KHN

The covid pandemic and President Joe Biden’s agenda — a planned $400 billion infusion of support — have focused national attention on the need to expand home- and community-based long-term care services designed to keep people out of nursing homes. But the need far outpaces the staffing.

A college student never got an answer for what caused her intense pain, but she did get a bill that totaled $18,736 for an ER visit. She and her mom, a nurse practitioner, fought to understand all the charges.

Patients and some lawmakers have long blasted the Medical Board of California for failing to discipline negligent or abusive physicians. But the politically powerful California Medical Association, which represents doctors, has mobilized against the latest attempt to give the board more money and power to investigate complaints.

Democrats in Congress and the states are devising strategies to expand health coverage — through the Affordable Care Act, Medicare, Medicaid and a “public option.” But progress remains halting, at best. Meanwhile, lawmakers in Washington may have to agree on how to control prescription drug prices if they wish to finance their coverage initiatives. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Michelle Andrews, who reported and wrote last month’s KHN-NPR “Bill of the Month” episode about a very expensive sleep study.

What’s known as emergency room boarding of psychiatric patients has risen between 200% and 400% monthly in Massachusetts during the pandemic — and the problem is widespread. The CDC says emergency room visits after suicide attempts among teen girls were up 51% earlier this year as compared with 2019.

The pandemic will undermine Americans’ health for years. Even those not infected by the coronavirus could suffer health problems related to poverty, job loss, eviction — or all of the above.

In Texas’ border communities, which are overwhelmingly Hispanic, covid-19 death rates for people under age 65 were double those in the rest of the state and three times the national average. They were also significantly higher than rates in New Mexico border areas.

In a sharp shift from Trump-era policies, President Joe Biden looks at expanding Medicaid eligibility to new mothers, inmates and undocumented immigrants and adding services such as food and housing.

Millions of older adults want to be comfortable going online and using digital tools to enhance their lives. But many need help. A number of groups around the country offer assistance.

Venture capitalists have poured billions into the digital mental health space, sensing an area of unmet demand that is ripe for disruption. The problem for consumers is separating the apps that might help from those that offer little more than distraction — or could actually do harm.

Eager to control costs, health systems and insurers are trying to address patients’ social needs such as food insecurity, transportation and housing. Yet, after years of testing, there’s slim evidence these efforts pay off.

Health care workers find it easy to empathize with Central American children after their painful journeys to the U.S.

St. Louis Blues leading scorer David Perron took 10 days to explain he had indeed been vaccinated before he caught covid-19, which knocked him from playing in the NHL playoffs against the Colorado Avalanche. His case and those of other public figures raise questions about the role of celebrity in enticing people to get covid vaccinations.