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UCLA Fielding School of Public Health

Republican plans to repeal and replace the Affordable Care Act, also known as Obamacare, hit a serious snag last week. A planned vote in the U.S. House of Representatives on the GOP replacement plan, called the American Health Care Act, was canceled at the last minute. So what's next in the effort to bring major changes to the nation's health care policies? Will the Republicans try again to replace a law they have maligned for years? And what options does President Trump have through his executive authority to change the way the Affordable Care Act is being implemented?

Photo used under Creative Commons from Andy Patterson / Modern Relics / http://www.flickr.com/photos/modernrelics/4461010654/

We continue our coverage this week of the GOP plan to repeal and replace the Affordable Care Act. Last week we heard from Anthony Wright of Health Access California about his concerns with the so-called American Health Care Act, and this week we’re speaking with someone who had a hand in crafting the new plan.

Sean Work / The Californian / Reporting on Health Collaborative

Assemblymember Rudy Salas says California needs to do more to track valley fever cases, and fund research into the disease. Last month he introduced legislation that in Sacramento that would provide $2 million in funding for the disease, which is especially prevalent in the San Joaquin Valley. Salas spoke to Valley Public Radio this week about the bill and it's path forward at the capitol. 

Joe Moore / Valley Public Radio

The GOP-backed health care law that’s currently in the U.S. House of Representatives is one of the biggest topics of national debate. But what would the American Health Care Act mean for people here in the San Joaquin Valley? Over the next few weeks on our program we will hear a variety of perspectives on the proposed law, from both supporters and opponents.

ESY Kern

There are a lot of efforts to bring health foods into school and the elementary school curriculum. One of the most interesting examples can be found in Bakersfield at Buena Vista Elementary School, home to something called an "edible schoolyard." A joint project of the Panama-Buena Vista Union School District and the Grimm Family Foundation, the Edible Schoolyard Kern program also has expanded to sites in Arvin and Shafter.

Kerry Klein / KVPR

It’s springtime in the valley, which, for many of us, means it’s time to clear the weeds out of our backyards. The same goes for growers, but the landscape of industrial weedkillers is changing. A California judge recently ruled that the main ingredient of the popular herbicide RoundUp must be labeled as a carcinogen. Now, another popular herbicide is facing some scrutiny over its health impacts as well.

Weeds kill crops. Kurt Hembree says that’s because they’re pernicious moochers.

On Thursday March 23rd 2017, Valley Public Radio hosted the first community forum in its new event series "Be Public: Live" in the station's Barmann Chaney Performance Studio.

Sara Hamilton / California Agriculture http://calag.ucanr.edu/archive/?article=ca.2016a0025

A new study says a Fresno-area summer camp may help children at risk for obesity adopt healthier lifestyles.

According to the study, families who participated in the Healthy Lifestyle and Fitness Camp in Fresno consumed more fruits and vegetables at home, and their children measured steady weight loss.

This was compared to kids who participated in non-nutrition themed summer camps. The study was published in the journal California Agriculture.

Fresno State / http://www.fresnostate.edu/president/investiture/images/castro-photos09.jpg

Fresno State President Joseph Castro says he wants to see any new effort to build a public medical school in the San Joaquin Valley be a collaboration between the UC and CSU systems.

Last month, Assemblymember Joaquin Arambula introduced a bill in Sacramento that would authorize a new medical school at Fresno State. But the state’s master plan for higher education calls for medical schools to be the domain only of the University of California.

Assemblyman Seeks Valley Fever Funding, Overhaul Of Reporting Guidelines

Feb 21, 2017
Courtesy KABC Los Angeles / Center For Health Journalism Collaborative

Responding to a surge in cases and inconsistent reporting practices, Assemblyman Rudy Salas (D-Bakersfield) introduced legislation Tuesday that would allocate millions of dollars to valley fever vaccine research and streamline information sharing.

Assembly Bill 1279 would bring $2 million to an already-established state fund for valley fever vaccine research and create guidelines for how local, state and federal agencies report cases.

3D Imaging Could Answer Fundamental Questions About Valley Fever

Feb 21, 2017
TGEN

A Phoenix-based laboratory is capturing detailed images of the fungus that causes valley fever, hoping to better understand how it works.

