Op-Ed

Child Watch: Taking Care of Needs of Students Without Insurance

Published

10 years ago

May 18, 2015

By Marian Wright Edelman
NNPA Columnist

It’s always very challenging for a parent when their child has a serious health condition. It’s even more challenging when their child has a serious condition, but has no health insurance to cover it. Both were true for one Texas mother whose 12-year-old daughter, Evelyn, was diagnosed with a heart defect.

Evelyn often ended up at her school nurse’s office complaining of shortness of breath. When the nurse encouraged her mother to take her in to the doctor, Evelyn’s mother, who bakes cakes for a living, explained that Evelyn was uninsured and she couldn’t afford the specialist fees that ran into the hundreds of dollars per visit. But the nurse knew she could put Evelyn’s family in touch with an outreach worker from the Children’s Defense Fund-Texas office to help her apply for insurance.

CDF-Texas helped Evelyn’s mother with her application, which was approved, providing Evelyn the health care she desperately needed. Soon after, she had open-heart surgery to replace a non-functional heart valve. Specialists at the Pediatric Heart Clinic told Evelyn’s family she was very lucky to have had the surgery when she did. Her mother says, “It was not about luck, it was a blessing!”

Evelyn is one of millions of children whose story now has a happier ending. This year marks the 50th anniversary of the Medicaid program, which together with the Children’s Health Insurance Program (CHIP) has brought the number of uninsured children to an historic low. Medicaid and CHIP provide comprehensive and affordable health coverage to more than 44 million children—57 percent of all children in America. With the new coverage options offered by the Affordable Care Act, 93 percent of all children now have health coverage.

But we can never stop working to reach children like Evelyn who haven’t yet been connected to coverage. More than 5.2 million children under age 18 were uninsured in 2013. The overwhelming majority live with working parents and are citizens. More than a third live in three states – California, Texas, and Florida.

Uninsured children are more likely to be children of color, children ages 13-18, and children who live in rural areas. More than half – 3.7 million – are eligible for Medicaid or CHIP but not yet enrolled.

That’s why CDF continues to work, in partnership with AASA, The School Superintendents Association, to encourage school districts to help get all students the health coverage they need to learn and succeed in school.

The model is built around a basic question districts add to their school registration materials: “Does your child have health insurance?” Parents who answer “no” or “don’t know” are flagged and receive information from school district staff on Medicaid, CHIP, or other health coverage options. But it doesn’t stop there. Parents also can receive application assistance and often are introduced to community partners to help them successfully navigate the enrollment process the way Evelyn’s mother was connected in Texas.

CDF-Texas with its partners pioneered this technique in the Houston Independent School District almost a decade ago and since then CDF and AASA have partnered with districts in California, Georgia, Louisiana, and Mississippi, including small and large, urban, rural, and suburban school systems, serving elementary through high schools with a rainbow of Black, Latino, Asian, and White students.

Dr. Kavin Dotson, Director of Student Services for the Lynwood Unified School District in California, put it at a recent convening at CDF Haley Farm in Tennessee, “We were unaware of the fact that there were so many students in our district that did not have health insurance.” He now believes that “every school in our country is going to make a 100 percent commitment to ensure that all students are enrolled in some type of health insurance that will meet their health needs.”

How frustrating it is that at the very same time we are celebrating Medicaid’s long and successful history and the recent bipartisan two-year CHIP funding extension and building on successful outreach and enrollment strategies, these critical child health programs are under attack in Congress. The fiscal year 2016 budget resolution proposes deep cuts in Medicaid and structural changes in both Medicaid and CHIP that will jeopardize their reach and make it even more difficult for many more children like Evelyn to get the coverage and care they desperately need. But there’s still time to demand that Congress stop the cuts and efforts to dismantle the structure of Medicaid and CHIP. Why would they fool around with something that is working so well for parents and children? All of us must work together to move forward not backwards to make sure all children get the health care they need to live and learn and thrive.

Marian Wright Edelman is president of the Children’s Defense Fund whose Leave No Child Behind® mission is to ensure every child a Healthy Start, a Head Start, a Fair Start, a Safe Start and a Moral Start in life and successful passage to adulthood with the help of caring families and communities. For more information go to www.childrensdefense.org.

