Feeds:
Posts
Comments

Archive for the ‘Health Care’ Category

President Barack Obama signing the Affordable Care Act (health reform law) into law on March 23, 2010. The law was upheld by the Supreme Court this morning- a win for Latinas’ health.

As I am sure many of you have heard, today, the Supreme Court of the United State upheld the landmark health reform law, the Affordable Care Act.

This is a big win as millions of Latinas, their families, and their communities have already benefited from greater access to quality and affordable health care as a result of the reforms in the law. And millions more Latinos will benefit from the law as it is fully implemented through 2014.

Click here NLIRH’s press statement on the Supreme Court decision.

But the fun does not stop here: please join us for a number of conversations and events on this historic decision and how to move forward for #HealthJustice post-Supreme Court.

June 29, 2:00-3:30 PM ET on Twitter using #HealthJustice #SaludyJusticia

Please join National Asian Pacific American Women’s Forum (NAPAWF), the National Latina Institute for Reproductive Health (NLIRH) and over a dozen national partners TOMORROW, June 29, in a post- Supreme Court Tweetchat entitled “Now what? How the Health Care Law Supreme Court Decision will Impact Women, People of Color, LGBTQ Folks, and other Underserved Groups.” 

The Tweetchat will run from 2:00 – 3:30 PM ET, so makes sure to join us on Twitter.com.  It is sure to be a lively and informative discussion in both English and Spanish with over seventeen co-sponsoring organizations!  Follow the conversation with our hashtag #HealthJustice #SaludyJusticiaClick here for more information.

July 12 2:00-4:00 PM ET – “Cafecito”- Style Conference Call

Join Raising Women’s Voices for the Health Care We Need and the National Latina Institute for Reproductive Health (NLIRH) for a “cafecito”-style conference call (informal discussion over coffee) to discuss how women, communities of color, and other underserved populations can move forward for health justice in the aftermath of the Supreme Court decision on the health reform law.

Date: July 12, 2012
Time: 2 -3 pm ET in English, and 3-4 pm ET in Spanish.

Please RSVP here to receive the call-in information.

We know that the work starts here. We need to work for greater health care access for immigrant communities, LGBTQ individuals, and other underserved groups. We need to include comprehensive reproductive health services in the gains under ACA. We need for strive for greater diversity and cultural and linguistic competency of the health care work force. That’s why NLIRH and other health equity advocates support legislation like the Health Equity and Accountability Act. So, let’s celebrate today and move forward for health justice.

And please stay posted for more analysis on the decision and how it will impact Latinas!

Read Full Post »

Today, President Barack Obama stated in a televised interview that he believes that same-sex marriage should be legal:

“At a certain point, I’ve just concluded that for me personally it is important for me to go ahead and affirm that I think same-sex couples should be able to get married,” Mr. Obama told ABC News in an interview that came after the president faced mounting pressure to clarify his position.

This is a historic moment – it is the first time that a sitting U.S. president has stated a position in favor of marriage equality.

So how does this affect the lived reality of LGBTQ Latin@s? Well not too much, yet. Though this affirmation does not have any legal effect just yet – neither the Supreme Court nor Congress seem in a rush to overturn DOMA – this “evolving” of the president’s position does indicate the increasing visibility of LGBT advocacy in the last few years, and places the President in a position to do something about making that change.

When same-sex marriage does become a reality at a national level, there will surely be benefits for LGBTQ Latin@ communities. For one, LGBTQ immigrants with U.S.-citizen partners will have the option to be petitioned for permanent residency and citizenship, in the same way that straight people are able to do currently. This would be huge for the vast number of bi-national couples who face separation or having to leave the U.S. to be together. The Uniting America Families Act – a proposed measure that would allow U.S. citizens to petition same-sex partners for citizenship – also addresses this issue for bi-national same-sex couples and has been part of NLIRH’s policy priorities, but federal marriage equality would solve this issue altogether.

Although this is a step in the right direction, legalizing same-sex marriage does not even begin to scratch the surface of the social justice issues that LGBTQ Latin@s face today. LGBTQ immigrants face numerous barriers that marriage simply does not touch, and strategies that require immigrants to couple with U.S.-nationals for citizenship will only affect a small portion of the LGBTQ immigrant community. And though legalizing same-sex marriage may mean that some LGBTQ Latin@s will be able to share their partners’ health benefits, it will not create health benefits for couples in which neither party is insured. We envision a world in which everyone has access to care and in which everyone has the right to live and work in the communities they choose, regardless of marital status. Marriage equality will create these conditions for some, but will leave many LGBTQ Latin@s with these problems unresolved.

