Lauren Weber Profile picture
Feb 8 14 tweets 8 min read
Step inside the Missouri war against public health with me, and learn how the ongoing stripping of public health powers is diminishing the nation's ability to fight the next pandemic.

A 🧵 for @KHNews @CNN

cnn.com/2022/02/08/hea…
Let's start with Missouri state senator Mike Moon. He believes vaccinations should cease til more long-term effects are known, citing the research of known misinformation sources, America's Frontline Doctors and Dr. Robert Malone from Joe Rogan's podcast.

He's not vaccinated.
On Feb. 1, he tanked the nomination of Donald Kauerauf to become the state’s next health director

Kauerauf had professed on the record that he was anti-abortion and anti-mandate for vaccinations, all while being nominated by a Republican governor

But it wasn’t enough for Moon
Our #UnderfundedUnderThreat @KHNews @AP investigation last year found that at least 1 in 5 Americans lived in places that had lost a local health official last year.

Take a look if your area was impacted @annabarryjester @hannah_recht @MRSmithAP

khn.org/news/article/o… This map shows where state and local health officials have r
Serving at the pleasure of elected leaders is becoming “twisted and grotesque” amid extreme politicization, said @BrianCCastrucci

“This is public health dying,” he said. “A dark age of politics has begun that is choking science.”
Over half of states have rolled back public health powers during the pandemic, which permanently weakens states’ abilities to protect their constituents’ health

And @PublicHealth @GeorgesBenjami7 warned this is just the beginning

w/ @annabarryjester khn.org/news/article/o… At least 26 states have passed laws limiting health powers,
“Both the fundamental legal authorities of public health, as well as the people who are practicing, are being threatened in ways we’ve never seen before,” @GeorgesBenjami7 said, warning even more legislative rollbacks and court rulings stripping health powers would happen in 2022
This stripping of public health powers doesn’t just mean that unpopular covid restrictions will end, @GeorgesBenjami7 said.

These curbs often cripple public health’s ability to fight other scourges.

Let's take a look at Missouri again:
Legislation and a court ruling have stripped a local health officer of some powers, making Vollmar confirm health orders with a board

She's seen a sharp increase in requests for vaccine exemptions for measles and other preventable infectious diseases — and fears what's next
It doesn’t help that Missouri has underfunded public health for years — our #UnderfundedUnderThreat 2020 @KHNews and @AP investigation found public health spending per person was $50 a year — one of the bottom 10 states in the nation.

@laura_ungar

khn.org/news/us-public… This map shows the states that spend less than $100 on publi
That is part of a right-wing strategy, said Democratic state Sen. @JohnJRizzo , minority floor leader.

“They actively go and break government, and then run their next campaign about how government is broken,” he said.
All the while, the vaccination rate against covid in Missouri hovers around 55%, with outliers like Pulaski County in the Ozarks below 21%.

But those who opposed Kauerauf took his statements that he wanted to increase vaccination levels as a sign that he may be pro-mandate.
Finding a state health department leader to tackle all these issues now may be nearly impossible, said former Kansas City health department head @RexArcherMD .

He’d advise anyone who asked about the job not to buy a house in the state or move their family.
“Our greatest chance for a better public health system in Missouri lies in the hands of the silent majority of our population that support science-based decisions,” Vollmar said.

“I pray they find their voice before it is too late.” @KHNews

khn.org/news/article/p…

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More from @LaurenWeberHP

Jan 13
Workers out sick in droves.

Patients' conditions being exacerbated by Omicron.

Add the threat of in-hospital transmission.

There’s a reason hospitals are telling people to stay away from the ER - @jeremyfaust

W/ @philgalewitz @gahealthnews @KHNews
khn.org/news/article/i…
Regardless of whether patients are admitted for or with covid, the patients still tax the hospital’s ability to operate, said Dr. Alex Garza, head of the St. Louis Metropolitan Pandemic Task Force.