The research could shed light on why the disease spreads at higher rates for Americans of African, Filipino and Mexican descent than others, said Bridget Barker, an assistant professor at Northern Arizona University and the Phoenix-based Translational Genomics Research Institute (TGEN).

Juan Solis Lives A Life In The Shadows, His Health Destroyed By Valley Fever

Feb 21, 2017
Casey Christie / The Bakersfield Californian

When Juan Solis shuffles out of his dark bedroom, he’s careful not to get too close to the windows.

He makes sure he only walks his dogs at night.

If he must go out during the day, he lathers on sunscreen, makes sure his legs and arms are covered, even during the peak of summer in Bakersfield’s blistering heat. And he never forgets his sunhat.

Kern Medical / Kern County

Much of the focus on the potential repeal of the Affordable Care Act has been on the newly insured people who stand to lose their coverage. But there could be consequences that reach far beyond just people’s health care and impact nearly every taxpayer in the Central Valley. Repealing the law without a replacement has some county lawmakers worried.

Republicans in Washington D.C. are busy figuring out their way forward on repealing and replacing the Affordable Care Act.

Kerry Klein / KVPR

Host intro: Last week, we brought you a story about the San Joaquin Valley’s opioid epidemic, which manifests in inordinately high rates of painkiller prescriptions and hundreds of overdose deaths every year. This week, we explore three strategies that health officials and advocates are using to take aim at the problem. FM89’s Kerry Klein begins at a safe space for drug users.

For over 20 years, meth and heroin users from around Fresno County have relied on the Fresno needle exchange for free medical care and all the clean syringes they need.

Valley Children's Hospital / Kaweah Delta Medical Center

Two of the valley's largest hospitals are expanding their partnership to provide pediatric care in Tulare County. Valley Children's Hospital and its associated physicians group will now provide medical staffing for Kaweah Delta's Neonatal Intensive Care Unit (NICU) and Pediatrics Unit. The move is the latest step in a partnership that goes back decades. It's also led to some controversy among physicians of the Sequoia Pediatrics Group in Visalia, who will no longer have access to the NICU.

Flickr User Sharyn Morrow

Recently, you may have heard a startling statistic: drug overdoses now kill more Americans than car accidents. For some years, the same holds true here in the San Joaquin Valley. The lion’s share of those overdoses are from opioids—street drugs and heavy-duty painkillers either derived from opium or made in a lab. Now, health officials are trying to prevent the problem from becoming worse.

California Endowment

New data from an on-going study about mortality rates in Central California reveals that alcohol, drugs and suicide are fueling significant increases in the mortality rate among white residents. The data are staggering: deaths from accidental drug poisoning in Fresno County are up over 200 percent since 1990, while suicides by hanging and strangulation are up over 120 percent in the region.

Carmen Vargas

Every year in America, around 42,000 people kill themselves. Suicide is the second most common non-illness related cause of death, but prevention advocates say the issue remains hidden and stigmatized. Recently, a series of high-profile events have recently brought suicide into the spotlight in the Central Valley. Many suicide advocates are now saying that the key to prevention is talking about it.

Three Clovis West High School students, a newly elected Bakersfield City Councilmember, and a Bakersfield LGBT activist all have taken their own lives in the last six months.

Ask Emily: New Rules to Limit Medi-Cal 'Death Fees'

Jan 5, 2017
California Healthline

Six months after her mother died in 2014, Karen Craig opened her mailbox to find a bill for $9,530.06.

It came from Medi-Cal, the state’s version of the Medicaid program for low-income people, which was seeking repayment for her mother’s medical care even though she had used her coverage just once, for a routine wellness exam. (Her mother’s medical costs were primarily covered by Medicare, the federal program for seniors, Craig says.)

“I was just shocked and panicked,” says Craig, a Central Coast resident.

Federal Funding Fuels New Valley Fever Research

Dec 11, 2016

For seven years, Dr. George Thompson at the University of California, Davis, collected DNA samples from patients for research into valley fever.

He sought funding from the National Institutes of Health (NIH), the largest funder of primary biomedical research in the U.S., but could not secure any money to pursue his inquiry: Do genes protect some people from getting sick after inhaling the fungus that causes valley fever?

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