It is a good day for LGBTQ people today, but we must not envision marriage equality as the end. Only an end to inequity can bring reproductive justice for all!

Read Full Post »

For day 3 of the Health Equity Can’t Wait! blog carnival, we’ve teamed up with the National Gay and Lesbian Task Force to write about LGBTQ and Latin@ health, making clear the importance of an intersectional analysis and advocacy:

We will never fully understand the struggle of someone trying to access an abortion if we do not also know how being a transgender man of color has affected his experience. We cannot know an immigrant’s struggle to access culturally competent and affordable health care if we do not think about how being queer has affected where she feels safe. If we do not look at the intersections, we paint an incomplete picture and we fail to see the very real ways that multiple marginalized identities play out in people’s lives.

Check out the whole piece over at the Task Force blog!

Read Full Post »

NLIRH Rally for Health!

March 27, 2012

Supreme Court of the United States

On Tuesday, March 27, the National Latina Institute for Reproductive Health (NLIRH) along with our poderosa activists from NYC rallied at the Supreme Court of the United States to stand for health care!

On March 26, 27 and 28, the Supreme Court heard arguments regarding the constitutionality of the law’s major provisions. And poderosa activists were there chanting “Yo! Quiero! Obamacare!” to show their support for the law that has the potential to increase meaningful access to quality and affordable health care for millions of Latinas and their families.

Check out the below video taken by Kara Ryan at National Council of La Raza (NCLR) about what health reform means for Latinas.  Kara, who is a  Senior Research Analyst with NCLR’s Health Policy Project, also reflect on her favorite day of the Supreme Court arguments in her blog post here.

20 Days of ACA Blog Series

March, 2012

NLIRH Blog, Nuestra Vida, Nuestra Voz

Throughout March, we brought you the blog series, 20 Days of ACA: Lifting Latina Voices for Health Reform.  Each post focused on one provision of the health reform law, or Affordable Care Act, and how that provision has and will benefit Latinas and their families. Each post also featured a photo of one of our supporters and activists sharing their reasons for supporting health reform.

Here is a re-cap of our posts:

ACA Second Anniversary

March 23, 2012

And last but not least, just a few days before the Supreme Court began its review of the Affordable Care Act, the historic legislation celebrated its second birthday. On March 23, 2010, President Barack Obama signed the health reform bill into law.

And NLIRH celebrated by releasing a press statement and joining 180 other local, state, and national health equity and civil rights advocates in thanking the Obama Administration for their continuing dedication to health equity and in celebrating what the health reform law does to reduce racial and ethnic health disparities.

And finally, our fabulous Executive Director, Jessica Gonzalez-Rojas shared her reflections in the piece, The Affordable Care Act: Hope for Health Care Equality for All in RH Reality Check.

NLIRH will continue to advocate for the law’s funding and implementation, so be sure to stay tuned for more information and ways to take action to support the ACA!

Read Full Post »

Throughout 20 Days of ACA, we have discussed many of the preventive health services that will be covered by private health insurance companies with no additional cost, or “co-pay” to patients.

The final health service we will discuss is one that NLIRH has been talking about all along: contraception.

Here is a timeline of the Department of Health and Human Services’ (HHS) decision to affirm what we all have known: contraception is prevention.

