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Now, just over two weeks later, public health experts and some of the Black leaders with Aaron that day worry the event could inadvertently serve to undermine confidence in the vaccine. Within minutes of news breaking Friday morning of the baseball great’s death, those with doubts about the vaccine turned to social media to try to draw a connection to Aaron’s recent immunization. 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All Rights Reserved.</div>By using this website, you accept the terms of our <div class="privacy"><a href="https://www.ajc.com/visitor-agreement/">Terms of Use</a>, <a href="https://www.ajc.com/privacy-policy/">Privacy Policy</a>, <a href="https://www.ajc.com/california-privacy-notice/">CCPA</a>, and understand your options regarding <a href="https://www.ajc.com/privacy-policy/#ad-choices">Ad Choices</a>.</div><div class="learn-more"><a href="https://jobs.coxenterprises.com/?prefilters=none&CloudSearchLocation=none&CloudSearchValue=none/">Learn about Careers at Cox Enterprises.</a></div></div></div></div></div></div></nav></header></div><main class=" b-sectionHome-padding"><header class="b-margin-bottom-d30-m30" data-pagezone="article-body"><div class="c-label-wrapper b-padding-top-15 b-contentMaxWidth"><a class="section-label section-label-link" href="/news/coronavirus/">COVID-19</a></div><div class="c-header-gallery-image-video b-margin-bottom-d30-m20"><div class="article-headline-component b-margin-bottom-d30-m30 with-image is-label"><div class="headline"><div class="headline-body"><a class="section-label section-label-link" href="/news/coronavirus/">COVID-19</a><h1 class="headline-text headline-text-long">Health experts urge confidence in vaccine after superstar’s death</h1></div></div><div class="c-image-component image-landscape"><div class="image-component-image "><div class="enlargeImage-wrapper"><div class="lazyload-wrapper"><picture class="" style="display:block"><source srcSet="https://www.ajc.com/resizer/v2/73YL7ISGA5HQBEZLOCRVTTHB24.jpg?auth=6ad92048b687b0e3120cc53acdbf62a96a4d7818dff75f0ab75064e06a4ed8f7&width=1600&height=900&smart=true" media="(min-width: 1200px)"/><source srcSet="https://www.ajc.com/resizer/v2/73YL7ISGA5HQBEZLOCRVTTHB24.jpg?auth=6ad92048b687b0e3120cc53acdbf62a96a4d7818dff75f0ab75064e06a4ed8f7&width=1460&height=800&smart=true" media="(min-width: 768px)"/><img src="https://www.ajc.com/resizer/v2/73YL7ISGA5HQBEZLOCRVTTHB24.jpg?auth=6ad92048b687b0e3120cc53acdbf62a96a4d7818dff75f0ab75064e06a4ed8f7&width=790&height=440&smart=true" alt="ATLANTA - Baseball legend Hank Aaron gets a dose of the Moderna COVID-19 vaccine shot at Morehouse School of Medicine on Jan. 5, 2021. ERIC STIRGUS/ESTIRGUS@AJC.COM." fetchpriority="high" width="790" height="440"/></picture></div><p class="photo-credit-text">Credit: Eric Stirgus / Eric.Stirgus@ajc.com</p></div></div><p class="photo-credit-text">Credit: Eric Stirgus / Eric.Stirgus@ajc.com</p><div class="c-caption-new text-preview" id="captionID-78863886" tabindex="0"><div class="photo-caption-text">ATLANTA - Baseball legend Hank Aaron gets a dose of the Moderna COVID-19 vaccine shot at Morehouse School of Medicine on Jan. 5, 2021. ERIC STIRGUS/ESTIRGUS@AJC.COM.</div></div></div></div></div><div class="c-articleMetaContainer b-contentMaxWidth b-margin-bottom-d30-m20 isSingleColumnArticle"><div class="c-articleMeta"><div class="c-articleBadge"></div><div class="c-articleMetadata"><div class="b-flexRow article-byline b-margin-bottom-d7-m7"><div class="byline "><span>By <a href="/staff/brad-schrade/" rel="author">Brad Schrade</a> and </span><span><a href="/staff/eric-stirgus/" rel="author">Eric Stirgus</a></span></div></div><span class="article-timestamp">Jan 23, 2021</span></div></div><div class="share-bar"><a class="fb-icon" href="https://www.facebook.com/share.php?u=https://ajc.com/news/coronavirus/health-experts-urge-confidence-in-vaccine-after-superstars-death/EGTRQS6DZZG3RGGRMZZFQ5IXLM/" target="__blank"><svg width="38" height="38" viewBox="0 0 38 38" fill="none" xmlns="http://www.w3.org/2000/svg"><circle cx="19.479" cy="18.765" r="17.871" stroke-width="1.258"></circle><path d="M23.962 10.257v2.74h-1.63c-.595 0-.996.124-1.203.373-.208.249-.312.622-.312 1.12v1.962h3.04l-.404 3.071h-2.636v7.876h-3.175v-7.876h-2.646v-3.071h2.646v-2.263c0-1.286.36-2.284 1.08-2.993.719-.71 1.677-1.064 2.874-1.064 1.017 0 1.805.042 2.366.125z" fill="#1877F2"></path></svg></a><a class="twitter-icon" href="https://twitter.com/intent/tweet?url=https://ajc.com/news/coronavirus/health-experts-urge-confidence-in-vaccine-after-superstars-death/EGTRQS6DZZG3RGGRMZZFQ5IXLM/&text=Health%20experts%20urge%20confidence%20in%20vaccine%20after%20superstar%E2%80%99s%20death" target="__blank"><svg xmlns="http://www.w3.org/2000/svg" width="38" height="38" viewBox="0 0 38 38" fill="none"><circle cx="18.5" cy="18.5" r="17.871" stroke="#CDCDCD" stroke-width="1.258"></circle><path d="M23.387 11.32h2.608L20.3 17.672 27 26.32h-5.246l-4.108-5.244-4.702 5.244h-2.608l6.091-6.796L10 11.319h5.38l3.713 4.793 4.294-4.793zm-.913 13.477h1.445l-9.326-12.035h-1.549l9.43 12.035z" fill="#222"></path></svg></a><a class="copy-icon" href="#" data-target="" tabindex="0" title="Click here to copy the link for this update to your clipboard."><svg width="38" height="38" viewBox="0 0 38 38" fill="none" xmlns="http://www.w3.org/2000/svg"><circle cx="19.479" cy="18.765" r="17.871" stroke-width="1.258"></circle><path d="M19.78 23.28a.99.99 0 0 1 0 1.401l-.49.49a4.947 4.947 0 0 1-6.995-6.996l1.987-1.987a4.945 4.945 0 0 1 6.786-.204.99.99 0 0 1 .082 1.4.99.99 0 0 1-1.4.083 2.967 2.967 0 0 0-4.07.121l-1.986 1.985a2.967 2.967 0 0 0 4.197 4.197l.49-.49a.992.992 0 0 1 1.399 0zm6.105-11.703a4.953 4.953 0 0 0-6.995 0l-.49.49a.99.99 0 1 0 1.401 1.4l.49-.49a2.968 2.968 0 1 1 4.197 4.198L22.5 19.163a2.967 2.967 0 0 1-4.07.117.994.994 0 0 0-1.318 1.484 4.945 4.945 0 0 0 6.783-.2l1.988-1.987a4.952 4.952 0 0 0 .003-6.999v-.001z" fill="#212126"></path></svg></a></div></div></header><article class="c-articleContent "><div class="c-articleBodyContainer isSingleColumnArticle is-deferred"><span data-pagezone="article-body"><div class="c-section b-sectionHome-padding full-width b-clear-both b-margin-bottom-d40-m20 "><div class="c-contentElements" data-start-index="0"><p class="story-text " data-index="1">When Hank Aaron and other African American leaders invited reporters to watch them receive COVID-19 immunization shots on Jan. 5, the baseball legend said he did so to help spread the word to millions that the vaccine is safe.</p><p class="story-text " data-index="2">“It felt good,” <a href="https://www.ajc.com/education/atlanta-civil-rights-legends-line-up-to-get-covid-19-vaccine/Y7DNIRPEHFH4XOP4AID5KP527Q/" target="_blank">Aaron said</a> afterward at the Morehouse School of Medicine, where the event was held.</p><div class="MP02 arc_ad b-margin-bottom-d30-m20 "></div><div class="RP01 arc_ad b-margin-bottom-d30-m20 "></div><p class="story-text " data-index="5">Now, just over two weeks later, public health experts and some of the Black leaders with Aaron that day worry that an event that drew so much publicity could inadvertently serve to undermine confidence in the vaccine. Within minutes of news breaking Friday morning of the baseball great’s death, those with doubts about the vaccine turned to social media to try to draw a connection to Aaron’s recent immunization.</p></div><div class="story-paygate_placeholder"><div class="c-contentElements" data-start-index="5"><p class="story-text " data-index="6">That worries Joe Beasley, one of the activists who received the Moderna vaccine shot alongside Aaron. “I hope this won’t have a chilling effect on our people,” said Beasley, 84. “We can’t afford it because too many people are dying (from COVID-19).”</p><p class="story-text " data-index="7">A cause of death was not announced, but the Braves said Aaron died peacefully in his sleep.</p><section class="c-interstitialLink b-margin-bottom-d40-m20"><span class="prefix">Explore</span><a class="headline" href="https://www.ajc.com/sports/atlanta-braves/toomey-aaron-death-not-covid-related/W7AWAMTOLVDNPDUNOQI3ASVQHE/" target="_self">Georgia's top public health official says Hank Aaron's death was not related to his recent COVID vaccine</a></section><p class="story-text " data-index="9">Public health officials have been girding for weeks to fend off rumors and questions about vaccine safety, especially in the age of social media where unsubstantiated claims can be challenging to tamp down. In some parts of Georgia, fewer than half of health care workers and nursing homes aides are getting vaccinated out of safety concerns.</p><p class="story-subscription__placeholder subscription-promo b-margin-bottom-d40-m20"></p><p class="story-text " data-index="11">The vaccine reluctance is fueled in part by the speed with which the Moderna and Pfizer<b> </b>vaccines were developed and authorized, although the clinical trials that took place last year involved tens of thousands people and were approved by the U.S. Food and Drug Administration.</p><div class="story-nativo_placeholder--moap b-clear-both "></div><p class="story-text " data-index="13">“All the data in these huge clinical trials did not support a role for vaccine in causing death,” said Dr. Walter A. Orenstein, a former director at the CDC’s immunization program and a professor at the Emory Vaccine Center. “My fear is people will act emotionally and not get vaccinated....My fear is that people misinterpret this and say, ‘Aha, see the vaccine is dangerous,’ when in fact there’s no science data to support that hypothesis at all.”</p><section class="c-interstitialLink b-margin-bottom-d40-m20"><span class="prefix">Explore</span><a class="headline" href="https://www.ajc.com/sports/hank-aaron-news/" target="_self">Full coverage: Remembering Hank Aaron</a></section><p class="story-text " data-index="15">Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota, said the proximity of Aaron’s death to such a highly publicized vaccine is a “teaching moment” for public health officials to use facts to calm people’s fears. He said in a program where millions of older Americans and those with serious health conditions are being vaccinated, some are going to die of heart attacks, strokes and other causes that have nothing to do with a vaccine.</p><p class="story-text " data-index="16">“We have to have the public understand that all of these events in life occur on a routine basis,” he said. “And that, coincidentally, they’re going to occur in the same time period that a vaccine would occur...And they have nothing to do with the vaccination any more than if they had, you know, taken a ride in a car the day before — the car had nothing to do with it.”</p><p class="story-text " data-index="17">The World Health Organization this week released findings after a series of deaths in elderly people with severe illness in nursing homes in Norway caused concerns about vaccination, but the review <a href="https://www.bloomberg.com/news/articles/2021-01-22/pfizer-vaccine-safe-for-elderly-despite-norway-scare-who-says" target="_blank">didn’t find evidence that the Pfizer vaccine caused the deaths. </a></p><p class="story-text " data-index="18">Dr. Carlos del Rio, an infectious disease expert at Emory School of Medicine, said the much bigger risk to frail, older people is the coronavirus. “We have 4,000 (COVID-19) deaths every day in our country,” he said. “We need to put things in perspective. I’m more afraid of COVID than I am the vaccine.”</p><div class="MP03 arc_ad b-margin-bottom-d30-m20 "></div><div class="RP09 arc_ad b-margin-bottom-d30-m20 "></div><p class="story-text " data-index="21">Aaron, who was 86, suffered from arthritis and had a partial hip replacement after falling in 2014, and he used a wheelchair at the Morehouse event.</p><p class="story-text " data-index="22">Andrew Young, a former ambassador and Atlanta mayor, got his vaccine shot that day with Aaron. Young and others interviewed Friday said they have not had any severe reactions to the shot. Young, 88, who worked alongside the Rev. Martin Luther King Jr. during the civil rights movement, said he’s taken vaccines all his life and remains confident in their safety.</p><p class="story-text " data-index="23">Young said of Aaron, “It was his time, and he has made a great contribution to this city and nation and to baseball as well.”</p><section class="c-interstitialLink b-margin-bottom-d40-m20"><span class="prefix">Explore</span><a class="headline" href="https://www.ajc.com/news/coronavirus/" target="_self">Full coverage: Coronavirus vaccine and pandemic updates</a></section></div></div></div></span><span data-pagezone="post-article-body"><div class="c-section full-width b-clear-both"></div><div class="c-section full-width b-clear-both"><div class="c-blogAuthor b-margin-bottom-30 multiple-authors"><p class="blogAuthor-title">About the Authors</p><div class="blog-author-content"><div class="b-flexRow blog-author-content-heading has-image"><a href="/staff/brad-schrade/" rel="author"><div class="content-profileImage"><div class="c-image-component image-landscape"><div class="image-component-image "><div class="enlargeImage-wrapper"><div class="lazyload-wrapper"><img src="https://www.ajc.com/resizer/v2/https%3A%2F%2Fauthor-service-images-prod-us-east-1.publishing.aws.arc.pub%2Fajc%2F2c49f02b-0851-4082-9995-82690b4448c6.png?auth=fbed7fd924b16d770ed6f1247048c7a9d7e42b6f26768aa08521707680e47ff6&width=200&height=200&smart=true" alt="ajc.com" width="200" height="200" class=" square-image " style="display:none" fetchpriority="auto"/><div class="c-placeholder" style="display:flex;aspect-ratio:1;max-width:12.5rem;max-height:12.5rem;object-fit:cover;background:#f8f8f8;justify-content:center;align-items:center"><img alt="Placeholder Image" src="/pf/resources/logos/AJC/placeholder.svg?d=1836" style="width:20%;box-shadow:none"/></div></div></div></div></div></div></a><div class="content-authorName"><a href="/staff/brad-schrade/" rel="author">Brad Schrade</a><div class="content-authorSocial"><a href="https://www.facebook.com/BradSchrade/"><img src="/pf/resources/images/facebook-burger.svg?d=1836" alt="Follow Brad Schrade on facebook" width="17" height="17"/></a><a href="https://twitter.com/bradschrade"><img src="/pf/resources/images/twitter-burger.svg?d=1836" alt="Follow Brad Schrade on twitter" width="17" height="17"/></a></div></div></div></div><div class="blog-author-content"><div class="b-flexRow blog-author-content-heading has-image"><a href="/staff/eric-stirgus/" rel="author"><div class="content-profileImage"><div class="c-image-component image-landscape"><div class="image-component-image "><div class="enlargeImage-wrapper"><div class="lazyload-wrapper"><img src="https://www.ajc.com/resizer/v2/https%3A%2F%2Fs3.amazonaws.com%2Farc-authors%2Fajc%2Fffa71f30-bb92-4e59-821f-a8ff9a443a97.jpg?auth=9ce515d8654b06033f9c0cd21fa3976e7732d9fef359d95347f63c2fefd50e37&width=200&height=200&smart=true" alt="ajc.com" width="200" height="200" class=" square-image " style="display:none" fetchpriority="auto"/><div class="c-placeholder" style="display:flex;aspect-ratio:1;max-width:12.5rem;max-height:12.5rem;object-fit:cover;background:#f8f8f8;justify-content:center;align-items:center"><img alt="Placeholder Image" src="/pf/resources/logos/AJC/placeholder.svg?d=1836" style="width:20%;box-shadow:none"/></div></div></div></div></div></div></a><div class="content-authorName"><a href="/staff/eric-stirgus/" rel="author">Eric Stirgus</a><div class="content-authorSocial"><a href="https://twitter.com/escoopstirgus"><img src="/pf/resources/images/twitter-burger.svg?d=1836" alt="Follow Eric Stirgus on twitter" width="17" height="17"/></a></div></div></div></div></div><div class="b-flexRow b-flexColumn -mobile"><div class="endOfStory c-theLatest"><div class="mostReadTitle">The Latest</div><div class="c-homeLeadContainer left-photo-no-photo-display-class one-column"><div class="column-1"><div class="c-homeList false left-photo "><a href="/lifestyles/health/coronavirus-cold-the-flu-here-how-tell-the-difference/037KoqehuwDb2HGhtDNutO/" class="homeList-image"><div class="c-image-component image-landscape"><div class="image-component-image "><div class="enlargeImage-wrapper"><div class="lazyload-wrapper"><img alt="What's the difference between the coronavirus, the cold and influenza?" width="80" height="80" class=" square-image " style="display:none" fetchpriority="auto"/><div class="c-placeholder" style="display:flex;aspect-ratio:1;max-width:5rem;max-height:5rem;object-fit:cover;background:#f8f8f8;justify-content:center;align-items:center"><img alt="Placeholder Image" src="/pf/resources/logos/AJC/placeholder.svg?d=1836" style="width:20%;box-shadow:none"/></div></div></div></div></div></a><div class="homeList-text"><div class="label-row"></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/lifestyles/health/coronavirus-cold-the-flu-here-how-tell-the-difference/037KoqehuwDb2HGhtDNutO/" class=" trending-tease-story">Coronavirus, cold or the flu? Here’s how to tell the difference</a></div></div></div><div class="c-homeList false no-photo "><div class="homeList-text"><div class="label-row"></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/news/coronavirus/coronavirus-in-georgia-covid-19-dashboard/ZFV75OKLSRELZMAHH3AXW3XK7Y/" class=" trending-tease-story">UPDATED: Coronavirus in Georgia: COVID-19 Dashboard</a></div></div></div><div class="c-homeList false no-photo "><div class="homeList-text"><div class="label-row"></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/news/coronavirus/as-pandemic-ends-so-could-your-medicaid-coverage-what-to-know-in-georgia/SYGHK7GLQVHXVLP3D5RHWYKVQ4/" class=" trending-tease-story">As pandemic ends, so could your Medicaid coverage: What to know in Georgia</a></div></div></div></div></div></div><div class="endOfStory"><div class="mostReadTitle">Featured</div><div class="c-homeLeadContainer left-photo-no-photo-display-class one-column"><div class="column-1"><div class="c-homeList false left-photo "><a href="/news/atlanta-news/cold-blast-heads-to-metro-atlanta-flurries-possible-in-ne-georgia/WGAWJTKOM5DLHGKVVFAZTJSU34/" class="homeList-image"><div class="c-image-component image-landscape"><div class="image-component-image "><div class="enlargeImage-wrapper"><div class="lazyload-wrapper"><img src="https://www.ajc.com/resizer/v2/F3C6DQHLFZDVJPU7ROH4OLZ6SE.JPEG?auth=1d401b2fd6f8b90ce63599dc52436eda6b211b356532db5034d8d88759d953d4&width=160&height=160&smart=true" alt="Jacqueline Walker tries to stay warm at the Marietta Transfer Center on a chilly morning on Friday, November 22, 2024." width="160" height="160" class=" square-image " style="display:none" fetchpriority="auto"/><div class="c-placeholder" style="display:flex;aspect-ratio:1;max-width:10rem;max-height:10rem;object-fit:cover;background:#f8f8f8;justify-content:center;align-items:center"><img alt="Placeholder Image" src="/pf/resources/logos/AJC/placeholder.svg?d=1836" style="width:20%;box-shadow:none"/></div></div><p class="photo-credit-text">Credit: John Spink/Atlanta Journal-Constitution </p></div></div></div></a><div class="homeList-text"><div class="label-row"><div class="c-headline-label">WEATHER</div></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/news/atlanta-news/cold-blast-heads-to-metro-atlanta-flurries-possible-in-ne-georgia/WGAWJTKOM5DLHGKVVFAZTJSU34/" class=" trending-tease-story">Bundle up! Metro Atlanta temps dip into the 30s for first time this season</a></div></div></div><div class="c-homeList false no-photo "><div class="homeList-text"><div class="label-row"></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/news/atlanta-news/parents-sue-georgia-funeral-home-and-cemetery-after-babys-remains-go-missing/2NVWSTVURVA4XOISYG5NY2XXSU/" class=" trending-tease-story">They buried their baby girl in Augusta. Now her remains are missing</a></div></div></div><div class="c-homeList false no-photo "><div class="homeList-text"><div class="label-row"></div><div class="c-label-wrapper"></div><div class=" headline }"><a href="/things-to-do/things-to-do-in-atlanta-this-weekend-nov-22-24/Y4QM323HXJASJG6FMVQVGNS7FA/" class=" trending-tease-story">15 things to do this weekend: Tree lights, snowball fights, more delights</a></div></div></div></div><div class="column-2"></div></div></div></div></div></span></div></article><span data-pagezone="post-article-body"><div class="c-pb-content"><div data-fusion-lazy-id="f0fbLB5pDvgVGs"></div></div><div class="lazyload-wrapper "><div class="c-placeholder-boap"></div></div><div class="c-exp-bottomBanner b-exp-fixed"></div></span></main><div class="footer-wrapper"><div class="c-backToTop"><div><svg width="21" height="21" viewBox="0 0 21 21" fill="none" xmlns="http://www.w3.org/2000/svg"><rect x="0.0654297" y="0.96875" width="20" height="20" rx="10" fill="white"></rect><path d="M14.9697 13.4209L10.0654 8.5166L5.16113 13.4209" stroke="#282828" stroke-width="2.08" stroke-linecap="round" stroke-linejoin="round"></path></svg></div></div><footer class="c-footer b-clear-both"><template></template><div class="c-loadingSpinner"></div></footer></div><button id="ot-sdk-btn" class="ot-sdk-show-settings" style="display:none">Cookie Settings</button></div><script id="fusion-metadata" type="application/javascript">window.Fusion=window.Fusion||{};Fusion.arcSite="ajc";Fusion.contextPath="/pf";Fusion.deployment="1836";Fusion.globalContent={"_id":"EGTRQS6DZZG3RGGRMZZFQ5IXLM","canonical_url":"/news/coronavirus/health-experts-urge-confidence-in-vaccine-after-superstars-death/EGTRQS6DZZG3RGGRMZZFQ5IXLM/","content_elements":[{"_id":"2I7G7LO6KJFMZCJCG5KCNC25UU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133491},"content":"When Hank Aaron and other African American leaders invited reporters to watch them receive COVID-19 immunization shots on Jan. 5, the baseball legend said he did so to help spread the word to millions that the vaccine is safe."},{"_id":"55YIOB2ABZA25BTUQLR3PO4KKM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133492},"content":"“It felt good,” <a href=\"https://www.ajc.com/education/atlanta-civil-rights-legends-line-up-to-get-covid-19-vaccine/Y7DNIRPEHFH4XOP4AID5KP527Q/\" target=_blank>Aaron said</a> afterward at the Morehouse School of Medicine, where the event was held."},{"_id":"R4DARBYRONGMZDDVXPYKYNDAME","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133493},"content":"Now, just over two weeks later, public health experts and some of the Black leaders with Aaron that day worry that an event that drew so much publicity could inadvertently serve to undermine confidence in the vaccine. Within minutes of news breaking Friday morning of the baseball great’s death, those with doubts about the vaccine turned to social media to try to draw a connection to Aaron’s recent immunization."},{"_id":"Y6HH275F4ZBYBJZCMRF7TNFYCE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133494},"content":"That worries Joe Beasley, one of the activists who received the Moderna vaccine shot alongside Aaron. “I hope this won’t have a chilling effect on our people,” said Beasley, 84. “We can’t afford it because too many people are dying (from COVID-19).”"},{"_id":"Y6HH275F4ZBYBJZCMRF7TNFYCE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133494},"content":"A cause of death was not announced, but the Braves said Aaron died peacefully in his sleep."},{"_id":"3477VOW5HNE6ZLPMYMT27YMZ3M","type":"interstitial_link","additional_properties":{"_id":"GMUXZS6CVFATFO6N2HG7PDT5AY","comments":[]},"url":"https://www.ajc.com/sports/atlanta-braves/toomey-aaron-death-not-covid-related/W7AWAMTOLVDNPDUNOQI3ASVQHE/","content":"Georgia's top public health official says Hank Aaron's death was not related to his recent COVID vaccine"},{"_id":"AXYJYMXP4NCO5FP4SMGAEOLTYY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611702919635},"content":"Public health officials have been girding for weeks to fend off rumors and questions about vaccine safety, especially in the age of social media where unsubstantiated claims can be challenging to tamp down. In some parts of Georgia, fewer than half of health care workers and nursing homes aides are getting vaccinated out of safety concerns."},{"_id":"2K6BCCASGRCQLPUJPQ3LQVJ6BY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133497},"content":"The vaccine reluctance is fueled in part by the speed with which the Moderna and Pfizer<b> </b>vaccines were developed and authorized, although the clinical trials that took place last year involved tens of thousands people and were approved by the U.S. Food and Drug Administration."},{"_id":"7QNOIXUPCFGXNAN77PSBTSSBNU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133498},"content":"“All the data in these huge clinical trials did not support a role for vaccine in causing death,” said Dr. Walter A. Orenstein, a former director at the CDC’s immunization program and a professor at the Emory Vaccine Center. “My fear is people will act emotionally and not get vaccinated....My fear is that people misinterpret this and say, ‘Aha, see the vaccine is dangerous,’ when in fact there’s no science data to support that hypothesis at all.”"},{"_id":"EQCPQHPKQJE7NHQ56JJPJUWVTY","type":"interstitial_link","additional_properties":{"_id":"FPM5DGJCMJD7ZNYBCEYWPKTUVI","comments":[]},"url":"https://www.ajc.com/sports/hank-aaron-news/","content":"Full coverage: Remembering Hank Aaron"},{"_id":"BHLGH5MXOJDC3D3GEIRANUIV6Q","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133499},"content":"Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota, said the proximity of Aaron’s death to such a highly publicized vaccine is a “teaching moment” for public health officials to use facts to calm people’s fears. He said in a program where millions of older Americans and those with serious health conditions are being vaccinated, some are going to die of heart attacks, strokes and other causes that have nothing to do with a vaccine."},{"_id":"J6JWSBUXVNAOJGB7BTLCJQCZ74","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133500},"content":"“We have to have the public understand that all of these events in life occur on a routine basis,” he said. “And that, coincidentally, they’re going to occur in the same time period that a vaccine would occur...And they have nothing to do with the vaccination any more than if they had, you know, taken a ride in a car the day before — the car had nothing to do with it.”"},{"_id":"PUBPDQHBG5CUDKSA65FUFUJBZ4","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133501},"content":"The World Health Organization this week released findings after a series of deaths in elderly people with severe illness in nursing homes in Norway caused concerns about vaccination, but the review <a href=\"https://www.bloomberg.com/news/articles/2021-01-22/pfizer-vaccine-safe-for-elderly-despite-norway-scare-who-says\" target=_blank>didn’t find evidence that the Pfizer vaccine caused the deaths. </a>"},{"_id":"77OONJR3WNBTFMRWCMBHR7YSZU","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611357373603},"content":"Dr. Carlos del Rio, an infectious disease expert at Emory School of Medicine, said the much bigger risk to frail, older people is the coronavirus. “We have 4,000 (COVID-19) deaths every day in our country,” he said. “We need to put things in perspective. I’m more afraid of COVID than I am the vaccine.”"},{"_id":"Y6HH275F4ZBYBJZCMRF7TNFYCE","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133494},"content":"Aaron, who was 86, suffered from arthritis and had a partial hip replacement after falling in 2014, and he used a wheelchair at the Morehouse event."},{"_id":"RQJV7IRMI5GKNH4HGIRDJNBJZM","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611356412303},"content":"Andrew Young, a former ambassador and Atlanta mayor, got his vaccine shot that day with Aaron. Young and others interviewed Friday said they have not had any severe reactions to the shot. Young, 88, who worked alongside the Rev. Martin Luther King Jr. during the civil rights movement, said he’s taken vaccines all his life and remains confident in their safety."},{"_id":"4KEV5ZQT5VCE7LENZEBIDDVRUY","type":"text","additional_properties":{"comments":[],"inline_comments":[],"_id":1611355133504},"content":"Young said of Aaron, “It was his time, and he has made a great contribution to this city and nation and to baseball as well.”"},{"_id":"7M6CABHJ3ZAHJGMOGDUMKZRJBA","type":"interstitial_link","additional_properties":{"_id":"VLRSWTMD6JEPROQJR63HVZSHP4","comments":[]},"url":"https://www.ajc.com/news/coronavirus/","content":"Full coverage: Coronavirus vaccine and pandemic updates"}],"credits":{"by":[{"_id":"brad-schrade","type":"author","version":"0.5.8","name":"Brad Schrade","image":{"url":"https://author-service-images-prod-us-east-1.publishing.aws.arc.pub/ajc/2c49f02b-0851-4082-9995-82690b4448c6.png","version":"0.5.8"},"description":"Brad Schrade is a Pulitzer Prize-winning reporter on the AJC’s investigative team.","url":"/staff/brad-schrade/","social_links":[{"site":"email","url":"brad.schrade@ajc.com"},{"site":"facebook","url":"https://www.facebook.com/BradSchrade/"},{"site":"twitter","url":"https://twitter.com/bradschrade"},{"site":"linkedin","url":"https://www.linkedin.com/in/schrade-brad-9460545/"}],"socialLinks":[{"site":"email","url":"brad.schrade@ajc.com","deprecated":true,"deprecation_msg":"Please use social_links."},{"site":"facebook","url":"https://www.facebook.com/BradSchrade/","deprecated":true,"deprecation_msg":"Please use social_links."},{"site":"twitter","url":"https://twitter.com/bradschrade","deprecated":true,"deprecation_msg":"Please use social_links."},{"site":"linkedin","url":"https://www.linkedin.com/in/schrade-brad-9460545/","deprecated":true,"deprecation_msg":"Please use social_links."}],"additional_properties":{"original":{"_id":"brad-schrade","byline":"Brad Schrade","org":"ajc","email":"brad.schrade@ajc.com","affiliations":"The Atlanta Journal-Constitution","role":"Investigative reporter","status":true,"bio":"Brad Schrade is a Pulitzer Prize-winning reporter on the AJC’s investigative team.","firstName":"Brad","lastName":"Schrade","longBio":"Brad Schrade is a Pulitzer Prize-winning reporter on the AJC’s investigative team. He is an Atlanta native and a graduate of the University of Georgia with more than 20 years of experience as a journalist. Brad has written extensively about police misconduct, abuse of aged and vulnerable citizens, and government accountability. He was part of the team that investigated Georgia's senior care homes in 2019 in the \"Unprotected\" series. That led to legislative reform in 2020 to increase protections for Georgia's seniors. A series he did with Channel 2 Action News detailing police shootings across Georgia led to legislative reform of the state’s grand jury system in 2016. Previously, he worked as an investigative reporter and editor for The Tennessean in Nashville. Brad was on a team at the Minneapolis Star Tribune awarded the 2013 Pulitzer in local reporting for a series on safety failures that harmed children in Minnesota’s daycare system. Brad welcomes news tips and comments from readers. He can be reached by phone at 404-526-2875 or by email at . 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popping up almost regularly, many people might be wondering how they can tell the difference between thecoronavirus and two other viruses that typically spread during this time of the year: the common cold and influenza."},{"_id":"ZCGZ2CUUCREPLGOJSHNLFR3HRY","additional_properties":{"inline_comments":[],"comments":[],"_id":1641568953814},"type":"text","content":"Experts say testing is the best way to determine what you have since symptoms of the illnesses can overlap, the Associated Press reported. The viruses that cause colds, the <a href=\"https://apnews.com/article/coronavirus-pandemic-science-flu-centers-for-disease-control-and-prevention-health-6fb6cb6a390247503784583bead12fe2\" target=\"_blank\">flu</a> and COVID-19 are spread the same way — through droplets from the nose and mouth of infected people. They can all also be spread before a person realizes they’re infected."},{"_id":"AOEW6COB4ZGYTEUFYX6N2GZI5U","additional_properties":{"comments":[],"_id":"JHXURYBWKFFQ5ID4ETDWLRKFMU"},"type":"interstitial_link","content":"Just in time for the holidays: COVID-19, flu, RSV make their return","url":"https://www.ajc.com/news/health-news/just-in-time-for-the-holidays-covid-19-flu-rsv-make-their-return/ICMZ4X3OV5EXPKMOZWVCL5EN2E/"},{"_id":"E5ECSKSGPRFOLN5KGHYKDAWGNI","additional_properties":{"inline_comments":[],"comments":[],"_id":1641568953816},"type":"text","content":"The time varies for when someone with any of the illnesses will start feeling sick. Some people infected with the coronavirus experience no symptoms, but it’s still possible for them to spread it."},{"_id":"MVMSLBODHZC3FDJXTQJ3VD5WVY","additional_properties":{"inline_comments":[],"comments":[],"_id":1641568953817},"type":"text","content":"Cough, fever, tiredness and muscle aches are common to both the flu and COVID-19, Kristen Coleman, assistant research professor at the University of Maryland School of Public Health, told the Associated Press last year. Symptoms specific to COVID-19 include the loss of taste or smell."},{"_id":"LKWDMWA27NGRVE7N4AQEUKUVGA","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194249},"type":"text","content":"<b>What is the flu?