Health

Opinion: Changing Medicare Would Threaten Hispanics’ Health

Published

9 years ago

October 14, 2017

Oakland Post

By Dr. Yanira Cruz

Hispanics are 50 percent more likely than whites to die from diabetes and liver disease.

This gap could widen if lawmakers proceed with a plan to alter the Medicare Part D prescription drug benefit. The Part D program has increased access to prescription drugs for millions of Hispanic seniors. Without it, they would struggle to afford the medicines they need to stay healthy.

Implemented in 2006, Part D provides affordable prescription drugs to seniors and those with disabilities. It does this by subsidizing the cost of private prescription insurance plans. Seniors pick from a variety of plans and pay a monthly premium, and the government picks up the rest of the tab.

Part D is cost effective. In its first decade, the program cost 45 percent less than the Congressional Budget Office initially projected.
Medicare Part D isn’t just affordable for the government — it’s also affordable for beneficiaries. Some Part D drug plans cost as little as $14.60 each month.

Part D is, quite literally, a lifesaver for seniors who would not be able to afford their prescriptions on their own. A study by the Federal Reserve Bank of San Francisco found that Part D saved the lives of up to 26,000 individuals in its first year.
Hispanics, especially, have benefited from Part D. Following Part D’s implementation, adherence to heart medications among Hispanics increased by 60 percent. Thanks to this program, Hispanic seniors save an average of $143 a year in out-of-pocket expenses.

With these sorts of savings, it’s no wonder that nine out of 10 Part D participants report satisfaction with their coverage.

Even though Part D is working exceptionally well, some members of Congress think that it would work even better if the government negotiated the prices of drugs offered under Part D plans.

Currently, the government lets private insurers negotiate prices with drug makers. Insurers fight hard to secure discounts. After all, bigger discounts enable insurers to offer lower-cost plans that attract new senior customers. The CBO recently lowered its Part D spending projections because insurers have obtained “significantly higher” than expected rebates, according to the Kaiser Family Foundation.

The government wouldn’t have any more negotiating power than private insurers. In fact, the CBO has warned that giving federal officials the power to negotiate prices would have a “negligible effect” on Part D drug costs.

The only way the government could substantially lower drug spending would be to refuse to cover certain medicines. A move like that would be disastrous for seniors. Right now, each Part D plan has its own list of covered drugs. If seniors know they need a particular medicine, they can enroll in a plan that covers that drug.

If the government stopped covering certain drugs, those medicines would be excluded from all plans. Seniors would lose access to those medicines unless they could afford to pay for them out of pocket. That wouldn’t be feasible for many seniors, especially Hispanics. The typical Hispanic Medicare beneficiary earned less than $13,000 in 2014.

Reducing the number of drugs covered by Part D would harm Hispanics and other vulnerable populations. There’s no reason for Congress to mess with Medicare Part D. It is cost-effective, saves lives, and makes health care more accessible and equitable.

Dr. Yanira Cruz is the president and CEO of the National Hispanic Council on Aging.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

Published

4 weeks ago

May 17, 2026

Oakland Post

iStock

By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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Bay Area

How Is AI Affecting California? The State Wants You to Share Your Story

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

Published

4 weeks ago

May 17, 2026

Oakland Post

iStock

By Bo Tefu, California Black Media

Gov. Gavin Newsom announced May 7 that California is expanding its Engaged California digital democracy initiative statewide, inviting residents to help shape future state policies on artificial intelligence (AI) and its impact on jobs and the economy.

“We’ve got to be clear-eyed about this moment: AI is moving fast, bringing enormous opportunity, but also real risks,” Newsom said in a statement. “Californians deserve a seat at the table as we shape what’s to come.”

The initiative will roll out in two phases. Beginning immediately, Californians can sign up online to share how AI is affecting their work and communities and provide ideas for possible government action. Later this summer, a smaller group reflecting the state’s workforce demographics will participate in live discussions focused on developing policy recommendations.

State officials said the goal is to identify areas of agreement among Californians and provide policymakers with public feedback as the state develops future AI regulations and workforce strategies.

Engaged California is modeled after digital democracy programs used in Taiwan and is intended to encourage structured public discussion rather than social media-style debate. Officials described the effort as a form of “deliberative democracy” aimed at helping residents engage directly in state decision-making.

“The more Californians are engaged in the democratic process, the better able we’ll be to confront the challenges we face together,” said Nick Maduros, California Secretary of Government Operations, in a statement.

The statewide launch builds on two earlier pilot programs. One pilot gathered public input following the Los Angeles firestorms to help guide recovery efforts, while another collected ideas from state employees about improving government operations.

California has positioned itself as a national leader in AI policy and development. Since 2023, the Newsom administration has introduced initiatives focused on responsible AI use in government, cybersecurity protections, workforce training and regulations targeting risks such as deepfakes and AI-generated robocalls.

The state has also partnered with companies in Silicon Valley — including NVIDIA, Google, Adobe, IBM and Microsoft — to expand AI education and workforce training programs across California schools and universities.

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Activism

California Launches Free Diaper Program for Newborns Statewide

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

Published

4 weeks ago

May 17, 2026

Oakland Post

iStock.

By Bo Tefu, California Black Media

Gov. Gavin Newsom announced Friday that California will launch a first-in-the-nation program providing free diapers to families with newborns, part of a broader effort to lower costs for parents and improve infant health outcomes.

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

State officials said hospitals participating in the program will give families the diapers when they are discharged after birth, helping parents leave with an immediate supply of newborn essentials.

“Every baby born in California deserves a healthy start in life,” Newsom said in a statement. He said the program is part of California’s broader affordability efforts, which also include free school meals, universal preschool for four-year-olds and expanded after-school programs.

The announcement comes ahead of Mother’s Day and is tied to the administration’s broader CalRx initiative, which aims to reduce costs for essential products and medications. State officials said California is also exploring ways to lower diaper prices by challenging high costs from major brands.

The first year of the program will prioritize hospitals serving large numbers of Medi-Cal patients, with plans to expand to additional hospitals and birthing centers over time. Officials said the effort is intended to reduce financial pressure on low-income families and improve infant and maternal health by ensuring parents have access to clean diapers.

“California families deserve to feel supported during one of life’s more exciting, yet vulnerable transitions,” First Partner Jennifer Siebel Newsom said in a statement. She said the program would allow parents to focus on caring for their newborns instead of worrying about basic supplies.

According to Baby2Baby, one in two families in the United States struggles to afford diapers. The organization has distributed more than half a billion items to children over the past 15 years through partnerships with shelters, hospitals, foster care programs and schools.

State officials said Baby2Baby will oversee diaper purchasing, warehousing and distribution through its existing hospital and community partnerships across California.