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OP-ED: Medicare Is Under Attack

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By Assemblymember Tony Thurmond

 

Since the Medicare and Medicaid program’s simultaneous signage into law by President Johnson 50 years ago, over 48 million Americans now have access to health care.

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The ethos of these landmark programs is stated in no less than the words used by President Lyndon Johnson: “Millions of our citizens do not now have a full measure of opportunity to achieve and to enjoy good health. Millions do not now have protection or security against the economic effects of sickness. And the time has now arrived for action to help them attain that opportunity and to help them get that protection.”

 

 

Yet at this time, Medicare has come under attack. Any reduction in services would force older Americans to pay more out-of-pocket costs for health care premiums.

 

 

These shortsighted attempts overlook the savings that Medicare provides, such as preventative services which keeps beneficiaries from needing more costly health services.

 

 

Rather than proposing to dismantle a program with proven benefits to all, especially the elderly, detractors should help secure the program and its funding for generations to come.

 

 

As we celebrate the anniversary of Medicare, we should recognize that as health care costs increase, even those served by Medicare often do not have enough to pay all of their health care costs.

 

 

A report from the Kaiser Family Foundation found that more than 20 percent of those on Medicare reduced their use of dental, vision, and hearing services because they simply could not afford them.

 

 

Compounding the high cost of living for seniors in California were cuts to the State Supplemental Payment (SSP)—which compliments Medicare by augmenting the often insufficient Supplemental Security Income (SSI)—that provides income support for the elderly, disabled, and blind.

 

 

I authored AB 474, with Assemblymember Cheryl Brown (D-San Bernardino), following a series of hearings I chaired for the California Assembly Budget Subcommittee on Health and Human Services.

 

 

The concerns expressed by seniors and advocates were unequivocal; SSI/SSP is their only form of income and often force a choice between paying rent and attending to medical needs. AB 474, which aims to restore SSI/SSP to 2009 levels and provide an additional $233 per month to surpass the federal poverty line, has yet to become law.

 

 

The increasing cost of care for seniors also exacerbates broader inequities in our health care delivery system.

 

 

In my district in the East Bay, a recent study found that a child born today in a flatland neighborhood will have a life span that is 14 years shorter than a child born in the hills.

 

 

There are a variety of factors that account for this unacceptable difference; but making sure that access to quality, affordable health care is available to all – regardless of the neighborhood in which they live – must be our highest priority. That’s just one of the reasons I fought so hard to keep Doctors Medical Center in San Pablo open and why I am fighting now to provide alternatives for care to area residents.

 

 

Medicare provides us with a great example of what a national health care plan for all Americans should look like: broad coverage, healthier outcomes, and savings through preventive care.

 

 

We should protect and preserve Medicare. Following the program’s 50th anniversary, we must examine how we can further continue the path that Medicare and Medicaid have set for our nation and state.

 

 

If we do not walk that path, too many seniors will have to choose between their health and their rent. To echo President Johnson, the time has now arrived for action to help further the opportunities and protection in health care.

 

 

Tony Thurmond is the District 15 member of the California State Assembly.

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Black History

BOOK REVIEW — Curved Air: A Biography of Sickle Cell Anemia and the Quest to Cure the First Molecular Disease

OAKLAND POST — Over decades, researchers worked haphazardly. Papers were written, treatments were tried, used, or discarded. Doctors discovered that genetic testing could prevent new cases, a heartbreak for would-be parents. Researchers discovered that “a perfect storm” of confluence spread SCD: malaria, human population, and mosquitoes.

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Book Cover of Curved Air

Copyright: c.2026, Publisher: The Belknap Press of Harvard University Press, SRP: $29.95, Page Count: 338 pages

Four weeks of testing, and you’re exhausted.

Two gallons of blood, maybe three, have been removed. No lie. You’ve laid on tables, slid through machines, been scanned so much you lost count and finally, your doctors have a diagnosis. As in the new book “Curved Air” by Kevin Davies, you have hope there’s a what next?

Though the disease was known in parts of Africa and likely existed here in the United States for hundreds of years, sickle cell disease (SCD) is a relative newcomer in disease research.

Says Davies, “Sickle cell was first identified more than 120 years ago” and it was considered as a “Black disease.” Because of that, discrimination followed “sickle cell warriors” and research was scant, though white people can and do get SCD.

With “agonizing” pain as a major symptom, “SCD is one of roughly seven thousand genetic diseases” currently known to science. When someone has SCD, a genetic mutation causes their red blood cells to curve and get stuck in blood vessels, rather than flowing freely as they should. This diminishes the oxygen supply “to various parts of the body… which causes inflammation and pain,” jaundice, stroke, and damaged organs. Anemia, Davies says, can leave a patient fatigued and short of breath. Anticipating pain crises causes anxiety and PTSD.