</b>"},{"_id":"C3TGRG2VBVGWROTIN2RYU7PEBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194250,"class":["p"]},"type":"text","content":"The flu, or influenza, stems from four types of viruses: A, B, C and D. It’s influenza viruses A and B that cause the flu season each year, <a href=\"https://www.cdc.gov/flu/about/viruses/types.htm\" target=\"_blank\">according to the Centers for Disease Control and Prevention</a>. C viruses typically lead to mild illness and are not thought to be a part of the annual flu epidemic. D viruses, meanwhile, are not known to infect or cause human illness; they primarily affect cattle."},{"_id":"MB4A5NLAYJAK5I6ZAHSNZMOEFA","additional_properties":{"comments":[],"_id":"DSD5TIQFHNC3ZHR32RAFBU6T3A"},"type":"interstitial_link","content":"COVID-19 infections continue rising in Georgia","url":"https://www.ajc.com/news/health-news/covid-19-infections-continue-rising-in-georgia-hospitalizations-up-30/JUV2TKTSIVDZ7GNZZXJXZEHCFY/"},{"_id":"4X75ODBBSZAQ3BW74GA3ZAO32Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194251},"type":"text","content":"<b>What is a cold?</b>"},{"_id":"ZEMDMPLBTRBRHCD7SOVCKRAEY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194252,"class":["p"]},"type":"text","content":"The CDC reports a cold <a href=\"https://www.cdc.gov/dotw/common-cold/index.html\" target=\"_blank\">can be caused</a> by many viruses, but the primary cause comes from rhinoviruses."},{"_id":"QTMKEW5LKFD7RNE5PYUZ3E326M","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194253},"type":"text","content":"The symptoms for both viruses present some overlap, but there are a few differences between the two."},{"_id":"RQHX72UM7ZFSNOWVBZT5I5T2WA","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194255},"type":"text","content":"<b>Coronavirus symptoms typically start gradually include the following, </b><a href=\"https://www.who.int/news-room/q-a-detail/q-a-coronaviruses#\" target=\"_blank\"><b>according to WHO</b></a><b>:</b>"},{"list_type":"unordered","_id":"XXZ7KGYET5AKRMGQADBUXDUBVU","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"type":"list","items":[{"_id":"T6X5WMMNXBBADHU5PTDZOSG4DI","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"tiredness"},{"_id":"4WJFZ7HLSZAAPFA5X6XI4EIDWQ","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"dry cough"},{"_id":"SP4EYQRPNJCNJBVRRBGSG7H3RM","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"fever"}]},{"_id":"3H6WJLUWVZHEZNPS4XKHBF3SGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1702928552115},"type":"text","content":"Some people may experience the following:"},{"list_type":"unordered","_id":"PJY7CNKJXNEQPM2PDEKQSRBGIE","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"type":"list","items":[{"_id":"KIEWGOOAUVB6NCB7W4RWZNVXJU","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"aches and pains"},{"_id":"OVB37PFEA5GGRGPZILHR5V6E2Y","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"nasal congestion"},{"_id":"4OAZOMKUJJFKJJ7TDKI2HPIFYU","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"runny nose"},{"_id":"K6QENNZHXRADZN6SLTCFWUXESE","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"sore throat"},{"_id":"IEDKSOEQZVEWDGJHC434DRFZNM","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"diarrhea"}]},{"_id":"7S25VW7K7RGNPAMUAUN7QBBTQ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194260},"type":"text","content":"Symptoms are typically mild, according to WHO, with the <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/children-faq.html\" target=\"_blank\">CDC saying</a> that is also typically the case with children. Sometimes, people become infected but show no symptoms or feel unwell. One in six people infected with COVID-19 falls seriously ill and experiences trouble breathing. However, older people and those with underlying illnesses — including heart issues, diabetes or high blood pressure — are more likely to develop serious illness."},{"_id":"L4J2EA2FRBBN7HTJYFF5NL6J6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194262},"type":"text","content":"<b>Flu symptoms begin abruptly and include the following, </b><a href=\"https://www.cdc.gov/flu/symptoms/symptoms.htm\" target=\"_blank\"><b>according to the CDC:</b></a>"},{"list_type":"unordered","_id":"2VT7XY2IY5ES3CZNYWWQGQSR5E","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"type":"list","items":[{"_id":"37CU5LKQRNHV3I643WCE3KVJME","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"cough"},{"_id":"Q6U635JLUJDV3PQNZCSGJCKNZU","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"sore throat"},{"_id":"ISS2N5IFZFGW3HVJGY2W6MJCXM","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"runny or stuffy nose"},{"_id":"BZ2MZABJERHIXL5IKTYASKTABU","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"muscle or body aches headaches"},{"_id":"RCYUSPGJIJCGJGOVRE2WTD4HFA","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"fatigue/tiredness"},{"_id":"QCAF5CK7KFHX7EL4VDTUNXGS2Y","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"fever"},{"_id":"Z3S6TL2TMNC4ZKN3ISNXKLA4UY","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"chills"}]},{"_id":"5MUBM2VUUBGIBKIKWJRCSML75Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194264},"type":"text","content":"Some people may experience vomiting and diarrhea, but it is more common in children than in adults, according the agency. <a href=\"https://www.cdc.gov/flu/treatment/index.html\" target=\"_blank\">Antiviral drugs can</a> lessen symptoms and shorten the duration of the flu by one or two days. Additionally, the drugs can prevent serious complications from the infection, including pneumonia. People who are at higher risk of flu complications can be treated with antiviral medication, which can potentially mean the difference between milder or a more serious illness."},{"_id":"3YBSMYJA7FFAJOUJAUOVSQKUWU","additional_properties":{"comments":[],"_id":"A5E3QV4TP5HBFPPP5Y4MO3NF24"},"type":"interstitial_link","content":"Complete coverage of COVID-19 in Georgia","url":"https://www.ajc.com/news/coronavirus/"},{"_id":"AYLUDBGWKJECVHWIQSWPM72YC4","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194265},"type":"text","content":"<b>Cold symptoms begin gradually and include the following, </b><a href=\"https://www.cdc.gov/features/rhinoviruses/index.html\" target=\"_blank\"><b>according to the CDC:</b></a>"},{"list_type":"unordered","_id":"FCRY3QI2AVA6XDERVHRHBGXCHQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"B7EWXYPL3ZBKJJEWIVABMMYRDA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"coughing"},{"_id":"OHUYMWUAMFGSBJF2VPFYF3GJOI","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"sneezing"},{"_id":"E2PLSDQPDJAIPK5VKKIJHDBU3A","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"runny nose"},{"_id":"RGWYGBGSJ5D4NGVNTPONHMFE3A","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"sore throat"},{"_id":"MWEE2VETKVGJ5LK6P42V6YN7GY","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"body aches"},{"_id":"ZI2PUY5EBREIFP3PGSE5RDQZHQ","additional_properties":{"inline_comments":[],"comments":[],"class":["p"]},"block_properties":{},"type":"text","content":"headaches"}]},{"_id":"YH7IDKEVQJCXJKQBPQMDCLOWSU","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194267},"type":"text","content":"There’s no cure for the cold, and most people recover in seven to 10 days, <a href=\"https://www.cdc.gov/features/rhinoviruses/index.html\" target=\"_blank\">according to</a> the agency. Still, for people with respiratory illnesses like asthma or weakened immune systems, the CDC said it’s possible to develop serious illnesses like pneumonia or bronchitis. People with a cold are encouraged to drink lots of fluids and get plenty of rest. Over-the-counter medicines can also provide comfort, but they won’t shorten the duration of a cold."},{"_id":"SLTVONGXZZA4BBKPEO3SUTQVGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1641564194268},"type":"text","content":"Anyone who experiences the above symptoms should check with their doctor."}],"display_date":"2023-12-18T15:34:39.174Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/8b77a693-f739-4e5f-8074-c7d673fda15f.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"kiersten.willis@coxinc.com"}],"social_links":[{"site":"email","url":"kiersten.willis@coxinc.com"}],"name":"Kiersten Willis","description":"Kiersten Willis is a native advertising specialist for the revenue content team with the AJC.","_id":"kiersten-willis","additional_properties":{"original":{"lastName":"Willis","image":"https://s3.amazonaws.com/arc-authors/ajc/8b77a693-f739-4e5f-8074-c7d673fda15f.png","role":"Sponsorship & Native Specialist","education":[],"longBio":"Kiersten Willis is a native advertising specialist for the revenue content team with the AJC. 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Hartsfield-Jackson International Airport expects to handle 1.6 million passengers over the Labor Day travel period from Thursday through Tuesday, Sept. 6. The Atlanta airport said Friday is likely to be the busiest day of the travel period, with more than 300,000 passengers expected. Airport officials advise travelers to be in the airport terminal at least two hours before departure. The airport’s forecast indicates bigger crowds for Labor Day than last year, when travel was stymied by the spread of the delta variant of COVID-19 and the holiday period drew about 1.3 million passengers. Other busier holiday weekends have brought larger crowds this summer, including Memorial Day and the Fourth of July. Atlanta-based Delta Air Lines and other carriers have struggled to keep flights operating on time when weather disruptions threw schedules into disarray, causing flight cancellations and travel disruptions during some of the busiest periods. 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Everyone on Medicaid was automatically extended for three years during the federal pandemic emergency, but the annual verification system is about to start back up."},{"_id":"YHL67TJAFVCG3LTZFFB2LR3ADA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680523420396},"type":"text","content":"Most Medicaid enrollees will either reapply and continue their Medicaid insurance, or switch to another kind of insurance. But some, as many as 128,000 by one estimate, will be dropped off Medicaid and wind up uninsured. Experts expect a substantial number to drop off who are actually eligible for coverage, just because of mistakes or bureaucracy. One of the most common destinations for new insurance, the Affordable Care Act’s marketplace exchange, requires individuals to proactively apply."},{"_id":"N7EXGZI7SJGL7G3I3F43NGYP6E","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264709},"type":"text","content":"Here are some tips, phone numbers and resources to help through the process."},{"level":2,"_id":"GGKPKCL7XVGAJI7K2AJ4TH2NCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264710},"type":"header","content":"<b>WHEN</b>"},{"_id":"UUS52U46FBEYTKQMHF3XPAQIMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264711},"type":"text","content":"The overall process of Medicaid reapplications, technically called “redetermination,” is expected to get rolling in large numbers on April 1. It will happen in spurts and last for 14 months. (There are reports that a few Medicaid enrollees have gotten their letters early, but those are outliers.)"},{"_id":"7TGLSNM7EJE7PKTZ5NJFMPSHPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264712},"type":"text","content":"Georgia has more than 2 million people on Medicaid now, and the agencies in charge of the process plan to go through them in batches, taking up batch after batch over the course of 14 months."},{"_id":"E6ZRVLBJSBCK5O2MB7S2H5F434","additional_properties":{"comments":[],"_id":"BVBV3NZ3FBH5PBBWIGQMKUFKVY"},"type":"interstitial_link","content":"End of pandemic relief to oust hundreds of thousands from Georgia Medicaid","url":"https://www.ajc.com/news/coronavirus/end-of-pandemic-relief-to-oust-hundreds-of-thousands-from-georgia-medicaid/6SSS33SR4ZBIRHEZFSAJLYODMU/"},{"_id":"3YFPZP6DCNFFHKG6TP4VMFCKSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264713},"type":"text","content":"Whenever each person is notified that it’s their time, they will have just over a month to submit their paperwork."},{"_id":"XHI7TJISFJHIDCOFTV6X32WYRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264714},"type":"text","content":"To know when their reapplication date is, Medicaid enrollees should go to their Gateway accounts. When a person has been put in a batch and assigned a reapplication deadline, the date should be posted there."},{"level":2,"_id":"XQZNX6F7PVFJ3OGEIWNWKJDCMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680125201979},"type":"header","content":"<b>WHO</b>"},{"_id":"3DYN5UXQ5FBHZMCHCAZKIVUIKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264716},"type":"text","content":"Georgia has 2.7 million Medicaid enrollees, according to Department of Community Health Commissioner Caylee Noggle. All of them must be re-verified. The state usually does this annually, but during the national pandemic Public Health Emergency, everyone who got on Medicaid was allowed to stay on, no matter what. Georgia’s Medicaid rolls grew by 41%."},{"_id":"BMHRCZYTE5BFDHBY3BXV422TJE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264717},"type":"text","content":"The redetermination process will be administered by the Georgia Department of Human Services, through its Division of Family and Children Services. Another state agency, the Department of Community Health, actually oversees Medicaid, but DFCS caseworkers run the eligibility services under contract to DCH. So paperwork and emails for reapplications will be coming from the DHS and DFCS. If they say “redetermination,” they’re talking about this application process."},{"level":2,"_id":"64HUGNRK5ZCH5FEIONZW52FYGY","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264718},"type":"header","content":"<b>HOW</b>"},{"_id":"475GSEFYEBGTHJRG4WL6Z42KCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264719},"type":"text","content":"Each person should check their Gateway account to make sure it has their correct contact information."},{"_id":"ZXSJPHHDNNFRLMKJZEUOOBOOS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264720},"type":"text","content":"People going through the process must make sure that DHS or DFCS can communicate with them. Some advocates are really worried about people with changed addresses, phones or emails falling through the cracks."},{"_id":"ZHCHPUKXXZESRPYDLT3E5X7OBQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264721},"type":"text","content":"Just because patients have been able to use their Medicaid insurance to see doctors, that doesn’t mean it’s in their Gateway account. Their doctor’s office may have received their new phone number or new email address or change of mailing address, but that doesn’t mean the doctor sent it to the Medicaid insurance company or that the insurance company sent it to Medicaid’s eligibility caseworkers at DFCS."},{"_id":"F7F56WEPANEXPOAVPI4L3AJM54","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264722},"type":"text","content":"The patient’s Gateway account, online on the internet, is the enrollee’s place to update and be updated."},{"_id":"FIZ4QZTW5ZEIHE6ZBAGTTOCVEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680523420411},"type":"text","content":"<b>If you don’t have internet to manage your Gateway account, or you’re helping someone who doesn’t:</b>"},{"list_type":"unordered","_id":"S37XTJBHHVAHZIKFYLKM4IHOM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264724},"type":"list","items":[{"_id":"BT4NXE4YORFCXAZXBDU2JKJJBA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264724},"block_properties":{},"type":"text","content":"Call DHS/DFCS at 1-877-GA-DHS-GO (1-877-423-4746)"}]},{"_id":"GC5YZD6GDRCTXA4ROVENXQNXM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264725},"type":"text","content":"<b>If you are hard of hearing, deaf-blind or have difficulty speaking:</b>"},{"list_type":"unordered","_id":"MA3MAHXZV5CIHJOIZV3LMVLHTM","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264726},"type":"list","items":[{"_id":"6GLEHQ7WINHBPECX3ZI2Z3YJ4E","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264726},"block_properties":{},"type":"text","content":"Call that number above by dialing 711 (Georgia Relay)"}]},{"_id":"GVF2UZMRNVBGZBONNIPSMPFKUI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264727},"type":"text","content":"<b>If you don’t have a phone or internet, or you’re helping someone who doesn’t:</b>"},{"_id":"TXW34JZ5AJFTBJVXLCK43GKY5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264728},"type":"text","content":"DFCS will accept a “point of contact,” another person besides the enrollee who can communicate on their behalf. But the enrollee must establish that person as their point of contact. In metro Atlanta, for example, the health care charity Mercy Care acts sometimes as a point of contact for its own patients."},{"level":2,"_id":"VFUFDYQSJZE6BOCQXSHFGZ3RYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264729},"type":"header","content":"<b>WHAT</b>"},{"_id":"KAJLKLY7JJBO3CPZ7CZ6EG5XGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264730},"type":"text","content":"When the process gets going, the enrollee should receive a letter or email or both — whichever method of communication they have designated as preferred in their Gateway account — with instructions."},{"_id":"PA6I33UJVZBCHGITGT6KEKXS7M","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264731},"type":"text","content":"The applicant will probably have to submit paperwork, including paperwork related to their income. Even if they have no income, they will have to submit proof that they have no income. There are expected to be instructions about that."},{"_id":"TA22U7WQJBHIDASKVVD6ADAOTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264732},"type":"text","content":"If the person is told they no longer qualify for Medicaid, they’ll have the opportunity to appeal."},{"_id":"PLSCOMUDQZGJ3KTHERN5OLIAWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264733},"type":"text","content":"One quirk: If they’re found to no longer be eligible this spring, there’s a possibility they might be eligible starting July 1. The state of Georgia might open up a new Medicaid program July 1 for people who perform certain activities like working at least 80 hours a month. That hasn’t been confirmed yet, though."},{"_id":"VFUFDYQSJZE6BOCQXSHFGZ3RYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264734},"type":"text","content":"<b>On the internet:</b>"},{"list_type":"unordered","_id":"EHVKYYA7CRDUBEBIMM2GKVA44I","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264735},"type":"list","items":[{"_id":"V5EQM6N7PZFC7FYYWIQMPR6ZBU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264735},"block_properties":{},"type":"text","content":"The Medicaid member’s Gateway account is ground zero for all this activity."},{"_id":"4GLTDWK34RDJ7C7C2ZXXJYJ6IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264736},"block_properties":{},"type":"text","content":"In addition, the state has set up a special website for the process, with sections for help and frequently asked questions: <a href=\"https://staycovered.ga.gov/\" target=\"_blank\">https://staycovered.ga.gov</a>"}]},{"_id":"3PW6J43BRJHPJESZBQPEW4E3EQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264737},"type":"text","content":"<b>In person:</b>"},{"_id":"OZFSXZJQXBCQDGKDRDYBVEMBWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264738},"type":"text","content":"Every county but one, Spalding, has a DFCS office. Not every office is open every day. To find a location and its hours, go to this link: <a href=\"https://dfcs.georgia.gov/locations\" target=\"_blank\">https://dfcs.georgia.gov/locations</a>"},{"_id":"FGBTS2GKKVFOBG2TVTOINOYOB4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264739},"type":"text","content":"However, if you want to just walk in, it depends on what you want to do."},{"_id":"OZFSXZJQXBCQDGKDRDYBVEMBWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264740},"type":"text","content":"DFCS offices accept paperwork being dropped off."},{"_id":"YMU4MEYB45BX5CUXVRSKUSWTQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264741},"type":"text","content":"But to get in-person help on a case or get questions answered, the applicant must make an appointment before going to the office, according to DFCS. For people who work unpredictable shift jobs, getting help by phone instead may be better."},{"level":2,"_id":"NCVTMU34NBF6FJESOQHDTIJPEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264742},"type":"header","content":"<b>WHAT ELSE? THE ACA</b>"},{"_id":"XZGU5ZS7S5AHBASGXXX6SPEXTU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264743},"type":"text","content":"If the person loses their Medicaid, they may be eligible for health insurance at no cost or low cost on the Affordable Care Act’s marketplace exchange, also known as Obamacare. The ACA usually allows people to enroll only in the fall, but people who are made to drop their health insurance are eligible for a special enrollment period."},{"_id":"H4Y5R3VAIVBG5FBT7BDUZUL2PU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264744},"type":"text","content":"ACA plans are only for people who make more than the federal poverty level. That’s at least $14,580 per year for an individual, for example, or $30,000 per year for a family of four. For these plans, the government steps in and subsidizes the coverage depending on the person’s income level so that the monthly premium and the copays are affordable."},{"_id":"TFXYE5MSUBCKHACY62VXAZDXMY","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264745},"type":"text","content":"The state is hoping to do a good job of letting people who get dropped from Medicaid know about the ACA resources, but it still helps to ask."},{"_id":"4E4RVWR6FFCWFDUUBWILJKYSJ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264746},"type":"text","content":"Here are some resources."},{"_id":"TUPOBY223ZFALNGUFQGI5NW3UA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264747},"type":"text","content":"<b>The Marketplace</b>"},{"list_type":"unordered","_id":"A7NVEHJZGZBD7DUXCRUQXG2CEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264748},"type":"list","items":[{"_id":"RHO5FIWMNBCI5BOTIMNGNMFTCU","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264748},"block_properties":{},"type":"text","content":"<a href=\"http://healthcare.gov/\" target=\"_blank\">Healthcare.gov</a> is the federal website where people can go to input their income level and household information, see the plans they would qualify for, and sign up for one. It also has a phone number with navigators: 1-800-318-2596. For the hearing-impaired TTY: 1-855-889-4325."},{"_id":"U6YTTEKNUVCNVB6NWUX3PPEYAI","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264749},"block_properties":{},"type":"text","content":"<a href=\"https://www.healthsherpa.com/\">Healthsherpa.com</a> is a privately run version of the federal marketplace. It only shows federally qualified ACA plans, and some ACA agents say it is easier to use than the federal site. They also have phone customer service at 1-855-772-2663."}]},{"_id":"K3G3JA7VI5C33LHEPNESLUVOM4","additional_properties":{"comments":[],"_id":"GQCRI5GRTZFIDL5R3MNH6J4GLI"},"type":"interstitial_link","content":"EARLIER IN THE AJC: ACA open enrollment begins for 2023 health insurance","url":"https://www.ajc.com/news/coronavirus/aca-open-enrollment-begins-tuesday-for-2023-health-insurance/26SCKIV4DJB3ZHW6TVS45B7WTU/"},{"_id":"TUPOBY223ZFALNGUFQGI5NW3UA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264751},"type":"text","content":"<b>Navigators</b>"},{"_id":"I2BSG3NR4FH7ZNXXJKDWPMEYRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264752},"type":"text","content":"“Navigator” is a special term for guides who are certified to help people sign up for ACA plans as well as to figure out if they qualify for something else like Medicare or Medicaid. Georgia has a number of offices for Navigators."},{"list_type":"unordered","_id":"TJRXKW4RFRFSLF4XYQW75MVXVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264753},"type":"list","items":[{"_id":"TKQ36I4PXBCR3B4QZTIQTXUK2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264753},"block_properties":{},"type":"text","content":"The Georgia Association for Primary Health Care (GAPHC, statewide): 1-844-442-7421"},{"_id":"D737E45SCNHULISXARMNYLBCCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264754},"block_properties":{},"type":"text","content":"Georgia Legal Services Program (Georgia ENROLL, only in 45 rural Georgia counties): 1-866-442-3676"},{"_id":"56RJDT75JZA5FHYWG4DQQY5BHY","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264755},"block_properties":{},"type":"text","content":"Mercy Care (Fulton and DeKalb counties): 678-843-8527"}]},{"_id":"DJ6HSYQYWZHONJI6AMLQW2BQ4Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264756},"type":"text","content":"<br/>"},{"_id":"STIAXEUWZZGUZGPLFJEFHUTINE","additional_properties":{"inline_comments":[],"comments":[],"_id":1680198264757},"type":"text","content":"<br/>"},{"_id":"KGUYMZLRH5CQXEMCTTSHH5AIKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1680125201980},"type":"text","content":"<br/>"}],"display_date":"2023-04-04T10:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act, technology, storms and transportation. She has been with the AJC since 2005. ","org":"ajc","affiliations":"The Atlanta Journal-Constitution","bio":"Ariel Hart is a reporter on health care issues. 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(Dreamstime/TNS)","type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OYGDEGR6PNOJ6PI52MRQAQRZOQ.jpg","height":2000}},"canonical_url":"/news/coronavirus/as-pandemic-ends-so-could-your-medicaid-coverage-what-to-know-in-georgia/SYGHK7GLQVHXVLP3D5RHWYKVQ4/","_id":"SYGHK7GLQVHXVLP3D5RHWYKVQ4"},{"content_elements":[{"_id":"WRJSJK6M2NH4TO5ZOX3YJPIIWE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679461968363},"type":"text","content":"On April 1, the clock starts ticking for hundreds of thousands of poor, disabled or elderly<b> </b>Georgians who face the loss of their Medicaid health insurance. The majority are children."},{"_id":"ERSMCT7QXBHM3I7QTEVGHEYMIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316045},"type":"text","content":"For three years, no one enrolled in the government program has had to renew their paperwork to prove that they still qualified. Existing cases automatically stayed on, and new enrollees were added in droves during the pandemic. The Medicaid rolls in Georgia swelled by 41%, according to the Georgia Budget and Policy Institute."},{"_id":"7QLU7MHO3BAKRDJY3A7I6WXNGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679461968364},"type":"text","content":"That is about to change. The<b> </b>emergency pandemic protections that were first enacted in March 2020 for Medicaid enrollees all across the country are now starting to expire. In Georgia, starting April 1,<b> </b> all who are currently insured by Medicaid must reapply to continue receiving benefits — a population totaling 2.7 million, according to Department of Community Health Commissioner Caylee Noggle."},{"_id":"4JJD3YLN7NCDPL5JHNNBAPQUMQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679579800068},"type":"text","content":"Those who don’t update their papers — or who no longer qualify — will be dropped from the program. Estimates of those at risk in Georgia range from 240,000 to 560,000."},{"_id":"C54T5PHPDRBJVCNZVLSHFLUPMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316047},"type":"text","content":"Those could include poor kids who have now turned 19 and aged out, and poor moms who had Medicaid because they were less than a year out from giving birth, but have passed that time boundary."},{"_id":"MPVTBCNAWZDMLE7R4W3SZXVHLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865383},"type":"text","content":"Others, perhaps 45% of the total disenrolled, <a href=\"https://aspe.hhs.gov/sites/default/files/documents/60f0ac74ee06eb578d30b0f39ac94323/aspe-end-mcaid-continuous-coverage.pdf\" target=\"_blank\">according to federal predictions</a>, will lose coverage for procedural reasons even though they’re still eligible. That could mean they didn’t reapply, or that they or Medicaid workers made a mistake, like using an outdated address to communicate."},{"_id":"VWQAVZ7V65ECFFLPPQZC5LVDDA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865384},"type":"text","content":"Analysts at the University of Chicago working with AHIP, the national advocacy group for insurance companies, estimated that 128,000 Georgians will be removed from Medicaid and simply wind up uninsured."},{"_id":"I625LTO7HJAAVGGDHZMKLUOQB4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680028955801},"type":"text","content":"AHIP predicted that the most common destination, for 49% of those disenrolled, would be to an employer-sponsored health plan. Others might enroll in plans on the Affordable Care Act marketplace, or in military plans."},{"_id":"OJBVFX32UVHHLK23IJ4TVCQQEU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316048},"type":"text","content":"Federal analysts expect as many as 17% of enrollees nationwide will no longer qualify. Many of those will find alternate coverage, for example in the subsidized ACA plans. <b> </b>But in Georgia, there is more risk than in other states that a disenrollee who makes less than the poverty level won’t have options for new coverage. Georgia is among a small number of states that do not offer Medicaid to all poor adults — only adults in certain circumstances."},{"level":2,"_id":"HAWI2XTAVJDTDLK7PRKJ33IUX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1680028955803},"type":"header","content":"“A huge undertaking”"},{"_id":"V22JKWYOZRHUVEHMMGSV6NU3II","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316049},"type":"text","content":"The looming process of re-certifying coverage for Georgia’s 2.7 million enrollees promises to be a formidable challenge for state officials."},{"_id":"M6HIJ767XNAWHITZLDBNCL4BEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679579800072},"type":"text","content":"“This is going to be a huge undertaking,” Caylee Noggle, commissioner of the Department of Community Health, told legislators earlier this year. Her agency oversees Medicaid in Georgia."},{"_id":"4RX6XVFYRJCK7NZMSPZM2URZEU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316050},"type":"text","content":"Some enrollees may <a href=\"https://www.ajc.com/news/state--regional-govt--politics/lawyers-georgia-may-medicaid-for-000-elderly-disabled-clients/BVkxukL3aenklu1FZN93VJ/\" target=\"_blank\">lose coverage through bureaucratic snafus</a>."},{"_id":"ULG33QOJRNBV3O75COXN7MZRDM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679461968366},"type":"text","content":"“I’m nervous,” said Laura Colbert, executive director of Georgians for a Healthy Future, a health care advocacy nonprofit."},{"_id":"V4XYPWXGMRBBLBZ3P6QH5LP2SM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865392},"type":"text","content":"“This is going to be the biggest coverage event since the implementation of the Affordable Care Act,” she said. “Our state agencies are historically not well resourced and can struggle to fulfill their mission... I’m concerned for Georgia families that policymakers have not invested enough resources, and as a result won’t be successful.”"},{"_id":"AIF7NQGB2NDFVCNBYACMSEFVZQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865393},"type":"text","content":"However, Colbert added, “I’ve also seen evidence that people with the state are being thoughtful, so that gives me some optimism as well.”"},{"_id":"TZPPOPYJRJEHDI74UBV7ZA27DQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865394},"type":"text","content":"Two state agencies have been preparing for months —The Department of Community Health, which oversees Medicaid, and the Division of Family and Children Services, whose staffers process eligibility cases under contract to DCH and make eligibility determinations."},{"_id":"ID2G3GPKLBBA5EAWHZ2BKG7VSQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194625},"type":"text","content":"While some enrollees will become uninsured, others won’t lose all hope of coverage, but will need to transition to something different if they make enough money. <b> </b>Those whose income exceeds the federal poverty level, $14,580 for an individual or $30,000 for a family of four, for example, can be referred to subsidized health plans under the Affordable Care Act that can be low-cost or free."},{"_id":"XBUFZURUYFF4BNH5BCOOSQL3BQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194627},"type":"text","content":"A spokeswoman for the agency that oversees DFCS, Kylie Winton, said the state is planning to spend “tens of millions” of dollars on the redetermination effort, perhaps $26 million in state and federal funds, when all is accounted for. That’s in addition to more funding that has been allocated to hire new eligibility caseworkers."},{"_id":"ZIO4H5RB3BBOTJQAZMSGDL52V4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865399},"type":"text","content":"The state has begun telling Medicaid enrollees to update their addresses in their online Medicaid account, called Gateway. There they may see the deadline date they’ve been assigned, which could be any time over 14 months. If they follow prompts and go to the state’s website, they’ll see messages about the coming need to re-apply. Just over a month before their date, they should receive a letter or email with details."