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Telemedicine Is Transforming Patient Care in California – With Some New Challenges

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When Dr. Andrea Goings launched her mobile medical service, offering athome doctor visits and virtual consultation sessions via video in 2016 in the Los Angeles areashe did not know that just four years later her business model would be more the norm than not. 

Dr. Andrea Goings mobile medical service Los Angeles area.

Goings, an African American pediatrician, launched her service in West Lake Village, a city about 40 miles northwest of Los Angeles near the Ventura County line. She made house calls to patient homes across the metropolitan area. 

“Technology has changed the way we approach and experience so many aspects of our lives, so I thought at the time, why not apply it to the work I do,” said Goings, who has been able to provide care to patients in various parts of the country while she is temporarily in Ohio caring for her mom as she recovers from surgery
“Being able to save busy parents from long waits in the emergency room or long drives to doctor appointments or giving them around-the-clock access to medical advice from the comfort of their home are all reasons clients have appreciated BabyDocHouseCalls.com over the years. Now, there is an added safety component that makes the service convenient, even necessary, for so many.”
Goings said because her businesses gave her a head start. Therefore, pivoting to respond to the constraints COVID-19 safety measures have imposed on clinical care, has been easy for her.  
“Telehealth is a really good option for young adults who have returned to college campuses and dorms,” she says. 
The California Department of Health Care Services (DHCS) says remote consultations like the kind Goings’s provides should not be technically regarded as a distinct service, but an “allowable mechanism” through which medical practitioners can provide clinical services. 
The standard of care is the same whether the patient is seen in-person, by telephone, or through telehealth. As a result, DHCS has strongly encouraged all counties to work with providers to maximize the number of services that can be provided by telephone and telehealth, to minimize community spread of COVID-19,” said Ivan Bhardwaj, Section Chief, Community Services Division at the DHCS. 
The DHCS has requested that all medical care providers adhere to all federal, state, and local guidelines. 
The U.S. Department of Health and Human Services Office of Civil Rights says it will use “enforcement discretion” and it will not impose penalties for non-compliance with all aspects of the HIPAA rules when healthcare providers use telehealth in “good faith” during the COVID-19 public health emergency. The DCHS has also relaxed some of its rules to accommodate telehealth, expanding platforms allowed to include popular video services such as Apple’s FaceTime, Facebook’s Messenger video chat, Google’s Hangouts and Skype.
“So far it’s been great. No problems. We’ve been able to keep all of our doctor appointments and do it safely” said Joe Bowers, Ladera Heights resident in Los Angeles County who is retired and writes a column on education for California Black Media. Bowers says, “My wife, Margaret and I appreciate the convenience of visiting with our doctors — from the comfort of our home.” 
 
For some critical mental health services that are vital to some of the most vulnerable Californians during the pandemic, like Medication Assisted Treatment (MAT) for those struggling with opioid use disorder (OUD)DHCS has increased its support. 
The Department of Health Care Services, in partnership with The Center at Sierra Health Foundation (The Center)is funding 21 sites to provide telehealth substance use disorder and mental health services for individuals in counties that have been impacted by COVID-19, or in the case of providers, who have experienced trauma as a result of treating individuals with the coronavirus,” said Bhardwaj. 
DHCS and The Center additionally launched the Behavioral Health Telehealth funding opportunity in 2020 for non-profit behavioral health providers to receive up to $50,000 each for telehealth infrastructure beginning September 1, 2020 through June 30, 2021,” he added. “Providers applied for telehealth equipment, including laptops, desktops, monitors, electronic health record software licenses, internet subscriptions, cell phones for providers, and telehealth training. Providers that were awarded through this opportunity will receive funding in Fall 2020.” 
 
DHCS is also providing Personal Protective Equipment so that facilities that provide in-person mental health services and MAT sessions can continue to do so without interruption.
California’s public awareness campaign titled “Choose Change California” provides information on opioid use disorder and a list of centers across the state where people misusing opioids or other substances can go for treatment and community-based wraparound services. The campaign is a collaboration operated by Sacramento- and Fresno-based The Center at Sierra Health Foundation and funded through the California Department of Public Health MAT Expansion Project. 
DHCS efforts have resulted ihelping some medical institutions to survive the pandemic and move closer to their pre-COVID levels of clinical care by transitioning to telehealth services, but they have come with some challenges. For example, the DHCS says some providers do not have enough funding to fully invest in telehealth infrastructure. On the flip side, some patients cannot afford or do not have sufficient broadband services and the required equipment to receive services through telehealth. Other patients, depending on their living situations, do not have adequate privacy to engage in telehealth sessions.
Goings pointed out that there are some obvious limitations to telehealth, too. With some conditions involving trauma or physical injury or pain, there is no way around seeing the patient in-person, she said.  
Now, that school has started, its difficult because you don’t know if someone has the flu or COVID,” she says.  I can’t give a clearance note, until you’vbeen seen, tested and quarantined, if necessary,” she says.  

