are crafting legislation to strip public health powers

This is U.S. pandemic public health #UnderfundedUnderThreat

apnews.com/article/pandem…
181 state and local public health leaders had resigned, retired or been fired since April.

It's the largest exodus of public health leaders in American history, @annabarryjester @hannah_recht @MRSmithAP and I found in our latest #UnderfundedUnderThreat investigation. 181 state and local public health department leaders have re
Many of the public health officials left due to political blowback or pandemic pressure.

Some departed to take higher profile positions, or due to health concerns.

Others were fired for poor performance.

Dozens retired.
Read 9 tweets
1 Jul 20
The U.S. has starved state and local public health departments of funding for decades, leaving the country ill-equipped for #COVID19, our @KHNews @AP investigation found.

This is America's public health system in a pandemic.

#UnderfundedUnderThreat

khn.org/news/us-public…
Workers are paid so little, some qualify for Medicaid. They track the coronavirus on paper records shared via fax.

Working seven-day weeks for months on end, they fear pay freezes, public backlash and even losing their jobs amid a wave of budget cuts.
While interviewing 150+ public health experts, analyzing records from 100s of health departments and surveying statehouses, @laura_ungar @MRSmithAP @hannah_recht @annabarryjester and I heard story after story of what this weakened line of defense means amid #COVID19.
Read 12 tweets
30 Jun 20
🚨🚨🚨 Last year, @barbfederostrov and I spent months investigating Jorge Perez's rural hospital empire, which accounted for HALF of the 2019 rural hospital bankruptcies.

@TheJusticeDept just charged him in a $1.4 BILLION fraudulent billing scheme.

khn.org/news/hospital-…
How companies run by Perez and his associates were able to drive so many rural hospitals into the ground so quickly is a story about the fragility of health care in rural America and the types of money-making ventures that have flourished in America's fraught medical system
Perez and his associates would swoop in on struggling rural hospitals and then, prosecutors say, use them as a pass-through for a lab-billing scheme.

He said he was out to save rural hospitals; instead they allegedly brought in $400 million. 8 rural hospitals closed.
Read 9 tweets
12 Jun 20
🚨🚨🚨 Amid the pandemic, at least 27 state and local public health leaders have resigned, retired or been fired across 13 states, due in part to a mix of backlash and stressful, nonstop working conditions.

W/ @annabarryjester @MRSmithAP @AP @KHNews

khn.org/news/public-he…
Dr. Amy Acton, top health leader in Ohio, dealt with armed protesters at her house. She resigned yesterday. In California’s Orange County, the home address of health officer Dr. Nichole Quick, and her boyfriend’s name, were revealed in a public meeting. She resigned Monday.
I talked to Emily Brown, a member of @NACCHOalerts 's board and a rural health leader in rural Colorado. The day after a Facebook post criticized her and other officials’ weight and called for “armed citizens,” she was fired.
Read 6 tweets
21 Mar 20
NEW from me: I talked to rural hospital CEOs around the country, and the picture is dire.

Right when Americans most need them, droves of rural hospitals are weeks from closing their doors as the coronavirus prep saps their cash.

@NPR @KHNews

npr.org/sections/healt…
Nearly half of America's rural hospitals operate in the red on a normal day, much less during a global pandemic. The waves of canceled surgeries, labs and physical therapy means they may not have enough cash to make payroll in the coming weeks.
As one rural hospital CEO @RandyToblerMD looks at his older, sicker, underinsured patient population, he said he is afraid his MO hospital could last only until May. “In the truly safety-net areas, we’re being called to high duty,” he said. ”And we’re running on fumes.”
Read 6 tweets

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