},{"_id":"XKSEH6CDARHUDJAJKSDTJ5GPKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679579800078},"type":"text","content":"The state has prepared emails and letters to send to all enrollees, regardless of circumstances. It has spent money on new computer software, and has established a website with tips. It plans to take on the cases in batches, through March 2024. It has received state funding for 450<b> </b>new caseworkers to help handle the load. It has hired more than 270 new workers since January. “We would love any help amplifying our postings,” the department said in a statement, providing <a href=\"https://www.governmentjobs.com/careers/dhsgeorgia?department%5B0%5D=DFCS%20-%20Division%20of%20Family%20and%20Child%20Services&sort=PostingDate%7CDescending&pagetype=jobOpportunitiesJobs&jobId=3937165&jobName=economic-support-specialist-1-statewide-renewal-team&tab=1\" target=\"_blank\">a link</a>."},{"level":2,"_id":"VVLKGPLIPZD6VNRQA6CHQOKAE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316055},"type":"header","content":"Concerns"},{"_id":"PSXP7QSBEFEU7JREA6WFYVFY34","additional_properties":{"inline_comments":[],"comments":[],"_id":1679499811304},"type":"text","content":"Complications abound."},{"_id":"N4GB3HVONFCZFP2ZO7VIC3TGRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316057},"type":"text","content":"In addition to starting redeterminations this year, the state tentatively hopes to open up its new, limited expansion of Medicaid on July 1. If the program launches, those workers will have to administer a new set of eligibility requirements the state has never used before, including work and engagement requirements. The new program could end up adding 90,000 people to the Medicaid rolls, state officials have said."},{"_id":"LWCXLYNLVZHYJJLBMWPMNOHP3U","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316058},"type":"text","content":"What concerns Cynthia Gibson most in her job as an independent advocate is the possibility that people who should be on Medicaid will get kicked off because of a mistake either they make, or that the state makes in trying to reach them or process their casework."},{"_id":"WPC34QBJFNGLXAD2HAIA6RN2BE","additional_properties":{"comments":[],"_id":"GMVIN5KJPVCZFP5GZFGBEUXIRQ"},"type":"interstitial_link","content":"EARLIER IN THE AJC: 17,000 Georgians cut off from Medicaid face messy bureaucracy","url":"https://www.ajc.com/news/state--regional-govt--politics/000-georgians-cut-off-from-medicaid-face-messy-bureaucracy/la0pcJA3lBBq5oDAQntMSJ/"},{"_id":"AVA23P3E4RBQZM2726TSPBAWQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679705865406},"type":"text","content":"Gibson is an attorney who oversees help for Medicaid enrollees at the nonprofit Georgia Legal Services Program. When people get knocked off Medicaid, they get a notice that has her program’s phone number, among others. They call her staff, and her staff tries to resolve the problem. She’s been doing such work for years."},{"_id":"GV2GLLRSDBGNJIKOSM5XRETOYQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316060},"type":"text","content":"For about a year, Gibson said, she hasn’t been able to get a DFCS manager on the phone to resolve problems. DFCS has been hit with both a caseworker staff shortage and resignations among management, she said."},{"level":2,"_id":"UTKPVRS44ND3PDS5AMFBQUGNM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316061},"type":"header","content":"A heightened risk"},{"_id":"3OCYCLCBW5D75A5VALTDEHU4NU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316064},"type":"text","content":"Georgians will first be advised by a DFCS notice of the need to be re-certified — if DFCS is able to reach them."},{"_id":"ZCZQLFSPR5D7LNOC2Y32L7HYNE","additional_properties":{"inline_comments":[{"pos":165,"comment":"Medicaid online account, called Gateway."}],"comments":[],"_id":1679705865414},"type":"text","content":"DFCS has sent notices and planned a publicity campaign to ask people to update their current preferred address, U.S. mail or email or both, in their Gateway account."},{"_id":"ESWBEYF3ZNCDFM2662PGIEPIOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679887168077},"type":"text","content":"The risk of not having a current address for an enrollee “is particularly heightened because the Medicaid population is relatively transient with less stable housing, and some Medicaid enrollees may have had no contact with DHS since the beginning” of the pandemic in March of 2020, said a state auditor’s report."},{"_id":"ACTEJ7WYARHD3N6CFFOISNZAQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316065},"type":"text","content":"Ashley McKenzie, who works to get poor people enrolled in Medicaid for the Atlanta charity clinic Mercy Care, says contacting enrollees will be complicated because Medicaid serves a vulnerable population."},{"_id":"W2EUYFWC55B2FJASZOTM4NPXW4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316068},"type":"text","content":"“Everybody doesn’t have a phone,” she said."},{"_id":"AAVCPGY4WVC23FC2KV7RPPDDXE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679526316069},"type":"text","content":"Jack Grote, an attorney who works with low-income people, said he expects there will be a lot of Medicaid recipients who are unfairly cut from the health coverage over the next couple of months."},{"_id":"P7V2SL4SPJAZ5CRQNZOLFVX5HQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194645},"type":"text","content":"“We’re going to be seeing a lot of people who are on Medicaid for the first time, who haven’t been through this process before,” said Grote, who works with Atlanta Legal Aid, a nonprofit law firm that serves low-income people in the metro Atlanta area. “We anticipate that there’s going to be some errors.”"},{"_id":"OMKJ3BVSFFAQJFEWZEC66ZHPDU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194646},"type":"text","content":"<i>AJC reporter Katherine Landergan contributed to this story.</i>"},{"_id":"UTYOGMUKZNGNFP3HN2HBFT3PSI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"<i>EDITOR’S NOTE: This story has been updated to note that the state’s latest budget funds 450 new caseworkers for the extra Medicaid work.</i>"},{"_id":"HB2ABC3BVBDIFM7JHACPIAOCL4","additional_properties":{"comments":[],"_id":"4XSOKO5YR5CG7FZH7UO6HFHBFY"},"type":"divider"},{"_id":"ZLBU753YZFFENEMWWUOQGJXXGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194649},"type":"text","content":"<b>MEDICAID RENEWAL TIPS</b>"},{"_id":"IU55BHBVDNCXXIPCVI4BQ54QEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679516194650},"type":"text","content":"All Medicaid recipients must renew their eligibility status every year in Georgia. That requirement was suspended during the pandemic. But now it’s back."},{"list_type":"unordered","_id":"GMFGASWAR5BXND6GCSEDTC6EII","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"OOSOM6FG4FENPOIOTHOFFCDQW4","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"The state has established a website with tips for enrollees: <b> </b><a href=\"https://staycovered.ga.gov/\" target=\"_blank\">https://staycovered.ga.gov/</a>"},{"_id":"GJ2AJ3CPVRGVJGPZTO3CRH4TRY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Enrollees should start by logging into their Gateway accounts to manage the redetermination process."},{"_id":"2D62537ZQJAYNGZSKBLWJD635I","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"If you’re on Medicaid, make sure that the state has your updated mailing address."},{"_id":"2NXHDXG2TJCB3OKNOWZPJBK3LE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Make sure to check your mail and keep an eye out for any letters from the state."}]},{"_id":"F4GYQKZO3NHAXHI2FF4TWAMBMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679461968368},"type":"text","content":"<br/>"}],"display_date":"2023-03-29T10:15:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act, technology, storms and transportation. She has been with the AJC since 2005. ","org":"ajc","affiliations":"The Atlanta Journal-Constitution","bio":"Ariel Hart is a reporter on health care issues. 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She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act, technology, storms and transportation. She has been with the AJC since 2005. ","org":"ajc","affiliations":"The Atlanta Journal-Constitution","bio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","author_type":"Staff","expertise":"19","firstName":"Ariel","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"404-526-7261","beat":"Health care","custom_ajc_website":"ajc","_id":"ariel-hart","last_updated_date":"2024-08-15T23:19:27.944Z","byline":"Ariel Hart","email":"ariel.hart@ajc.com","status":true}},"type":"author","version":"0.5.8"}]},"subtitle":"AAJC [date] HX Medicaid unwinding","width":1170,"caption":"Starting April 1, 2023, Georgia will check the eligibility of all 2 million-plus Medicaid enrollees in the state, and drop those members who no longer qualify or who don't respond. The state is encouraging Medicaid enrollees to check their contact address is their online Gateway accounts and to seek advice on the state's website, seen here. The address is staycovered.ga.gov (Screenshot by Ariel Hart)","type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/3FZVBE6A2BFFRO22ITTYJ7NCPQ.JPG","height":935}},"canonical_url":"/news/coronavirus/end-of-pandemic-relief-to-oust-hundreds-of-thousands-from-georgia-medicaid/6SSS33SR4ZBIRHEZFSAJLYODMU/","_id":"6SSS33SR4ZBIRHEZFSAJLYODMU"},{"content_elements":[{"_id":"PKEEVEB2CFC4NNPEZG2VLQHFIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678893493164},"type":"text","content":"Two recent studies found that while deaths from heart disease are declining overall in the United States, those living in rural areas are at higher risk of dying from heart disease, and that Black rural men hold the <a href=\"https://jamanetwork.com/journals/jamacardiology/article-abstract/2800877\" target=\"_blank\">greatest risk for developing heart failure</a>."},{"_id":"AR67CZ3RPVELBJYQMOI2OSUMUY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682948},"type":"text","content":"Another study is underway at Morehouse School of Medicine, to study a genetic risk factor that can lead to heart disease disparities in Black Americans."},{"_id":"AR67CZ3RPVELBJYQMOI2OSUMUY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682948},"type":"text","content":"Morehouse is partnering with Amgen, a biopharmaceutical company, and the Association of Black Cardiologists for the study."},{"_id":"WETCFVK5ZBGMTLOTMUECMNQHQA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682949},"type":"text","content":"Dr. Anekwe Onwuanyi, chief of Morehouse School of Medicine’s cardiology department and president of the<b> </b>national<b> </b>Association of Black Cardiologists, says that the studies are important because they are examining factors that contribute to heart disease, which could be a key to early prevention."},{"_id":"76X5ZOETPNDXJKZH6E5BBBC3QI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678895236955},"type":"text","content":"“I think we have to start with prevention,” he said. “We need to make sure that we have services available to focus on making sure that people have access to primary care.”"},{"_id":"3X2MN4S5G5DAXDUAJLXXBMBKXE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294453},"type":"text","content":"Onwuyani also said that health insurance policy should move from models that focus on treatment, to ones that focus on prevention as well."},{"_id":"6TWOTJL4VBGG7JZ3CEBCAJJEBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679412984630},"type":"text","content":"Heart disease is the leading cause of death nationwide and here in Georgia. According to the Georgia Department of Public Health, <a href=\"https://dph.georgia.gov/chronic-disease-prevention/heart-disease\" target=\"_blank\">the condition claims more than 22,000 lives each year in Georgia</a>, and accounts for one out of every three deaths in state."},{"_id":"W3QF34PPWRAABF4734I2CJKTEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679493195293},"type":"text","content":"Compared to an overall rate of 184 heart disease deaths per 100,000 people in the U.S.,<a href=\"https://www.kff.org/other/state-indicator/number-of-heart-disease-deaths-per-100000-population-by-raceethnicity-2/?currentTimeframe=0&selectedRows=%7B%22states%22:%7B%22georgia%22:%7B%7D%7D%7D&sortModel=%7B%22colId%22:%22Overall%22,%22sort%22:%22asc%22%7D\" target=\"_blank\"> Black Georgians die at a rate of 207 per 100,000 people</a>, with white Georgians dying at a rate of 185 per 100,000 people."},{"_id":"37426TJ7PJGDFFYZE5XMMZYAMQ","additional_properties":{"comments":[],"_id":"TCLJSMZURVA4DKJJSY7WPSIEHE"},"type":"raw_html","content":"<iframe title=\"Black Georgians die from heart disease at the highest rate of any racial group\" aria-label=\"Table\" id=\"datawrapper-chart-QIgVa\" src=\"https://datawrapper.dwcdn.net/QIgVa/4/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"496\" data-external=\"1\"></iframe><script type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n<\/script>"},{"level":2,"_id":"V3YXAMSN7NHOLLI3Z2Y24M7ZYM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294451},"type":"header","content":"<b>Examining heart health inequities</b>"},{"_id":"PJSYIY5VO5CSJPUFLPO4YMWMWA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679604098751},"type":"text","content":"The University of Georgia researchers earlier this year published a study in the Journal of the American Heart Association that found that social and economic factors that influence health are the driving force behind heart disease deaths."},{"_id":"JK5NFBWMWVCYNFS2EX6Y5KT7HY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679599045118},"type":"text","content":"Dr. Zhuo Chen, one of the <a href=\"https://www.ahajournals.org/doi/10.1161/JAHA.122.026940#d1e3472\" target=\"_blank\">study’s </a>authors, says that public health practitioners have set the goal of eliminating all health disparities. But social and health policies must support this goal, he says."},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"Dr. Zhuo Chen a professor of health policy and management at University of Georgia College of Public Health.","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OW447BIE2NBWDOQN3GVII2TV4A.jpg","geo":{},"licensable":false,"credits":{"affiliation":[{"name":"Rebecca Ayer","type":"author"}],"by":[{"name":"Rebecca Ayer ","type":"author","byline":"Rebecca Ayer"}]},"subtitle":"Dr. Zhuo Chen","width":974,"creditIPTC":"Zhuo Chen","_id":"OW447BIE2NBWDOQN3GVII2TV4A","additional_properties":{"fullSizeResizeUrl":"/resizer/NaYScKmt0r3gSx-fe4Z0oyIGg68=/arc-anglerfish-arc2-prod-ajc/public/OW447BIE2NBWDOQN3GVII2TV4A.jpg","owner":"donovan.thomas@ajc.com","comments":[],"keywords":[],"proxyUrl":"/resizer/NaYScKmt0r3gSx-fe4Z0oyIGg68=/arc-anglerfish-arc2-prod-ajc/public/OW447BIE2NBWDOQN3GVII2TV4A.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OW447BIE2NBWDOQN3GVII2TV4A.jpg","published":true,"resizeUrl":"/resizer/NaYScKmt0r3gSx-fe4Z0oyIGg68=/arc-anglerfish-arc2-prod-ajc/public/OW447BIE2NBWDOQN3GVII2TV4A.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/77XqP58grb5uUgutdNedbfMQn5c=/300x0/arc-anglerfish-arc2-prod-ajc/public/OW447BIE2NBWDOQN3GVII2TV4A.jpg","version":1,"originalName":"Zhuo Chen.jpg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"QRLCXOKYKFCA7A2IQY3DV7WZEA"},"created_date":"2023-03-23T20:18:31Z","last_updated_date":"2023-03-23T20:21:19Z","height":1048,"image_type":"photograph"},{"_id":"EL5XGMD34FDXTG3FKWSQV2HPXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682957},"type":"text","content":"Chen, a professor of of health policy and management at University of Georgia College of Public Health,<i> </i>says that the study looks at a range of conditions that contribute to disparities.<b> </b>For instance, he explained that if a person does not have stable housing, then it is less likely for them to adhere to a medication schedule or to access a primary care physician. All of these factors can lead to more severe conditions."},{"_id":"EL5XGMD34FDXTG3FKWSQV2HPXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682957},"type":"text","content":"The findings of the study draw from 10 years of data from 2009 to 2018, complied by the Agency for Healthcare Research and Quality, one of the 12 agencies within the Department of Health and Human Services. The database is made up of federal and academic sources, including census data, that were used to examine social, economic, educational health care and physical infrastructure conditions in 3,142 selected counties: 1,166 urban and 1,976 rural."},{"_id":"V7HFT7NGRFFCJD5ROSD2U5NB2M","additional_properties":{"inline_comments":[],"comments":[],"_id":1679587672351},"type":"text","content":"The study showed a range of factors leading to heart health disparities, which allowed the authors to create suggestions for policymakers to these eliminate inequities."},{"_id":"CTMXJQ275NGVPLKYXML3OJESXM","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294443},"type":"text","content":"Chen said policymakers in all parts of government should work together to erase health disparities. “We need to work with all sectors of society to address these challenges to our healthcare system,” he said."},{"_id":"RPH7TFNAVJABNLOJJX6RRUGV5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294444},"type":"text","content":"An estimated <a href=\"https://www.census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf\" target=\"_blank\">1.4 million people in Georgia do not have health insurance</a>, and the state’s uninsured rate of 14% is third in the country behind Texas and Oklahoma."},{"_id":"ADJZBZAKFNDPNPKMBOW7OX3NGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294445},"type":"text","content":"“Given that we (Georgia) have not expanded Medicaid, I think for the low income population, these social determinants of health probably will be playing an even bigger role,” he said."},{"_id":"LYETG3UPQRGVVHOZ6AEKQNOBR4","additional_properties":{"comments":[],"_id":"WMYWUY74ZBDSVDJIU5EHYNYVMI"},"type":"raw_html","content":"<iframe title=\"Heart disease hospitalizations\" aria-label=\"Table\" id=\"datawrapper-chart-x7e9d\" src=\"https://datawrapper.dwcdn.net/x7e9d/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"530\" data-external=\"1\"></iframe><script type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n<\/script>"},{"level":3,"_id":"LWOAQEWJOFBRDJ6YVMUF2OV6DE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679514681152},"type":"header","content":"<b>Genetics, Black people and heart disease</b>"},{"_id":"XPCVKB7O3FCUBJ3IXLFATICG5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1678893493168},"type":"text","content":"The Morehouse study underway now will examine the link between lipoprotein(a) and unfavorable cardiovascular outcomes, such as heart attack and stroke. Lipoprotein(a) is a type of bad cholesterol and high levels of lipoprotein(a) oftentimes run in families, especially for Black people. High levels of lipoprotein(a) can restrict blood flow to the heart, brain, kidneys and other parts of the body, and lead to clotting in bloods vessels resulting in blockages."},{"_id":"PPKIQQY7U5G5NILS4MO7RXLIP4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679412984634},"type":"text","content":"Researchers at Morehouse School of Medicine say that much of research conducted on lipoprotein(a) has focused on people of European descent, leaving knowledge gaps in how this risk factor affects other populations. Dr. Elizabeth Ofili, a professor of medicine at Morehouse School of Medicine, is the principal investigator of the study."},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"Dr. Elizabeth Ofili, a professor of medicine at Morehouse School of Medicine.","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","licensable":false,"credits":{"affiliation":[],"by":[{"name":"Morehouse School of Medicine ","type":"author","byline":"Morehouse School of Medicine "}]},"subtitle":"Dr. Susan Ofili","width":400,"_id":"5UHZLF2FMZHNHHIV653MYUQYYQ","additional_properties":{"fullSizeResizeUrl":"/resizer/oX2ZdVafsGETHqVhIDwDCdDkiNE=/arc-anglerfish-arc2-prod-ajc/public/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","owner":"donovan.thomas@ajc.com","comments":[],"keywords":[],"proxyUrl":"/resizer/oX2ZdVafsGETHqVhIDwDCdDkiNE=/arc-anglerfish-arc2-prod-ajc/public/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","published":true,"resizeUrl":"/resizer/oX2ZdVafsGETHqVhIDwDCdDkiNE=/arc-anglerfish-arc2-prod-ajc/public/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/3YkBRNZf2m2IAUArN7hAtQP75U0=/300x0/arc-anglerfish-arc2-prod-ajc/public/5UHZLF2FMZHNHHIV653MYUQYYQ.jpeg","version":0,"originalName":"Dr. Elizabeth Ofili.jpeg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"A3A4ZSERLFHORPMOWB4ZRMY4UU"},"created_date":"2023-03-23T20:46:45Z","last_updated_date":"2023-03-23T20:46:45Z","height":500,"image_type":"photograph"},{"_id":"A3FGPFFXBJAXPOMVVO4RRLL7XE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678895185779},"type":"text","content":"Ofili says that the study is different because it focuses on the patients most affected by the issue. There will be 5,000 Black Americans enrolled in the study across the country, 2,500 with heart disease and 2,500 without heart disease, with in-state sites in Carrolton, Columbus and Macon."},{"_id":"IHEPJDACJBCR5GR2DQDMTCUNSY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294448},"type":"text","content":"Ofili also explained that the pandemic worsened heart disease problems."},{"_id":"MBP4XFJ7KRHGRG3AAP4QEGP3GI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678895185781},"type":"text","content":"“We found that people were not keeping up with appointments and levels were going back up in terms of heart attacks and strokes,” she said. “By the time we were learning about all the devastation of COVID, the hospitals were jammed up patients. We discovered that people couldn’t get into the emergency room for heart problems.”"},{"level":2,"_id":"UCX47C4ZTZDNJHXXEM4R7X6VMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679512682968},"type":"header","content":"<b>Local implications</b>"},{"_id":"TN2VGCCRUNF2RJCCGMKSZ3KEHA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294454},"type":"text","content":"Shana Scott, says that the studies reinforce the work that many organizations are trying to do in the metro Atlanta area and in rural Georgia. Scott is vice president of health for the America Heart Association of Metro Atlanta."},{"_id":"AACBTFHEYJCR5BCN542DU7FTUY","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294455},"type":"text","content":"“There are systems, policies and processes in place that you just don’t have control over as an individual, but as a community we can do something,” she said. \" When you look at elected officials, you are making a small change because they are going to be that person that you can put in office who would create some systems change.”"},{"_id":"UCON4HUHQFEBVNAHDNM6KBTXG4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294456},"type":"text","content":"Through her work locally with the American Heart Association, Scott says that food insecurity, housing instability caused by COVID, a lack of walkable communities and access to transportation are factors that she is seeing drive heart disease disparities in the metro area."},{"_id":"XUHX227EQBFEJM543XAYI46SPI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679085294457},"type":"text","content":"“My challenge would be to our elected officials, that when organizations come to you and talk about allocation of dollars, really consider ways that you can allocate dollars to address the social determinants of health,” Scott said. “So that we get on the ground and do the work in the communities, so that we can see better quality of life for our residents and our future.”"},{"_id":"4KQQI7NKWJGF5CCI6XABA2BKQU","additional_properties":{"comments":[],"_id":"MIKL5DFR4FEFHNO5U6Y7YVDXXY"},"type":"raw_html","content":"<iframe title=\"Heart disease is killing more Georgians\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-HYBFf\" src=\"https://datawrapper.dwcdn.net/HYBFf/2/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" data-external=\"1\"></iframe><script type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\n<\/script>"},{"_id":"LK775TOLGFGMVCCLG4ERJU3WW4","additional_properties":{"comments":[],"_id":"YZYKGEDNN5C2JAPYOUVSBWAOGY"},"type":"divider"},{"level":3,"_id":"OLG3XBG7RFBINBK76NZICHTHGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678893493170},"type":"header","content":"More on Heart Disease"},{"list_type":"unordered","_id":"OJW3IWXIQNAOTAWI3LBT4VIILE","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"7SPCJFZUBRASRBR6T2CSEMLXDM","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Heart disease is the leading cause of death in the United States. According to the <a href=\"https://www.cdc.gov/heartdisease/facts.htm#:~:text=One%20person%20dies%20every%2034,United%20States%20from%20cardiovascular%20disease.&text=About%20697%2C000%20people%20in%20the,1%20in%20every%205%20deaths.&text=Heart%20disease%20cost%20the%20United,year%20from%202017%20to%202018.\" target=\"_blank\">Centers for Disease Control and Prevention</a>, a person dies every 34 seconds in the United States from cardiovascular disease."},{"_id":"ZYZTCRKZC5FSDO7ZYOK3L3JKUM","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Adults in rural areas have a <a href=\"https://jamanetwork.com/journals/jamacardiology/article-abstract/2800877\" target=\"_blank\">19% greater risk of developing heart failure</a> than adults in urban areas."},{"_id":"YSCXZKTIANEIFKIDZIWUXL6O3E","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Black Americans are 30% more likely to die from heart disease than white Americans and nearly half of Black Americans have been diagnosed with heart disease."}]},{"_id":"U6XOLY54CJBQHPV2NESPXS6S3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1679599045139},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"http://ajc.com/give\" target=\"_blank\"><i>ajc.com/give</i></a>"}],"display_date":"2023-03-24T10:11:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. Thomas","email":"donovan.thomas@ajc.com","slug":"","image":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png","longBio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. \n\nThe Atlanta Journal-Constitution and Report for America are partnering to raise funds to support three AJC journalists who will focus on immigrant issues and the health and welfare of Georgians in underserved communities. Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"New studies look at heart disease disparities for Black, rural populations"},"first_publish_date":"2023-03-24T10:11:00.285Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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(Dreamstime/TNS)","type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/AXCWBX6ZAVERPC37BP3LGES52I.jpg","height":844}},"canonical_url":"/news/coronavirus/new-studies-look-at-heart-disease-disparities-for-black-rural-populations/SC4E6W2U45DJZBLVY3FIJLKAL4/","_id":"SC4E6W2U45DJZBLVY3FIJLKAL4"},{"content_elements":[{"_id":"CQGJMVFCAREMTGR2SEX2PFG4SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1654087652102},"type":"text","content":"With AmeriCorps Week coming to a close, the federal agency for volunteering and service awarded $500,000 in grants to three Atlanta-based community nonprofits."},{"_id":"MFITQSZRAFGTRMBVDSUDRYMQTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683585},"type":"text","content":"The gifts will be used to expand the reach of the organizations, building upon the existing services provided to deepen their impact. Each organization employs AmeriCorps VISTA members, who dedicate one year of full-time service to help alleviate poverty in the community they serve."},{"_id":"YG7AON4T7VEWLJ55E7HZHYFORI","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683586},"type":"text","content":"The funding recipients are Covenant Community, Inc. with $197,040, The Center for Black Women’s Wellness with $78,360 and the Georgia State University Alonzo A. Crim Center for Urban Educational Excellence with $293,850."},{"_id":"UGY4Z4FLC5DYVH2AE2AJHGIVIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683587},"type":"text","content":"Covenant Community, Inc. provides services for men battling with substance abuse, the Center for Black Women’s Wellness focuses on the health and wellness of underserved Black women and their families and the Alonzo A. Crim Center for Urban Educational Excellence serves underserved children and families that receive their education in the public school system."},{"_id":"3D34XLI24VA2NLAAUUYFTS4U64","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683588},"type":"text","content":"“AmeriCorps really is about bringing in individuals to help build capacity of nonprofits,” said Jemea Dorsey, chief executive officer of the Center for Black Women’s Wellness. “It’s because of the work with the AmeriCorps program that we have been able to have more investments in terms of more volunteers, more donors and more resources for our patients who need it the most.”"},{"_id":"YQXE6ITRPVBDLH2DCRD5E3S4ZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683589},"type":"text","content":"According to AmeriCorps Chief Executive Officer Michael Smith, in 2022, Georgia had 2,400 AmeriCorps members and volunteers serving at nearly 500 sites across the state. Smith says the financial support given will help to support 28 full-time AmeriCorps VISTA members and five summer associates between the three organizations."},{"_id":"EYNFUVIWO5HXDN7FSOTNUP7ITA","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683590},"type":"text","content":"“These national service members will serve as volunteer leaders. They will build capacity for these three organizations and they will drive more equitable access to crucial community resources,” Smith said. \" Most importantly, they will bring hope and healing and possibility and opportunity for the folks, children and families across this great city.”"},{"_id":"WIZCVGOL55HVDFUPCQYIPE6XX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683591},"type":"text","content":"U.S. Rep Nikema Williams (GA-05) joined AmeriCorps CEO Michael Smith in presenting the grants. Each of the recipients are within her congressional district."},{"_id":"UUOB3TPSMBBFTC2T3BM6OIAGQU","additional_properties":{"inline_comments":[],"comments":[],"_id":1679075683592},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-03-17T18:04:24.584Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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Smith, Kim Turner,\rOperations Manager of the Center for Black Women's Wellness, Jemea Dorsey, President & CEO of the Center for Black Women's Wellness, Christine Carter Love, Executive Director of Covenant Community Inc., Sharmin Blue, Operations Manager for Covenant Community Inc., and Congresswoman Nikema Williams pose for a photo with checks on Friday, March 17, 2023, during a press conference announcing AmeriCorps funding for three Atlanta-based organizations. The Covenant Community Inc., the Georgia State University Alonzo A. Crim Center for Urban Educational Excellence and the Morehouse School of Medicine are the recipients of the funding. CHRISTINA MATACOTTA FOR THE ATLANTA JOURNAL-CONSTITUTION","type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BXVTI4LKVA3THV2355DHQYKQ7U.JPG","height":3299}},"canonical_url":"/news/coronavirus/americorps-grants-over-500000-to-three-atlanta-based-organizations/GLP6AZOHHFEHXOC2ATWKVET4GE/","_id":"GLP6AZOHHFEHXOC2ATWKVET4GE"},{"content_elements":[{"_id":"DDGKKT637BHJHKCVQTN4IDSX6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238300},"type":"text","content":"The pandemic has had a disproportionate impact on Black and other children of color, leading to higher rates of severe cases, hospitalizations and deaths<b> </b>caused by social and economic factors, a new report finds."},{"_id":"ZOA5EFRMWVEKDIOVHV2EC2O6GY","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238301},"type":"text","content":"The report was released Monday by the Black Coalition Against Covid in partnership with the Satcher Health Leadership Institute at Morehouse School of Medicine, along with other historically Black medical schools and Black health care organizations. It was inspired by the widespread belief that children were not as susceptible to COVID-19."},{"_id":"D7UWACRNSVD2BEROOLHIZNCYLU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238303},"type":"text","content":"Since the pandemic began, children account for over 18% of COVID cases, with over 14 million positive tests from children. Researchers believe this number is likely to be an undercount because testing was not available for children until May 2020 and they were tested less often than adults because they were believed to be at lower risk for infection."},{"_id":"QNQCLKS3TNDIBDTDXM233A57LQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678716552017},"type":"text","content":"According to the report, 1,556 children have lost their lives to COVID since the beginning of the pandemic. Compared to white children, Black children died<b> </b>2.7 times<b> </b>more often than white children,<b> </b>according to the report, and were hospitalized 2.2 times more often than white children, something that vaccination status had a direct impact on."