Michelle Snider

Associate Editor for The Post News Group. Writer, Photographer, Videographer, Copy Editor, and website editor documenting local events in the Oakland-Bay Area California area.

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Black Americans Still Face Deep Retirement Gaps Despite Higher Incomes

BLACKPRESSUSA NEWSWIRE — Debt remains a significant barrier. 63% of higher-income Black households said debt is a problem, while just 45% of non-Black households at the same income level said the same. Nearly half of upper-income Black respondents said debt affects their ability to save or live comfortably in retirement.

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By Stacy M. Brown
Black Press USA Senior National Correspondent

A report from the Employee Benefit Research Institute shows that Black Americans continue to face serious challenges in saving for retirement, even as their incomes grow.

The 2025 Retirement Confidence Survey, which included a special oversample of Black workers and retirees, found that the wealth gap remains wide at every income level. Among households earning $75,000 or more, only 33% of Black Americans reported having $250,000 or more in savings and investments, compared with 63% of non-Black Americans. Debt remains a significant barrier. 63% of higher-income Black households said debt is a problem, while just 45% of non-Black households at the same income level said the same. Nearly half of upper-income Black respondents said debt affects their ability to save or live comfortably in retirement.

While many Black Americans expressed confidence managing day-to-day budgets, fewer felt prepared to invest or plan for the long term. The study showed that Black Americans with higher incomes were less likely to have personally saved for retirement, 77%, compared with 87% of non-Black Americans. Retirement experiences also differed sharply. Forty-four percent of Black retirees said they retired earlier than planned because of a health problem or disability, compared with 32% of non-Black retirees. After leaving their main jobs, Black retirees were more likely to work for pay to make ends meet, and more often said their retirement lifestyle was worse than expected. Access to financial advice and planning remains uneven. Just 31% of Black respondents reported currently working with a financial advisor, although nearly half expect to do so in the future. Black Americans were more likely to seek help with reducing debt, creating wills or estate plans, and arranging life insurance than simply determining if they had saved enough to retire.

Researchers Craig Copeland and Lisa Greenwald wrote, “Black Americans reported disproportionately lower financial resources, and how they feel about retirement and financial security is clearly impacted by having less resources.” They continued, “In particular, Black retirees are struggling with higher likelihoods of their retirement lifestyle being worse than expected and having to retire earlier than planned because of a health problem or disability.” “Still,” the researchers concluded, “there are some modifications in the financial system that could help improve their prospects, such as increased assistance in balancing competing financial priorities like debt reduction, supporting family, and building long-term savings.”

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Scorching Heat Sparks Bipartisan Climate Alarm

BLACKPRESSUSA NEWSWIRE — As record-breaking heat waves sweep across the country this summer, a new national poll reveals an overwhelming majority of Americans are linking the punishing temperatures to climate change — and voicing deep concern about the government’s ability to respond.

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By Stacy M. Brown
Black Press USA Senior National Correspondent

As record-breaking heat waves sweep across the country this summer, a new national poll reveals an overwhelming majority of Americans are linking the punishing temperatures to climate change — and voicing deep concern about the government’s ability to respond.

The American Climate Perspectives Survey 2025, conducted by ecoAmerica, found that 86% of Americans say rising temperatures have increased their concern about climate change, with more than half reporting they are “a lot” more concerned. The sentiment cuts across demographic and political lines, with 97% of Democrats, 83% of Independents, and 79% of Republicans expressing heightened worry about the climate crisis. “Americans are connecting extreme heat to climate change, their health, and government inaction,” said Meighen Speiser, Executive Director of ecoAmerica.