  • December 3, 2009: The Women’s Health Amendment (WHA) passes the U.S. Senate and becomes part of health reform. The WHA requires insurance companies to cover women’s preventive health services with no additional costs (like co-pays, co-insurance or deductibles). The list of preventive health services is to be developed by the Institute of Medicine.
  • July 19, 2011: The Institute of Medicine (IOM), a non-partisan panel of health professionals, determines that contraception is prevention and should be given the same consideration as other preventive health services that will be covered without co-pay. NLIRH applauds the decision.
  • August 1, 2011: The Department of Health and Human Services takes up the recommendation of the IOM and includes contraception in the list of preventive services. Houses of worship are exempt, but HHS begins to receive comments from the public on how the rule will apply to religiously-affiliated employers.
  • January 20, 2012: HHS announces that religiously-affiliated employers, like Catholic universities and hospitals, must comply with the contraceptive coverage rules, but have an additional year (until August 1, 2013) to comply.
  • January 20-February 10, 2012: NLIRH launches “I Heart BC” campaign, consisting of Twitter and Facebook actions, policy advocacy, media commentary, and the release of Just the Fact: Latinas and Birth Control and Sólo los hechos: las Latinas y la cobertura de los anticonceptivos to educate policymakers and the media on Latinas’ support and need for greater access to birth control, regardless of employers’ religious affiliations.
  • February 10, 2012: The Obama Administration announced an accommodation to the rules: employees at religiously-affiliated institutions can gain full coverage for contraception directly from insurance companies. NLIRH applauded the commitment to expanding access to contraception.

However, discriminatory attacks on this important coverage have not stopped. The Blunt Amendment, which would have given employers the power to deny coverage for any type of health service that goes in contrast to any religious OR moral views of the employer, was only barely defeated in the U.S. Senate. Senator Marco Rubio (R-FL) introduced a bill that would allow employers to deny contraceptive coverage for their employees. And we did not think it could happen, but it did: Arizona introduced a law that would protect employers who fire employees who use contraception to avoid pregnancy.

NLIRH will continue to engage Latinas across the country to fight discriminatory attacks against women and Latinas’ health.

Why is this coverage important to Latinas?

According to Hart Research Associates, more than half of Latinas ages 18 to 34 report that the cost of prescription birth control has inhibited their ability to use it consistently.

Thanks to the ACA, this barrier will no longer exist for Latinas with health insurance. And looking to 2014, when health insurance plans will be available on the Affordable Insurance “Exchanges”  and employers who do not provide health insurance to employees will face penalties, more Latinas will be covered by health insurance and have great access to this great benefit!

Read Full Post »

Throughout 20 Days of ACA, we have discussed many ways the Affordable Care Act (ACA, or health reform) prioritizes the prevention of disease and illness. We have discussed the creation of the National Prevention Council and National Prevention Strategy as well as no co-pays for a wide range preventive care services including cervical cancer screening, pregnancy-related care, STI/HIV testing, and maternity and newborn coverage in the state insurance “exchanges.”

Today, we discuss another preventive health service that will be offered with no co-pay: domestic violence screening.

Starting on August 1, 2012 new health insurance plans must begin to cover this important service at no additional cost to patients. This important provision was included thanks to the Women’s Health Amendment (WHA).

How does domestic violence or inter-partner violence (IPV) impact Latinas?

According to year 2000 estimates, nearly 1 in 4 (23.4%) Latinas face domestic violence over the course of their lifetime. This violence comes in many forms including but not limited to verbal abuse, physical assault, and sexual assault. Abusive partners also cut off access to support systems and money (even partners’ earned wages.) Increasingly,  reproductive coercion – including sabotaging birth control methods, threatening to leave a women if she does not become pregnant, forcing contraception or abortion, and forcing partners to use recreational drugs to enhance arousal - is being used a form of violence against partners.

And while more data is needed, we know that immigrant Latinas are  overrepresented among IVP-related homicide victims and they face more barriers to leaving abusers due to lesser developed support systems, ineligibility for public benefits, and limited English proficiency among others. We also know a pregnant woman has a 35% increased chance of experiencing IPV compared to non-pregnant women and that IPV in LGBTQ communities occurs, but is often ignored.

To add to the challenges, states like Arizona and Alabama have enacted a series of dangerous immigration policies that only  decrease Latinas’ confidence in law enforcement, break apart families through incarceration, detention and deportation, and create an “anti-immigrant” culture.  Despite the creation of the U-Visa in 2000 to protect immigrants who assist law enforcement, these egregious state immigration policies threaten public safety and health by making it more difficult for Latina immigrants of IPV to leave their abusers.

Why is no co-pay for domestic violence screening and counseling important for Latinas?

Much needs to be done in this country to end domestic violence, address domestic violence in LGBTQ communities, and elevate the status of those who identify as women. For starters, NLIRH called for comprehensive immigration reform and condemned Arizona-like immigration policies.

The Affordable Care Act make a small but necessary contribution to the health of women who face domestic violence. By requiring no co-pays for domestic violence screening, the health care law removes a barrier for women whose wages and access to money have been cut off by abusers.