},{"_id":"733VU3YZHZD3PNQK7ZOSVAXTQ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238306},"type":"text","content":"“Misinformation and mistrust were very key issues in influencing the disparate rates of hospitalizations, deaths, etcetera from COVID-19 amongst our Black population and Black children,” said Aye Obe, a research fellow at the Satcher Health Leadership Institute and one of the report’s authors. “It influenced perceptions people had about staying safe, observing necessary protocols to protect not just themselves, but their children, and influenced vaccination rates.”"},{"_id":"FNQM7G7POVEQZKAJ5727N42SXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1678716552015},"type":"text","content":"Monday’s report was compiled by drawing on studies conducted by other agencies over a span of two years."},{"_id":"SZMQCHTRXVB5JI5VZW5BCH5XTU","additional_properties":{"comments":[],"_id":"T5IR4MSFIRGY3LSZWARH6YQUS4"},"type":"interstitial_link","content":"Complete coverage of COVID-19 in Georgia","url":"https://www.ajc.com/news/coronavirus/"},{"_id":"IC7XTAIWN5GEFBXXPXNQI4SLPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238305},"type":"text","content":"Citing a limited study of hospitals in New York, New Jersey and Connecticut, three out of four children hospitalized with severe cases of COVID were reported as Black (23%) or Hispanic (51%)."},{"_id":"WVS3XWCXXVCLHEITG2B52C27QQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678716552020},"type":"text","content":"Additionally, Black children make up 31% of the multisystem inflammatory syndrome in children (MIS-C) cases that reported race and ethnicity information, with Hispanic children accounting for 26% of cases. MIS-C is a resulting condition of COVID-19 that can affect the heart, blood vessels and other organs, and can lead to frequent doctor visits."},{"_id":"TRCEYRSVNJDA5KTI2APAIU5T7Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238307},"type":"text","content":"Vaccines for children under 18 were authorized later in the pandemic than adult vaccines, and in most of the country, Black children were vaccinated at lower rates than white children."},{"_id":"VODPWQ2EVRG4HIRJCCGWTCV6CY","additional_properties":{"inline_comments":[],"comments":[],"_id":1678722583009},"type":"text","content":"Of the Black children hospitalized due to COVID, 30% had pre-existing medical conditions, compared to 15% of white children, the report said."},{"_id":"HI2TONBH2RAWBHJ7BO7NN2IXOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678728411455},"type":"text","content":"“We hope that that those who see, read and hear about this report will take a look at the recommendations that we’re trying to make and not just look at the data, but the stories behind the data,” said Dr. Sandra Harris-Hooker, senior vice president of external affairs and innovation at Morehouse School of Medicine."},{"_id":"7DCF43SWFNBI5MJK2PLGHBJ6CI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238308},"type":"text","content":"The report considered “social determinants of health,” which are social and economic factors that influence health. Poverty rates and food and housing insecurity increased for Black and Latino families during the pandemic. Many people within these communities also live in multi-generational households and work jobs considered essential, leaving them exposed to COVID at higher rates."},{"_id":"GRI43BD33JBQBN5JQH4M2I5O2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1678716552023},"type":"text","content":"The report noted 65% of the more than 200,000 children left orphaned as a result of death of a primary caregiver are of a racial or ethnic minority. In Georgia, nearly 12,000 children lost a parent or caregiver to COVID, with <a href=\"https://gbpi.org/long-term-health-impact-of-covid-19-planning-for-children-who-have-lost-a-caregiver-and-adults-experiencing-long-covid/\" target=\"_blank\">Black children making up 45% of those loses.</a>"},{"_id":"4PZ3GP62G5EUDLOPNWXWB4L4TU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238310},"type":"text","content":"“What played out for children was the exact same thing that played out for adults,” Obe explained. “There were factors that engender health and also health inequities that were put in place so many years before the pandemic, and right when the pandemic happened, all of these things came into play.”"},{"_id":"JTIV53AF4NBQRH7EFPI7EXO4O4","additional_properties":{"comments":[],"_id":"KUQ3SGHX4ZCDVBGMKHG3D2XB7Y"},"type":"raw_html","content":"<iframe title=\"Georgia COVID-19 hospitalizations and deaths by age\" aria-label=\"Bullet Bars\" id=\"datawrapper-chart-wwv39\" src=\"https://datawrapper.dwcdn.net/wwv39/2/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"507\" data-external=\"1\"></iframe><script type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data[\"datawrapper-height\"][t]+\"px\";e[r].style.height=i}}}))}();\r\n<\/script>"},{"_id":"6ZSBWY7WOZEKPKMY73UT465DL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238311},"type":"text","content":"Learning gaps that children faced due to the pandemic were also highlighted in the report, which found that Black and other children of color could be six to 12 months behind in learning compared to four to eight months for white children. Harris-Hooker suggested that a taxing system that supports an educational system not based upon geographic location can help with these gaps."},{"_id":"PFIK5N5NSZBQHHFLSDPZ5LEE2M","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238312},"type":"text","content":"With the COVID-19 public health emergency declaration set to expire on May 11, many foresee that the loss of pandemic safety nets will show unequal levels of hardships Black children continue to face."},{"_id":"YCTXOW4RSJEIZN2AJWXLVLTWMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238313},"type":"text","content":"The report’s authors made recommendations to improve outcomes, including steps to address access to health care, mental health social, economic and political factors and more.<b> </b>While the study lays out suggestions for change nationally, the implications in Georgia are sprawling."},{"_id":"GW6CJUOLKVGEZBOMGQRMQWXZUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678728411462},"type":"text","content":"“We need to look at issues that have to do with health care coverage for Georgians,” Harris-Hooker said. “PeachCare for Kids needs to be revisited when it comes to eligibility.” PeachCare for Kids is Georgia’s State Children’s Health Insurance Program that provides low-cost health care coverage to children up to age 18."},{"_id":"YCTXOW4RSJEIZN2AJWXLVLTWMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238313},"type":"text","content":"Harris-Hooker also said that the pandemic brought to the forefront the social injustices that Black Americans experience and that the effects of mass incarceration and the judicial systems on the Black community should be considered when having discussions about equity."},{"_id":"SAW77VB6LJBGNPKYMO5KHNIRTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238314},"type":"text","content":"“We believe addressing the social and political determinants of health, which are key drivers of the negative outcomes we saw amongst Black children, the Black population and other minority groups, will be a good place to start acknowledging, understanding and taking positive steps to mitigate the inequities we have in health care,” Obe said."},{"_id":"LUMK6W5CR5BETOHJEVURQ3BYME","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238315},"type":"text","content":"“There is no magic pill that we can take as nation that can cure everything that has happened.”"},{"_id":"ZG6TKIPIDBAMHBGCSURUC4AUDA","additional_properties":{"inline_comments":[],"comments":[],"_id":1678716552031},"type":"text","content":"The <a href=\"https://blackcoalitionagainstcovid.org/\">Black Coalition Against COVID</a> is a Washington, D.C.-based community initiative that provides science-based information about COVID and the vaccine development process to help save Black lives."},{"_id":"3UQFIIHUQZG2DNTQE24FUPGCI4","additional_properties":{"inline_comments":[],"comments":[],"_id":1678659238316},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><i><b>ajc.com/give</b></i> </a>"}],"display_date":"2023-03-13T18:45:48.275Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. Thomas","email":"donovan.thomas@ajc.com","slug":"","image":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png","longBio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. \n\nThe Atlanta Journal-Constitution and Report for America are partnering to raise funds to support three AJC journalists who will focus on immigrant issues and the health and welfare of Georgians in underserved communities. Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"Report finds Black children hurt the most by COVID-19"},"first_publish_date":"2023-03-13T15:31:41.695Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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At the State Capitol in Atlanta they spoke to legislators to showcase their services, which became more needed and valuable when the pandemic put extraordinary strain on the health care system."},{"_id":"QETZVBKKOFCSLNXLNRR2UA4LO4","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802588},"type":"text","content":"“It’s important for community health workers to understand that their voices are power for their community members, especially as we are trying to build the workforce,” said Natasha Taylor, senior director of policy and access at Georgia Watch, a consumer advocacy organization.<b> </b> “Now is the time for their voices to be loud.”"},{"_id":"C2ADDF5AFJDSTPRMLLF5RIZO7A","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802573},"type":"text","content":"In 2021, the <a href=\"https://www.cdc.gov/media/releases/2021/p0903-health-worker-funding.html\">Centers for Disease Control and Prevention awarded more than $300 million</a> nationally for community health workers to organizations aiding in the pandemic response. The Georgia Department of Public Health will receive $3 million annually from the CDC over three years to provide training and resources for workers in Georgia."},{"_id":"YMXGMZQ4JJGNXEQ43OTIURKC6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1678366357852},"type":"text","content":"In 2016, DPH teamed with the Atlanta Regional Collaborative for Health Improvement, Grady Health Systems, Kaiser Permanente, Morehouse School of Medicine, United Way of Greater Atlanta and several other organizations to expand the number of health workers stationed in communities."},{"_id":"YL2J3J32HNDILJUKTY2ZBP7I2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1678388858391},"type":"text","content":"Christine Wiggins, a former DPH employee who is now the vice president of community health systems at the Fulton-DeKalb Hospital Authority, said, “This has been a true collaborative effort. That’s why I feel like it has been sustained for all of these years. We have worked together as a true partnership to say what can we do to help support this workforce.”"},{"_id":"C3QYDYRLQJAQHFMZR7Z2UQAIHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678305859478},"type":"text","content":"Additionally, federal investments have been made for this effort. In September, the Department of Health and Human Services <a href=\"https://www.hhs.gov/about/news/2022/09/30/new-american-rescue-plan-funding-hhs-expands-and-strengthens-community-and-public-health-workforce.html\" target=\"_blank\">gave nearly $226 million to fund an estimated 13,000 community health workers</a> across the country. A 2020 Health Affairs study found that <a href=\"https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.00981\">every dollar spent on workers would yield a return of $2.47 to the average Medicaid payer.</a>"},{"_id":"3R4YOGVRSVEPDL5ZIDJTCKTDNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802572},"type":"text","content":"“The pandemic highlighted what<b> </b>a benefit (the health workers) were to communities and how trusted they were by communities, especially communities that don’t typically trust the health care system,” said Taylor. “Once it was revealed how impactful they could be and how beneficial they could be to improving health care, we decided to continue to focus on that development.”"},{"owner":{"id":"ajc"},"copyright":"2022 Atlanta Journal Constitution","address":{},"caption":"Dr. Kathleen Toomey (Right) listens to the speakers during the Community Health Worker Awareness Day at the Central Presbyterian Church Tuesday, Mar. 7, 2023. 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Dr. Arletha Lizana, associate vice president for health innovation and strategy at the school described the workers and their training as part of the school’s culture, adding that when the school receives new grants or creates new programs, the roles these workers will play are immediately considered."},{"_id":"N7K7JKNRTNHH3PAURWAC7T6BLE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802578},"type":"text","content":"“Morehouse School of Medicine has trained community health workers for over 25 years. Thousands of community health workers,” Lizana said. “Community health workers are a vital aspect of any type of community health improvement.”"},{"_id":"3A32MOM4VBCVHMJFXDMCBZBBKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802579},"type":"text","content":"The school has developed training curriculum for this work, including programs targeted to Haitian American and Indigenous<b> </b>communities, with a pilot program specifically created to reach Alaskan Native populations as well. They also have program adaptations to train young adult mental health workers, opioid reduction specialists and high school students as community health workers."},{"_id":"3CPJLWJ65RBCHBAEZEHBOF7ZCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802581},"type":"text","content":"Community health workers play a variety of roles depending upon the communities and populations they serve. From connecting community members to medical services, to helping with food security."},{"_id":"BQIONBZ2HVD4JAITN53U2HJX5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1678291484685},"type":"text","content":"“It’s more of just a passion to serve your community, and if you have that passion, you can use your voice to raise issues that are in your community and find solutions for them,” said Frank Sutton, a program manager at the medical school’s Innovation Learning Laboratory for Population Health."},{"_id":"4UNQNU6DUZEVFPUJIL2ROZMJQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678385275749},"type":"text","content":"When Amber Mullen’s son was murdered in 2021, shortly after her husband’s murder in 2019, she poured her pain and trauma into helping people through her work as a community health worker at Walmart Health. Outside of her full-time job in Marietta as a community health worker, Mullen travels on weekends to the South Carolina town where her son was murdered to participate in and oversee community outreach events for victims of crime."},{"_id":"24QM7HAQ75EKRGTJEX6OT3XYWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678385275750},"type":"text","content":"“Most of us live in the communities that we serve. We’ve either been homeless, without health care, childcare, food, whatever it might be,” said Mullen. “It’s very important to have community. We’re all just one paycheck away from being any and all of those things.”"},{"_id":"XE3HKL6IJZG7NIDCKBVGWTEB3Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802587},"type":"text","content":"A cause for concern is sustainability of the services the workers provide. Many positions are grant funded and lack benefits. According to Lizana, a large share are women from low-income backgrounds. Additionally, there is no national standardized training or credentialing of the workers, something that many want to see changed."},{"_id":"UK254PGZAREPPIREQ77YMCS6TE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678312843650},"type":"text","content":"“It’s been a long road, but I feel like we’re getting to the top of the goals we originally set,” Wiggins said. “The biggest thing is that we’re just wanting people to know that this workforce exists.”"},{"_id":"VZFSN4ZWDNBC7GHMPRHCMK325M","additional_properties":{"inline_comments":[],"comments":[],"_id":1678205802589},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><i><b>ajc.com/give</b></i><i> </i></a>"}],"display_date":"2023-03-10T11:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. 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According to obstetrics specialists, at about six weeks of gestation, an embryo has a tiny tube that will eventually become part of a heart. That tube starts to flutter at about six weeks, and modern ultrasound machines augment the flutter with a sound that doctors and patients can hear. Scientists call the flutter cardiac activity."},{"_id":"QJLSPL6Z3JFRNKK2CBPLJQK6UQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678124834725},"type":"text","content":"After that activity starts, abortion becomes illegal under Georgia law. Georgia legislators passed the law in 2019 but it didn’t go into effect until the U.S. Supreme Court decision green-lighted it last June by overturning the national law established by Roe v. Wade."},{"_id":"4HCFYNRXI5F7NM5DWFXNEXFDTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076855},"type":"text","content":"<b>What the new JAMA study found</b>"},{"_id":"RAR4K5F4IJCOZGQQNWEWCIYHOU","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076856},"type":"text","content":"By looking at 360,972 abortions performed in the decade from 2007 to 2017 — before Georgia’s law was adopted — the researchers were able to project how the law would likely have played out among those patients. They found that an estimated 9% of all patients would likely have been eligible to still go forward under the new law, and the rest,<b> </b>about 29,900 patients per year over those 10 years, would be stymied by the law. The study didn’t estimate how many of those abortions would still have taken place in another state."},{"_id":"5CPSJFN2NJAI3MTOW7COXF33FM","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076857},"type":"text","content":"The researchers delved deeper into the most recent two years, 2016 and 2017. In those two years, the anticipated percentage overall of abortions eligible to occur was 12%, as a larger portion of abortions happened within the six-week period. The overall percent ineligible would have been 88%<b>.</b>"},{"_id":"EH763TVOIZDQBNL7F265HLCMXE","additional_properties":{"inline_comments":[],"comments":[],"_id":1678129239937},"type":"text","content":"The percentage<b> </b>of ineligible abortions was higher<b> </b>for teenagers, for Black patients, and for patients with less than a high school diploma. Whereas 83.8% of white patients would have been ineligible for their Georgia abortion, 90.4% of Black patients would have. A full 90.1% of patients under 20 years of age would not have secured an abortion in Georgia, nor would 90.8% of those without a high school diploma."},{"_id":"MGPIODDAMJFBRPVNXSUCOODM3U","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076858},"type":"text","content":"<b>What it means</b>"},{"_id":"JGJ3IWVKKRD3LFZ667HYTLTMSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076859},"type":"text","content":"The findings suggest that Georgia’s law limiting abortion to early pregnancy would eliminate access to abortion for a huge number of patients in Georgia “across the board,” Redd said, not only Georgia residents but patients from surrounding states who used to come to Georgia for abortions. But the impact disproportionately affects patients who are Black, younger, and in lower socioeconomic status groups, the study said."},{"_id":"L546AYRF2ZCZ7I77VULABPXUJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076860},"type":"text","content":"For those who want women and their families to have healthy family lives, with or without the pregnancy, the data are a bad sign, Redd said. The same populations more likely to be blocked from abortion here are the same most likely to be unable to get access to other kinds of health care, including the kinds of health care women need all their lives to be healthy and survive pregnancy."},{"_id":"VTV43QP6HJAYDECTCJXGNX4JGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076861},"type":"text","content":"“It’s very intertwined,” Redd said. Those patients blocked from abortions here are “also living in a state where half of counties don’t have an OB-GYN. So this is like the real intersection of where healthcare service delivery issues can really come to to the forefront."},{"_id":"H4SZXIMGSBHJLB5WMBWBFASQIQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1678122076862},"type":"text","content":"“There’s a lot of literature showing that restrictive settings and these kinds of restrictive abortion policies can actually lead to increases in things like <a href=\"https://www.ajc.com/news/coronavirus/dph-leader-georgia-maternal-mortality-rates-worsened-during-pandemic/CTJWHBLRIVA5LPZESXMBBK5MJA/\" target=\"_blank\">maternal mortality </a>and infant mortality and other types of adverse birth outcomes,” she said."}],"display_date":"2023-03-06T19:35:11.190Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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Since 2010, <a href=\"https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/\">at least nine rural hospitals in the state have been shuttered</a>. Of Georgia’s 159 counties, 120 are considered rural."},{"_id":"FXVM4GVWSZGUFOGA5TGEX452DI","additional_properties":{"inline_comments":[],"comments":[],"_id":1677882029081},"type":"text","content":"Many rural Georgians are faced with compounding health disparities, such as a lack of job-based medical insurance, long travel times to access medical services and increased rates of chronic conditions, according to Georgians for a Healthy Future."},{"_id":"CBRQGNS7ZVBGXHSJBWNKOFJONA","additional_properties":{"inline_comments":[],"comments":[],"_id":1677882029082},"type":"text","content":"“At Kaiser Permanente we believe access to proper health care should be available to all Georgians, no matter where you live in our state,” said Pam Shipley, president of Kaiser Permanente of Georgia, in a press release. “These donations are a representation of our ongoing commitment to provide care to more Georgians. Access to quality health care leads to thriving communities.”"},{"_id":"V7XLMMARPRBERABNDR3OAVMX3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1677882029083},"type":"text","content":"The 10 hospitals that receiving $60,000 each are: Candler County Hospital, Colquitt Regional Medical Center, Donalsonville Hospital, Elbert Memorial Hospital, Evans Memorial Hospital, Irwin County Hospital, Jasper Memorial Hospital, Jefferson Hospital, Liberty Regional Medical Center Foundation and Wills Memorial Hospital Foundation. All of the hospitals are nonprofit organizations."},{"_id":"AIG33OM2HZDH7JYFLVZJH2J5KY","additional_properties":{"inline_comments":[],"comments":[],"_id":1677882029084},"type":"text","content":"Kaiser says the donations will be used to increase primary-care access, limit preventable hospital re-admissions and lower improper emergency room usage."},{"_id":"TJLXPBJBMJCTNA7UMJJ642UIJE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677882029085},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-03-04T12:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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And most of those deaths could have been prevented."},{"_id":"CWTQH5QHCVCOPIQXDJJIHSEOEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676389780833},"type":"text","content":"Soon, for the first time since the pandemic, Lindberg and her colleagues on Georgia’s Maternal Mortality Review Committee are expected to release the state’s latest maternal mortality rate. The patients’ details are secret by law, but an early report showed grim numbers."},{"_id":"BOHWKHGKDVF7XFG4Y2N4A4F4GE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676464982947},"type":"text","content":"That report, which summarized the top six causes of maternal mortality in women who are pregnant, delivering or in the year after a birth, found 78 deaths from those causes from 2018 to 2020 — all but two preventable. The full mortality report is expected to include more deaths."},{"_id":"DKVYUCXFWNEHDFEZ4MF2ZW4PK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676500154105},"type":"text","content":"The deaths are a sign of the need for better care of women, and more attention to symptoms that arise in the months after giving birth. And while the number of deaths may be small compared to the overall numbers who give birth, they also signal broad problems in the care that women get that can lead to sickness and hospitalization."},{"_id":"NDZCTBDOPFCNVHYUZKN7W7CHEE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676389780834},"type":"text","content":"In advance of the release of the full maternal mortality report, the state has disclosed the most common fatal gaps and the committee’s recommended fixes: They want health workers to seek and understand the signs of pregnancy-related heart damage. They want those who care for patients with preeclampsia — a disorder involving high blood pressure in pregnancy — to re-check the patient’s blood pressure three days after they leave the hospital. They want doctors’ offices, hospitals and insurance companies to work together for a patient’s benefit. They want postpartum mental health issues to be caught and treated before they become a crisis."},{"_id":"TNITS5IDCNDEJHKAHU35FTS35Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287868},"type":"text","content":"The pandemic, covered for the first time in the report, worsened the already-existing gaps in care."},{"_id":"BJZLB74P5BEYVLOOIPIQIZ4VBU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676479096756},"type":"text","content":"There is evidence that suggests that the coronavirus itself posed a special danger for pregnant women, with <a href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6944e3.htm\" target=\"_blank\">pregnant women 70% more likely to die from the virus than other women</a>."},{"_id":"NXAYPJ22TZDBJOJDHYJB7PSVNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676389780835},"type":"text","content":"But Lindberg and some advocates also see hope. During the same time period the women in the report were dying, the Legislature voted to extend poor mom’s Medicaid health insurance coverage to a full year after giving birth, up from 6 months. With 54% of all births in Georgia covered by Medicaid, the move is expected to make a difference."},{"_id":"PTCIBMB6NZDHBLFDCVTMB22WL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287871},"type":"text","content":"But there’s a long way to go."},{"_id":"BI4NWAWOYBGMDO47RFR44HGO3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1676565200981},"type":"text","content":"Georgia has long ranked among the worst states in the nation for maternal mortality, sometimes as the worst, and is currently ranked in the bottom 10."},{"_id":"PTCIBMB6NZDHBLFDCVTMB22WL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287871},"type":"text","content":"Seeing a repeating chain of events come alive in patients’ medical records and interviews with next of kin has been “excruciating,” Lindberg said."},{"level":1,"_id":"2WH3XNBGFNCRVINAHINAFB3XUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676389780837},"type":"header","content":"Living out the data"},{"_id":"NXAYPJ22TZDBJOJDHYJB7PSVNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676389780835},"type":"text","content":"Advocates for patients have long maintained that one of the biggest lost opportunities to save a life happens when doctors, nurses or aides don’t take patients’ complaints seriously."},{"_id":"YOPK3T57ABG3PEPE3F37F547AU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287875},"type":"text","content":"<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/\" target=\"_blank\">Research suggests</a> that ignoring valid patient complaints especially harms <a href=\"https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(20)30312-6/fulltext\" target=\"_blank\">Black patients</a>. Black women are more than twice as likely as white women to die from pregnancy."},{"_id":"EWGJPTO36FHLNDV45B6LFJK2EQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287876},"type":"text","content":"Precious Andrews, a Black mother of four, knows that data. She works with Lindberg’s organization, the Healthy Mothers, Healthy Babies Coalition of Georgia, to teach mothers to speak up and advocate for themselves."},{"owner":{"id":"ajc"},"address":{},"caption":"Precious Andrews sits with her daughters Bella, 2 (left), nine month old Ryleigh (center), and 12 year old Laila (right) during her lunch break on Friday, February 10, 2023. 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On a third occasion, she went to the regular emergency room."},{"_id":"RK3L5PPR4FFFXF62TJTG3WZBFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676500154118},"type":"text","content":"She complained to doctors of swelling in her legs, pain in her chest, headaches, and seeing spots, and nurses measured spikes in her blood pressure. All can be symptoms of preeclampsia, a dangerous, sometimes fatal, blood pressure condition that arises in pregnant women."},{"_id":"7INWERPV65HO5GPCZ7D3B2775M","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287881},"type":"text","content":"Andrews’ doctors admitted her to the hospital on those visits. But Andrews was concerned she had preeclampsia and remembers she got nowhere on that with her doctors: They blamed the leg swelling on the ibuprofen she took for the headache. They blamed the fluid in her lungs on pneumonia, and gave her antibiotics. She recalls they treated her headache as a migraine, even though she said this was different from a migraine."},{"_id":"2JBPXMOTI5HXFISKUJH7NFIQCU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676500154120},"type":"text","content":"Seven weeks after delivery, Andrews had another spell with a crushing headache, seeing dots of lights, going numb and watching powerless as her baby slid from her limp arms. She went back to the hospital yet again."},{"_id":"FCGAUJBJKFGN3BIJOFR4Q3BK5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287882},"type":"text","content":"Calling her doctor from the car, Andrews recalls she told her she was too far past her delivery to be seen in the obstetrics ER. “She said, ‘I don’t know what you want us to do,’” Andrews recalled. “They were just like, ‘Go to the ER again, but we’re sure it’s just going to pass.’”"},{"_id":"SYNK53M6YZB2NNUABY7UL34UVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287885},"type":"text","content":"Andrews says that in contrast, the emergency doctors at Piedmont Fayette took her complaints seriously and began a wave of steps to address them including blood pressure medication. She credits them with saving her life."},{"_id":"RU6LJVVKIVECNO26ZEVOWGLC44","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287886},"type":"text","content":"The doctors noted in the hospital records that the obstetrician had not diagnosed her with postpartum preeclampsia."},{"_id":"4D6WLPWVF5HLJMXQAC3LHZKNH4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673654},"type":"text","content":"Andrews marvels that she is college educated, well insured, and advocates for herself, and still believes she almost died. The research data shows exactly this: The disparity in maternal death rates for Black women cuts across education and class."},{"_id":"Q6SXSEP7WVEWNJGCRQTDQPUIJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287888},"type":"text","content":"She gave birth in the pandemic twice, once in 2020 and once in 2022. And she can see how that made it even worse. Her nurses mentioned the staff shortages. Her doctor forgot a promise to come to her hospital room to discuss test results with her."},{"_id":"YKTICN5PGNFLPDF3ZQWTYAXNXM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287889},"type":"text","content":"Her medical records contain errors, including dating her delivery a month too early and calling her white when she is Black. Most importantly, her doctors, who were independent but allowed to practice at the local hospital, Piedmont Fayette, waved off her dangerous symptoms, Andrews said."},{"_id":"4D6WLPWVF5HLJMXQAC3LHZKNH4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673654},"type":"text","content":"“When I went to the regular ER, they were like, ‘This is not going to pass,’” Andrews said. “Like, you’ll just continue to have this, and you would have probably come in here unconscious or worse.”"},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"As Precious Andrews grew more concerned that doctors were dismissing her complaints of possible preeclampsia, she started keeping records. Here, her blood pressure with a home monitor is 181/116, extremely high. She went to the hospital. When she got there she told the clinician what the monitor had said. The clinician wrote in her records that Andrews reported \"180's/80's.