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Activism

Juneteenth: Celebrating Our History, Honoring Our Shared Spaces

It’s been empowering to watch Juneteenth blossom into a widely celebrated holiday, filled with vibrant outdoor events like cookouts, festivals, parades, and more. It’s inspiring to see the community embrace our history—showing up in droves to celebrate freedom, a freedom delayed for some enslaved Americans more than two years after the Emancipation Proclamation was signed.

Published

4 weeks ago

June 18, 2025

Oakland Post

Wayne Wilson, Public Affairs Campaign Manager, Caltrans

By Wayne Wilson, Public Affairs Campaign Manager, Caltrans

Juneteenth marks an important moment in our shared history—a time to reflect on the legacy of our ancestors who, even in the face of injustice, chose freedom, unity, and community over fear, anger, and hopelessness. We honor their resilience and the paths they paved so future generations can continue to walk with pride.

As we head into the weekend full of festivities and summer celebrations, I want to offer a friendly reminder about who is not invited to the cookout: litter.

At Clean California, we believe the places where we gather—parks, parade routes, street corners, and church lots—should reflect the pride and beauty of the people who fill them. Our mission is to restore and beautify public spaces, transforming areas impacted by trash and neglect into spaces that reflect the strength and spirit of the communities who use them.

Too often, after the music fades and the grills cool, our public spaces are left littered with trash. Just as our ancestors took pride in their communities, we honor their legacy when we clean up after ourselves, teach our children to do the same, and care for our shared spaces.

Small acts can inspire big change. Since 2021, Clean California and its partners have collected and removed over 2.9 million cubic yards of litter. We did this by partnering with local nonprofits and community organizations to organize grassroots cleanup events and beautification projects across California.

Now, we invite all California communities to continue the incredible momentum and take the pledge toward building a cleaner community through our Clean California Community Designation Program. This recognizes cities and neighborhoods committed to long-term cleanliness and civic pride.

This Juneteenth, let’s not only celebrate our history—but also contribute to its legacy. By picking up after ourselves and by leaving no litter behind after celebrations, we have an opportunity to honor our past and shape a cleaner, safer, more vibrant future.

Visit CleanCA.com to learn more about Clean California.

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Activism

OPINION: California’s Legislature Has the Wrong Prescription for the Affordability Crisis — Gov. Newsom’s Plan Hits the Mark

Last month, Gov. Newsom included measures in his budget that would encourage greater transparency, accountability, and affordability across the prescription drug supply chain. His plan would deliver real relief to struggling Californians. It would also help expose the hidden markups and practices by big drug companies that push the prices of prescription drugs higher and higher. The legislature should follow the Governor’s lead and embrace sensible, fair regulations that will not raise the cost of medications.

Published

4 weeks ago

June 18, 2025

Oakland Post

Rev. Dr. Lawrence E. VanHook. Courtesy of Rev. Dr. Lawrence E. VanHook.

By Rev. Dr. Lawrence E. VanHook

As a pastor and East Bay resident, I see firsthand how my community struggles with the rising cost of everyday living. A fellow pastor in Oakland recently told me he cuts his pills in half to make them last longer because of the crushing costs of drugs.

Meanwhile, community members are contending with skyrocketing grocery prices and a lack of affordable healthcare options, while businesses are being forced to close their doors.

Our community is hurting. Things have to change.

The most pressing issue that demands our leaders’ attention is rising healthcare costs, and particularly the rising cost of medications. Annual prescription drug costs in California have spiked by nearly 50% since 2018, from $9.1 billion to $13.6 billion.

Some lawmakers, however, have advanced legislation that would drive up healthcare costs and set communities like mine back further.

I’m particularly concerned with Senate Bill (SB) 41, sponsored by Sen. Scott Wiener (D-San Francisco), a carbon copy of a 2024 bill that I strongly opposed and Gov. Newsom rightly vetoed. This bill would impose significant healthcare costs on patients, small businesses, and working families, while allowing big drug companies to increase their profits.

SB 41 would impose a new $10.05 pharmacy fee for every prescription filled in California. This new fee, which would apply to millions of Californians, is roughly five times higher than the current average of $2.