Nearly nine in ten respondents recognize the toll heat is taking on public health, with 58% saying extreme heat affects health “a lot.” This awareness is remarkably consistent across racial, age, and income groups.  Among Black Americans, 91% said rising temperatures have intensified their concern about climate change, reflecting some of the highest concern levels among any group surveyed. Those concerns are not abstract. Decades of research by the Brookings Institution, NOAA, and others show Black communities often face the greatest exposure to extreme heat and the fewest resources to adapt. Studies have documented that historically redlined neighborhoods, where many Black Americans live, are routinely up to 10 degrees hotter than wealthier, predominantly white neighborhoods nearby.

In cities such as Atlanta and Baltimore, Black homeowners are significantly more likely to face heat risks and energy insecurity, limiting their ability to cool their homes as temperatures rise. Nationally, Black renters experience higher rates of energy insecurity, with over half struggling to afford adequate cooling during heat waves. Meanwhile, the latest study also points to a notable shift in how Americans perceive the link between climate change and extreme weather. Eighty-two percent now believe that climate change is making extreme events, such as floods, wildfires, and hurricanes, more frequent and severe, up six points since 2021. The most dramatic change is among Republicans: the share who recognize that climate change is fueling extreme weather surged 17 points over four years, from 58% in 2021 to 75% in 2025.

These findings arrive as proposals to slash funding for the Federal Emergency Management Agency (FEMA) and the National Oceanic and Atmospheric Administration (NOAA) advance in Washington. The agencies are widely seen as the nation’s front-line defense against disasters and a critical source of weather forecasting and emergency relief. The risks are particularly acute for Black communities already facing disproportionate impacts from hurricanes and flooding, as seen in the devastation of New Orleans after Hurricane Katrina and more recent storms that have repeatedly displaced predominantly Black neighborhoods in the Gulf Coast and Southeast.

The survey shows Americans are not just worried about rising temperatures — they’re anxious about the government’s readiness to protect communities. Seventy-nine percent said cuts to FEMA and NOAA make them more concerned about the federal government’s ability to respond to climate impacts. That includes 92% of Democrats, 76% of Independents, and 69% of Republicans, underscoring that the anxiety is bipartisan.

Generational divides are also apparent. While 95% of young adults reported that extreme heat has boosted their concern about climate change, the figure was lower — but still significant — among adults over 65, at 70%. However, across all age groups, majorities agree that the crisis is escalating and requires immediate action. “These findings show it’s time to drop partisan politics and rather meet this moment with urgency, leadership, and protection,” Speiser said.

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Michael Jackson Estate Files Court Petition Alleging $213 Million Extortion Plot by Frank Cascio

BLACKPRESSUSA NEWSWIRE — The court action, exclusively obtained by Black Press USA, reveals in unprecedented detail how the estate contends that Cascio and unnamed associates used their proximity to Jackson—once proudly touted in books and interviews—to demand a fortune from the most successful celebrity estate in history.

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By Stacy M. Brown
Black Press USA Senior National Correspondent

The Estate of Michael Jackson has filed an explosive petition in Los Angeles Superior Court accusing Frank Cascio, a man once described as Jackson’s “second family,” of masterminding a $213 million extortion plot to force payouts by threatening to flip decades of public support into salacious allegations about the King of Pop. The court action, exclusively obtained by Black Press USA, reveals in unprecedented detail how the estate contends that Cascio and unnamed associates used their proximity to Jackson—once proudly touted in books and interviews—to demand a fortune from the most successful celebrity estate in history. “For over 30 years, these individuals held themselves out as Michael Jackson’s most passionate defenders,” the petition states, quoting Cascio’s repeated assertions—under oath and on national television—that Jackson never harmed him or any child. “It was a shakedown,” the estate’s lawyers charged.

A Decades-Long Public Defense

As recently as 2011, Cascio promoted his memoir My Friend Michael, describing a warm, fatherly relationship with Jackson. “I want to be precise and clear, on the record, so that everyone can read and understand,” he wrote. “Michael’s love for children was innocent, and it was profoundly misunderstood.” He doubled down in dozens of interviews. During a 2005 ABC Primetime Live broadcast, Cascio—then using the name Frank Tyson—declared: “If Michael ever laid a finger on me, I would not be in this chair right now.” In a 2011 sit-down with Wendy Williams, he said with conviction, “Nothing at all. And that’s what makes me so upset,” when asked whether Jackson had ever acted inappropriately. Even years later, one of the respondents continued to insist Jackson was a target of “liars,” telling Oprah Winfrey during a televised interview: “Michael couldn’t harm a fly. He’s such a kind and gentle soul. Michael was a target.” In 2019, when HBO’s controversial Leaving Neverland documentary ignited a fresh wave of criticism and threatened multiple Jackson-related projects—including Cirque du Soleil’s “Michael Jackson ONE”—estate co-executors John Branca and John McClain, along with the Michael Jackson Company, sought Cascio’s support. Instead, they say, Cascio turned on them.