\" (Screenshot courtesy of Precious Andrews)","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","licensable":false,"credits":{"affiliation":[],"by":[{"name":"(Screenshot courtesy of Precious Andrews)","type":"author","byline":"(Screenshot courtesy of Precious Andrews)"}]},"subtitle":"AAJC [date] HX Maternal pandemic","width":828,"_id":"RMASZD5GKNFNLOMC2BP3OECJP4","additional_properties":{"fullSizeResizeUrl":"/resizer/La1KGifaTChSeABQZ76-yYwAhME=/arc-anglerfish-arc2-prod-ajc/public/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","owner":"ariel.hart@ajc.com","comments":[],"keywords":["maternal mortality","blood pressure","bp monitor"],"proxyUrl":"/resizer/La1KGifaTChSeABQZ76-yYwAhME=/arc-anglerfish-arc2-prod-ajc/public/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","published":true,"resizeUrl":"/resizer/La1KGifaTChSeABQZ76-yYwAhME=/arc-anglerfish-arc2-prod-ajc/public/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/rUJOQdkWKDAK_bBvdAeDBYo_WoM=/300x0/arc-anglerfish-arc2-prod-ajc/public/RMASZD5GKNFNLOMC2BP3OECJP4.jpg","version":0,"originalName":"Maternal Mortality Precious Andrews screenshot.jpg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"XGUDP6ZJABALBP7J4DH2V5ALCQ"},"created_date":"2023-02-15T21:50:22Z","last_updated_date":"2023-02-15T21:50:22Z","slug":"AAJC [date] HX Maternal pandemic","height":1792,"image_type":"photograph"},{"level":1,"_id":"5DPKC5OSNJG5DF42DDXKJ4OYSQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676340766307},"type":"header","content":"Leading causes of maternal death"},{"_id":"XLSDRPK2BJFJJGJCVZ3RUCKY6Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673656},"type":"text","content":"The upcoming state mortality report is expected to highlight the preventable maternal deaths, pointing to ways health care providers can stop missing opportunities to save lives."},{"_id":"CLWFVXSOVFBYFIBV5S2NDVJQEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676495703667},"type":"text","content":"Experts know the leading causes of maternal mortality. For the years 2018 to 2020, the committee found the top causes were, in order: hemorrhage; mental health conditions; cardiomyopathy; cardiovascular or coronary conditions; embolism; and preeclampsia or eclampsia."},{"_id":"CGV6AFNPCRFR7JB7VAO2DJVY6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1676500154131},"type":"text","content":"Researchers occasionally unearth more as they dig deeper into each death."},{"_id":"6WSILEUZW5EDDGV2DB4XQVX5WQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287892},"type":"text","content":"To generate better data on each death, Georgia is now beginning to require autopsies of maternal deaths, unless the family objects. Since 2017, the review committee has been interviewing family members of the deceased. Death certificates have an added line asking if a deceased woman had given birth in the year before she died."},{"_id":"RJO7MYSINFH2FOB2DDTFO2ODLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287893},"type":"text","content":"Most significantly, experts like Lindberg point out, the Georgia Legislature in <a href=\"https://www.ajc.com/news/state--regional-govt--politics/georgia-gop-leaders-embrace-plan-reduce-maternal-deaths/4Je9lFXyhEO4WAzkT479mO/\" target=\"_blank\">2020 expanded Medicaid coverage</a> for new moms. They now have it from pregnancy until one year after giving birth. That is meant to address the biggest portion of moms who die from pregnancy: Those who die many weeks or months after giving birth, often from problems with the heart or blood that weren’t caught in health checks."},{"_id":"7HUROWIAQ5GT7MQLR2RJOOY52Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673658},"type":"text","content":"But even with improved systems, many pregnant women don’t get any care because they can’t afford to see a doctor, or don’t have one in their county, or don’t have access to a car. Half of Georgia counties have no OB/GYN."},{"_id":"P5ZFUX4K4FHGJHF43USLEDMOQY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673659},"type":"text","content":"“Some women show up with no prenatal care,” said Shelmekia Hodo, director of maternal infant health at the March of Dimes in Georgia. “They just show up to deliver their babies.”"},{"_id":"V3V5SE6UBJEMBHIURTEX453X6E","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673660},"type":"text","content":"Mental health was the second largest cause of death related to pregnancy, the committee found, and it found all those deaths preventable. Large problems can start small, and Georgia has a dearth of mental health workers to help people cope."},{"owner":{"id":"ajc"},"copyright":"2023 Atlanta Journal Constitution","address":{"region":"Georgia"},"caption":"Shontel Cargill, shown here at the Georgia Capitol, works to help legislators understand the importance of mental health care for Georgia moms. The pandemic exacerbated mental health problems that often occur for new moms and dads, she says. “And it really showed that our healthcare system was not prepared.” (PHOTO by Arvin Temkar / arvin.temkar@ajc.com)","source":{"system":"AJC Freelancer","name":"AJC Freelancer","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/Freelancer/AAJC [DATE] HX MATERNAL PANDEMIC filed at 0004.JPG","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":["63d860ea82773b22d0f3dc9d"],"seo_keywords":["AJC Freelancer"]},"type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","licensable":false,"credits":{"affiliation":[{"name":"arvin.temkar@ajc.com","type":"author"}],"by":[{"name":"Arvin Temkar","type":"author"}]},"subtype":"Wires","subtitle":"maternal mortality","width":6000,"_id":"6HTW3QBUEANQIK4ZRHLZDL2MGA","additional_properties":{"fullSizeResizeUrl":"/resizer/nULlAPXRVPFpPwO0X-0_fnCJv-M=/arc-anglerfish-arc2-prod-ajc/public/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","comments":[],"iptc_job_identifier":"63d860ea82773b22d0f3dc9d","keywords":["maternal mortality","shontel cargill","AJC Freelancer"],"proxyUrl":"/resizer/nULlAPXRVPFpPwO0X-0_fnCJv-M=/arc-anglerfish-arc2-prod-ajc/public/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","takenOn":"2023-01-31T18:00:31Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","published":true,"resizeUrl":"/resizer/nULlAPXRVPFpPwO0X-0_fnCJv-M=/arc-anglerfish-arc2-prod-ajc/public/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","thumbnailResizeUrl":"/resizer/OsX6kUnsme8sr_Rr8N4K32Ankm0=/300x0/arc-anglerfish-arc2-prod-ajc/public/6HTW3QBUEANQIK4ZRHLZDL2MGA.JPG","version":2,"originalName":"s3://ajc-arc-photo-integration/Freelancer/AAJC [DATE] HX MATERNAL PANDEMIC filed at 0004.JPG","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"MQTKKMZ3V5DKTO2TRBIGGBTSWU","iptc_title":"Visual Journalist"},"created_date":"2023-01-31T18:54:04Z","last_updated_date":"2023-03-02T21:52:42Z","slug":"AAJC [DATE] HX MATERNAL PANDEMIC","height":4000},{"_id":"MTLTIG4WZBHQVFRU2YAWRFR3BU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676409287897},"type":"text","content":"“We already have the data that one in seven moms will have experienced postpartum depression, one in 10 dads will experience postpartum depression, one in 10 pregnant people will have depression or anxiety,” said Shontel Cargill, a perinatal family therapist and president of Postpartum Support International. “Those things happen. But when the pandemic happened, it exacerbated all of that. And it really showed that our healthcare system, was not prepared.”"},{"_id":"4RR37X3KYJD4FFCW7BCEDBU554","additional_properties":{"inline_comments":[],"comments":[],"_id":1676508914773},"type":"text","content":"Community workers want patients’ complaints to be respected."},{"_id":"T3T5LBAVCFDSPLHJ26NES3Q7PM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673665},"type":"text","content":"“I think that we’ve got work to do,” said Lindberg. “I think that it’s not enough to continue to talk about it. It’s pretty old to keep asking women to rehash trauma for us to believe them."},{"_id":"BK6JI5G36BF3ZADLSZGQZW35NY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676013673666},"type":"text","content":"“The data is clear. We need to do better. We need to do more and we need to do it now.”"},{"_id":"BTBWKEB2VZAADE5EJHYPTMS3RA","additional_properties":{"comments":[],"_id":"562NNF37QZCXFPQ5LX3RXUMXLI"},"type":"divider"},{"_id":"4ORP27AW6BDBREA2IJ3IHOBKN4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676510384641},"type":"text","content":"<b>LEADING CAUSES OF MATERNAL DEATH</b>"},{"_id":"MFPIBGWPMBATNIYM2XF43P547Q","additional_properties":{"inline_comments":[{"pos":340,"comment":"The relatively small numbers signal broader gaps in the health care system that can lead to sickness, hospitalization and early deaths."}],"comments":[],"_id":1676570095540},"type":"text","content":"The state Department of Public Health has released some initial findings from the review of Georgia’s maternal deaths between 2018 and 2020 by the Maternal Mortality Review Committee. These were the top ways in which the committee found pregnancy contributed to the death of someone who was pregnant or had given birth in the previous year."},{"_id":"MBQBEM52KREHRCFHV5LOL6YYNQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095541},"type":"text","content":"<b>16 deaths: </b>Hemorrhage. All preventable."},{"_id":"ROFNN747RNH7PLCXXCM5ESLMOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095542},"type":"text","content":"<b>15 deaths:</b> Mental health conditions. All preventable."},{"_id":"PLBNGN5UVZHO3C2PV3RHMO56HI","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095543},"type":"text","content":"<b>13 deaths: </b>Cardiomyopathy (a condition that affects how your heart pumps blood). All preventable."},{"_id":"XSSYYCRPTVCMLPPQSCQ43R4RWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095544},"type":"text","content":"<b>12 deaths:</b> Cardiovascular and coronary conditions. All preventable."},{"_id":"NIRNSHVHRBDSNGNRLNDUJNJ5Q4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095545},"type":"text","content":"<b>12 deaths: </b>Embolism (an obstruction in an artery or a blood clot). Ten were preventable."},{"_id":"22UN7ZBXHFGLNMX4QGMBD66HXI","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095546},"type":"text","content":"<b>10 deaths:</b> Preeclampsia and eclampsia. All preventable."},{"_id":"RSQ4DGQA25H6FEOJVCHH5E7N5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095547},"type":"text","content":"<br/>"},{"_id":"I76CZATHCNE2VHBCU2YGRT6GEU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095548},"type":"text","content":"<br/>"},{"_id":"FO43IGVW55EGBB2DZX4FWZKYQM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676570095549},"type":"text","content":"<br/>"}],"display_date":"2023-03-03T11:20:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act, technology, storms and transportation. She has been with the AJC since 2005. ","org":"ajc","affiliations":"The Atlanta Journal-Constitution","bio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","author_type":"Staff","expertise":"19","firstName":"Ariel","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"404-526-7261","beat":"Health care","custom_ajc_website":"ajc","_id":"ariel-hart","last_updated_date":"2024-08-15T23:19:27.944Z","byline":"Ariel Hart","email":"ariel.hart@ajc.com","status":true}},"type":"author","version":"0.5.8"}]},"subtype":"Article","headlines":{"basic":"Maternal deaths in Ga. often preventable, point to broad problems"},"first_publish_date":"2023-03-03T11:20:00.356Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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(Natrice Miller/ Natrice.miller@ajc.com)","type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/A5FRIZUZYGJNAWZUZPXTZPT47Y.JPG","height":4000}},"canonical_url":"/news/coronavirus/maternal-deaths-in-ga-often-preventable-point-to-broad-problems/GS2JKQHPYJHQ5B7TYZXK57NQCA/","_id":"GS2JKQHPYJHQ5B7TYZXK57NQCA"},{"content_elements":[{"_id":"CMZGQMDYVBAHJNXYFDD4RAIJ5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"In the wake of Atlanta Medical Center’s abrupt closure last year, the state of Georgia is proposing to demand more advance notice from hospital leaders any time they decide to close down a hospital or hospital services."},{"_id":"FMWAWBVSC5FUBBKID7KWXKIKGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869271},"type":"text","content":"Wellstar Health System shut down two hospitals last year that each served predominantly needy populations: AMC South in East Point and AMC in downtown Atlanta. Each time, Wellstar gave less than 60 days’ notice before shutting down the emergency rooms. The new rule would require at least 180 days’ notice, up from the current 30."},{"_id":"MSVTV3V6DJA2ZOEMGIVTVA6AQY","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869268},"type":"text","content":"<a href=\"https://www.ajc.com/news/atlanta-news/atlanta-mayor-wellstar-had-amc-property-valued-before-closure-announcement/T3FAWCMCENGILOUBIU2LY2XB7Y/\" target=\"_blank\">Several elected leaders said they were shocked at Wellstar’s announcement last year that it would close AMC. </a> The <a href=\"https://www.ajc.com/news/coronavirus/atlanta-medical-center-closure-brings-higher-costs-risks-for-grady/SJCT6CY4B5CWND5CDDLLPDLKJY/\" target=\"_blank\">Metro Atlanta Chamber business group’s president, Katie Kirkpatrick, told The Atlanta Journal-Constitution</a>, “I’ll be very clear, we were not given a heads up.”"},{"_id":"5A5RAUCGCBHIVOQDD43DH2JROE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869269},"type":"text","content":"Atlanta Mayor Andre Dickens supports the new rule, his spokesman said."},{"_id":"YPXPVCU7PVGW3NF33732R42PPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869270},"type":"text","content":"“When a hospital closes or substantially changes operations, it has an enormous impact on the community and surrounding region,” said the spokesman, Michael Smith. “The Mayor is encouraged by this first step to bring greater accountability to hospital operators.”"},{"_id":"FMWAWBVSC5FUBBKID7KWXKIKGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869271},"type":"text","content":"Within the overall closure announcements, Wellstar also was slow to come forward with details such as dates that individual services within the hospital would close. In some cases Wellstar has not announced details to the public at all."},{"_id":"VHEEBF6Z5FA4FNL33QFNDO7HBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869272},"type":"text","content":"When Wellstar shut down AMC-South’s hospital services in East Point, it announced that it would shift the hospital’s work to being a clinic, which Wellstar said was what the patients there really needed anyway. However, Wellstar did not announce that it would soon reduce that clinic’s hours to days only."},{"_id":"R3EZP3W63VFGDHILQZW5RUL6PU","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869273},"type":"text","content":"In addition, <a href=\"https://www.ajc.com/news/coronavirus/report-wellstar-to-shut-east-point-clinic-beef-up-clinic-next-door/PV6LP2RXKBEELHMGWN6GAIO46U/\" target=\"_blank\">Wellstar intends to shut down the East Point clinic altogether</a>, but Wellstar didn’t announce that either.<b> </b>The expected closure was revealed independently in reporting by the AJC."},{"_id":"JSIPIT2BP5DGRCIUWUS5BYWDWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869274},"type":"text","content":"Wellstar will shift instead to supporting a separate clinic next door. That support of Wellstar is expected to eventually cease."},{"_id":"ER6MPONW2BCLRK2IKX56EMPWAA","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869275},"type":"text","content":"The new Department of Community Health rule would require 180 days’ advance written notice for closures, or for other changes including mergers or a “material change regarding the hospital’s delivery of services to the public.”"},{"_id":"BQIVI2UT4NFK3A5JYPSPDAUD4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869276},"type":"text","content":"The state Board of Community Health will vote on the proposed changes on March 9."},{"_id":"X3DJ2QDFAZAGPPUS5QGV2KMWBU","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869277},"type":"text","content":"<br/>"},{"_id":"MSVTV3V6DJA2ZOEMGIVTVA6AQY","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869278},"type":"text","content":"<br/>"},{"_id":"EBTPRTGEYFFETNY3P74SDUHRGE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677535869279},"type":"text","content":"<br/>"},{"_id":"O4H6MZXGNVFUVIIXYQTTASV5BA","additional_properties":{"inline_comments":[],"comments":[],"_id":1677527616332},"type":"text","content":"<br/>"}],"display_date":"2023-02-28T11:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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(PHOTO by Steve Schaefer/steve.schaefer@ajc.com)","type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/ZL5RIJ6UGPGT4KMMOADFMYAYQY.jpg","height":1770}},"canonical_url":"/news/coronavirus/georgia-agency-proposes-rule-to-curb-surprise-hospital-closures/UU2GZL2X6FFPFCGEWL5FDFHHNQ/","_id":"UU2GZL2X6FFPFCGEWL5FDFHHNQ"},{"content_elements":[{"_id":"PSEYO2YSWJBZPCAFMJ26UGZHKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649029},"type":"text","content":"Children’s Healthcare of Atlanta and Mercer University School of Medicine have entered a $200 million alliance to address pediatric health care access in rural Georgia Wednesday."},{"_id":"GGNJT2MYZZGQJBNOBRJZWXRYCA","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649030},"type":"text","content":"The partnership will seek to improve the readiness of rural hospitals to treat pediatric patients, provide training and resources to rural pediatricians and increase pediatric mental and behavioral health services in rural communities. As part of the partnership, 10 full-tuition scholarships will be awarded in 2023 to Mercer medical students specializing in pediatrics who agree to commit to serving in rural Georgia for four years after completing their residencies."},{"_id":"HCLQLW6QUBE4BPYDKTNI65OADE","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649031},"type":"text","content":"“I believe this is a transformational opportunity for the State of Georgia and rural children,” said Mercer University School of Medicine Dean Dr. Jean Sumner in a press release. \" It also aligns perfectly with MUSM’s mission to meet the primary care and health needs of rural medically underserved areas of Georgia, to which we are committed.”"},{"_id":"CRHJPXXQNBFNLD3D3QYP6GPFWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649032},"type":"text","content":"Across the nation and state, the trend of rural hospitals closures has been increasing. From 2012-22,<a href=\"https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/\" target=\"_blank\"> at least eight rural hospitals in the state were shuttered</a>. Of Georgia’s 159 counties, 120 are considered rural. According to Gov. Brian Kemp, 67 counties in Georgia have zero to ten physicians and 65 counties have no pediatricians."},{"_id":"ZQAAJCQ3BRCYJKHJ655UVCCRYQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649033},"type":"text","content":"“Children’s is very excited to work with Mercer University School of Medicine and the Georgia Rural Health innovation Center because they are are trusted community partner and best suited to guide us in addressing the current and future needs of Georgia’s rural pediatric population,” Donna Hyland, chief executive officer of CHOA, said in a statement."},{"_id":"HY4DGCVSYFD3LDKR37X3B5JWMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649034},"type":"text","content":"CHOA will also increase their support for Atlanta Ronald McDonald House Charities to help families that have to travel to Atlanta for healthcare needs."},{"_id":"QNTTC3CRQ5DEFOE5NJHWMCXA5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649035},"type":"text","content":"On behalf of all Georgians, especially those who live in rural parts of our state, I want to thank Mercer University School of Medicine and Children’s Healthcare of Atlanta for partnering to tackle this critical need,” said Kemp at a press conference announcing the alliance. “We’ve got to continue to work for access and cost availability for health care access.”"},{"_id":"EHOREXUCHFF5PAL36K6ZHTX5IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1677099649036},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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Gov. Burt Jones, (left) Gov. Brian Kemp (right) and Dr. Jean Sumner, Dean of Mercer University School of Medicine (far right), look on during a press conference to talk about the partnership with Mercer University and Children’s Healthcare to advance pediatric healthcare in rural Georgia on Wednesday, February 22, 2023. 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On Jan.17, the Georgia Board of Nursing formally requested the nurses to surrender their nursing licenses within 30 days."},{"_id":"GRGQUII5ZZABPE7HO6YTUN63AY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003751},"type":"text","content":"Georgia Secretary of State Brad Raffensperger said state investigators are working with the FBI to revoke the nursing licenses of the nurses who won’t give back the licenses on their own. The number of nurses who turned in their licenses by the deadline was not available Friday afternoon.."},{"_id":"CES3AN2NBBEKFA3X3JHXDZXAS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676664424020},"type":"text","content":"“We are working closely with federal law enforcement concerning potential Georgia connections to this case and will act quickly to protect Georgia patients,” Deputy Secretary of State Jordan Fuchs said in an email to The Atlanta Journal-Constitution."},{"_id":"RVDFFVUKHFC5ZG2BHBFZEVMUGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676394174030},"type":"text","content":"<a href=\"https://hahnahwilliams.com/\" target=\"_blank\">Hahnah Williams</a>, an Atlanta-based attorney representing several of the nurses affected by the scam, says that her clients degrees and licenses are legitimate."},{"_id":"3TD6TBH5EFBT3ORFXTYD2OJBTY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676400381594},"type":"text","content":"“My clients are compassionate, hardworking immigrants who came to this country in pursuit of a better life. They legitimately obtained their education from accredited nursing schools and subsequently passed their licensing exams,” Williams said in a statement to The Atlanta Journal-Constitution."},{"_id":"DWTS5KIGXBFSJDB5HDMEJRTP5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1676394174032},"type":"text","content":"On Jan. 25, the Department of Health and Human Services announced charges against 25 individuals affiliated with the Florida schools, in what they said was a “wire fraud scheme that created an illegal licensing and employment shortcut for aspiring nurses.” If convicted, each defendant in what officials have named, <a href=\"https://oig.hhs.gov/newsroom/media-materials/nightingale/\" target=\"_blank\">Operation Nightingale</a>, could face up to 20 years in prison."},{"_id":"S2K5JUIMARD2TCRXNTLH5AAYEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003747},"type":"text","content":"“What is disturbing about this investigation is that there are over 7,600 people around the country with fraudulent nursing credentials who are potentially in critical health care roles treating patients,” Chad Yarbrough, acting special agent in charge of the FBI’s Miami office, said in a<a href=\"https://www.justice.gov/usao-sdfl/pr/fraudulent-nursing-diploma-scheme-leads-federal-charges-against-25-defendants\" target=\"_blank\"> Department of Justice press release. </a>"},{"_id":"MTFMDIUZ4VE2RDHF7633QRRJSM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003748},"type":"text","content":"The New York Times reported that <a href=\"https://www.nytimes.com/2023/01/27/us/florida-nursing-diploma-scam.html\" target=\"_blank\">37 percent of those who purchased fake degrees passed the National Council Licensure Examination</a> (NCLEX), a national licensing test taken by nurses."},{"_id":"URYQWRC4R5CIRGV3GM2BNYNTZQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003749},"type":"text","content":"Since the news of the investigation broke, Florida’s Commission for Independent Education has now ordered<a href=\"https://www.beckershospitalreview.com/nursing/florida-pauses-enrollment-at-7-nursing-schools-amid-degree-scheme.html?origin=BHRE&utm_source=BHRE&utm_medium=email&utm_content=newsletter&oly_enc_id=3580A6152645C3W\" target=\"_blank\"> seven Florida nursing schools to stop graduations and enrollments until March 31,</a> at least, according to Becker’s Hospital Review."},{"_id":"6IZG7SNFTZARVFIT3BFCX36N7Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1676397359473},"type":"text","content":"A Channel 2 Action News report found that three of the nurses accused of having fake degrees worked at the Atlanta VA Medical Center. Information was not available on the employment status of the other 19 nurses."},{"_id":"Y4NQ4FX6VZG5FDVAQ6WL5XFGS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1676656293680},"type":"text","content":"VA Press Secretary Terrence Hayes said in a emailed statement to The Atlanta Journal-Constitution that the VA was alerted this month about “a small percentage” of their employees who received credentials from “institutions awarding fraudulent nursing degrees to students.”"},{"_id":"NLTKRQSE5NAMVGNGVOGSF7OA5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003753},"type":"text","content":"“These individuals held<i><b> </b></i>state nursing licenses; however, these licenses may have been based on fraudulent diplomas,” said Hayes. “As the (Office of Inspector General) has noted, VA immediately removed all identified employees from clinical care last year, and they remain so today.”"},{"_id":"SUTPR6NL35GTHKDOAF32ZCQ7XE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676579003754},"type":"text","content":"Williams argues that her clients should not be categorized with the more than 7,600 individuals with nursing credentials tied to the case."},{"_id":"3TD6TBH5EFBT3ORFXTYD2OJBTY","additional_properties":{"inline_comments":[],"comments":[],"_id":1676400381594},"type":"text","content":"“They wish to be differentiated from individuals who fraudulently obtained their degrees, and they are hopeful that there will be a fair investigation that allows them to tell their side of the story consistent with due process under Georgia law,” said Williams."},{"_id":"PFUIQMG6OFDDJA7EWXOWQJDLWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676394174036},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-02-17T20:11:01.729Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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From testing woes, public communications mishaps and data collection failures, Walenksy recognized the necessity to apply lessons learned during the pandemic to reshape the country’s foremost public health agency."},{"_id":"FZKNG2YWERDMPGK23S7IU5S2UU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675964798776},"type":"text","content":"Health equity experts say missing data on the racial and ethnic impact of the pandemic will cause inequities for years to come, as written in <a href=\"https://www.statnews.com/2023/01/30/covid-19-missing-data-race-ethnicity-drive-inequities-decades-to-come/\" target=\"_blank\">STAT</a>. As part of the <a href=\"https://www.cdc.gov/about/organization/cdc-moving-forward.html\" target=\"_blank\">CDC’s Moving Forward Initiative</a>, a new Office of Public Health Data, Surveillance and Technology will also be created. Jennifer Layden, who oversees the agency’s data modernization efforts, will serve as acting director."},{"_id":"YQH4UGS6AJCVFEPPQ6NAJU5KPU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675964798777},"type":"text","content":"For many, the pandemic brought to the forefront structural and social barriers that often prevent<b> </b>communities of color<b> </b>from being the healthiest that they can be. These factors are called social determinants of health."},{"_id":"5Y44LGN4BZFTXDFYL72FGH23KA","additional_properties":{"inline_comments":[],"comments":[],"_id":1675881860199},"type":"text","content":"The <a href=\"https://health.gov/healthypeople/priority-areas/social-determinants-health\">CDC breaks down the social determinants of health into five domains</a> that include: economic stability, education access and quality, health care access and quality, neighborhood and built environment and social and community context. Some examples of these factors are transportation, income, access to healthy and nutritional foods and air quality."},{"_id":"CNNV7Y2HOVBX7LE4MABB766SZI","additional_properties":{"inline_comments":[],"comments":[],"_id":1675893200479},"type":"text","content":"Among the new approaches that will come with the formation of the Office of Health Equity is a intersectional focus on population groups that disproportionately experience health disparities. While continuing to consider racial and minority populations, the office will also expand its reach to people with disabilities, people who live in rural areas and the LGBTQ+ community."},{"_id":"R3RHDNBWWJBD5HPWJMLZQHAWGE","additional_properties":{"inline_comments":[],"comments":[],"_id":1675893200480},"type":"text","content":"“Let’s say that I’m not just Black, but I’m Black and female. I could be Black, female and live in a rural area,” Liburd said. “Those characteristics taken together will influence my health outcomes and the possibility for me to attain my healthiest self.”"},{"_id":"TOBRHKBF7FDWDF3AJCTO62DQTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1675953977528},"type":"text","content":"During her tenure as director of the CDC’s Office of Minority Health and Health Equity, Liburd worked to establish the social determinants of health component of the <a href=\"https://www.cdc.gov/nchs/healthy_people/hp2020.htm\" target=\"_blank\">Healthy People 2020</a> and <a href=\"https://health.gov/healthypeople\" target=\"_blank\">2030</a> initiatives that set decade-long national objectives to improve health and well-being."},{"_id":"EBJECPPAF5A2HPGYT77EEKF2IA","additional_properties":{"inline_comments":[],"comments":[],"_id":1675953977529},"type":"text","content":"“It was something that I was very proud of because we went from not talking about it, not affirming it, to it really being taken up,” she said. “It shows how many people around the nation, practitioners, policymakers, who were really latching onto those social determinants of health.”"},{"_id":"D3Q4CU3TVFF67AKAIDXJSUHXCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676484675510},"type":"text","content":"Liburd added that equity strategies must have significant community engagement, especially from the people most affected by an issue, along with comprehensive data that informs the strategy. She also said the efforts must be policy-driven to prevent the reoccurrence of inequity."},{"_id":"N7YVGBR6UVFFJOKANYVIPTH3AQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676484675511},"type":"text","content":"Walensky said various parts of the agency CDC have submitted health equity goals for studying the “drivers and impacts of social determinants on health outcomes.”"},{"_id":"J55DN52MNRGSXNGTX5E7DEKHWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676484675512},"type":"text","content":"She also said that the agency will focus on ways to reduce the inequities that affect health, collaborating with “partners from multiple sectors” to help implement solutions."},{"_id":"4MGDBYSJXBGJDEEDHRQUCUTJQ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1675953977530},"type":"text","content":"Overall, Liburd said she views her new role as an opportunity to expand partnerships, increase impact and support ways to make a difference in communities."},{"_id":"H6JP2DTD4VE37M5KESWIPOLTMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1675953977531},"type":"text","content":"“It’s more than a name change,” said Liburd. “It’s an intentional expansion of our focus and how we both understand and address health disparities, so that we are not leaving populations.”"},{"_id":"45VQYTJEUZCEZEQQCV4PAMHDFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675881860201},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-02-16T12:36:05.881Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. Thomas","email":"donovan.thomas@ajc.com","slug":"","image":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png","longBio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. \n\nThe Atlanta Journal-Constitution and Report for America are partnering to raise funds to support three AJC journalists who will focus on immigrant issues and the health and welfare of Georgians in underserved communities. Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"CDC reorganization centers equity, data collection as priorities"},"first_publish_date":"2023-02-15T20:54:56.701Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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Tuskegee was the location of the infamous U.S. Public Health Service Syphilis Study — <a href=\"https://www.cdc.gov/tuskegee/index.html\" target=\"_blank\">a 40-year study from 1942-1972 that included 623 Black men, it left nearly 400 with untreated syphilis, even after penicillin became the standard treatment for the disease in 1947.</a>"},{"_id":"H4QUPCHNGVBQJBGR7WWFDNDBHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513775},"type":"text","content":"A descendant of a man used in that study and of Henrietta Lacks, Lillie Tyson Head and Veronica Robinson, told the stories of their relatives, why their stories matter and how being a descendant governs their lives."},{"_id":"M4TD5RY6DVHZTBVY6ZL7XG5VPQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513776},"type":"text","content":"In 2015, the NIH began an ongoing project known as “All of Us” designed to<b> </b>enlist underrepresented communities to contribute their own medical, health and genetic information to a research database. The more diverse data can be used for investigating diseases and treatments, potentially resolving<b> </b>long-standing inequities in research that exclude groups and contribute to medical distrust."