Health reform recognizes that women face unique barriers to health care that men do not face. From no co-pays for women’s-specific preventive care to non-discrimination protection, the ACA hopes to reduce health disparities faced by women, and particularly women of color by improving women’s access to health care insurance and public health services. And as Latinas have disproportionately been excluded from health services, they stand poised to gain from the reforms under the ACA.

There are only a few more posts in 20 Days of ACA — stay tuned throughout this week!

Read Full Post »

We have talked a lot about health equity in 20 Days of ACA as achieving health equity is important for Latinas’ health.  Latin@s have the highest rates of health uninsurance and suffer from a number of diseases and conditions at higher rates than other racial/ethnic groups.

So, today we would like to cover some of the other awesome things the Department of Health and Human Services (HHS) is doing to promote health equity and reduce health disparities faced by communities of color and other underserved populations.

  • Health reform established the Offices of Minority Health (OMH) at six agencies within the Department of Health and Human Services (HHS) including the Food and Drug Administration (FDA), Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA.) The goal of these offices is to better “lead and coordinate activities that improve the health of racial and ethnic minority populations and eliminate health disparities.”
  • The ACA also creates Offices of Women’s Health (OWH) at federal agencies including the Center for Disease Control and Prevention (CDC) and creates a federal committee to coordinate work and information.

HHS has also crafted a number of strategic plans that together mark the nation’s first coordinated roadmap to reducing racial and ethnic health disparities. These plans are:

  • The HHS Action Plan to Reduce Racial and Ethnic Health Disparities develops specific goals and strategies for the years 2010-2015 to advance the vision of a “nation free of disparities in health and health care” and “improve the health of vulnerable populations across the lifespan.” The Action Plan details specific actions federal agencies will take to achieve five major goals for reducing health disparities. You can read the report in its entirety here.
  • The National Stakeholder Strategy for Achieving Health Equity is a product of the National Partnership for Action to End Health Disparities (NPA) and “provides an overarching roadmaps for eliminating health disparities through cooperative and strategic actions.” Utilizing a ‘bottom-up’ approach by engaging individuals who work locally and nationally to improve health equity, the goals of the NPA and National Stakeholder Strategy were defined. The five goals are (1) increasing awareness of health disparities, (2) strengthening leadership for addressing disparities, (3) improving health outcomes for underserved communities, (4) improving cultural and linguistic competency in health care and (5) improving data coordination and utilization.  The entire report is here.
  • While Healthy People 2020 was not part of health reform, the national wellness and health promotion plan will work in concert with other HHS plans to reduce health disparities.  Healthy People has been ‘producing a framework for public health prevention priorities and actions” for the past thirty years. However Healthy People 2020 is unique in that it developed with much participation from local and community health advocates and includes new initiatives including Adolescent Health, LGBT Health, and Social Determinants. One of the four stated goals of the 2020 plans is to “achieve health equity, eliminate disparities, and improve the health of all groups.” Information on Healthy People 2020 is available here.

Why are these plans and strategies important for Latina reproductive health and justice?

We know that health equity advocates in communities across the country are doing great work to promote health, wellness and increase access to care for communities of color. However, achieving health equity is a long-term goal which involves overcoming a number of political, economic and social challenges. The federal government, with the power of the purse, can make substantial investments in local, state and national initiatives to end health disparities. And while politics will always play a role in affairs of the federal government, federal initiatives can help elevate the importance of health equity and educate policy makers on the importance of substantial and sustainable investments in the health of underserved communities.

Additionally, many of the above-listed strategies were developed with substantial  input and buy-in from individuals who work with underserved communities to promote health, wellness and increase access to health care.

We know that Latinas, as a diverse group, can face multiple oppressions in our health care system. Federal strategies to highlight and address sources of inequities will not only improve Latinas’ health outcomes, but also advance social justice, dignity and the promise of equal opportunity for Latinas, their families and their communities.

Read Full Post »

Throughout 20 Days of ACA, we have discusses how the Affordable Care Act (ACA) or health reform will address inequities in health care and health faced by people of color and other underserved communities. We have talked about improving the health care workforce, increasing access to preventive care, and Community Transformation Grants to address chronic diseases in communities marginalized by the health care system.