He also warned exposure risk in the ER is high: “It’s physics and math."
Incidental cases also pose a greater risk to staffers and other hospital patients because they are typically at a more contagious stage of the disease — before symptoms begin: @jeremyfaust

Before this wave, folks were hospitalized in the middle and later phases of the illness
Read 13 tweets
Dec 23, 2021
🚨 Hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight, my & @By_CJewett investigation found.

A 🧵 for @KHNews @USATODAY

khn.org/news/article/a…
.@CMSGov urged private accreditors — which almost 90% of hospitals pay for oversight — to do targeted infection-control inspections as covid began to sweep the country last March.

They said no.

usatoday.com/story/news/nat…
Government inspectors went into nearly every nursing home last year, @HealthcareSeema told us.

That the same couldn’t be done for hospitals reveals a problem, she said.

“We didn’t have the authority,” @HealthcareSeema said. “This is something to be corrected.”
Read 14 tweets
Oct 8, 2021
IMPACT: Five New York state and local government agencies agreed to fix covid-19 vaccine websites to make them accessible for blind users following a @TheJusticeDept investigation spurred by our @KHNews story

W/ the relentless @hannah_recht

Our update: khn.org/news/article/n…
As Bryan Bashin told me amid the vaccine race of the winter, he had appointments slip away twice in the same day while he battled inaccessible websites.

"It’s an awful bit of discrimination, one as stinging as anything I’ve experienced,” Bashin, who is blind, said.
.@AccessBoard @sdpavithran said he knew @thejusticedept had investigations in progress in other states

@AndyDRC , a member of the White House’s COVID-19 Health Equity Task Force, said their report will likely call for an outside evaluation of access issues in the covid response
Read 6 tweets
Mar 26, 2021
Kyunghee Lee noticed her doctor's office had moved up a floor when she went to get her usual arthritis shots.

It was the same doctor, same shots, same time.

But it cost 10 times more.

Welcome to the "facility fee."

@KHNews @npratc #BilloftheMonth npr.org/sections/healt…
The increasingly controversial charge — basically a room rental fee — comes without warning

“It’s the same physician office it was, operating in exactly the same way, doing exactly the same services — but the hospital chooses to attach a facility fee to it” @TrishRiley207 said
Facility fees are one reason hospital prices are rising faster than physician prices.

There is some state legislation to combat the rising phenomenon, but it’s difficult to fight powerful hospital lobbyists in a pandemic political climate.
Read 6 tweets
Mar 26, 2021
Missourians have driven hours to find vaccines in rural counties. Doses are still slowly being rolled out in a federal long-term care program. Black residents are getting left behind.

Here's what went wrong in Missouri's vaccine rollout.
#moleg @KHNews

khn.org/news/article/m…
If Missouri were on par with the national rate of vaccinations, that would be roughly equivalent to more than 162,000 additional people vaccinated, or almost the entire population of the city of Springfield.

Instead, MO is in the bottom of states for its rocky rollout.
The former director of the St. Louis health department put it simply:

“You get what we pay for."

Our 2020 @AP @KHNews #UnderfundedUnderThreat investigation found that Missouri public health staffing at the state level had fallen 8% from 2010 to 2019, a loss of 106 employees.
Read 15 tweets
Mar 24, 2021
Dr. Deborah Birx has joined an air-cleaning company that built its business, in part, on technology that is now banned in California due to health hazards.

At stake? Some of the $193 billion in federal funding to schools.

From @By_CJewett and me:

khn.org/news/article/f…
The company’s own studies show that, in its effort to create the “healthiest indoor environments in North America,” it leveraged something less impressive: the disinfecting power of ozone — a molecule considered hazardous and linked to the onset and worsening of asthma.
In an interview with @KHNews , CEO Joe Urso acknowledged that ActivePure's air cleaners that emit ozone account for 5% of sales, even though its marketing repeatedly claims “no chemicals or ozone.”

"It is very confusing,” he said.
Read 11 tweets

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