},{"_id":"DNKT4ZEXJNCIPHCPIAXBQTBMUU","additional_properties":{"comments":[],"_id":"X5OGTNIDQNCMLER54SW5UTKH6U"},"type":"interstitial_link","content":"‘All of Us’ program diversifies medical research, health care","url":"https://www.ajc.com/news/all-of-us-program-diversifies-medical-research-healthcare/AS2FYQH5UNFSBEOF3EJFDITZFM/"},{"_id":"R3KM2DVBV5BUPPC3RYC7DUII6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513777},"type":"text","content":"All of Us Chief Engagement Officer Dr. Karriem Watson said Thursday evening, “We have to acknowledge that there’s a historical context in which we do this work. Bringing people together to talk about the importance of diverse participation in clinical trials is so important, but we have to acknowledge why some communities don’t participate.”"},{"_id":"IPIJYM42ZBHXXGHCZTCNB2XYDU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513778},"type":"text","content":"The cases of Henrietta Lacks and the U.S. Public Health Service Syphilis Study participants are oftentimes referenced during discussions about the Black community’s distrust of the health care system."},{"_id":"JKDGBZCEFNDMDOP3NVZGKW2DJY","additional_properties":{"comments":[],"_id":"4HALI6MU5RH3PAEVRMHYVQAVMI"},"type":"interstitial_link","content":"Henrietta Lacks and her family honored at Morehouse","url":"https://www.ajc.com/news/local/henrietta-lacks-and-her-family-honored-morehouse/COWf6gYnVJsRGfimSd2BlK/"},{"owner":{"id":"ajc"},"address":{"locality":"LONDON"},"auth":{"1":"5cd1368d3db0cae133ad6c09786f9da03a95473c633f077665c7a9badef86d4c"},"caption":"FILE — A photograph of Henrietta Lacks at the Science Museum in London, May 25, 2022. A life-size bronze statue of Lacks, the woman whose cancer cells were taken without her consent and were used for research that ushered medical discoveries and treatments, will be erected in her hometown, Roanoke, Va., next year in a plaza previously named after the Confederate general Robert E. Lee. (Lauren Fleishman/The New York Times)","source":{"system":"arc i/o","name":"New York Times","source_type":"wires","source_id":"https://www.nytsyn.com/images/feed_support/photos/download/5eabe86f-1f08-452e-9177-1b1f86733062.jpg","additional_properties":{"editor":"photo center"}},"type":"image","distributor":{"mode":"reference","reference_id":"6fa12dc0-f99c-4219-910f-a0a911a4d4c7"},"version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","licensable":false,"subtitle":"A photograph of Henrietta Lacks at the Science Museum in London, May 25, 2022. (Lauren Fleishman/The New York Times)","width":2403,"_id":"BCWSTJ7LII6HRFN6QFHWXFAQNY","additional_properties":{"fullSizeResizeUrl":"/resizer/5IDqreHKGEZku3ODYdX32kJe4Z0=/arc-anglerfish-arc2-prod-ajc/public/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","comments":[],"proxyUrl":"/resizer/5IDqreHKGEZku3ODYdX32kJe4Z0=/arc-anglerfish-arc2-prod-ajc/public/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","published":true,"resizeUrl":"/resizer/5IDqreHKGEZku3ODYdX32kJe4Z0=/arc-anglerfish-arc2-prod-ajc/public/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","thumbnailResizeUrl":"/resizer/DZw1v5jKviXoX5pdHoyM5F49i90=/300x0/arc-anglerfish-arc2-prod-ajc/public/BCWSTJ7LII6HRFN6QFHWXFAQNY.jpg","version":1,"originalName":"https://www.nytsyn.com/images/feed_support/photos/download/5eabe86f-1f08-452e-9177-1b1f86733062.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"WEDVY5OLHBEQNG3ZF7SGVL4MGA"},"created_date":"2022-12-20T20:15:34Z","last_updated_date":"2023-01-19T20:25:10Z","slug":"LEE STATUE REPLACEMENT","height":2274},{"_id":"L26JVAA62NEJLMUXJ46VSR2YCA","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513779},"type":"text","content":"Henrietta Lacks was a Black woman with cervical cancer whose cells were unknowingly taken, used and distributed by Johns Hopkins University for medical research in 1951. Lack’s cells, commonly known as <a href=\"https://www.hopkinsmedicine.org/henriettalacks/\" target=\"_blank\">“HeLa” cells, contributed to scientific breakthroughs, including the study of the human genome, testing of the effects of radiation and the development of polio and COVID-19 vaccines.</a>"},{"_id":"WC4SWPWRRJGKPA2M26IJNO4YZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1676044516875},"type":"text","content":"For years, pseudonyms like Helen Lane and Helen Larsen were used to conceal the true origin of “HeLa” cells. Her name became known in the 1970s when family members were asked for blood samples for research."},{"_id":"I6J7P232VNC4RMKCQCZ6BD35ZU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513780},"type":"text","content":"The great-granddaughter of Lacks, Veronica Robinson, says that her great-grandmother’s story has led her to advocate for her family and underrepresented communities. She recalled her efforts to reduce vaccine hesitancy during the pandemic."},{"_id":"OYEV75Z2NJEGNDASA25HIVZXAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513781},"type":"text","content":"“I influence policy change and I bridge the gap between science and community,” Robinson said. “Right now, building trust has been very crucial to the point where it can be detrimental to people’s lives. If we don’t begin to build trust, if we keep sweeping history under the rug, we can never move forward.”"},{"_id":"CCEJUQRIEJDULPRF2RSJT3YZAI","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513782},"type":"text","content":"Lillie Tyson Head’s father, Freddie Lee Tyson, was a participant in the deceptive U.S. Public Health Service Syphilis<b> </b>study that resulted in the deaths of some of the men, including their wives and kids."},{"_id":"JT5SSKJIMNFMFFECYH25IP3TFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513783},"type":"text","content":"Tyson Head is the president of the Voices for Our Fathers Legacy Foundation, an organization founded by descendants of men used in the study."},{"_id":"4ZHL4BDHTRFWDMIBJOME3WRL4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513784},"type":"text","content":"“If we as Black and brown people want to change the narrative of disparities in health and the racial system that has caused a lot of pain and injustice, we need to start having this conversation,” said Tyson Head. “If you’re not at the table, you’re on the menu.”"},{"_id":"S36R47SD7JBUNHQ6GMODWQULPU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513785},"type":"text","content":"Watson said he hopes the Tuskegee gathering can help the All of Us program advance and put concepts into action by “moving from promise to progress.”"},{"_id":"BZM3BFGCYRBORMI7FHY3N2CQQE","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513786},"type":"text","content":"“We’ve promised a lot about what clinical research can do and about what the importance of research is, but we want to begin to advance that work,” Watson said. “We need to increase the research pipeline to ensure that there’s researchers that are asking the questions that reflect the diversity of the community.”"},{"_id":"Y4MBY6KKKJCCNMKMA3D57CVMHA","additional_properties":{"comments":[],"_id":"NQ6AVNXTABB5VG6MTXDUXE2BQI"},"type":"divider"},{"_id":"4O3UA3EVX5HTRM5I25AVUEL5TM","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513787},"type":"text","content":"For more information, including how to join “All of Us,” visit <a href=\"https://allofus.nih.gov/\">https://allofus.nih.gov/</a>."},{"_id":"UGOHVGXN55HYVBEOFSUKQGH4RU","additional_properties":{"inline_comments":[],"comments":[],"_id":1676002513788},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><i><b>ajc.com/give</b></i><i> </i></a>"}],"display_date":"2023-02-10T20:01:46.937Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. Thomas","email":"donovan.thomas@ajc.com","slug":"","image":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png","longBio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. \n\nThe Atlanta Journal-Constitution and Report for America are partnering to raise funds to support three AJC journalists who will focus on immigrant issues and the health and welfare of Georgians in underserved communities. Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"Health officials discuss medical wrongs against Black community"},"first_publish_date":"2023-02-10T15:51:08.731Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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Piedmont Hospital, located in Buckhead about 6 miles northwest of AMC and Grady, has felt little effect, according to hospital spokesman John Manasso."},{"_id":"5UFAWZQXWFCPLJMCOAM5WQYQ3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1675893671203},"type":"text","content":"For years, Grady and AMC have cared for metro Atlanta’s poorest and sickest residents, most of them Black. That includes expectant mothers who have had little or no prenatal care, who are likely to be obese, malnourished, suffering with diabetes, high blood pressure and asthma — all conditions that alone or in combination contribute to maternal deaths, premature births and infant mortality — the deaths of babies."},{"_id":"WQB3ZEELVZF2DOZSVVQF3XWSEU","additional_properties":{"inline_comments":[],"comments":[],"_id":1674858802408},"type":"text","content":"Public health officials say Atlanta and the rest of Georgia have alarming rates of maternal and infant mortality. According to the Centers for Disease Control and Prevention, 769 Georgia infants died in 2020, or <a href=\"https://www.cdc.gov/nchs/pressroom/sosmap/infant_mortality_rates/infant_mortality.htm\" target=\"_blank\">6.28 infants out of every 1,000 births.</a><b> </b>In its 2022 report card on maternal and infant mortality, the March of Dimes recently reported that Black babies in Georgia died at a rate of 10.8 per 1,000 live births, more than twice the number for white babies at 4.9 per 1,000 and 5.4 per 1,000 for Hispanic babies."},{"_id":"XKQSTFEAJNFRHHJIDDXDSAG4M4","additional_properties":{"inline_comments":[],"comments":[],"_id":1675954054046},"type":"text","content":"Grim statistics show that pregnant Black women in Atlanta and throughout Georgia are more than twice as likely to die of pregnancy-related causes than white women. From 2018 to 2020, the state Department of Public Health said Black women throughout Georgia accounted for 48.6 pregnancy-related deaths per 100,000 live births, while the rate for white women was 22.7 per 100,000."},{"_id":"IVRS4ZBH7FHKLMJQ2NZOI4BZVU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675954054047},"type":"text","content":"Grady’s Jansen said that Grady has been working to increase<b> </b>maternal-infant care capacity by refreshing rooms, creating new operating rooms and new labor and delivery rooms."},{"_id":"HERJT6HPOFH6HGMFMJQ6LHOBUQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276935},"type":"text","content":"“Some of the women that were probably delivering at AMC did not get good prenatal care, which is not the fault of AMC. This is a problem in Atlanta and in this part of the town,” he said. “A lot of women don’t get adequate prenatal care.”"},{"_id":"E6U7A3UZ4VHJFB7JCHJRT36TIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276936},"type":"text","content":"He said the increased maternity patient load has seriously strained Grady’s neonatal intensive care unit, where volume is up 30-40%. That unit cares for medically fragile babies, many born prematurely and needing specialized medical care."},{"owner":{"id":"ajc"},"copyright":"2023 Atlanta Journal Constitution","address":{"locality":"Atlanta","region":"Georgia"},"caption":"Dr. Natalie Hernandez (executive director), right, leads a meeting with her staff, clockwise from left, Shamonica McGill (research administrator), Aaron Brown (program manager), DeMorris Murry (project coordinator), Dr. Lasha Clarke (postdoctoral fellow) and Erin Harris (research assistant) at Morehouse School of Medicine’s Center for Maternal Health Equity, Wednesday, Jan. 25, 2023, in Atlanta. (Hyosub Shin / Hyosub.Shin@ajc.com)","source":{"system":"AJC Freelancer","name":"AJC Freelancer","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/Freelancer/01xx23 Maternity Care HS04.jpg","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":["63d0391d77c36201d5c779f7"],"seo_keywords":["AJC Freelancer"]},"type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4RV7V75RLAUGQEIRTMYPV7756A.jpg","licensable":false,"credits":{"affiliation":[{"name":"Hyosub.Shin@ajc.com ","type":"author"}],"by":[{"name":"Hyosub Shin","type":"author"}]},"subtype":"Wires","subtitle":"Maternity care in Atlanta following AMC’s closure","width":5983,"_id":"4RV7V75RLAUGQEIRTMYPV7756A","additional_properties":{"fullSizeResizeUrl":"/resizer/Q2s6bqnG2SzGNnjeZejVpNlAXwo=/arc-anglerfish-arc2-prod-ajc/public/4RV7V75RLAUGQEIRTMYPV7756A.jpg","comments":[],"iptc_job_identifier":"63d0391d77c36201d5c779f7","keywords":["AJC Freelancer","Maternity care","Morehouse","Natalie Hernandez"],"proxyUrl":"/resizer/Q2s6bqnG2SzGNnjeZejVpNlAXwo=/arc-anglerfish-arc2-prod-ajc/public/4RV7V75RLAUGQEIRTMYPV7756A.jpg","takenOn":"2023-01-25T18:54:33Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4RV7V75RLAUGQEIRTMYPV7756A.jpg","published":true,"resizeUrl":"/resizer/Q2s6bqnG2SzGNnjeZejVpNlAXwo=/arc-anglerfish-arc2-prod-ajc/public/4RV7V75RLAUGQEIRTMYPV7756A.jpg","thumbnailResizeUrl":"/resizer/MoSLLFYo93X7ielUrUGGa4ke5Jc=/300x0/arc-anglerfish-arc2-prod-ajc/public/4RV7V75RLAUGQEIRTMYPV7756A.jpg","version":2,"originalName":"s3://ajc-arc-photo-integration/Freelancer/01xx23 Maternity Care HS04.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"JZ7NDUPVSNH4JH3H24VLPR4QNI","iptc_title":"Multimedia Journalist"},"created_date":"2023-01-25T22:24:16Z","last_updated_date":"2023-02-10T12:39:07Z","slug":"AAJC 01xx23 HX Maternity Care","height":3888},{"_id":"RATSBYUSENBOHBKC5F65JEBFVE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276937},"type":"text","content":"“We really had to work hard to be able to staff both labor and delivery as well as neonatal ICU and other women’s services,” said Jansen."},{"_id":"Q4TTMEQUOVGTLBDXSUD2CCRMNQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1675798049119},"type":"text","content":"The closing of Wellstar’s AMC has also sent maternity patients to Emory University Hospital Midtown for labor and delivery care, some of it emergency care, though not in numbers like Grady."},{"_id":"OCEQCR53BZFLJAMU6U4XDYRZRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1675880361256},"type":"text","content":"“At Emory University Hospital Midtown, we have seen a slight increase in volume in our labor and delivery unit since the Wellstar AMC closing,” said Janet Christenbury, director of media relations for Emory Healthcare. “Our obstetrics triage service, which is similar to an emergency room for patients who are pregnant, has also seen an increase in patients needing urgent care during their pregnancy.”"},{"_id":"F7KJ7MFHGJEN7HXRIAYTXMN744","additional_properties":{"inline_comments":[],"comments":[],"_id":1675880361257},"type":"text","content":"Christenbury said in an emailed statement to The Atlanta Journal-Constitution that Emory is in the process of recruiting and hiring more staff to help care for patients."},{"_id":"EUIUIJS7H5B3TEAECDB2UFWKRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675880361258},"type":"text","content":"Georgia has for years been burdened with high rates of maternal and infant deaths, a serious backdrop for the closure of AMC even as state health officials brace for a report of new, worse statistics."},{"_id":"HZ7X4Z2VCZDS3H2YB6B4C6F2FM","additional_properties":{"inline_comments":[],"comments":[],"_id":1675973290835},"type":"text","content":"“Georgia just has serious challenges,” said Dr. Natalie Hernandez, executive director of the <a href=\"https://centerformaternalhealthequity.org/\" target=\"_blank\">Center for Maternal Health Equity at Morehouse School of Medicine</a>. “We’re like a lot of other states that just have this dearth of resources available for communities.”"},{"_id":"BMPIOCZXCRGDVB65KQD5NANM34","additional_properties":{"inline_comments":[],"comments":[],"_id":1675893671218},"type":"text","content":"In 2017, Sekesa Berry, founder and executive director of the<a href=\"https://www.atlantadoulacollective.org/\" target=\"_blank\"> Atlanta Doula Collective</a>, was compelled to get involved when she learned<b> </b>how many Black women were likely to die in childbirth, compared to white women.<b> </b>Berry, a community midwife, saw the integration of more doulas into the community as a solution."},{"_id":"SUZAZIMXRVBYHE2GY7GKVYA3YU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675798049127},"type":"text","content":"“Doulas stand in the gap. They’re perinatal professionals. They are like allied health workers,” she said. \" They are in the gap of care between the obstetrician and the intervals of prenatal visits.”"},{"_id":"OFY2YFUJSVBIXE3SQPNP5OP7LU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675954054063},"type":"text","content":"Berry said that she receives countless calls from expectant Black mothers who are afraid to go to the hospital because they think they will die. For her, it is important to not only increase awareness around maternal health, but to also provide solutions."},{"_id":"JL6CORZZLJCRREXF5UZAY5NBO4","additional_properties":{"inline_comments":[],"comments":[],"_id":1675798049129},"type":"text","content":"“The simplest solution is that, yes, we need more doulas, but we also need more midwives. And we need to allow midwives to really work with low-risk, no-risk mothers, as they do in other parts of the world,” Berry explained."},{"_id":"XREGZQWGU5HFRFTVCGWT5J4EFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276944},"type":"text","content":"Chanel Stryker-Boykin, a doula and community educator for childbirth and lactation, said AMC’s closure was a “major blow” to the birthing community and low-income families."},{"_id":"JJ4LDMDKSRBOLD4YE56K7CXMI4","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276945},"type":"text","content":"“There’s this certain stigma around families who receive Medicaid, that they are a certain demographic of person, and Atlanta Medical removed that stigma,” Stryker-Boykin said. “When you came in you were just a person, and whatever your wishes were for your birth, they helped you to obtain that goal.”"},{"_id":"SJ76JSMIORFIHM567THM3XGEEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276946},"type":"text","content":"Stryker-Boykin, who is also the perinatal workforce development coordinator at<a href=\"https://www.hmhbga.org/\" target=\"_blank\"> Healthy Mothers, Healthy Babies Coalition of Georgia</a>, said that at AMC, mothers were allowed to have water births regardless of insurance status. She said the hospital was doula-friendly, provider-friendly and a place where midwives could utilize the hospital’s birthing center with their clients, some of them emergency transfers from home or a birthing facility."},{"_id":"CATACYAKGJEKPFA6UUO63TFJVI","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276947},"type":"text","content":"As a mother and doula, she also spoke from the perspective of a Black woman when she said that many people within the Black community have “iatrophobia”, fear of going to a doctor, because of the community’s history of maltreatment and exploitation from medical providers."},{"_id":"QDTF4SXFB5B2PPK2LY2OGHGCMQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674847276948},"type":"text","content":"“You have the aspect of am I to be listened to, heard and respected, or am I going to be criminalized,” she said. “I know people want to feel like the low-income woman or the woman with Medicaid just doesn’t want to go to her prenatal appointments because she doesn’t care about her pregnancy, but no. It’s not that she doesn’t care about her pregnancy. There are a lot of factors.”"},{"_id":"646Q3KY5HRGZJPD7KPPHBGQWFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1675890045731},"type":"text","content":"Doula and birthing advocate Celena Martin herself is pregnant and due in April. She had been leaning toward giving birth at AMC before it closed, but now she has opted for a midwife-assisted home birth."},{"_id":"CVEQ5EDU5JEKTDFCM5Q37Q3YEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1675973290848},"type":"text","content":"“It’s harder for people that don’t have the education because that was the “aha” moment for me, realizing that this was even available,” she said. “Pregnancy, any big transition in life, can be scary.”"},{"_id":"RRNTYRR7WZC6BNCK6FAH4RBM4Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1675973290849},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-02-10T12:39:07.692Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. 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Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"Maternity, newborn care in Atlanta challenged by abrupt closure of AMC"},"first_publish_date":"2023-02-10T12:39:07.692Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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When enrollment for 2023 coverage ended on Jan. 15, more than 879,000 Georgians had enrolled in an ACA plan. What’s less clear is how a state takeover of the exchange could affect them — whether how they shop for plans, or the plans they buy."},{"_id":"PXH4SMDTBRAKTOVKI66FLPI4A4","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318260},"type":"text","content":"Traditionally a majority of Georgians<a href=\"https://www.ajc.com/news/coronavirus/a-decade-in-georgia-aca-signups-reach-record-high/2XQ54WWI7JEH5F5QEUV3WLIDXE/\" target=\"_blank\"> shop for ACA plans</a> on the federally run marketplace website, <a href=\"http://healthcare.gov/\" target=\"_blank\">healthcare.gov</a>. Eighteen states use their own marketplace website, <a href=\"https://www.kff.org/health-reform/state-indicator/state-health-insurance-marketplace-types/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\" target=\"_blank\">according to the Kaiser Family Foundation. </a>The key feature of these sites is they allow shoppers to objectively compare their options for price and coverage."},{"_id":"J2J577YV4FCWPBY6K4VTQHOIWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1675296674442},"type":"text","content":"It’s unclear exactly what the state’s replacement would be."},{"_id":"TXE7RT7RZFBE3N4IECF7JTOX5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318263},"type":"text","content":"Under the Trump administration, Gov. Brian Kemp proposed to block Georgians from shopping on healthcare.gov, and instead lead them directly to private health insurance companies and brokers. Georgians already have access to those private industry sellers, but Kemp aides said that blocking healthcare.gov and further promoting the private companies would benefit Georgians."},{"_id":"HPNLEJFJVFAHFBA6J4LJP54S2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318264},"type":"text","content":"The Biden administration suspended Kemp’s proposal."},{"_id":"QHKT23VIANDHZFQM3FPIAGIHWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318265},"type":"text","content":"Sen. Ben Watson, R-Savannah, who chairs the Georgia Senate Health and Human Services Committee, said Wednesday evening that he had already submitted the paperwork for the bill and it should be formally introduced by Thursday."},{"_id":"MCPORFKR7ZA73H5434QFSUYN64","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318266},"type":"text","content":"“I think the result will be we’ll we’ll finally be able to finish up (Gov. Brian Kemp’s health proposals) and we’ll have more Georgians covered, more lives covered,” Watson said. He said the bill was the governor’s and he introduced it on Kemp’s behalf."},{"_id":"XAJ7RVH5CVDC3OVXMJKN3YBNOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1675297247551},"type":"text","content":"A spokesman for Kemp, Garrison Douglas, said in a written statement that a state-based exchange “gives Georgians higher quality access and greater control in the insurance enrollment process.”"},{"_id":"XCGBF3VBQJH7BO76FNLRVARLOY","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The proposal seems likely to gain traction in the Senate, though its fate in the House is uncertain. The measure, <a href=\"https://www.legis.ga.gov/legislation/63887\" target=\"_blank\">Senate Bill 65</a>, boasted 30 co-sponsors -- enough to win passage in the chamber. Among them are two Democrats: State Sens. Derek Mallow and Doc Rhett. "},{"_id":"G5LGC2Y32VD2XO6DQCO3ZBZNV4","additional_properties":{"inline_comments":[],"comments":[],"_id":1675297247552},"type":"text","content":"Enrolment in ACA plans, formerly known as Obamacare, has surged during Joe Biden’s presidency. His administration has worked with Congress to increase subsidies across income levels and make plans more affordable. Georgia signups rose 35% between 2021 and 2022, and 25% between 2022 and 2023."},{"_id":"NVL4RBYOV5DEFGQZCWJFHCQ35U","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318268},"type":"text","content":"The Kemp administration took credit too, noting that it spent $5 million on advertising for a website it set up leading people to insurance companies and brokers, GeorgiaAccess.gov. A spokesman for the state Office of Insurance said the website drew 334,000 unique views — meaning the site was viewed from that many different computers or phones."},{"_id":"X2FVC22OVVE7DISU6COUYRDNOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1675297247554},"type":"text","content":"Georgia also has a subsidy program that helps lower premiums, called reinsurance."},{"_id":"WASLFVXNFBHQ7ATOA5RN55TZSY","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318269},"type":"text","content":"Zachary Baron, associate director of the Health Policy and the Law Initiative at Georgetown University, said Georgia would need the federal government’s cooperation to set up its own exchange. “It’s a federal-state partnership,” he said. He speculated that big questions lie ahead. “I think this is unprecedented,” Baron said."},{"_id":"XRNL3WQRLBFSLHAQNR26UER3VI","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295461863},"type":"text","content":"Taking over the marketplace would give the state control of millions of dollars in user fees now paid by insurers who sell on the federal marketplace, healthcare.gov. In 2020, when Kemp’s office applied to the Trump administration to take over Georgia ACA shopping, it estimated that the overall value of Georgia’s user fees would range from $89 million per year to $107 million. That was before signups skyrocketed and the fees increased."},{"_id":"JCEARPLW6NB5BGU5UDA5COABXU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675361512327},"type":"text","content":"Currently, the federal government uses that money to run the marketplace, paying the cost of everything from the healthcare.gov computer system to funding outreach and advertising to consumers. The fees also cover the cost to hire “navigators” who help people through the process, especially people without resources."},{"_id":"QX5ZNVDVPZHE7FSN2FEXLXHXXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1675361512328},"type":"text","content":"In a state-based marketplace, all those jobs fall to the state. The Kemp administration would take them on, and it might also redirect some of that money to another program: reinsurance."},{"_id":"XK7CMIE7UBDB7IJUJUVCKOEAEE","additional_properties":{"inline_comments":[],"comments":[],"_id":1675361512329},"type":"text","content":"Talking points that<b> </b>Watson provided Wednesday for the proposal show that the state could use the money both to run the state exchange, and to help pay for Kemp’s “reinsurance” program that lowers premium costs. Since the Biden administration subsidies have already made plans at the lower end of the income spectrum free or nearly free, the biggest benefit from lower premiums come to those who earn higher incomes. Douglas said no decision had been made yet to redirect the ACA exchange money to reinsurance."},{"_id":"M4LRBUQAOFF4THW4ZSZSF6HTVU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318270},"type":"text","content":"<br/>"},{"_id":"GJQDIBF24NHQJNMXRNFC3G2HAU","additional_properties":{"inline_comments":[],"comments":[],"_id":1675295318271},"type":"text","content":"<br/>"}],"display_date":"2023-02-02T00:26:38.919Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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He writes for the front-page of the AJC, contributes to the Political Insider blog and morning Jolt newsletter, co-hosts the Politically Georgia podcast and is a frequent guest on local and national TV and radio programs. He's an MSNBC and NBC News contributor and the author of \"Flipped,\" a book on Georgia's epic 2020 election. He's a proud graduate of the University of Georgia with degrees in journalism and political science, and Axios named him the \"most dedicated\" Bulldog fan at the 2023 national championship game. 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Through the GeorgiaMamaCare website, mothers can sign up for free telehealth support from nurses and nurse practitioners, lactation consultants, doulas and other providers<b> </b> throughout their pregnancy. Interested expecting mothers should register at <a href=\"https://urldefense.com/v3/__https:/georgiamamacare.com/__;!!JZyed81S!gwb1rfM74h2u7CE4zU_lgO3F2RNC-WI8xY29QMfOazbOWq5riZv2dRvzGEOxTu7Bu-kd4aI7zWtYbc9M9q3SF3hyHANv$\">GeorgiaMamaCare.com</a>."},{"_id":"BV5ZUUOAXZBYTGR5RONLGMWECA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674570550640},"type":"text","content":"Members of CareSource, a major Medicaid provider, can access personalized maternity packages with self-care products for moms, such as lotions and vitamins, through their “Mom and Baby Beginnings” program."},{"_id":"LVT52RK54JF43MZG34K4LHCRXM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674570550641},"type":"text","content":"In addition, providers will be able to receive accredited continuing medical education to address unconscious bias and strengthen clinical skills and communication with patients."},{"_id":"RIHSWYE4HVFX7OKZDB4OH6G2RE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104462},"type":"text","content":"Data from the Centers for Disease Control and Prevention shows that <a href=\"https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm#race-ethnicity\" target=\"_blank\">Black mothers are 3 times more likely than white mothers</a> to die from pregnancy or pregnancy-related issues. Georgia’s infant mortality rate of<a href=\"https://www.marchofdimes.org/peristats/reports/georgia/report-card\" target=\"_blank\"> 6.1 deaths for every 1,000 live births in 2021</a> exceeded the national rate of 5.4 deaths per 1,000. Additionally, 15.4% of Georgia mothers received inadequate prenatal care, meaning they received care starting in the fifth month of pregnancy or later, or fewer than half of the recommended visits based on the infant’s gestational age, according to the March of Dimes."},{"_id":"YSKVCPZ4L5HGZCEXLZMRB7WOBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104463},"type":"text","content":"“If we started with the Black mother, we believe we would help all moms,” said Warren Moore, Walmart’s vice president of social determinants of health. “We made the commitment to say that we actually want to do something meaningful. We want to be part of the solution.”"},{"_id":"KRKJ3YKNUNAJXBTF55E7CX3X6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104464},"type":"text","content":"Candace Chester, a pilot program participant who lives in Macon, was pregnant with her now 3-month-old daughter when she enrolled.<b> </b> Chester, who has diabetes, says the program helped her stay on top of her health during her pregnancy through ongoing contact with a nurse."},{"_id":"CSMNVLYTQRGVRFU6IGZQ3NLJTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104465},"type":"text","content":"“She helped me with my appointments, she helped me stay on top of my numbers,” said Chester. \" She called me and stayed on me. She was like a mother figure.”"},{"_id":"H446ZLWGOFBIHPCQ4JXRQ5QTY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104466},"type":"text","content":"Atlanta native Charles Johnson IV experienced the effects of maternal mortality firsthand in 2016 when he lost his wife, Kira, after she gave birth to their second son at Cedars-Sinai Medical Center in Los Angeles. Johnson is the founder of <a href=\"https://4kira4moms.com/who-are-we/\" target=\"_blank\">4 Kira 4 Moms</a>, an organization that advocates for improved maternal health outcomes. In 2018, Johnson testified before Congress in support of the “Preventing Maternal Mortality Act, which was signed into law. He is currently working to get passed the <a href=\"https://www.congress.gov/bill/117th-congress/house-bill/959\" target=\"_blank\">Black Maternal Health Momnibus Act of 2021</a>, a set of bills intended to improve maternal health for minority and vulnerable populations."},{"_id":"NPYK6US6KVDAFF5VRD5HKABGZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104467},"type":"text","content":"“Programs like this and Walmart’s willingness to come forward and use their infrastructure and resources to close the gap is so pivotally important,” Johnson said. “Once we get this worked out in Georgia, we know that it will work anywhere.”"