Princess Health and If legislature won't help protect Kentuckians from the health threat of tobacco, local governments should, Herald-Leader says. Princessiccia

Princess Health and If legislature won't help protect Kentuckians from the health threat of tobacco, local governments should, Herald-Leader says. Princessiccia

General Assembly health rankings legislature newspapers smoking smoking bans smoking ordinances tobacco tobacco prevention

Gusty 08:51 Add Comment

Since the Kentucky General Assembly "adjourned without tackling the addiction that kills the most Kentuckians, tobacco," local communities need to take up the challenge, the Lexington Herald-Leader said in an editorial Sunday.

To drive home the primary role that tobacco plays in Kentucky's poor health, the newspaper ran a map of the most recent County Health Rankings, showing that "the places where smoking rates are highest have the worst health outcomes."

The Democrat-controlled state House passed a statewide ban on smoking in workplaces last year, but the bill got nowhere in the Republican-controlled Senate, and with new Republican Gov. Matt Bevin opposed to it and all House seats on the ballot this year, the bill didn't get a vote in the House.

Bevin has said smoking bans should be a local decision. The editorial says, "One of the cheapest, most effective ways to do that (since the legislature won�t) would be to join the places across Kentucky that have enacted local smoke-free laws." About one-third of Kentucky's population lives in jurisdictions with comprehensive smoking bans.

Read more here: http://www.kentucky.com/opinion/editorials/article72143017.html#storylink=cpyThe

Read more here: http://www.kentucky.com/opinion/editorials/article72143017.html#storylink=cpy

Princess Health and Herald-Leader reporter wins Nieman fellowship to study at Harvard; her goal is to help other papers cover Obamacare.Princessiccia

Princess Health and Herald-Leader reporter wins Nieman fellowship to study at Harvard; her goal is to help other papers cover Obamacare.Princessiccia

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Gusty 08:52 Add Comment

Photo by Pablo Alcala,
Lexington Herald-Leader

Mary Meehan, a reporter for the Lexington Herald-Leader, has been selected for the 2016 class of Nieman fellows at Harvard University.
She is one of 24 journalists chosen for this prestigious honor and will begin her year of study at Harvard in September.

"I am going to Harvard to study for nine months. I hope to learn things I didn't know I yearn to learn, learn about healthcare and the massive social experiment underway." Meehan said in her shared blog, Menopausal Moms of Kentucky. "I also hope to learn something that can help in some small way to keep the newspaper industry upright."

Meehan has been with the Herald-Leader for 15 years, but began her career as a journalist 34 years ago as a columnist for The Voice of St. Mathews in Louisville at the age of 16. Before returning to Kentucky, she worked for the Tribune Newspapers in Phoenix, AZ, The Orlando Sentinel in Florida, and also as a freelance journalist in Florida.

She said that her "life changing" experience as a Blue Cross Blue Shield of Massachusetts Foundation Health Coverage Fellow last year is what prompted her to apply for the fellowship. She said she returned from the first fellowship energized to write about health, and has written "as many stories as I could" with information from that experience.

Still, she said, "I just came across stories that I couldn't get to, that were too complicated because I didn't have a good, deep foundation of health-care reform and the complex issues involving how people access health care, or what makes them seek it out even if they have insurance, and so that prompted me to file an application for the Nieman fellowship."

Meehan said that she made it clear on her application that she is not a full-time health journalist and that during any given week she has covered "a tractor parade, monster trucks and Salem the wonder cat." But she also said that while covering health, she has found that the Patient Protection and Affordable Care Act has accountability measures that apply everywhere, but are "very difficult to digest on the fly."

Each Nieman fellow proposes a study project. Meehan plans to examine the impact of the law and barriers to sustained health improvement among the previously uninsured.

"My goal is to help mid-size and small papers cover the Affordable Care Act in a meaningful way," she said. "The other part is highlighting positive things that are happening in communities, with a critical eye. Looking at not only what works, but also the challenges."

Meehan said being selected for the top fellowship in journalism hasn't really "soaked in yet," but she anticipates, based on previous fellows' comments, that she will discover "something that is amazing" that can't be predicted yet.