A Secret Settlement

Facing mounting public pressure and what they describe as repeated threats to invent new claims, the estate entered into a confidential settlement on January 10, 2020. Under the agreement, Cascio and his associates would receive millions over five years—$3 million each, according to sources familiar with the negotiations—in exchange for comprehensive waivers, a sweeping nondisclosure clause, and an ironclad promise to arbitrate any disputes. The estate said it acted reluctantly to protect Jackson’s children and preserve projects that would cement the late artist’s legacy. “We have a fiduciary responsibility to maximize the income of the estate,” Branca said in an earlier interview. “Our counsel insisted we sign the agreement. They didn’t want it disclosed either because Michael’s fans would have gone after these people.” The settlement contained an unusually strict provision barring even the disclosure of the agreement’s existence.

The $213 Million Demand

Despite having collected payments under that deal, Cascio, through lawyers, allegedly re-emerged in July 2024 with a stunning ultimatum: Pay $213 million more, or face a media spectacle. According to the court filing, Cascio’s legal team—then led by attorney Howard King—threatened to “expand the circle of knowledge” and leak allegations to the buyer of Jackson’s $600 million music catalog if their demands were not met. In one email sent August 29, 2024, King wrote, “We expect a substantive response by the end of day tomorrow. Otherwise, we will be forced to expand the ‘circle of knowledge.’” The estate called this an extortionate threat designed to pressure them into paying for silence. The estate responded by initiating a confidential arbitration proceeding on September 17, 2024, accusing Cascio of civil extortion and anticipatory breach of contract. Days later, Cascio’s lawyers delivered draft lawsuits “riddled with outlandish scurrilous allegations” that directly contradicted his years of public statements.

The Geragos Factor

By January 2025, Cascio had replaced his counsel with Mark Geragos—ironically, Jackson’s former defense lawyer who had proclaimed to Good Morning America that “there’s nothing sexual going on” and that Jackson was “100 percent innocent.” In his 2013 book Mistrial, Geragos wrote of Jackson’s 2005 acquittal: “The evidence was overwhelming that he never touched this kid, and the entire thing was a huge shakedown.” He also appeared on The Megyn Kelly Show in December 2021 to blast Leaving Neverland, calling it “a complete rewrite of history” and an “absolute travesty.” However, now Geragos has taken the opposite stance, representing Cascio in a renewed effort to file public litigation. According to the estate’s filing, Geragos lowered the demand to $44 million but warned that if the estate refused, they would sue for defamation, emotional distress, and an alleged “cover-up.” The estate insists these claims are “bogus” and barred by the original settlement’s releases and arbitration clauses. The petition points out that the agreement explicitly requires arbitration for any disputes, even the question of whether a claim is arbitrable. “The question of arbitrability is itself a question to be resolved finally by the arbitrator,” the contract states.

The Estate’s Broader Mission

This latest legal battle comes as the Jackson estate continues to flourish. Since Jackson died in 2009, Branca and McClain have transformed a $500 million debt into an empire generating over $3 billion. Projects include the record-breaking concert film Michael Jackson’s This Is It, Cirque du Soleil productions, and the upcoming Antoine Fuqua biopic MICHAEL, starring Jackson’s nephew Jaafar. Yet Branca says managing the estate means protecting it from opportunistic attacks. “Michael was acutely aware of the racial undertones in how he was perceived,” Branca told Black Press USA in a prior interview, recalling Jackson’s lament: “Sinatra’s the chairman of the board. Elvis is the king. Springsteen is the boss. But what do they call me? The Gloved One…that’s racist.” Branca added, “I definitely believe there’s a racist element in the media coverage of Michael Jackson since the 1980s. Michael got so big many were jealous.” The estate has requested that the court order Cascio into arbitration and award legal fees. If the petition is granted, any subsequent proceedings would take place in private. For now, the estate is vowing not to yield. “We will continue to manage the estate with the integrity and dedication that Michael deserved,” Branca said. “Attempts like this to tarnish his memory for financial gain will not succeed.”

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