},{"_id":"ADS4GYEA4BEGXKZI3KHW6VUIZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1674514104469},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-01-24T17:38:51.082Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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Doomes, 39, is considered at higher risk for maternal mortality because of her age, weight and high blood pressure. (Hyosub Shin / Hyosub.Shin@ajc.com)","type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/NP7EAM57EERKUPIZ6BY7AJBMRY.jpg","height":1361}},"canonical_url":"/news/coronavirus/walmart-jj-partner-to-tackle-georgias-black-maternal-health-crisis/QBGYFF7XTBA4LEVTVOQD76CGMI/","_id":"QBGYFF7XTBA4LEVTVOQD76CGMI"},{"content_elements":[{"_id":"DKOO5J7CBJC3JKRE3WUPAMYF2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"Newly elected Georgia House Speaker Jon Burns will not take up the issue of full Medicaid expansion for all the state’s poor adults anytime soon, he told reporters in a press event Thursday."},{"_id":"NYCIMCX5FJAABOZPVMTHYJL3A4","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397496},"type":"text","content":"In Georgia, Medicaid covers poor children as well as some older and disabled adults. Unlike most states, Georgia <a href=\"https://www.ajc.com/news/coronavirus/standstill-on-medicaid-expansion-leaves-poor-georgians-without-coverage/56ZL3LQ3RBHC3C7TBO3K22RCWE/\" target=\"_blank\">does not cover all poor adults</a>. Partly as a result, Georgia ranks third worst in the nation for its rate of people without health insurance."},{"_id":"2NADWJ3DURCO5ELE2KS3QZZBTY","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397497},"type":"text","content":"Gov. Brian Kemp has an alternative plan that Burns said deserves a chance."},{"_id":"BKOFBXI3HBATRHC7AGO67KR7SA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397498},"type":"text","content":"“And that’s what we need to do first and foremost,” said Burns, R-Newington. Asked if that meant no Medicaid expansion for the state for now, Burns said, “That would be correct.”"},{"_id":"OPF776DY5BASLEADPWXE7OT7CQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397499},"type":"text","content":"Kemp’s proposal would narrowly expand Medicaid under a “waiver” program that will take the place of a full expansion."},{"_id":"RQHQ3RHO5NAIFOEZPYXNZRBY5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1674173915232},"type":"text","content":"State officials tentatively <a href=\"https://www.ajc.com/news/coronavirus/judge-says-georgia-medicaid-plan-can-be-implemented/W4V7LV77LNGZLDPCFNTTPEJLEA/\" target=\"_blank\">hope to get Kemp’s proposal </a>started up this summer."},{"_id":"OPF776DY5BASLEADPWXE7OT7CQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397500},"type":"text","content":"It would allow poor adults to enroll in Georgia Medicaid if they meet certain requirements. That could mean working 80 hours a month at a job or engaging in other specific activities. Not every activity would qualify; for example, working full-time caring for a relative with dementia would not qualify."},{"_id":"45XSB55PCZBITDLRWOW25VW46M","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397501},"type":"text","content":"The state estimated that the waiver program would insure about 50,000 people after a couple years of ramping up. It estimated that full expansion would insure more than 400,000."},{"_id":"BKOFBXI3HBATRHC7AGO67KR7SA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397502},"type":"text","content":"The federal government would pay 90% of the cost of full expansion, bringing billions of dollars into the state to pay health care bills. The federal government will pay about two-thirds<b> </b>of the costs of Georgia’s more limited expansion."},{"_id":"3PJM6SRRGBC6FMWFPU3AMGWOOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674170397503},"type":"text","content":"In his sit-down with reporters, Burns emphasized his focus on health care in the House, starting with his <a href=\"https://www.ajc.com/news/coronavirus/new-georgia-house-speaker-creates-health-committee/RAB37XWD5ND2VN7QRNFOVUPLLU/\" target=\"_blank\">creation of a new special committee</a> to oversee the other House committees that deal with health care. He said among the issues the new oversight committee will tackle are mental health and the state’s supply of health care workers."}],"display_date":"2023-01-20T10:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. 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She said her department would use some of its available bandwidth now to focus on the maternal mortality issue."},{"_id":"CDKGIV3CIZGMZI3X6C5TL2JLFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674084732702},"type":"text","content":"For the years 2018-2020, DPH posted pregnancy-related deaths for white women at 22.7 deaths per 100,000 births, and pregnancy-related deaths for Black women at 48.6 deaths per 100,000 births. It did not post overall figures for those years."},{"_id":"3QRALVVJ5VACTOIT3P2GGWO36U","additional_properties":{"inline_comments":[],"comments":[],"_id":1674087916564},"type":"text","content":"Georgia’s data takes years to investigate, collect and report: The state’s overall rate of maternal mortality in 2016 was 37.2 mothers’ deaths per 100,000 births, DPH told the AJC in 2019. That rate was worse than Uzbekistan’s. In the previous state report for the year 2014, the rate was 26 deaths per 100,000 births."},{"_id":"MITXY7JCTFDKHMEYJLVR6JDQJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871047},"type":"text","content":"While some may consider those numbers small, they harbinger much broader problems with women’s health and health care, public health experts say."},{"_id":"HEW4FUBK4ZDE3DIKWXLCKNBZVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871048},"type":"text","content":"Maternal death is “an unfortunate and tragic event, but it’s a relatively rare event,” Toomey said. “What isn’t a rare event are near misses.”"},{"_id":"IINRYJGKXNDSJM2UK5744FV3KI","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871041},"type":"text","content":"Maternal mortality is not just deaths in childbirth. Large numbers of maternal deaths happen in the months before and after the mother gives birth, often from strokes related to the pregnancy or birth."},{"_id":"XWV5SVLQPBDQNDX6DJNG6LQOOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1674084732704},"type":"text","content":"Black women are <a href=\"https://dph.georgia.gov/maternal-mortality\" target=\"_blank\">more than twice as likely as white women to die</a> for reasons relating to pregnancy and childbirth. The disparity happens across economic lines."},{"_id":"5CRNBW72D5BKVCT45CPO7SY67E","additional_properties":{"inline_comments":[],"comments":[],"_id":1674087916569},"type":"text","content":"DPH is implementing some programs funded last year that should help the agency better understand the problem of maternal ill health. In a $1.2 million program, DPH will work with Augusta University try to identify mothers at high risk to have the worst outcomes and follow their health before bigger problems develop. In addition, Toomey said DPH hopes to work on maternal health with hospitals in two rural counties at a cost of $146,000."},{"_id":"IINRYJGKXNDSJM2UK5744FV3KI","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871041},"type":"text","content":"The quality of Georgia’s data is insufficient, Toomey said, so Toomey is asking for $4.2 million for a better overall public health data surveillance system. Right now, she said, there’s a different system for each of 159 counties. When she gives numbers to state officials, she said, sometimes they have to be added up on paper."},{"_id":"FL6JYSQIXFGZRKIHVJCDCUNBP4","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871044},"type":"text","content":"On the front lines, there are data problems too, CDC officials have said. Those who fill out death certificates often don’t specify when the root cause of something like a stroke turns out to be pregnancy or childbirth."},{"_id":"GUODUQLH7BGCTBFUUXYB4VIN7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871045},"type":"text","content":"Georgia lawmakers were just beginning to grapple with the issue when the pandemic hit. In <a href=\"https://www.ajc.com/news/state--regional-govt--politics/state-house-panel-grapples-with-georgia-maternal-mortality-crisis/cyZ6fJoKmAxtjlNAI6jawK/\" target=\"_blank\">September 2019, the Legislature held a special study committee on maternal mortality</a>, which heard testimony from experts and from women who had experienced poor medical care while pregnant or postpartum."},{"_id":"4N66QBKCRZA7DBWYJYKZ7UTWEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674084732712},"type":"text","content":"The <a href=\"https://www.ajc.com/news/state--regional-govt--politics/legislature-passes-maternal-mortality-plan/xaQSqKlhVrX3kpGPIaU9zO/\" target=\"_blank\">Legislature did end up expanding Georgia’s Medicaid coverage</a>, or low-income government health insurance, for new mothers, from the previous cap of 6 months. Now Georgia covers low-income moms with Medicaid during their pregnancies and until one year after they give birth."},{"_id":"IYP22QYSP5A6NDWOOKMJSNMTCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871050},"type":"text","content":"Studies such as the Yale Global Health Justice Partnership have called out Georgia’s lack of Medicaid coverage for the poor throughout adulthood as one reason for its high maternal mortality standing."},{"_id":"WRLHM4TUIZEBZOI7LBSRA7SM6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871052},"type":"text","content":"<br/>"},{"_id":"HEW4FUBK4ZDE3DIKWXLCKNBZVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871053},"type":"text","content":"<br/>"},{"_id":"JFX6S5OXJRBEZHAXQ4U2ID3OQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1674083871054},"type":"text","content":"<br/>"}],"display_date":"2023-01-19T11:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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In almost three years, Georgia’s Medicaid rolls swelled by more than 500,000, to 2.7 million."},{"_id":"MLHTZG2AJJG2BPADA3TSUDE6GI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423872},"type":"text","content":"That is about to change."},{"_id":"NYSAM6723JG67GZ4NZ7DDT65JA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423873},"type":"text","content":"After April 1, Congress will phase out funding the extra Medicaid coverage. Georgia and other states will examine all the people on their rolls to ensure they still qualify for the federal health insurance program meant to serve low-income people."},{"_id":"NMVS3BWJMBBJVPEPLDQUKNG2BA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673999843213},"type":"text","content":"Georgia caseworkers at the state Department of Human Services will have until June 2024 to re-examine all 2.7 million and drop those who no longer qualify."},{"_id":"Z3EOMIU5CZDEDON5GY4PHGCI4U","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423874},"type":"text","content":"“This is going to be a huge undertaking,” said Caylee Noggle, commissioner of the state Department of Community Health, which oversees Medicaid."},{"_id":"GNRQBVB5YJDSBJ4ZKMMW5AACSY","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423875},"type":"text","content":"The people who normally would have lost coverage because they no longer qualified — if they were no longer a brand-new mother, for example, or their earnings went over the limit— those people once again will get knocked off the rolls unless they qualify for another reason."},{"_id":"SHSFCWPXGBDDRJN65U7EASIBA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423876},"type":"text","content":"Noggle and DHS Commissioner Candice Broce, who oversees the Medicaid caseworkers, said they hope many of those disenrolled will instead be eligible for private insurance through the Affordable Care Act. But they don’t know yet."},{"_id":"UAA7KC3HYNEWTPPPH37AA6XKRM","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423877},"type":"text","content":"Noggle said Medicaid rolls grew by 25% while reapplications were suspended. Until the pandemic hit they had expected enrollment to grow just 5%."},{"_id":"F566FW4P3FHX5AX6SJDZNGC3ZY","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423878},"type":"text","content":"Medicaid in Georgia mostly insures children in poor families, and some older and disabled adults. New moms with low incomes can also get insurance, for one year."},{"_id":"Z3EOMIU5CZDEDON5GY4PHGCI4U","additional_properties":{"inline_comments":[],"comments":[],"_id":1673998423879},"type":"text","content":"Figuring out who no longer qualifies and who still does will cost money, the administration officials presenting Tuesday said. The state is asking for $5.7 million for a management consultant to guide the process. It’s asking for another $3 million to help fund 300 new caseworkers. DHS will also make fixes to its computer system for determining eligibility."}],"display_date":"2023-01-18T23:51:16.024Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. 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Blank Foundation announced on Wednesday a new series of grants focusing on mental health and well-being in response to America’s growing mental health crisis."},{"_id":"26CQ4K6JSNFC3EKINGLLQXFKEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480451},"type":"text","content":"The foundation is funding 15 grants ranging from $100,000 to $2 million to support organizations that address mental health needs “from crisis to stability to flourishing.” Five of the grants were awarded to Georgia-based organizations."},{"_id":"JXSZSEEEBFFHTNJ3QZXNIWR3NU","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480452},"type":"text","content":"“Our chairman, Arthur M. Blank, has a keen interest in improving the state of mental health and well-being, especially for young people across our nation,” said Fay Twersky, president of the Arthur M. Blank Family Foundation, in a press release. “The recent escalation and urgency of the crisis has prompted our foundation to make a multi-year, long-term commitment to invest in solutions.”"},{"_id":"LVKAEWPI75GHFEJ7OSDTORM5WU","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480453},"type":"text","content":"The foundation noted that the nation’s mental health crisis worsened with the pandemic, but also acknowledged the growing awareness and acceptance around the issues that has led to work being done to solve it."},{"_id":"KPWTUD3GKRGMHBE7DEF3CHJKSU","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480454},"type":"text","content":"According to the National Alliance on Mental Health, 21% (52.9 million) U.S. adults experienced mental illness in 2020. In the United States, suicide is one of the <a href=\"https://wisqars.cdc.gov/data/lcd/home\" target=\"_blank\">leading causes of death</a>."},{"_id":"QMZSMDGBN5HO7EE4U23BOAQ3KA","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480455},"type":"text","content":"Of the five grants given to Georgia based organizations, $500,000 will go The Carter Center to support their mental health program,$250,000 will be go to Kate’s Club to support children who have lost significant figures in their lives, $225,000 will go to CHRIS 180 to provide behavioral health services in Atlanta’s Westside, $100,000 will go to Inner Explorer to launch a meditation program in Atlanta public schools and $200,000 will go to Resilient Georgia to create a behavioral health network for children in Georgia."},{"_id":"P3MOOQOKBBDONAKNUUT7XGPRWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480456},"type":"text","content":"“There’s no one specific approach to well-being that works for everyone,” said Beth Brown, managing director of Mental Health & Well-Being at the Arthur M. Blank Family Foundation. “These grants will allow us to explore a multitude of approaches with our nonprofit partners, whose work is characterized by a special blend of compassion, innovation and impact.”"},{"_id":"ZZ4PWIWYWJH6HEPQ5TS3NMECTU","additional_properties":{"inline_comments":[],"comments":[],"_id":1674076480457},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><i><b>ajc.com/give</b></i><i> </i></a>"}],"display_date":"2023-01-18T21:24:54.49Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","_id":"donovan-thomas","additional_properties":{"original":{"lastName":"Thomas","role":"Report for America reporter","education":[],"native_app_rendering":false,"affiliations":"The Atlanta Journal-Constitution","bio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. ","type":"author","expertise":"19","twitter":"https://twitter.com/DonovanJThomas1","contributor":false,"custom_ajc_website":"ajc","bio_page":"/staff/donovan-j-thomas/","last_updated_date":"2024-03-08T20:52:20.101Z","byline":"Donovan J. Thomas","email":"donovan.thomas@ajc.com","slug":"","image":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png","longBio":"Donovan J. Thomas is a 2022 graduate of Howard University, where he studied journalism and Spanish, was editor-in-chief of the student newspaper, The Hilltop and served as president of the sole student chapter of The Ida B. Wells Society for Investigative Reporting. \n\nThe Atlanta Journal-Constitution and Report for America are partnering to raise funds to support three AJC journalists who will focus on immigrant issues and the health and welfare of Georgians in underserved communities. Please help us fund this important work by donating at ajc.com/donate/report-for-america.\n\nReport for America: https://www.reportforamerica.org/","fuzzy_match":false,"author_type":"Staff","firstName":"Donovan","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"470-897-8711","middleName":"J.","_id":"donovan-thomas","status":false}},"type":"author","version":"0.5.8","url":"/staff/donovan-j-thomas/","slug":""}]},"subtype":"Article","headlines":{"basic":"Arthur M. Blank Foundation donates over $5 million for mental health "},"first_publish_date":"2023-01-18T21:24:54.49Z","taxonomy":{"primary_site":{"path":"/news/coronavirus","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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With open enrollment for 2023 coverage ending Sunday, Jan. 15, a record of more than 846,000 Georgians have already enrolled."},{"_id":"MRY44Z5UYBE2HK26LMJAWYCAF4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306860},"type":"text","content":"The marketplace’s popularity is driven partly by rising federal subsidies for those with higher incomes, advertising and enrollment assistance. The federal program originally known as Obamacare, once came close to repeal but now accounts for an important fraction of Georgia’s insurance market."},{"_id":"QMFDZWMZJ5CKHEWQPFOLHFTQSE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673611447029},"type":"text","content":"The numbers enrolled for 2023 are still being counted, but could reach 1 million insured Georgians by the time open enrolment closes Sunday at midnight. If it does, approximately 1/10th of the state’s population would be obtaining insurance through the marketplace."},{"_id":"V2TN36LZZBE5BKSBU6ZBPJH2UE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673611447030},"type":"text","content":"In 2021, the last year for which a breakdown is available, Georgia’s 10.5 million residents got health insurance most often through their employers, but also through the ACA marketplace. Another 227,000 were insured through the military, 1.3 million had Medicare and 1.8 million, mostly children, had Medicaid. About 1.3 million had no insurance."},{"_id":"ZZCBGO45M5HELL7ICJYTSK35SA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306861},"type":"text","content":"“It’s been life changing for people,” said Kirk Lyman-Barner, an insurance agent who sells large numbers of ACA plans at an agency<b> </b>in Sumter County."},{"_id":"FENSY3UVJBD6LF3IYN47ZMIIV4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306862},"type":"text","content":"Cherisse Fletcher, 49, signed up for an ACA plan for the first time this year, using Lyman-Barner as her agent. She credits many things that pushed her to buy the coverage: the federal website <a href=\"https://www.healthcare.gov/\" target=\"_blank\">healthcare.gov</a> for referring her to the right agent when she had trouble enrolling on her own; her son who had heard about healthcare.gov and referred her; and the robust, affordable coverage that is now available through higher federal subsidies."},{"_id":"ZAVIEGJCAFGDRNYN7TFX7XTTWA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306863},"type":"text","content":"“It was very easy; it was smooth,” Fletcher said. “It’s been a blessing for me.”"},{"_id":"HM7SSWVL7RDTXPSKMZAULRVSUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306865},"type":"text","content":"States nationwide are seeing big increases in signups for ACA plans last year and this year. As a large part of the reason, experts credit subsidies that the Biden administration pushed as part of federal pandemic legislation. Those subsidies attacked a major problem with ACA plans: before then, Anyone who made more than 400% of the federal poverty level, or about $111,000<b> </b>per year for a family of four, had to pay the whopping full price set by the insurance company."},{"_id":"4VGG3BVQDFBVHC6XYN5VJIQ6SE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306866},"type":"text","content":"The Biden legislation sets limits on the percent of their income a policyholder has to pay, however."},{"_id":"RY6KZYU7JJGLXDOERFFZHPEC2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306867},"type":"text","content":"An annual income of<b> </b>$100,000 per year may seem like a lot of money, “But if you’re paying for a full family’s premium that could be several thousand dollars a month,” said Cynthia Cox, vice president of the Kaiser Family Foundation, a research institute on health care."},{"_id":"2BKEG7GIR5E5JDI33ZGGIFMNUY","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306868},"type":"text","content":"The subsidies also helped people near the poverty line, she said, who previously had to pay out of pocket amounts that might seem negligible to middle-class people but could be unaffordable to the lowest income policyholders. “Two percent of their income — that is still something,” Cox said."},{"_id":"LKNJXLMKJJCCPGBEUY2KFDB2JU","additional_properties":{"inline_comments":[],"comments":[],"_id":1673611447039},"type":"text","content":"In 2022, Georgia’s average monthly premium after subsidies was $98 and some may qualify for free coverage."},{"_id":"2EUM4LOBHRFIRCZ5RY5QYF7SUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306869},"type":"text","content":"The extra subsidies will sunset in 2025 unless Congress renews them."},{"_id":"4HZAWY5GSFCDRNTHOQC6ID6IOQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306870},"type":"text","content":"<b>The Georgia factor</b>"},{"_id":"3U4UEY4HTFEXPMCTREY64LMICI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306871},"type":"text","content":"State policies have influence too. In Georgia, that’s been complicated for the ACA."},{"_id":"4NN3ZGAZFJBIVJXU2HIFOGRG7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306872},"type":"text","content":"Republicans across the board opposed the ACA, and Gov. Brian Kemp of Georgia was no different. Kemp has since devised alternate plans."},{"_id":"U4Z37U73I5HAROCINH535BZMQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306873},"type":"text","content":"Kemp worked with the Trump administration to devise a plan that would block Georgians from ever shopping on the federal ACA website, healthcare.gov. Instead, they would be sent to a state website that in turn offers them individual insurance companies’ and other websites. The plan has been halted by the Biden administration but could still go through."},{"_id":"A4MYRQLMO5GMPFXWXIFGI5W3SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306874},"type":"text","content":"The main difference between the system Kemp wants and what healthcare.gov does, is that the website Kemp wanted to create doesn’t show people plans they can compare."},{"_id":"ESGWX2MLTJEM7ACAELGIO5ULM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306875},"type":"text","content":"The state website does include a link to a private website that is supposed to allow people to shop plans, W3ll.com, but a reporter that attempted to use it ran into a glitch and was blocked."},{"_id":"FK7T6TVKVRCLFBLZTRSOA2C3EM","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306876},"type":"text","content":"Healthcare.gov’s signal feature is allowing people to contrast and compare plans. A shopper inputs their income, age and a couple other pieces of information, and is shown the different plans they are eligible for, all at once. Many people find healthcare.gov clunky. Agents often instead use healthsherpa.com, a private website that provides an easier interface for the same information."},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"This is a screenshot from the website W3ll.com, as a reporter attempted to look at health insurance plans there. Georgia is now encouraging people to use this site to sign up for ACA plans. It is linked through the GeorgiaAccess.gov website. (Screenshot by Ariel Hart / AJC)","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/FZOVEPU2KVBSRACOP4XH424CVI.JPG","licensable":false,"credits":{"affiliation":[],"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","_id":"ariel-hart","additional_properties":{"original":{"lastName":"Hart","image":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png","role":"Health policy reporter","education":[],"longBio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act, technology, storms and transportation. She has been with the AJC since 2005. ","org":"ajc","affiliations":"The Atlanta Journal-Constitution","bio":"Ariel Hart is a reporter on health care issues. She works on the AJC’s health team and has reported on subjects including the Voting Rights Act and transportation.","author_type":"Staff","expertise":"19","firstName":"Ariel","books":[],"podcasts":[],"awards":[],"custom_ajc_phone":"404-526-7261","beat":"Health care","custom_ajc_website":"ajc","_id":"ariel-hart","last_updated_date":"2024-08-15T23:19:27.944Z","byline":"Ariel Hart","email":"ariel.hart@ajc.com","status":true}},"type":"author","version":"0.5.8"}]},"subtitle":"AAJC 011323 HX ACA deadline","width":1447,"_id":"FZOVEPU2KVBSRACOP4XH424CVI","additional_properties":{"fullSizeResizeUrl":"/resizer/QSEx4FlYR85hWg6fpKM7fGqPGQw=/arc-anglerfish-arc2-prod-ajc/public/FZOVEPU2KVBSRACOP4XH424CVI.JPG","owner":"ariel.hart@ajc.com","comments":[],"keywords":["obamacare","affordable care act"],"proxyUrl":"/resizer/QSEx4FlYR85hWg6fpKM7fGqPGQw=/arc-anglerfish-arc2-prod-ajc/public/FZOVEPU2KVBSRACOP4XH424CVI.JPG","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/FZOVEPU2KVBSRACOP4XH424CVI.JPG","published":true,"resizeUrl":"/resizer/QSEx4FlYR85hWg6fpKM7fGqPGQw=/arc-anglerfish-arc2-prod-ajc/public/FZOVEPU2KVBSRACOP4XH424CVI.JPG","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/gOaM4j7PUWqa-gbd4zRqJrXyVv4=/300x0/arc-anglerfish-arc2-prod-ajc/public/FZOVEPU2KVBSRACOP4XH424CVI.JPG","version":1,"originalName":"ACA Georgia website led to W3ll dot com and I tried to sign up and got this screenshot Jan 12 2023 2_43pm or so.JPG","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"W4Z2EZE2GZDLDHC25FBLIO6ZHQ"},"created_date":"2023-01-12T20:00:32Z","last_updated_date":"2023-01-12T20:01:22Z","slug":"AAJC 011323 HX ACA deadline","height":1016,"image_type":"photograph"},{"_id":"QZNBPHL3OBGSNIHEBTEX3WP7TE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306878},"type":"text","content":"George Kalogeropoulos, CEO of HealthSherpa, said that enrollment on <a href=\"http://healthsherpa.com/\" target=\"_blank\">healthsherpa.com</a> this year just for Georgia has surged from 120,700 signups last year to 215,700 signups for 2023, and the year’s not over."},{"_id":"IQKG4BFKXZCPPOZETURKF5D5RA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306879},"type":"text","content":"Still, the Kemp administration is taking credit."},{"_id":"HAQTX2VL45FNDGEGYBSGRFHNLE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306880},"type":"text","content":"“Any time more Georgians are signing up for health insurance is cause for celebration,” Insurance Commissioner John King said in a written statement. “Thanks to the investment from Governor Kemp and the state legislature, our team created and promoted the <a href=\"https://urldefense.com/v3/__https:/gcc02.safelinks.protection.outlook.com/?url=https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2Fgeorgiaaccess.gov*2F__*3B!!JZyed81S!hz3775mwoGnb-o9mACxeotn-ToS9IOIbSF040kNM3Ncl54ziHgsB32gRGfFT0J1P-c8eJtovF47-W3xH5PJK*24&data=05*7C01*7CWburleson*40oci.ga.gov*7C804d632e708946179f1208daf4c0bc3f*7Cd330fcc35e404f46b2913d81c0eb8125*7C0*7C0*7C638091405896088438*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C3000*7C*7C*7C&sdata=3eRMMpgcljFa1RjyDqZ*2FCoUT7MsEkRIbin52YJHofjo*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!JZyed81S!iH9iRHRWhfb_OWvK75hCfYOAHBQJOUoM1MEBGl-HNxSyzn3TLr8h-k0R4NUQFvpwpo84HnELGQhPR5XbAs6W$\">GeorgiaAccess.gov</a> website to provide Georgians with information on the health insurance options available to them during this current open enrollment period. What we’re seeing with these record enrollment numbers is a direct result of this investment and I’m proud of the ongoing work of our state to get our citizens covered.”"},{"_id":"LRAXIKSBIJFGPPZ2AGPOYWDF7Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306881},"type":"text","content":"The Department of Insurance provided no data to support that assertion. <a href=\"https://www.ajc.com/news/coronavirus/kemp-in-standoff-with-biden-administration-over-plan-to-block-aca-site/CGU5COV5BRBEBCNC4U7W6FD5KM/\" target=\"_blank\">The state has spent more than $31 million on that effort.</a>"},{"_id":"EERLADB7VREYZDANEZVJXGODHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1674239161095},"type":"text","content":"(UPDATE: After this story was published, the State Insurance Commissioner’s office provided some supporting data to the AJC. See below.)"},{"_id":"3N4B563QFZEHHGXUBFK43UCRMM","additional_properties":{"comments":[],"_id":"BF6GU6DSZZCIRC4K2DCPN4LK4E"},"type":"raw_html","content":"<CustomInfoBox id=\"SXRSWPV6NNFHZLSUESP3LJDXKE\" />"},{"_id":"UA53HFLLORDCXMY4S52P4RT6IQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306882},"type":"text","content":"Experts the AJC interviewed said they saw no evidence that <a href=\"http://georgiaaccess.gov/\" target=\"_blank\">GeorgiaAccess.gov</a> was responsible for the increase in enrollment. But it’s likely another Kemp program did attract policyholders: A “reinsurance” program gives state money to private insurance companies to pay off some of the most expensive insurance claims, which helps lower premiums."},{"_id":"U3RR3H6CPRAUBNKYHBALBUS4VE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306883},"type":"text","content":"For Fletcher, she’s just glad to have the insurance."},{"_id":"XUDUSIMSAVFBPMZNM4PM3WKCRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306887},"type":"text","content":"She’s sick with diabetes, sometimes very sick. She always had insurance through her job, but her job required being extremely inactive, which made her diabetes worse. Then her husband got cancer and had to leave his job. There was no way she could take a risk on new work if it meant going without insurance."},{"_id":"REYQ237NWBBNJLV5INI5QIJMK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306888},"type":"text","content":"Then Fletcher learned she could get insurance through the ACA. She left her unhealthy job, with an eye to taking on part-time work she can do at home. She’s immediately taken on caring for her baby great-grandson too. That allows the baby’s parents, who do manual labor, to both take on more shifts."},{"_id":"5HS6K4JTEBDMJE5MXEVI4FBQNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1673553397831},"type":"text","content":"Lyman-Barner marvels at how the ACA has helped three generations of one family."},{"_id":"3VNMUR3EZNDOVOFEXAFTGUYEJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673558306890},"type":"text","content":"“This one circumstance helps out more than just me, it helps out them also,” Fletcher said."},{"_id":"2PSIPBEPLBH5HHRIUUABZE4YVM","additional_properties":{"comments":[],"_id":"IAAE4XO2PFCSJLDND4BA77TYAE"},"type":"raw_html","content":"<iframe title=\"Obamacare enrollment hits record numbers\" aria-label=\"Interactive line chart\" id=\"datawrapper-chart-0uRAL\" src=\"https://datawrapper.dwcdn.net/0uRAL/1/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"400\" data-external=\"1\"></iframe><script type=\"text/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(e){if(void 0!==e.data[\"datawrapper-height\"]){var t=document.querySelectorAll(\"iframe\");for(var a in e.data[\"datawrapper-height\"])for(var r=0;r<t.length;r++){if(t[r].contentWindow===e.source)t[r].style.height=e.data[\"datawrapper-height\"][a]+\"px\"}}}))}();\r\n<\/script>"},{"_id":"YJFETB6WHJHZRCUHYSTDIYPWOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673621799358},"type":"text","content":"<br/>"},{"_id":"64FB3CBXOFAZNDS6LNQ57IRRHY","additional_properties":{"inline_comments":[],"comments":[],"_id":1674238566032},"type":"text","content":"<br/>"}],"display_date":"2023-01-13T12:15:25.580Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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(PHOTO by Ariel Hart)","type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/PFE4IXQ66FDZROJGGJPV2DKIWI.jpg","height":3024}},"canonical_url":"/news/coronavirus/a-decade-in-georgia-aca-signups-reach-record-high/2XQ54WWI7JEH5F5QEUV3WLIDXE/","_id":"2XQ54WWI7JEH5F5QEUV3WLIDXE"},{"content_elements":[{"_id":"2NKC5S45WVHQJGE65CSFHFQKUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1672244394589},"type":"text","content":"As COVID, flu and RSV cases continue to sicken thousands and fill hospitals around the country, a leading scientist who has worked for years on vaccines for all three viruses believes vaccines for RSV are possible as early as May."