Says Davies, “More than forty million people carry” one copy of the genetic mutation that causes SCD, and “five hundred thousand affected” babies are born with the disease per year, worldwide.

Over decades, research was done haphazardly. Papers were written; treatments were tried, used, or discarded. Doctors discovered that genetic testing could prevent new cases, a heartbreak for would-be parents. Researchers discovered that “a perfect storm” of confluence spread SCD: malaria, human population, and mosquitoes.

There was always hope that someday, sickle cell disease might be cured.

Then, Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) gene-editing therapy was approved by the FDA, and a brave volunteer named Victoria Gray stepped forward…

So, you want to – need to – learn more about sickle cell disease? Is it imperative for you? Then, this is your book. But there are things you’ll want to know before you dive into “Curved Air.”

Because author Kevin Davies is the editor of The CRISPR Journal, you can expect up-to-date, cutting-edge information; but that’s a two-sided coin: the information is heavy-duty, not always easy to grasp, and it’s burdened by acronyms that can be overwhelming. Yes, that’ll inform you, but it may also send you elsewhere for further understanding, which really should’ve come from this book.

And yet, if you or someone you love has SCD, this is your book. It explains where the disease came from, why it hasn’t been completely cured yet, and what kind of hope you can hold. It’s a good start on a path to comprehension.

Also, be aware that the narrative here is sometimes padded with journalistic fluff that might annoy you if you’re eager to get to the science. Indeed, “Curved Air” will teach you. Then again, it also might test you.

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Community

Prostate Cancer is Twice as Likely to Kill Black Men. Talking to Your Doctor Could Help Save Your Life

BLACKPRESSUSA NEWSWIRE — The American Cancer Society recommends that African American men speak with their doctor at age 45 about whether prostate cancer screening is right for them. Men at even higher risk should have that discussion at age 40, especially those with one or more close relatives who were diagnosed at an early age.

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Prostate Cancer is Twice as Likely to Kill Black Men. Talking to Your Doctor Could Help Save Your Life

American Cancer Society board member Dr. Robert Winn discusses risk factors for the disease and why too many Black men still aren’t getting screened

September is Prostate Cancer Awareness Month, and as both a Black man and a cancer center director, I know many men in our community think it’s bad luck to talk about cancer. But I’m here to tell you it’s bad luck not to talk about it.

We, Black men in the U.S., are nearly 70% more likely than White men to be diagnosed with prostate cancer. We’re also twice as likely to die from the disease.

But I’m telling you, if you’re diagnosed early, you can still enjoy a long, happy life doing the things you love, whether that’s playing with grandkids or staying active in your community. That’s because although it can become a serious illness, most men diagnosed with prostate cancer won’t die from it.

In fact, more than 3.5 million U.S. men who’ve been diagnosed with prostate cancer are still alive today. And when it’s diagnosed early, you boost your odds of survival. It’s that simple.

Generally, prostate cancer is most likely to develop after age 50, but when it develops in Black men, they tend to be younger. That means we need to be on the ball about understanding our personal risk. The risk factors include a family history of prostate cancer and certain genetic health risks that come from a parent.

When it comes to family medical history, we need to get a lot better at talking. For me, it turned out I had uncles who’d died from prostate and other cancers, but I didn’t always know that, so I couldn’t use that information to help me make smarter screening choices.

The American Cancer Society recommends that African American men speak with their doctor at age 45 about whether prostate cancer screening is right for them. Men at even higher risk should have that discussion at age 40, especially those with one or more close relatives who were diagnosed at an early age.

Look, I get that no one looks forward to a screening, but it typically starts with just a simple blood test, called a prostate-specific antigen, or PSA.

Even if you end up needing a digital rectal exam, it takes less than a minute and could save your life. So, what I say to people is, what’s the price of your life? Isn’t it worth a minute of being uncomfortable?

Brothers, this is essential for you to know: just because you’re feeling good doesn’t mean you don’t have early-stage prostate cancer. By the time you start to actually experience symptoms, the disease could be at an advanced stage and might be harder to treat.”

Prostate cancer is significantly impacting our fathers, our brothers, and our sons. That’s why the American Cancer Society is working with health systems and professionals in your community to help remove barriers in the fight against the disease.

We can help you find low-cost or free screening locations. And for men who need cancer treatment, the American Cancer Society can reduce the financial burden of traveling to medical appointments by providing free rides and, if you live far away from where you receive treatment, a free place to stay.