For example, a Bay Area family with five monthly prescriptions would be forced to shoulder about $500 more in annual health costs. If a small business covers 25 employees, each with four prescription fills per month (the national average), that would add nearly $10,000 per year in health care costs.

This bill would also restrict how health plan sponsors — like employers, unions, state plans, Medicare, and Medicaid — partner with pharmacy benefit managers (PBMs) to negotiate against big drug companies and deliver the lowest possible costs for employees and members. By mandating a flat fee for pharmacy benefit services, this misguided legislation would undercut your health plan’s ability to drive down costs while handing more profits to pharmaceutical manufacturers.

This bill would also endanger patients by eliminating safety requirements for pharmacies that dispense complex and costly specialty medications. Additionally, it would restrict home delivery for prescriptions, a convenient and affordable service that many families rely on.

Instead of repeating the same tired plan laid out in the big pharma-backed playbook, lawmakers should embrace Newsom’s transparency-first approach and prioritize our communities.

Let’s urge our state legislators to reject policies like SB 41 that would make a difficult situation even worse for communities like ours.

About the Author

Rev. Dr. VanHook is the founder and pastor of The Community Church in Oakland and the founder of The Charis House, a re-entry facility for men recovering from alcohol and drug abuse.

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Alameda County

Council Approves Budget to Invest in Core City Services, Save Fire Stations, Invest in Economic Development

I am most proud of our ability to fund these critical city services without the use of one-time fixes. We are still suffering the consequences of last year’s budget, where a majority of the Council, myself not included, chose to incorporate anticipated proceeds from the sale of the Coliseum to fund essential services. Since the sale has still not yet been completed, the lack of funds led to drastic cuts in city services, including the temporary closure of fire stations, staff layoffs, and the cancellations of many service contracts.

Published

4 weeks ago

June 14, 2025

Oakland Post

District 4 Oakland City Councilmember Janani Ramachandran. Photo courtesy City of Oakland.

By Janani Ramachandran, District 4 Oakland City Councilmember

On Wednesday, June 11, City Council took a bold step to prioritize investing in essential city services to get our beautiful Town back on track. As Chair of the Finance Committee, I am proud to have led a collaborative process, alongside Councilmembers Rowena Brown, Zac Unger, and Charlene Wang, to develop a set of amendments to the proposed FY 2025-2027 budget which passed successfully with a vote of 6 – 1. Despite facing a $265 million structural budget deficit, we were able to restore funding to ensure that all 25 fire stations remain open, fund 5 police academies, invest millions of dollars to combat illegal dumping and sideshow prevention, improve our permitting processes, fund a “business incentives” program to revitalize our commercial corridors, improve upon our homelessness prevention work, amplify the city’s anti-trafficking programs, re-instate our tree services division, staff up our Auditor’s office – all while preventing any layoffs of city staff, keeping our senior centers and after-school programs open, and crisis services like MACRO funded.

Our budget comes in response to the widespread and consistent calls from across Oakland’s diverse communities asking us to prioritize funding solutions to the issues that have most directly impacted our residents’ safety and quality of life. Our priorities are also inspired by our belief that Oakland is on the way not only to financial recovery, but also to global recognition. Oakland can attract and preserve businesses of all sizes with safer, cleaner streets. We can and will have more large-scale festivals that celebrate our culture, concerts that uplift our incredible local musicians, conferences that attract patrons from across the world, and award-winning restaurants that top national charts. We are on our way to rebuilding a thriving economy and having a cultural renaissance will create more jobs for Oaklanders while also generating more revenue for the City through sales and business taxes.

I am grateful for the close partnership with our new Mayor Barbara Lee, and know that she shares our values of ensuring we are prioritizing keeping Oakland’s residents safe, our streets clean, and our businesses prosperous in an open and fiscally responsible manner. I am also thankful to our City Administrator, Jestin Johnson, and former Interim Mayor Kevin Jenkins’ efforts to produce the initial proposal that our Council budget team used as a starting point for our amendments, and for their shared commitment to transparency and ethical government. I am especially grateful for every resident that took the time to make their voice heard throughout this rigorous budget process. I have no doubt that we are on the verge of true change, and that together we will bring Oakland back to being the world-class city I know it can be.