},{"_id":"UUZREN3B5NAUXEXURV4RSWUXBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025250},"type":"text","content":"Dr. Barney Graham, a clinical trials physician, immunologist and virologist — now a professor at the Morehouse School of Medicine — says several RSV vaccines are in late stages of development, nearing final approval by the Food and Drug Administration. Graham spent most of his career at the National Institutes of Health, retiring in September 2021 as deputy director of its Vaccine Research Center."},{"_id":"4EB4XMALGRGRDDADQQMLMKEGTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672954172971},"type":"text","content":"“There are several vaccines now in front of the FDA that hopefully would be evaluated and approved by next summer, before the next season,” Graham said."},{"_id":"XX3T3OLMWVCB3AS4HXLLMAROZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672244394597},"type":"text","content":"Respiratory syncytial virus, or RSV, is a common respiratory virus and is the<a href=\"https://academic.oup.com/jid/article/226/Supplement_2/S154/6666009\" target=\"_blank\"> leading cause of hospitalizations for infants in the United States</a>. According the the Centers for Disease Control and Prevention, an <a href=\"https://www.cdc.gov/rsv/downloads/RSV-in-Infants-and-Young-Children.pdf\" target=\"_blank\">estimated 58,000–80,000 children younger than 5 years old are hospitalized with RSV each year</a>, especially dangerous for premature and medically fragile babies."},{"_id":"RHWM3EFXGBFXXNZJY4XM2GASPQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1673021150856},"type":"text","content":"In addition to infants and young children, older adults are most at risk for severe RSV infections and deaths. CDC says 60,000-120,000 older adults in the U.S. are hospitalized and 6,000-10,000 die from RSV infection. Those at highest risk for severe infection are seniors, especially those 65 years and older, adults with chronic heart or lung disease and adults with weakened immune systems."},{"_id":"RWIEVBIWWFFPZHGBTKE3SR5BCA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672954172975},"type":"text","content":"Graham says the work that he and his NIH colleagues did on RSV has led to protein-based vaccines being in late-stage testing that could result in vaccine available by next winter’s RSV season. Vaccines are being developed by several pharmaceutical companies, including GSK, Pfizer and Moderna."},{"_id":"U67EROXWQZFBDAIEXV7MD7VCB4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673353558263},"type":"text","content":"The first vaccines are expected to target adults over the age of 60, those with risk factors and pregnant women aimed at protecting their unborn infants up to 6 months of age."},{"_id":"FZ4SUIRTGNDL7LBIWMET73L2ZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672936415650},"type":"text","content":"“They’re all using the protein design that we developed 10 years ago,” Graham explained."},{"_id":"XJEVYPELTFH5ZEXEJFVC3SXE7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1672954172980},"type":"text","content":"Graham joined the Morehouse School of Medicine faculty as a professor last May and serves as a senior advisor for Global Health Equity in the office of MSM president and CEO Valerie Montgomery Rice."},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"Dr. Barney Graham, a clinical trials physician, immunologist and virologist now at the Morehouse School of Medicine, spent most of his career working on vaccines for COVID-19, flu, HIV, RSV and other emerging viruses.","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","licensable":false,"credits":{"affiliation":[],"by":[{"name":"Morehouse School of Medicine ","type":"author","byline":"Morehouse School of Medicine "}]},"subtitle":"Dr. Barney Graham","width":1160,"_id":"LEILYFYM5RCOTE4W4N7UUPEBPI","additional_properties":{"fullSizeResizeUrl":"/resizer/PCKZtC98YcC4fWFxK8AoOJ-XhLI=/arc-anglerfish-arc2-prod-ajc/public/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","owner":"donovan.thomas@ajc.com","comments":[],"keywords":[],"proxyUrl":"/resizer/PCKZtC98YcC4fWFxK8AoOJ-XhLI=/arc-anglerfish-arc2-prod-ajc/public/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","published":true,"resizeUrl":"/resizer/PCKZtC98YcC4fWFxK8AoOJ-XhLI=/arc-anglerfish-arc2-prod-ajc/public/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/0LS94hnedzzZkt3FC6T3ZUoCHKI=/300x0/arc-anglerfish-arc2-prod-ajc/public/LEILYFYM5RCOTE4W4N7UUPEBPI.jpg","version":0,"originalName":"Barney Graham Headshot 2022.jpg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"7NC25U2F4NCJXAPKC2ZSD6XSCM"},"created_date":"2023-01-11T15:17:04Z","last_updated_date":"2023-01-11T15:17:04Z","height":1350,"image_type":"photograph"},{"_id":"XGFJSTZTQNDWLCCD4I4GX33XZU","additional_properties":{"inline_comments":[],"comments":[],"_id":1672244394599},"type":"text","content":"“I wanted to be at Morehouse to work on vaccine equity,” he said. “That means not just who gets access to vaccines or doesn’t, but also on vaccine uptake.”"},{"_id":"ABRCL5JKZFG3XFX3W5MNKJOJTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1672936415655},"type":"text","content":"Graham said he was attracted by MSM’s reputation for community engagement and education, especially in providing care for rural communities in Georgia. He cited the medical school’s work to reach the Black community and encourage people to get vaccinated during the height of the pandemic."},{"_id":"XRX4P6EMJNEOXNBX2WF5FMPYYM","additional_properties":{"inline_comments":[],"comments":[],"_id":1673021150866},"type":"text","content":"“They’re the only medical school I know that has the word ‘equity’ in their mission statement. Everything that Morehouse does is about health equity and trying to better serve the underserved,” he said. “It’s just the way the whole place operates.”"},{"_id":"PTTOJOHMIBFVFDBRKBR56WL5UA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672954172982},"type":"text","content":"Graham began working on RSV at the NIH in the mid-80s, spending the first 20 years of his career understanding why RSV vaccines had failed and how to make them safe. Graham continued working on this front throughout his tenure at the NIH, focusing on how to make RSV vaccines safe, effective and available."},{"_id":"YNIXVNADMJFZ7L647LHSZM22AA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672954172984},"type":"text","content":"He said that this year’s outbreaks of RSV and other respiratory viruses have been influenced by shifts in exposure that resulted from the pandemic."},{"_id":"EE7QXPHFHZA2DGAGLLYQHH3UPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025251},"type":"text","content":"During earlier stages of the pandemic, he explained, many younger children were more isolated than in typical years. School-age children were learning virtually, so there was less of the virus circulating around. In effect, decreased immunity from less exposure changed when the virus appeared in the population, Graham explained."},{"_id":"KHR7RDWNBRFYJLQY6ZHLC3XPLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1672244394592},"type":"text","content":"Now, with the easing of pandemic protocols such as masking and social distancing, <a href=\"https://www.ajc.com/news/atlanta-news/tripledemic-of-flu-covid-and-rsv-jams-ga-icus-with-sick-kids-adults/RE5XXVHECFCSZOXGKROBX4Y74I/\" target=\"_blank\">a surge in respiratory viruses has occurred</a>."},{"_id":"E4HCWDJWUZD6JOLLKKU5ZY4ZGA","additional_properties":{"inline_comments":[],"comments":[],"_id":1673353558273},"type":"text","content":"“Instead of a yearly cycle, we’ve had these 18-month cycles, so we don’t really know why the disease is so bad this year,” he said. “With these big gaps, we’re now having one of the bigger outbreaks that we’ve seen over the last many years.”"},{"_id":"AIYF4ZL5OJGZLGRHVV77CRW4WA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672936415640},"type":"text","content":"Graham also said that “viral competition” — a phenomenon when one virus is circulating widely in a population, making it harder for other viruses to break through — could also be the cause for the change in outbreaks."},{"_id":"IQ2UQSWYDRAW5K6A2RBLYYTNYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025253},"type":"text","content":"Awareness of the RSV virus has increased with this year’s outbreak, something that Graham says can be tied to how doctors and health organizations communicate to patients."},{"_id":"D3XRKEDYE5FH5O6YKWYFJVMCQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1672936415642},"type":"text","content":"“We’re all infected with it by the age of two, and we all get re-infected throughout our lives,” he said. “When we’re older, it causes a lot of excess mortality and hospitalization.”"},{"_id":"IQ2UQSWYDRAW5K6A2RBLYYTNYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025253},"type":"text","content":"He says there is a chance that other respiratory viruses such as influenza have overshadowed the public’s general knowledge of RSV."},{"_id":"B45WUZA6JVABXJIDWXXQ5MPGTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1672244394602},"type":"text","content":"“I’m hoping that people will now realize that RSV is a problem. It’s always been a problem,” Graham said. “Now, that we’ve been through COVID, I think what they’re realizing is, there’s more than just one respiratory virus problem.”"},{"_id":"5KV2QQHPWJBJHCXITWYT6EBVQY","additional_properties":{"inline_comments":[],"comments":[],"_id":1673458889240},"type":"text","content":"Bringing any vaccine to production and distribution is usually a costly, years-long effort, with trials required to ensure safety and effectiveness. In the case of RSV vaccines, the NIH studies that indicated strong RSV protection resulted in FDA fast-tracking the review process."},{"_id":"2YHASS3ZYFD7LEGU47FS3VRSUI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673458889241},"type":"text","content":"The RSV vaccine research has taken years, with disappointments — even failure — along the way.<b> </b>Graham recalled a major setback in the 1960s, when scientists attempted to take the same approach successfully used in <a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351694/\" target=\"_blank\">polio vaccines developed by virologist Jonas Salk</a>. Salk’s method used formaldehyde and heat to kill the poliovirus while keeping the properties that trigger a response from the immune system."},{"_id":"M6NDFSNZRBAX7G7PHZ3RYCEYDQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025258},"type":"text","content":"Children who received the early RSV vaccines, however, ended up sicker because they had received an enhanced version of the virus. That stopped vaccine development for RSV."},{"_id":"4KZDRVRIVFBHBHNMCV6JUFABLM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672936415651},"type":"text","content":"Now, more than 50 years later,<b> </b>the current RSV vaccine formulation is similar to the spike protein used in COVID-19. A protein found on the surface of RSV, Protein F, has been used in the latest vaccine development for RSV. With using this protein in vaccine develop, scientists are able to generate immune responses that provide protection from the virus."},{"_id":"VUBIVOG3UFFCJGIHKQKVCIXT6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1673452555979},"type":"text","content":"“Should the vaccine be judged to be safe and efficacious and approved by the FDA in the May timeframe, we are on target to make sure that this vaccine is available for patients to begin the RSV season in 2023,” said Leonard Friedland, director of scientific affairs and public health for GSK’s vaccine division, said."},{"_id":"W4A2TD5BGNEEVBWDT54BRS3K3U","additional_properties":{"inline_comments":[],"comments":[],"_id":1673458889245},"type":"text","content":"“The whole scientific community for more than 50 years has been trying to develop vaccines for RSV. I think we’re finally there.”"},{"_id":"IQ2UQSWYDRAW5K6A2RBLYYTNYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672932025253},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-01-13T11:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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He said health care access for all Georgians continues to be “one of our main priorities.”"},{"_id":"QVZGQCDYHNHVHGZNKR7CNP4D5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963903},"type":"text","content":"Rep. Butch Parrish, R-Swainsboro, will chair the new committee."},{"_id":"Q5FQDVDRKJENJAHETLMVVTZJCI","additional_properties":{"inline_comments":[{"pos":469,"comment":"Parrish confirmed the committee was only a House Committee, not a joint committee with the Senate."}],"comments":[],"_id":1673460963904},"type":"text","content":"The Georgia Senate and House each have several committees making high-stakes decisions on health care issues including insurance, the right to operate hospitals, and the rights of patients to know when they’re incurring bills. Some of the most important decisions on health care are made in the House Appropriations Committee, which decides the budget for programs like Medicaid. Parrish has chaired the appropriations subcommittee that deals with health care spending."},{"_id":"QVZGQCDYHNHVHGZNKR7CNP4D5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963906},"type":"text","content":"A perennial issue of interest in Georgia politics is the question of expanding Medicaid coverage to all poor adults. Neither Burns nor Parrish raised the issue of Medicaid expansion, though Parrish and a spokesman for Burns did not flatly rule it out when asked by a reporter for The Atlanta Journal-Constitution."},{"_id":"MQMS7KWR7BFIXLROLLSPMKYNA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963907},"type":"text","content":"Aides to Gov. Brian Kemp have regularly ruled out taking on full Medicaid expansion."},{"_id":"QVZGQCDYHNHVHGZNKR7CNP4D5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963908},"type":"text","content":"In an interview outside the meeting hall, Parrish told the AJC that with his new committee, “We probably all have the same goal to make sure we all have quality, affordable health care.” Asked if that included looking at Medicaid expansion, Parrish said, “We’re going to look at everything.”"},{"_id":"7HOUCJPYVZCWXP4VHXIYNIMLTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963909},"type":"text","content":"A spokesman for Burns emphasized that the announcement was “not reflective of a policy change.” The spokesman, Kaleb McMichen, said “It’s an internal change to improve coordination on policy among the various healthcare committees, both legislative and budgetary. All the Speaker announced today is a change in committee structure.”"},{"_id":"I62F6UJTVZFVXFPCQQVLWQNKZI","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963910},"type":"text","content":"Unlike most states, Georgia’s Medicaid program does not insure all poor adults. Partly as a result, Georgia has the nation’s third-worst rate of people without any health insurance."},{"_id":"RT5UPKW36FHKNM6ZJ6SQNUJEUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963911},"type":"text","content":"Currently Georgia Medicaid mostly insures children, and some older and disabled adults."},{"_id":"NUYDTOSPWVFMJNKB5SVFVGDT2M","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963912},"type":"text","content":"Kemp has led the creation instead of a smaller solution, a partial Medicaid expansion called a “waiver.” The waiver may end up insuring about 50,000 poor adults when it takes effect."},{"_id":"QVZGQCDYHNHVHGZNKR7CNP4D5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963913},"type":"text","content":"<br/>"},{"_id":"QVZGQCDYHNHVHGZNKR7CNP4D5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1673460963914},"type":"text","content":"<br/>"}],"display_date":"2023-01-11T18:44:22.363Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/a2deef9c-4dcb-427c-a309-32bf96c04ae8.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"ariel.hart@ajc.com"}],"social_links":[{"site":"email","url":"ariel.hart@ajc.com"}],"name":"Ariel Hart","description":"Ariel Hart is a reporter on health care issues. 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With the corrective action plan, Life Hope Labs will be monitored by the HHS’ Office of Civil Rights for two years."},{"_id":"G4ZXWAY4ENBPXKEOMPDERZUDQM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672949291764},"type":"text","content":"“Access to medical records, including lab results, empowers patients to better manage their health, communicate with their treatment teams, and adhere to their treatment plans,” said OCR Director Melanie Fontes Rainer in a department press release. “The HIPAA Privacy Rule gives individuals and personal representatives a right to timely access their medical records from all covered entities, including laboratories.”"},{"_id":"466MT2EXEZBVXDTASQXMNKZULE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672949291765},"type":"text","content":"The Atlanta Journal Constitution was unable to reach Life Hope Labs for comment."},{"_id":"3SMUSQUB7VC5XLYV7CIKU4QNRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1672949291766},"type":"text","content":"The investigation is the 43rd to be resolved under the OCR’s HIPAA Right of Access Initiative, which is meant to increase compliance with privacy laws."},{"_id":"KZRHL4N4YZB2JBA7CR4RBQRUDY","additional_properties":{"inline_comments":[],"comments":[],"_id":1672949291767},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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An estimated 44,000 flights are expected for Wednesday."},{"_id":"JQ54XCFILFBMND5MHL5F6EAUOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672690018625},"type":"text","content":"Compared to this time last year, <a href=\"https://www.tsa.gov/travel/passenger-volumes\">the Transportation Security Administration has screened an additional 1.5 million </a>travelers nationwide from Dec. 26 through Jan. 1."},{"_id":"5JKJEPBN7ZACTP6RZFO3TN3LKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672690018626},"type":"text","content":"Following a nationwide meltdown, Southwest Airlines says they are operating their normal schedule."},{"_id":"P2I2ETBMF5BJDP5CB3OA5D7AJU","additional_properties":{"comments":[],"_id":"3QHU63MNFFCB5DHXWFQEPMLCI4"},"type":"interstitial_link","content":"Southwest Airlines operations melt down, Delta in recovery mode","url":"https://www.ajc.com/news/atlanta-airport-blog/southwest-airlines-operations-melt-down-delta-in-recovery-mode/QXPAJDCZZJAVRLX4ZC6LCLPQP4/"},{"_id":"TH5K45LMWNCTXOF6IY35G3RGR4","additional_properties":{"inline_comments":[],"comments":[],"_id":1672690018627},"type":"text","content":"“We appreciate the dedicated work of the Southwest Team to restore our schedule, and we have experienced minimal disruptions for the weekend,” Southwest said in a statement to The Atlanta Journal Constitution. “We value the continued patience and support of our valued Customers, and we apologize for the inconveniences of the past week.”"},{"_id":"OD3RKCCQDRFXPHWHVF2JJYHKHY","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146033},"type":"text","content":"A Delta Air Lines spokesperson said that the company’s Atlanta hub regularly sees upwards of 100,000 passengers daily, and this week’s numbers are in line with this figure. The airline expects a busy upcoming weekend and January, which will continue into the spring break season."},{"_id":"UANVMZ7KTVE5TGFQX6VMW5XTYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146034},"type":"text","content":"For those traveling to Los Angeles to watch the Georgia Bulldogs face the TCU Horned Frogs in the College Football National Championship on Monday, roundtrip flights to Los Angeles range from $155 on Spirit Airlines to a little over $2,100 on Delta . Based on a Ticketmaster search, <a href=\"https://www.ticketmaster.com/2023-college-football-playoff-national-championship-inglewood-california-01-09-2023/event/0A005D10B0DA2D9D\" target=\"_blank\">tickets to the title game range from $595 to $10,000</a>, excluding fees."},{"_id":"7KV4MUAZRZDD7M65N5RJLZW4UA","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146035},"type":"text","content":"Hartsfield-Jackson Atlanta International Airport officials expect operations to run smoothly as Georgians trek to the title game."},{"_id":"FGAJL7PE2JBJVAT2J74VAHORKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146036},"type":"text","content":"“We see on average 200,000 to 300,000 passengers a day,” said Andrew Gobeil, director of communications and public affairs for Hartsfield-Jackson Atlanta International Airport. “I would imagine that the schools and the airlines are making preparations. We collaborate and communicate with them at all times to make sure we are aware of any expected passenger forecasts.”"},{"_id":"VGDS5YIXA5GCNDHXJZG4FFCA4I","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146037},"type":"text","content":"The Satisky family has squared away their travel plans for the upcoming game. Brian, class of 1991, his wife Shelly, class of 1994, and their children, Ally, class of 2022, and Jay, class of 2024, have a shared love for Bulldogs football."},{"owner":{"sponsored":false,"id":"ajc"},"copyright":"� 2022 David Brown, all rights reserved.","address":{},"syndication":{},"caption":"The Satisky family at daughter Aly's graduation in May 2022.","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","licensable":false,"credits":{"affiliation":[{"name":"David Brown","type":"author"}],"by":[{"name":"David Brown","type":"author","byline":"David Brown"}]},"subtitle":"Satisky Pictures","width":3648,"creditIPTC":"David Brown","_id":"I3XJ774BXRFE7CNB7YBT5PARQE","additional_properties":{"fullSizeResizeUrl":"/resizer/8hW7cieTDPEPm7W65jYBedexQPU=/arc-anglerfish-arc2-prod-ajc/public/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","owner":"donovan.thomas@ajc.com","comments":[],"keywords":[],"proxyUrl":"/resizer/8hW7cieTDPEPm7W65jYBedexQPU=/arc-anglerfish-arc2-prod-ajc/public/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","takenOn":"2022-03-22T00:33:14Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","published":true,"resizeUrl":"/resizer/8hW7cieTDPEPm7W65jYBedexQPU=/arc-anglerfish-arc2-prod-ajc/public/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/w3nEX10rKoLAPSYoYlilkqdyGbs=/300x0/arc-anglerfish-arc2-prod-ajc/public/I3XJ774BXRFE7CNB7YBT5PARQE.JPG","version":0,"originalName":"IMG_7675.JPG","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"M5OQNOXEM5G3VETN6GXBKHIMOQ"},"created_date":"2023-01-02T21:40:39Z","last_updated_date":"2023-01-02T21:40:39Z","height":5472,"image_type":"photograph"},{"_id":"DGHLGQLLQZCNNCXXZ4TD4FC5FI","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146038},"type":"text","content":"“This is our common passion,” said Brian Satisky. “When we won the national championship, we all hugged and embraced and cried together.”"},{"_id":"DXVPRF4BZ5FKTIFI5A5Y5EI4PM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146039},"type":"text","content":"Some notable games that the four of them have attended include the 2018 Rose Bowl, the 2021 Orange Bowl and the 2022 National Championship game."},{"_id":"LOIJTVGAPNEFNGTQNF4UYKZ6DM","additional_properties":{"inline_comments":[],"comments":[],"_id":1672696146040},"type":"text","content":"“I’m looking forward to sharing another great Georgia moment with my family,” he said. “My wife and I have been taking our kids to Georgia games since they were babies.”"},{"_id":"HWOQNSGYYBBDXA2XS55ANZFVM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1672690018630},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at <a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><b>ajc.com/give</b> </a>"}],"display_date":"2023-01-02T23:00:04.986Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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She witnessed the devastating effects of kidney disease at 15, when her sister died at 33 from the sickness and two of her siblings are currently on dialysis."},{"_id":"UJTCD2CAYBHQDJ54BVIDPGXIJY","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066519},"type":"text","content":"Influenced by her experiences, Weston has devoted her work as a health care provider to helping to eliminate kidney disease disparities. During her time as a surgical technologist in South Georgia, Weston remembers most of the amputations and dialysis catheters that she worked on were for Black patients."},{"_id":"UDT4T3NPEZBL7I5PZY7VGYFBXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066520},"type":"text","content":"“I wanted to be part of solving the problem,” Weston said. “I know I can’t save everyone, but I knew there was something I could do.”"},{"_id":"M3H72IX3KFB45IB2A4SDU2GQGY","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066521},"type":"text","content":"She decided to go back to school to become a nurse practitioner. By doing so, she could take a more direct role in educating patients about preventative measures that they can take to avoid amputations and dialysis catheters."},{"_id":"VTNHQZ6NJ5HZZGD2CL6WIG45BU","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066522},"type":"text","content":"In Georgia, kidney disease is the <a href=\"https://www.cdc.gov/nchs/pressroom/states/georgia/ga.htm\">ninth leading cause of death</a>. According to <a href=\"https://www.kidney.org/advocacy/legislative-priorities/health-disparities\">the National Kidney Foundation,</a> Black Americans are four times more likely than white people to develop kidney failure, and Hispanic patients are 1.3 times more likely than non-Hispanics to develop kidney failure. 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The company is based in McLean, Va. and reaches 34 states, with more than 1,350 employees. The healthcare delivery model that Somatus uses pays providers based on patient health outcomes."},{"_id":"BO57OIBZT5FY3A5GZQGPH65IKQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1671578079149},"type":"text","content":"In 2021, 6.74% of revenue in primary care specialties came from care delivered this way, according to a <a href=\"https://www.mgma.com/getmedia/ea981abd-f004-49f3-bfe4-09606d88b0c8/PracticeOperations-DataReport-August2022-FINAL.pdf.aspx\" target=\"_blank\">report released by the Medical Group Medical Association</a>. The model makes up a small percentage of overall medical revenue, but its potential for growth has been recognized. A <a href=\"https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/investing-in-the-new-era-of-value-based-care\">report released on December 16</a> by McKinsey & Company said that investment in the model “quadrupled during the pandemic”."},{"_id":"DQTEYASEMNAYVFZMQNP2TCUZVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066525},"type":"text","content":"“When we go into homes, we’re one on one with them. We’re able to look around and see things that we may not be able to see in the doctor’s office,” she noted."},{"_id":"U43KDW7Z5FDN3NXWFXPW2L526E","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066526},"type":"text","content":"Weston explained that patients are more comfortable and open in their home environments. As a provider, she is able to spend time with them to tend to their health needs. She goes through food cabinets, reads food labels and checks to ensure that patients have proper medical devices, such as blood pressure cuffs."},{"_id":"J354TA5XLVCAXJQSRJFZM6LWL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066529},"type":"text","content":"“We want to make sure our patients aren’t spending time in the hospital,” she noted. “That’s our number one goal.”"},{"_id":"2AB2K7ZBZNBZLDOHOJD2SI4N3A","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066528},"type":"text","content":"Weston says their focus is the quality of care and prevention. By taking this approach, she says that she is able to address other diseases and illnesses that patients have, such as diabetes and congestive heart failure."},{"_id":"SU6HTQFHZFGBZG64VATUI7LAYY","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066530},"type":"text","content":"“Many of our patients lack the resources that they need in order to have the best health that they can. We’re fixing these gaps and we’re helping patients,” said Dr. Ikenna Okezie, co-founder and chief executive officer of Somatus."},{"_id":"LLFTXSQPXRH3TOPK2NQYYYEIVE","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066531},"type":"text","content":"Okezie says that Somatus is doing so by taking a holistic approach to patient care, “rather than thinking only about volume and fees.”"},{"_id":"75RWBNSF4NBQLPURU7DRTBS7TE","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066533},"type":"text","content":"Weston went on to explain that she has found that many Black and Hispanic communities are missing primary care centers, facilities where patients go for regular check-ups, and transportation can become a barrier to accessing care."},{"_id":"ONOVDYPC25A3XD7FOSEA7KEWCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1671574822510},"type":"text","content":"Personally, she has traveled from the metro area to places such as Macon and Dublin to care for patients."},{"_id":"45P4CEAH35HN3EYFYLJUJM3KEE","additional_properties":{"inline_comments":[],"comments":[],"_id":1671572066534},"type":"text","content":"“We reach them,” she said. “No matter what, we try to get to them.”"},{"_id":"AOYYWECVGBEFBJR4PRVFUBOQ4M","additional_properties":{"inline_comments":[],"comments":[],"_id":1671460531695},"type":"text","content":"<i>The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at </i><a href=\"https://checkout.fundjournalism.org/memberform?org_id=reportforamerica&campaign=7015G000001Z0ez&theme=The+Atlanta+Journal-Constitution&installmentPeriod=once\"><i><b>ajc.com/give</b></i><i> </i></a>"}],"display_date":"2023-01-02T12:00:00Z","credits":{"by":[{"image":{"version":"0.5.8","url":"https://s3.amazonaws.com/arc-authors/ajc/dc6b5618-74f9-49c5-8d1a-1455d1824c83.png"},"socialLinks":[{"site":"email","deprecated":true,"deprecation_msg":"Please use social_links.","url":"donovan.thomas@ajc.com"},{"site":"twitter","deprecated":true,"deprecation_msg":"Please use social_links.","url":"https://twitter.com/DonovanJThomas1"}],"social_links":[{"site":"email","url":"donovan.thomas@ajc.com"},{"site":"twitter","url":"https://twitter.com/DonovanJThomas1"}],"name":"Donovan Thomas","description":"Donovan J. 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const intervalId = setInterval(() => { console.log('__GNEWS publisherEntitlementPromise - interval ' + count); if (typeof tp !== 'undefined' && tp.pianoId !== undefined) { clearInterval(intervalId); // stop the interval if (tp.pianoId.isUserValid()){ console.log('__GNEWS publisherEntitlementPromise - user is valid ' + tp.pianoId.getUser().uid); resolve({ id: tp.pianoId.getUser().uid, registrationTimestamp: tp.pianoId.getUser().iat, subscriptionTimestamp: tp.pianoId.getUser().iat, granted: true, grantReason: 'SUBSCRIBER' }); } else { console.log('__GNEWS publisherEntitlementPromise - user is not valid') resolve({ granted: false }); } } else if (count === maxRetries) { clearInterval(intervalId); // stop the interval console.log('__GNEWS publisherEntitlementPromise - max retries, user not valid'); resolve({ granted: false }); } count++; }, 500); }); // First, get the URL query string const queryString = window.location.search; // Then, initialize a new URLSearchParams object with the query string const urlParams = new URLSearchParams(queryString); // Now, you can use the 'has' method to check if 'gaa_at' is a parameter if (urlParams.has('gaa_at')) { console.log('__GNEWS gaa_at is a query parameter'); console.log('SWG before', SWG); if (typeof SWG !== 'undefined') { console.log('swg is defined', SWG); SWG.push((s) => { s.reset(); }); if (typeof GaaMetering !== 'undefined') { console.log('GaaMetering is defined', GaaMetering); GaaMetering.init({ googleApiClientId: googleApiClientId, allowedReferrers: allowedReferrers, userState: {granted: false}, unlockArticle: unlockArticle, showPaywall: showPaywall, registerUserPromise: registerUserPromise, handleLoginPromise: handleLoginPromise, publisherEntitlementPromise: publisherEntitlementPromise, // Optional handleSwGEntitlement: handleSwGEntitlement, // Optional - only if SwG is implemented shouldInitializeSwG: false }); console.log('GaaMetering initialized? ', GaaMetering.isInitialized()); } } else { console.log('swg is not defined in else', SWG); } } else { console.log('__GNEWS no metering'); } } } </script><script> !function(t,e,n,s,a,c,i,o,p){t.AppsFlyerSdkObject=a,t.AF=t.AF||function(){ (t.AF.q=t.AF.q||[]).push([Date.now()].concat(Array.prototype.slice.call(arguments)))}, t.AF.id=t.AF.id||i,t.AF.plugins={},o=e.createElement(n),p=e.getElementsByTagName(n)[0],o.async=1, o.src="https://websdk.appsflyer.com?"+(c.length>0?"st="+c.split(",").sort().join(",")+"&":"")+(i.length>0?"af_id="+i:""), p.parentNode.insertBefore(o,p)}(window,document,"script",0,"AF","banners",{banners: {key: "67ca5a4f-1a9d-4911-bb96-cfa426af7d62"}}); AF('banners', 'showBanner', { bannerZIndex: 999 }); </script></body></html>