She said she is looking forward to working with the other fellows, half of whom will come from all over the world, and going back to college.

"I am a 50-year-old woman with white hair; I just love the visual of me sitting in a Harvard class," she said with pure joy in her voice. She earned her bachelor's degree at Western Kentucky University where she majored in political science and journalism.

In addition to taking classes, fellows attend Nieman seminars, workshops and master classes and work closely with Harvard scholars and other leading thinkers in the Cambridge, Mass., area.

The Nieman Foundation for Journalism has educated more than 1,400 accomplished journalists from 93 countries since 1938.

Princess Health andKentucky's suicide rate is above the national average; experts say we need to ignore the stigma and become educated about it.Princessiccia

Princess Health andKentucky's suicide rate is above the national average; experts say we need to ignore the stigma and become educated about it.Princessiccia

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Gusty 10:32 Add Comment

Kentucky's suicide rate is higher than the national average, and an expert says we must create an open dialogue about it and provide more education if we want this rate to decrease, Kat Russell reports for The Paducah Sun.

"People commit suicide when they see no way out from whatever the situation is," Dr. Laurie Ballew, medical director at Paducah's Lourdes Behavioral Health Institute, told Russell. "Usually people feel hopeless, they see no light at the end of the tunnel, and that hopelessness is a key factor in someone following through with the act of killing themselves."

Russell did an in-depth look at suicide in McCracken County, where the newspaper and its owner, Paxton Media Group, are based. "McCracken County is ranked 13th in the state as far as suicide, so if you take into consideration all of the (120) counties in Kentucky, we're pretty high," Ballew said. Click here to find out where your county ranks.

Kentucky has 15.5 suicides per 100,000 people, compared to 12.5 nationwide. It is the 10th leading cause of death in Kentucky and the second leading cause of death in people 15 to 34, according to the according to the federal Centers for Disease Control and Prevention, Russell reports.

McCracken County Sheriff Jon Hayden told Russell that his department investigated 31 suicides in each of the last two years and five so far this year. The Paducah Police Department reported 31 suicides in 2013 and 35 in 2014, and six suicides this year. The local 911 dispatch center told Russell that it had fielded more than 540 calls threatening suicide and more than 130 attempted suicides since Jan. 1, 2013.

"We get calls multiple times per week, threatening suicide either with medication or a weapon of some sort," Hayden said, noting that most of the calls do not result in suicide and the individual usually gets the help they need.

WebMD lists these warning signs of suicide, which are especially concerning if a person has attempted suicide in the past:

• Always talking or thinking about death
• Clinical depression that gets worse
• Having a "death wish," tempting fate by taking risks that could lead to death.
• Losing interest in things one used to care about
• Making comments about being hopeless, helpless, or worthless
• Putting affairs in order, tying up loose ends, changing a will
• Saying things like "it would be better if I wasn't here" or "I want out"
• Sudden, unexpected switch from being very sad to being very calm or appearing to be happy
• Talking about suicide or killing one's self
• Visiting or calling people to say goodbye

Drug and alcohol abuse also can be factors, Ballew told Russell. "What do those things do? They decrease our inhibition, they decrease our filter that tells us 'Oh no, you don't want to do that.'"

Ballew told Russell if a person's behavior changes are milder, "sometimes showing that person support and compassion can alleviate some of his or her suffering and encourage them to get help," but it is important to seek medical attention for "severe cases."

"If you have an individual who just gets more and more depressed, who won't get out of bed or gets to the point where they can't get out of bed, then you (should) call an ambulance or get them to a hospital and have them admitted," Ballew said, stressing the importance of education and open discussion.

"Emotional illness can hit anybody," she told Russell. "We're all humans. ... Anybody can feel hopeless or helpless at any time. If we could reduce the stigma that is attached to depression and mental illness and suicide, then I think people who are suffering might see that maybe there is some hope. But the only way to prevent something is to be educated about it."

Princess Health andBurgin, in heart of Kentucky, is state's 40th school district to go tobacco-free; ban, won by students, applies to vapor products.Princessiccia

Princess Health andBurgin, in heart of Kentucky, is state's 40th school district to go tobacco-free; ban, won by students, applies to vapor products.Princessiccia

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Gusty 07:20 Add Comment

Burgin Independent Schools, in the heart of Kentucky, will be the latest 100 percent tobacco-free schools in the state, and the first in Mercer County, which has a strong tobacco heritage.

The Burgin Board of Education voted April 8 to ban all tobacco use, including vapor products, on school grounds and during school-related student trips, Robert Moore reports for The Harrodsburg Herald. The policy becomes effective July 1 and includes any building or vehicle owned or operated by the board and applies to any renters of school property.

Burgin will be the 40th Kentucky school district to become fully tobacco-free. Kentucky has 173 public- school districts, with 1,233 public schools, according to the state Department of Education.

The Kentucky 100 percent Tobacco-Free Schools website says, "Studies show that schools with 100 percent tobacco-free school policies for three years of more have 40 percent fewer smokers than those in non-tobacco free school districts." The 2013 Kentucky Youth Risk Behavior Survey found that 18 percent of Kentucky youth smoke, and 47 percent of them have smoked at least once.

"I�m really proud we�re going to be a tobacco free campus," board member Priscilla Harris told the Herald after the meeting. "We want to set a good example." The independently owned weekly newspaper recently did a three-part series on tobacco in the county, including Burgin students' efforts to get tobacco banned.

Kentucky 100 percent Tobacco Free Schools map, with Burgin added

Princess Health andFate of rural hospitals rests in the hands of community members, writes publisher of weekly Crittenden Press in Marion.Princessiccia

Princess Health andFate of rural hospitals rests in the hands of community members, writes publisher of weekly Crittenden Press in Marion.Princessiccia

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Gusty 13:22 Add Comment

Just like country grocery stores in rural areas often have to close because community members drive past them to chain stores to save a few cents, rural hospitals will also suffer and eventually disappear if citizens do not use them, Publisher Chris Evans writes for The Crittenden Press in Marion.

When Evans was growing up in northwest Tennessee, his grandparents had to close their grocery store, which had been the center of the community, because too many people chose to purchase their food and other items from the new Walmart eight miles down the road. "Our rural hospitals are headed down the same path of extinction unless we recognize and reverse the trend," Evans writes.

Charlie Hunt, volunteer chairman of Crittenden Health Systems, which owns the local hospital, told Evans, "The only way for rural hospitals to survive is through community support."

In Kentucky, one-quarter of the 66 rural hospitals are in danger of closing, according to state Auditor Adam Edelen. In general, "Country hospitals do not have a good record for making money or breaking even, for that matter," Evans writes in a front-page column for the weekly he and his wife own.

Based on the results of Obamacare, Evans opines, it appears that America is moving toward a single-payer health care system like Canada's. Then instead of the government paying for 85 percent of Crittenden Hospital's services, it will pay for 100 percent. "When that happens, hospitals will have to play solely by government rules or get completely out of the game," Evans writes. Most of the 50 rural hospitals that have been shuttered in the past few years have been in the rural South.

"Hunt, who chairs the board, said that approximately 10 percent of the future of this hospital rests in the hands of its leaders. The other 90 percent falls squarely on the shoulders of this community," Evans writes. The column is not online, but PDFs of the pages on which it appears are posted here.

Princess Health and Princess Health andPaducah Sun editorial criticizing Medicaid expansion was off base; Beshear sends the newspaper a response.Princessiccia

Princess Health and Princess Health andPaducah Sun editorial criticizing Medicaid expansion was off base; Beshear sends the newspaper a response.Princessiccia

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Gusty 18:58 Add Comment

By Al Cross
Kentucky Health News

The Paducah Sun relied on incomplete and inaccurate information for an editorial Thursday that criticized Gov. Steve Beshear's expansion of the Medicaid program under federal health-care reform, and the governor is complaining about it.

The newspaper said Beshear had created a "financial mess" because when he was running for governor, he "told our editorial board that he had 'no idea where we would get the money' to pay the state's share of the cost of Medicaid expansion if the Affordable Care Act was passed. He still doesn't."

Actually, when he announced the Medicaid expansion a year ago, Beshear cited a study by the international accounting firm PricewaterhouseCoopers which concluded that the expansion would pay for itself by adding patients to the health-care system and creating 17,000 jobs by the 2020-21 fiscal year.

The editorial made no mention of the study. Beshear's communications director, Kerri Richardson, told the paper Tuesday that the editorial was "grossly misleading, and we are disappointed that your editorial board has chosen not to seek information from anyone in our administration regarding actions on the Affordable Care Act."

In the formal response from Beshear, submitted for publication, the governor says the editorial "was so breathtakingly disingenuous that it demands a factual response. That a newspaper of this size would trot out such unsubstantiated tripe disguised as analysis is a disservice to its readers."

Sun Editor Steve Wilson said the editorial was written by Publisher Jim Paxton, who did not return a call seeking comment. The Sun's editorials generally support conservative causes and Republicans; Beshear is a Democrat and the only Southern governor to both expand Medicaid and create a health-insurance exchange under the reform law.

The editorial also misstated when Kentucky would have to start sharing in the cost of care for the newly eligible Medicaid recipients, those with household incomes between 69 percent and 138 percent of the federal poverty level. It cited a study by the conservative Heritage Foundation which "suggests that even when savings from ACA managed-care features are added in, the expansion will cost Kentucky an additional $846 million between 2014 and 2022."

Actually, the state will not have to pay anything for the newly eligibles until 2017 because the federal government will pick up the entire cost until then. In 2017, the state will have to pay 5 percent of their cost, rising to a cap of 10 percent in 2020. Republican critics of the law have said the cap will have to be raised, but have not found fault with the study.

Studies by the accounting firm and the University of Louisville's Urban Studies Center, drawing on Congressional Budget Office data, estimated the state would actually gain $802 million through the 2020-21 fiscal year from Medicaid expansion. "Without expansion, our budget would see a negative impact of nearly $40 million, because we would be forced to absorb costs such as increased payments to hospitals for uncompensated care, " Beshear wrote. "In other words, the state would lose money if we didn�t expand." Click here for the rest of his reply.

Beshear said in his response that he sent the Sun an op-ed piece a year ago this week explaining the facts, but the paper apparently refused to publish it.

Princess Health and Princess Health andTodd County weekly's editor-publisher wonders why so many uninsured locals haven't signed up for health insurance.Princessiccia

Princess Health and Princess Health andTodd County weekly's editor-publisher wonders why so many uninsured locals haven't signed up for health insurance.Princessiccia

health insurance health journalism health rankings health reform insurance exchange journalism newspapers obamacare

Gusty 16:27 Add Comment

With open enrollment in the new health-insurance exchanges ending March 31, at least one country editor is wondering why most people in his community who lack coverage haven't take advantage of the historic opportunity. And since he's in Kentucky, he used the state's next-to-last ranking in the latest Gallup-Healthways Well-Being Index as the point of departure for an article that took up most of his editorial page.

"Kentucky is its own worst enemy . . . and if you think this is just an Eastern Kentucky problem, you aren't paying attention," Editor-Publisher Ryan Craig, right, wrote in last week's Todd County Standard, in Western Kentucky. "Our numbers suggest we are as miserable as anywhere in the state, i.e., the nation." Craig then listed statistics for poverty, income, education and health insurance and said bluntly, "We are near the bottom in all of these categories, which are the same categories that cause Kentucky to have such a dismal ranking in the Miserable Test year after year."

Craig says Todd County, "it, seems, is among the bottom of counties who signed up for the Affordable Care Act," and wonders why only 533 of the estimated 2,455 people in his county without health insurance have signed up for it: "Is it because of fear of the unknown? Politics? The prevailing answer people tell me is that they would rather pay the tax penalty and not have the insurance. What would happen if that person or someone in their family was in a car wreck? They readily admit that they are taking a big chance, but don't see how they can afford the insurance even when it is cheaper now, especially those who are very sick and couldn't get insurance before." One man told him he would have to declare bankruptcy.

"The deadline to apply for health insurance through the exchange is March 31," Craig writes. "If you don't have insurance, at least consider the process." The Standard has been judged Kentucky's best small weekly newspaper seven years in a row, but doesn't put news or editorials online. For a scan of the editorial as a PDF, click here.