CIRS Blog about Rural California

By Hannah Guzik

Amidst anxiety about potential federal funding cuts to health programs, California has one bright spot. The state’s new tobacco tax is expected to generate about $1.2 billion next fiscal year for the state’s low-income health program.

Now, California legislators and Gov. Jerry Brown are battling over how to spend the money.

Immigrant rights’ advocates are asking the state to use a portion of the Proposition 56 funding to expand health coverage to undocumented young adults.

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By Lisa Renner

For Steve, a senior in rural Stanislaus County, problem-solving therapy helped him conquer mild depression.

“The first step in improving is finding the problems,” said the 63-year-old Oakdale resident, who requested that his last name not be used because he doesn’t want to be stigmatized for having depression. “Once you find and define them, then you can work on how to overcome them.”

Steve is one of about 80 seniors who have participated in a study to determine the effectiveness of problem-solving therapy in reducing depression in rural seniors who live in the Central California counties of Stanislaus, Tuolumne and Calaveras.

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BY SEAN COCKERHAM AND MICHAEL DOYLE

WASHINGTON — California Republicans representing some of the nation’s most Obamacare-dependent areas in America took a giant political risk on Thursday by voting to repeal the landmark health care law, as they believed their political danger was eased as they got something to brag about back home.

They said they were convinced for much the same reason as so many other undecided Republicans who helped give GOP leaders the health care win they had so desperately sought: The addition of $8 billion to the bill to help with insurance costs for people with pre-existing conditions.

The congressmen dismissed estimates that the money isn’t nearly enough: an analysis by the liberal Center for American Progress said it would subsidize care for only 76,000 people out of millions.

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By Derek Walter

On a recent Tuesday morning, a bustling health care clinic is filled with the sounds you’d expect to hear from children who need to see the doctor. Coughing, sneezing and sighs from an upset stomach fill the air.

But this isn’t a doctor’s office or emergency room. Instead it’s at Gaston Middle School in Fresno. While the enhanced services are a welcome addition for students, faculty and staff members who are trying to keep everyone well, there’s another purpose that it serves — helping kids stay in school or make a more rapid return.

The clinic, which is run by health provider company Clinica Sierra Vista, isn’t just a larger school nurse’s office. It’s a full-blown clinic, which features primary-care services, pediatric care and immunizations. The school district said during a board meeting last year that the free clinics would be paid for by health providers and federal subsidies.

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By Linda Childers

Seeing one of her sons struggle to breathe is an all too familiar sight for Natalie Sua of Fresno. Three of her six children have been diagnosed with asthma, a chronic disease in which the airways swell and produce extra mucus.

In the past, when one of the three, who are all boys, had a severe asthma attack, Sua would rush him to the emergency room. But, now, thanks to Fresno’s Asthma Impact Model, she has learned how to reduce asthma triggers in her home and largely keep her sons’ asthma under control.

“We used to visit the ER three to four times a year, or more, when one of the children had a bad asthma attack,” Sua said. “In the past year, we’ve only had to go once or twice.

Launched in 2013, the Asthma Impact Model, focuses on helping low-income families in the Central Valley better manage their children’s asthma, thus avoiding ER visits. The program was designed by the Central California Asthma Collaborative and Clinica Sierra Vista, a Fresno health clinic.

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