When it comes to prostate cancer screening, one size doesn’t fit all. So, it’s important for all men – and especially Black men – to talk to their doctor about what’s best for them based on their age, risk, and health history. Please make that appointment, because we don’t want you to risk missing out on the best years of your life.

For more information, call the American Cancer Society’s 24/7 helpline at 1-800-227-2345 or visit cancer.org.

Dr. Robert Winn is a nationally recognized physician-scientist and researcher. He currently serves as cancer center director at Temple Health’s Fox Chase Cancer Center. Since 2021, he has served on the board of directors for the American Cancer Society, a leading cancer-fighting organization with a vision to end cancer as we know it, for everyone.



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Black History

Arnold Perkins: At 85, a Life of Service, Faith and Giving Back

Perkins believes that health is not simply physical. It is emotional, mental, and spiritual. And for much of his life, he says, his faith and philosophy of service have kept him vibrant, happy and connected to the world around him.

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The Post’s Healthy Aging Series addresses key components for healthy aging: mind, body and spirit. This article addresses the importance of having a strong spiritual or religious foundation.

As America’s population grows older, conversations about healthy aging often focus on diet, exercise and medical care. But for Dr. Arnold Xavier Cornelius Perkins, who will celebrate his 85th birthday next month, another ingredient has been equally important: a spiritual foundation and a lifelong commitment to serving others.

Perkins believes that health is not simply physical. It is emotional, mental, and spiritual. And for much of his life, he says, his faith and philosophy of service have kept him vibrant, happy and connected to the world around him.

“I am my brothers’ and sisters’ keeper,” Perkins said. “I am a ‘we’ person,” and referenced the South African expression of ‘Ubuntu,’ which means ‘I am because we all are.”

Born in Miami, Florida, Perkins came to California in 1954 with his family to attend a Seventh-day Adventist General Conference. His family ultimately decided to remain in California, unwilling to return to the harsh racism of the segregated South.

He grew up in Berkeley, attending Golden Gate Academy, Willard School, and Berkeley High School before joining the Navy during the Vietnam War era. He later attended Merritt College when the Black Panther Party was emerging in Oakland, where he became involved as a volunteer for the Student Non-Violent Coordinating Committee (SNCC). He graduated from San Francisco State University and completed additional coursework at Cal State East Bay.

His professional career became a remarkable journey through public service. Perkins served as Alameda County’s homeless coordinator, became a program officer with the San Francisco Foundation, headed a drug and alcohol program, and ultimately served as director of the Alameda County Public Health Department for 12 years before retiring in 2006.

But retirement did not mean stepping away from service.

Perkins jokingly describes this stage of his life as being in “preferment,” doing what he pleases. What he pleases, however, is continuing to help people.

He has worked with young people, served on San Quentin Prison’s warden advisory council, previously served on the Oakland Police Department Selection Commission, and completed two terms as chair of the Alameda County Juvenile Justice Delinquency Prevention Commission. He chaired the University of San Francisco’s Helen Diller Stanley Comprehensive Cancer Center for 10 years and is now in his 11th year serving on the California Wellness Foundation board.

Perkins even views a hereditary heart defect through the lens of his spiritual philosophy.

“I have a hole in my heart, so I’m not physically perfect,” he said. “But I look at it as I have a hole because I pour my heart out to people.”

That perspective may be one of his greatest lessons about healthy living. Perkins believes that kindness, compassion and community have a direct impact on a person’s emotional and spiritual well-being.

“If I see an unsheltered relative, I’d give them that $20,” he said. “My responsibility is to take care.”

For Perkins, giving does not deplete a person; it gives life back. “My life’s mission is to give,” he said. “And what I get back is life.”

He knows firsthand that one person can change another person’s destiny. As a young man, Perkins stuttered and often fought in response to the teasing and humiliation he experienced. A teacher, Jeff Tedisco, defended him and changed the direction of his life.

“If it hadn’t been for him,” Perkins said, “I would have been in San Quentin.”

Instead, Perkins now goes to Indaba Court, a restorative justice program, to help young people who have made wrong choices understand that they are part of a larger community.

“When they harm one person, they harm the community,” he said.

His prescription for a vibrant life is simple: be understanding, be kind and remember that life is not all about you.

“When we fold our arms, we can’t receive anything,” Perkins said. “But when we stretch out our arms and serve one another, we build community.”

At nearly 85, Arnold Perkins continues to prove that a life rooted in faith, service and love may be one of the most powerful foundations for healthy aging.

Next Week: Brenda Dennis Harris “The Body Temple.”

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