Today, we will discuss another effort headed up by the Department of Health and Human Services (HHS): improving data collection on undeserved communities so as to better understand and address health disparities.

Why is improved data collection important?

Health data collected from federal agencies, department and offices is used to inform national, state and local health initiatives. Without detailed demographic information, health initiatives may overlook the health care challenges of specific underserved populations. This particularly true for LGBTQ Latin@s, whose intersectional identities and challenges are not well understood.

As highlighted in a report from the Joint Center for Political and Economic Studies, improved data collection is necessary not only for health equity initiatives, but also to ensure nondiscrimination in health care,  to ensure adherence to civil rights law, elevate the importance of health equity in public policy, and understand the health care needs of diverse immigrant populations.

What does the ACA do to improve data collection?

The Affordable Care Act requires enhanced data collection on race, ethnicity, sex, primary language, disability status and for underserved rural populations with the explicit goal of reducing health disparities. Additionally, HHS has proposed new data standards on sexual orientation and gender identity so to better understand the challenges and opportunities for improving the health of lesbian, gay, bisexual, transgender, and queer individuals.

Starting in 2013, all federally-funded health programs and population surveys, including the Medicaid and CHIP programs must collect data on the above-listed characteristics, and others deemed important by HHS. Under the health reform law, the Secretary of HHS leads efforts to analyze and disseminate data collected. And again, the ACA makes very clear that these new standards serve the purpose of reducing health disparities.

Knowledge is power. With greater understanding of the health care needs of Latinas and other the other intersecting identities Latinas identify with, community, state and national health initiatives can be developed or better tailored to the address the multiple oppressions experienced by Latinas in our health care system and improve health equity.


For more information about HHS’s developing standards for sexual orientation and gender identity, visit the health reform site here.
Stay tuned all this week for more in 20 Days of ACA!

Read Full Post »

It’s LGBT health awareness week, and today we’d like to spend some time talking about a few of the ways the Affordable Care Act will affect LGBTQ Latin@s. Shall we?

Medicaid expansion: We’ve already talked about this some before, but it’s important to mention here that the ACA will expand Medicaid eligibility dramatically, and will cover U.S. citizens and eligible immigrants up to 133% of the federal poverty line. This is absolutely crucial to LGBTQ Latin@s. People of color are disproportionately poor, and most available data suggests that LGBTQ folks are disproportionately poor as well. The data that we have that looks at both, such as the data from the Latin@ subset of the Trans Discrimination Survey, suggest extreme levels of poverty. What this means is that LGBTQ Latin@s and people of color stand to benefit greatly from a Medicaid expansion, and that it will bring health care to many LGBTQ folks that did not have it before. Not included in this expansion, unfortunately, are undocumented immigrants and legal permanent residents who have had that status for less than five years, many of whom are undoubtedly LGBTQ-identified. We’ve gotta keep fighting the good fight to get these folks covered.

Data Collection: One of the provisions of the Affordable Care Act is geared toward improving data collection, and we were incredibly pleased to see that last year, Health and Human Services Secretary Kathleen Sebelius announced a plan to expand data collection on Lesbian, Gay, Bisexual, and Transgender populations. The plan calls for the integration of sexual orientation and  gender identity questions into national health data collection surveys, and will not only bring to light important issues on LGBT health and health disparities, but having these numbers also will facilitate the funding needed to create and implement relevant public health interventions.

The end of pre-existing conditions exclusions: Again, this is something we’ve already talked about, but it is worth mentioning again here. This obviously applies to any LGBTQ-identified person who may be diabetic, has had a c-section, or any number of common health issues (i.e. lots of people), but this is especially important for transgender Latin@s. Under many private plans, simply being transgender is a “pre-existing condition” and reason for exclusion. This means that folks could get denied insurance on these grounds, or that if they were insured that any ongoing care relating to gender re-alignment (including every day care such as hormones) would not be covered. This is clearly unacceptable, and we’re really glad to see it go.

We were also excited to hear that the exchanges may not discriminate on the basis of sexual orientation and gender identity in their activities, and insurance plans offered within them must include a list of essential health benefits including preventive and mental health services.

Stay tuned for more on how our communities stand to benefit from the Affordable Care act in 20 Days of ACA!

Read Full Post »

« Newer Posts - Older Posts »

Follow

Get every new post delivered to your Inbox.

Join 3,301 other followers

%d bloggers like this: