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The Norfolk Department of Public Health launches new Front Door platform
NORFOLK, Va. (WAVY) — On July 8, the Norfolk Department of Public Health launched a new free platform named Front Door for uninsured adults in the southern area of Hampton Roads, according to…
Vacant North Philadelphia skate rink to become health center expanding care access to uninsured
A new project in North Philadelphia is transforming an old skating rink into a new comprehensive health center set to open in 2027.
Health department: ‘Steep rise’ in uninsured Minnesotans
Rising costs and fewer people on public health insurance programs contributed to the highest rate of uninsured Minnesotans since 2017.
Poll: 1 in 3 Adults Are Turning to AI Chatbots for Health Information, Equaling the Share Who Use Social Media for Health
About a third (32%) of adults nationally say they have turned to artificial intelligence (AI) chatbots in the past year for health information, a new KFF Tracking Poll on Health Information and Trust finds. Most who turned to AI for health information say they were in search of quick and immediate advice, though challenges affording and accessing health care also play a role, particularly for younger adults.
MLK Health Center and Pharmacy hosts 14th annual Mammograms and Manicures event
The MLK Health Center and Pharmacy hosted its 14th annual Mammograms and Manicures event Thursday, offering breast cancer screenings to help uninsured and underinsured patients access preventive care.
Madison nonprofit celebrates 25 years providing free health care to uninsured residents
MADISON, (WKOW) — The Madison Specialty Care Free Clinic, a local nonprofit, is celebrating 25 years of providing free health care to uninsured patients across South Central Wisconsin on Sunday.
Free prostate screenings aim to close health gaps
Winship Cancer Institute of Emory University and Cobb County Public Library are working together to help close health barriers + disparities. Now man who are uninsured or can't afford a prostate screening will be able to get checked for cancer screenings through a free mobile clinic. Per Emory, Black men are at a higher risk to get prostate cancer and its second leading cause of cancer deaths among men in the state of Georgia, The first clinic at a Cobb library is scheduled for Wednesday, May 6, 10:30 a.m. to 3 p.m., at the Switzer Library, 266 Roswell St. in downtown Marietta.
Patients and providers share stories of health care despair as worries mount over coverage and costs
Higher premiums and losses in coverage weigh on patients as Denver Health physicians expect to see more uninsured patients.
The percentage of people without health insurance is growing
The percentage of working-age adults without health insurance has increased in the past two years, largely because many people can no longer afford Obamacare coverage after Congress allowed federal subsidies to expire at the end of last year. The uninsured rate for adults ages 19-64 rose to 11.2% this year, up from 8.9% in 2024, […]
McKenzie Health System Offers $55 3D Mammograms During Breast Cancer Awareness Month
In recognition of Breast Cancer Awareness Month, McKenzie Health System is making breast cancer screening more accessible by offering $55 3D mammograms for uninsured and underinsured women throughout October.
They’re Uninsured After Obamacare Became Too Costly. And They’re Far From Alone.
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and canceled their coverage.
Curing U.S. Health Care, Part I
In 2008, much to their own surprise, leading Democrats unified around a program of major health care reform. Policy wonks had spent years developing the concepts behind what eventually became Obamacare; big Democratic victories in the 2006 midterms and the prospect of controlling both Congress and the presidency made it possible to imagine turning those ideas into reality. During the Democratic primary, Hillary Clinton and Barack Obama advocated similar plans, based on those ideas, for expanding insurance coverage. And it happened! The Affordable Care Act was enacted in 2010. When it was fully implemented in 2014, millions of Americans got health insurance: Impressive as the raw numbers are, they don’t tell the whole story. Before the ACA, even upper-middle-class Americans often found it impossible to get health insurance if they had pre-existing medical conditions. Many Americans were trapped in jobs they wanted to leave but couldn’t for fear of losing their employment-based coverage. Meanwhile, dire predictions from the usual suspects about runaway costs proved wrong. In fact, overall U.S. medical spending has grown much more slowly since the ACA was enacted than before. But the U.S., alone among advanced nations, still falls far short of providing universal health care. As you can see from the chart above, 8 percent of the population was still uninsured in 2024, a number that is set to rise over the next two years as a result of Republican policies. True, many of the uninsured in 2024 were undocumented immigrants, who we don’t try to cover. But there are still a lot of uninsured. Moreover, a significant number of Americans who have health insurance are in fact underinsured. As a result, they are at risk of incurring devastating healthcare costs and are sometimes forced to forgo needed care. This number is set to rise sharply in the next two years as a result of Republican policies adopted under Donald Trump. And not only is the U.S. unique among advanced countries in its under-provision of health care coverage, it also incurs by far the world’s highest healthcare costs per capita. So now may well be a good time to get behind a new push for major health reform — an effort, if you like, to finish the job begun under Obama. Today’s primer is devoted to the economics of health reform. During his failed effort to repeal the Affordable Care Act, Donald Trump famously complained, “Nobody knew healthcare could be so complicated.” Actually, we did know — and it’s not that complicated. Health economists understand the principles very well. And because health policy varies greatly among advanced nations, we know a lot about what works and what doesn’t. This will be the first in a series about health reform. Beyond the paywall I’ll address the following: 1. Why markets can’t be trusted to deliver healthcare 2. Routes to universal healthcare 3. What works? In a follow-up post I’ll discuss the pros and cons of different approaches, and possible paths forward for the United States.
Bethesda Health Clinic reaches $25M fundraising goal for new Tyler facility
Clinic says new 61,000-square-foot building will serve 50% more uninsured patients starting spring 2027
Becerra, running for governor of California, faces a health insurance problem
The nation's uninsured rate hit a historical low when Xavier Becerra was health secretary. Now he wants to be California's next governor as Trump's actions have driven people off health insurance.
Georgia ranks 48th for Hispanic health care, driven by high uninsured rates
40% are uninsured, and immigration status locks many out of safety net programs.
Governor Moore Announces $25 Million to Support Health Care Access for Uninsured Marylanders, Touts Public Health Wins at Bloomberg American Health Summit
Governor Moore Announces $25 Million to Support Health Care Access for Uninsured Marylanders, Touts Public Health Wins at Bloomberg American Health Summit
Trump bucks and the politics of mailing checks
The checks started going out last week, nearly one million of them, and mostly to battleground states. With a return address for the U.S. Treasury and a letter enclosed signed by President Donald Trump, these one-time checks for $500 were ostensibly government rebates for Obamacare enrollees who overpaid. In the accompanying letter, however, Trump attacks his predecessor and talks about his record in office on an important issue he’s not polling well on, which makes it seem more like the most expensive political mailer in U.S. history. The average piece of direct mail costs between 30 cents and $3, according to Mail Processing Associates, a print, mail, and fulfillment company. At $500 a pop plus roughly 50 cents each to issue the paper check, the cost of Trump’s healthcare mailer sent to more than 950,000 enrollees comes in at more than $475 million. Trump’s midterm healthcare message “For years, the Biden Administration overcharged you to fund the operation of HealthCare dot gov,” Trump wrote in the letter. “That money belongs to hard-working Americans, not the Government, and now, I am returning it to you!” In the letter, Trump makes false and misleading claims about his administration’s record on healthcare costs, an issue Democrats have a 20 point advantage on over Republicans, according to a recent poll from KFF, a nonpartisan health policy think tank. Trump touts his administration’s TrumpRX program, which he claims is “delivering massive discounts.” However, new research from KFF found that of a selection of drugs available on the TrumpRX platform, just five were the lowest price, while 13 were the highest price. Trump also falsely claims in the letter that he’s fighting to lower healthcare costs. In reality, average monthly premium payment costs for enrollees rose 58% under Trump while marketplace sign-ups declined 5%, per KFF. Under Trump’s One Big Beautiful Bill Act, it’s estimated 10 million more Americans will be uninsured by 2034. You get a check and you get a check and you get a check Trump’s long promised cash outs to his fans, from his days as a casino operator and gameshow host to his presidency. During the early days of the COVID-19 pandemic in 2020, the first Trump administration made the unprecedented move to put Trump’s name on checks that went out under the CARES Act (notably the $500 refund checks this time around don’t feature Trump’s name). Ever since, Trump’s been chasing that high. In his second term, Trump’s promised more stimulus that never arrived, like refund checks from DOGE cuts and tariffs, while he said at his party’s convention last month that he’d give out $5,000 checks to everyone if Republicans win in November. In reality, DOGE overstated its cost cutting and Trump’s government actually now spends more than former President Joe Biden’s, while Trump’s tariffs actually grew the trade deficit. His proposal for $5,000 checks would add about $1.2 trillion to the national debt. The problem is there’s no money to give. These $500 checks — plus $90 Medicare rebate checks also going out as well as $250 deposited this week in some Trump Accounts for kids courtesy Dell Technologies CEO Michael Dell and his wife Susan — represent the closest Trump’s going to get to making good on his promise to deliver cash fast. And the checks seem especially targeted. Though the $500 checks went out to enrollees in one of 30 states that use the federal HealthCare dot gov marketplace, a Reuters review found 71% of the payments, or $339 million, went to enrollees in 13 states that have the most competitive elections for governor and U.S. Senate. Most Americans don’t buy it Could Trump bucks sway the election? An Economist-YouGov poll found 57% of U.S. adults doubt Trump will deliver on his promise for $5,000 checks, compared to 21% who do. “I’m waiting on my DOGE check and I’m still waiting on my tariff check,” one 2024 Trump voter who’s since turned on him told a recent focus group. “It felt like kind of trying to buy people’s votes, which honestly felt like in elementary when the class president was like, hey we’re going to take you to the water park if you vote for me. It’s like, I don’t think it works like that.” But for voters in swing states who got a check, it could still matter. One survey published in 2022 found receiving a physically personalized check in the mail during the pandemic was associated with a much greater self-reported likelihood of voting for Trump in 2020, and those gains mainly came from out partisans. The issue for Trump comes if these checks are mostly going to Obamacare enrollees whose premiums have gone up by more than just $500 since he took office and who view the money as something like a bribe before the election rather than an actual long-term solution to lowering household costs. Spending $500.50 per mailer would be absurd as a normal campaign expenditure, but since Trump’s checks and letter are a government rebate, his campaign and super PAC didn’t have to spend a dime and he got out his message regardless. If enough voters in key states are swayed by the one-time payment, it could prove to be the best $0 the Trump campaign spent. Subscribe [ ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ Why independent candidates are making independence central to their brand ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) Hunter Schwarz · Oct 6 [ Read full story ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) [ These designers and grocery nerds will brand Mamdani’s NYC grocery stores ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Hunter Schwarz · Oct 2 [ Read full story ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Trump wants to turn his first-ever golf course into a government course for presidents
Alexandria Health Department no longer offering free COVID-19, flu tests
The department is providing flu shots only to uninsured residents and has issued guidance for the respiratory virus season
California nearly achieved universal healthcare. Now, millions are losing coverage
State and federal cuts could push California's uninsured rate to nearly 15% by 2030 — hitting immigrants and low-income families hardest. Watch the new CalMatters documentary.
Minneapolis' mobile medical unit is on the move
In its first year of operation, Minneapolis Mobile Medical Unit staff engaged with over 4,000 community members. Established in response to the opioid crisis, the unit prioritizes outreach to communities with high levels of drug use, including individuals experiencing homelessness and those who are uninsured or underinsured.
Free vaccines, sports physicals available as central Wisconsin students prepare for school
Wausau Pilot & Review WAUSAU, Wis. — Central Wisconsin health departments are offering back-to-school vaccination clinics for uninsured children and
Kansas City hospitals are seeing more patients without insurance
The end of enhanced subsidies for Affordable Care Act plans is adding to the tally of uninsured patients. New Medicaid requirements coming in January could be a multiplier.
The Watch: Uninsured Americans Still Pay Heavily Into U.S. Healthcare
Taxes make up of most of uninsured healthcare payments…heavy rainfall spreads microplastic pollution, threatening water quality…extreme heat now extending past summer…and more
The number of uninsured Californians could nearly double by 2030, says new report
Historic cuts to Medicaid and low-cost California health insurance could leave 4.6 million residents with no coverage. A new report from the UC Berkeley Labor Center says the working poor, older workers and undocumented workers could bear the brunt.
California nearly achieved universal healthcare. Now, millions are losing coverage
California's uninsured rate could nearly double by 2030, with the sharpest losses hitting Black, Asian and Latino residents in Southern California.
Health and Health Care Experiences of Uninsured Immigrants
This brief provides data on health and health care experiences of uninsured immigrant adults based on a KFF survey of immigrant adults ages 18 and older conducted in partnership with The New York Times in Fall 2025. The data provide insight into how the projected coverage losses under the 2025 reconciliation law may impact health and health care for immigrant families as more lawfully present immigrants become uninsured.
Rural Missourians far more likely to be uninsured than urban residents
Rural Missourians rely more on Medicaid but are still more likely to be uninsured than urban Missourians, as lack of employer coverage and access barriers take hold across the state.
A free health clinic on wheels starts making the rounds in Rutland County
Rutland County’s free healthcare clinic is hitting the road this summer with a new van that will provide medical care to the county’s uninsured and underinsured, town by town.
Report: Rising number of uninsured children in Arkansas
Arkansas ranked 43rd in the Annie E. Casey Foundation’s 2026 KIDS COUNT Data Book. The state improved two spots from its ranking of 45th in last year’s Data Book, while...
On the issues: Governor candidates talk health care affordability
With more than 9% of Tennesseans uninsured, how does our next governor plan to tackle health care affordability?
Families USA and Leading Civil Rights and Health Care Advocacy Groups Release New Report for More Inclusive Health Care
Substantial cuts to health care under the so-called “One Big Beautiful Bill” Act could result in nearly 15 million people becoming uninsured by 2034.
Texas leads U.S. in children without health insurance, Georgetown University study shows
The report found that nearly 11% of Texas children under the age of 6 lacked health insurance in 2024 — a dramatic increase from 7.9% just two years earlier. Researchers say that jump translates to more than 73,000 additional uninsured children across the state.
California’s crisis in rural health care is also a chance for transparency
Drug discounts aimed at rural hospitals serving uninsured or low-income patients actually profit hospitals that don’t serve those patients.
AACF: Uninsured Arkansas children reached 7.7% in 2025
The percentage of Arkansas’ uninsured children climbed to 7.7% in 2024 – the latest in a trend that began after the state reached a historic low of 4.1% in 2016,...
$31.5 million for uninsured Kansas Citians goes to the same six providers
The city may change how the health levy tax dollars designated for indigent care are allocated. Health leaders want a new bidding process.
Florida Delays Children’s Health Insurance Expansion as Uninsured Rate Rises
Florida’s KidCare expansion has been stuck in legal limbo since February 2024. Since then, the number of uninsured children in Florida has risen to 400,000 — one of the highest state tallies.
As health insurance costs soar, healthcare workers feel the pinch
Nationwide, 7% of all healthcare workers were uninsured in 2024, compared with 11% of all adults under 65, according to a KFF analysis.
Rising premiums push younger workers to rethink employer health plans
Rising health insurance costs are prompting some younger, healthier workers to reconsider employer-sponsored coverage, creating new strains for workers and warning signs for employers, Bloomberg writes. As premiums climb and take-home pay tightens, some employees are opting for alternatives, such as medical cost-sharing plans, limited-benefit coverage or going uninsured altogether to save hundreds of dollars […]
Trump’s One Big Beautiful Bill Act darkens outlook for government-backed clinics
About 17,000 fed-funded health clinics stand to collectively lose $32 billion in next five years as more uninsured patients rely on them for care
Shepherd's Hope offers free sports and school physicals
The nonprofit is partnering with Nemours Children's Health and Who We Play For to provide physicals for uninsured youth ages 18 and younger.
US Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect Oct. 1. A KFF Health News survey of nine states found many more are at imminent risk of losing health coverage.
Health insurance premiums jump 9%, and more Americans don’t have access to coverage
Working-age U.S. adults without health insurance rose in 2026. Half of all uninsured people did not seek needed care because of cost concerns, according to a new survey.
Community Health Care Clinic in Normal sees influx of patients tied to Medicaid cuts
Executive Director Holly Wayland-Hall said the clinic's mission is charity-based, providing health services to people who are uninsured, or have recently lost coverage through Medicaid. She said 99% of the clinic's patients have no insurance.
What is the Orange Card? Inside Guilford County’s health care safety net for the uninsured
Officials with the county's "Orange Card" program expect more people will need help next year once Medicaid work requirements kick in.
Health program cuts hit home, fueling blame game
A rise in the uninsured rate will put more stress on the health system.
‘It’s Triage’: California’s Next Governor Will Face Destabilizing Surge in Uninsured
The nation’s uninsured rate hit a historical low when Xavier Becerra was health secretary. Now he wants to be California’s next governor as states stare down the biggest rise in the uninsured rate in a generation.
WVU Medicine contributes $9 million to advance public health initiatives in Monongalia County
MORGANTOWN, W.Va. – The West Virginia University (WVU) Health System today (July 28) made a $9 million contribution to the Monongalia County Commission to expand preventive health services and strengthen community health programs that serve uninsured,...
CT offers $1,200 health insurance subsidy to child care workers
About 18% of the 31,000 working early childhood educators in Connecticut are uninsured, according to a 2026 study.
Pajaro Valley Health Care District board hears anticipated federal, state cuts impact report
The Pajaro Valley Health Care District Board of Directors heard a presentation at its Wednesday meeting explaining how impacts from federal cuts are anticipated to increase the number of uninsured patients in Santa Cruz County, a move…
Nonprofit clinics offer crucial lifeline to Georgians living without health insurance
Across Georgia, nonprofit clinics like Good Shepherd in Clayton County are stepping up to provide free medical services for the state's 1.2 million uninsured.
Federal Policy Changes Could Mean a Loss of Health Insurance for as Many as 3.4 Million Young Adults
Two Urban Institute reports find that recent Medicaid and health insurance policy changes could leave up to 3.4 million young adults uninsured by 2028.…
Memorial Health offers free mammograms to uninsured and underinsured women and men in October
The Springfield Memorial Foundation covers the cost of the mammograms for eligible patients.
'It's Triage': California's next governor will face destabilizing surge in uninsured
By 2030, the number of uninsured Californians under 65 is expected to nearly double from 2.4 million to 4.6 million.
'Who is taking care of us?': Childcare workers can't afford insurance
Andreya Chapman's job is her passion. But it's also why she's struggled to afford health coverage, an issue that pushed off a cancer diagnosis.
Richland County Foundation funds $1.4 million in grants for health & housing needs
MANSFIELD – The Richland County Foundation Board of Trustees approved grants totaling $1,477,004.99 to non-profit organizations during its October meeting. Competitive and field of interest fund grants were approved by the board to four organizations. Community Health Access Project (CHAP) received a grant to enhance care coordination services for uninsured and underinsured residents in Richland […]
Uninsured business owner says free mammogram program saved her life
Kathey Dailey got her first mammogram at 59 after stomach pain led to a cancer diagnosis. She said it saved her life.
Baylor teen health clinics provide free medical care, mental health services
According to the latest U.S. Census data, Texas leads the nation in the number of uninsured residents.
Denver Health's 166-year mission threatened as federal cuts loom
Denver Health faces $65 million in annual Medicaid cuts by 2032 as federal policy changes threaten the safety-net hospital's mission to serve uninsured and low-income patients.
As ranks of uninsured grow, charity care can be hard to come by at many hospitals
An investigation of hospital data and charity care programs shows most Minnesota hospitals provide little financial aid to patients and often make assistance difficult to get.
With Numbers Of Uninsured for Healthcare Rising, Hospitals Raise The Alarm
As more people go without insurance, hospital revenues decline, insurance premiums throughout the system increase and medical debt levels rise.
Logan Airport workers push Massport on health insurance
Roughly 30 percent of Logan airport service workers are uninsured, a report found.
High insurance costs are putting child care programs out of business — but bill proposes solution
Under state licensing rules, child care programs are required to have liability insurance or disclose to parents that they are uninsured. Having a liability policy protects high-risk businesses, but expensive and hard-to-find plans are hurting an industry already facing thin financial margins and availability issues.
Millions in health care funding could be lost under Amendment 3
Amendment 3 could strip millions from Central Florida hospital districts that help low-income and uninsured residents get care.
Top salaries at Greater Family Health 2024
Greater Family Health is a federally qualified health center providing access to healthcare for uninsured and underserved residents in Elgin, McHenry, Streamwood, DeKalb, Sycamore, Wheeling, Hanover Park, Palatine, and Franklin Park.
East Alabama Health to hold 2 free mammogram days for uninsured women
East Alabama Health is offering two “Free Mammogram Days” this month for the medically uninsured in east Alabama.
Health clinic in St. Louis loses federal funding. CareSTL was already collapsing.
CareSTL Health, which serves low-income and uninsured patients, has already shuttered four of its five locations.
Top salaries at Greater Family Health 2024
Greater Family Health is a federally qualified health center providing access to healthcare for uninsured and underserved residents in Elgin, McHenry, Streamwood, DeKalb, Sycamore, Wheeling, Hanover Park, Palatine, and Franklin Park.
Health Care Access and Affordability for Adults with Multiple or Complex Health Conditions: A Snapshot of Patient Experiences
Significant shares of adults with multiple or complex health conditions, including cancer, lung disease, diabetes, cardiovascular disease, and mental health conditions say they struggle to pay their medical bills and access needed care and medication. These challenges fall hardest on uninsured adults who face greater costs and access challenges.
20 years after passing nation-leading health care law, Mass. braces for new challenges
A landmark health coverage law passed 20 years ago gave Massachusetts among the lowest uninsured rates in the country. It inspired the sweeping federal overhaul known as the Affordable Care Act. Now many are wondering whether that period of intense negotiations and compromise offers lessons for today's urgent health care challenges.
Curing U.S. Health Care, Part II
On March 23, 2010 President Barack Obama signed the Patient Protection and Affordable Care Act — usually referred to either as the Affordable Care Act or as Obamacare — into law. Joe Biden, then the vice president, could be overheard whispering “This is a big fucking deal.” And it was. The ACA, which went into full effect in 2014, created a system of subsidies and regulations designed to make health insurance available to many Americans who had previously been left out. It worked: In 2010 there were 47 million uninsured people in America, but by 2016 this number had dropped to 27 million. This still fell short of the universal health insurance that every other advanced nation has, but it was real progress. In 2017, during his first term, Donald Trump tried to destroy the ACA, replacing it with the American Health Care Act — legislation that would have eliminated most of the provisions that expanded health insurance under Obama. At the time the Congressional Budget Office projected that the G.O.P.’s replacement bill would nearly double the number of Americans without health insurance, increasing the total uninsured population by 23 million and undoing all of the progress achieved under the ACA. However, the attack on Obamacare failed by one vote in the Senate, and the ensuing public backlash against the G.O.P. delivered a large victory in the 2018 midterms to the Democrats. After these developments many observers assumed that the ACA had become a more or less permanent feature of American life. Such assessments, however, failed to take into account the deep hostility of the U.S. right toward policies that expand access to healthcare. As we’ll see, this hostility goes back generations. And the second Trump administration has taken actions that the CBO projects will add 16 million people to the rolls of the uninsured by 2034. How did we get here? And now what? Today’s primer will analyze the political economy of U.S. healthcare since the 1940s and the combination of danger and opportunity created by the current crisis. Beyond the paywall I will discuss the following: US health care on the eve of Trump II 80 years of US health politics The Obamacare story The new assault on healthcare
Rapid changes in federal health policy result in uninsured Americans, Baker Institute report shows
A new health policy research brief from the Baker Institute for Public Policy at Rice is drawing attention to the sweeping pace of health care policy changes implemented during the first year of President Donald Trump’s second administration.
'It’s Triage': California's next governor will face destabilizing surge in uninsured
By 2030, the number of uninsured Californians under 65 is expected to nearly double from 2.4 million to 4.6 million.
Report: Latinos face 'unprecedented' health coverage losses amid cuts to Medicaid, ACA
The state with the nation's second highest number of uninsured — 858,000 Latinos — is Florida, according to the report. More than 71 million people with low incomes rely on Medicaid, which expanded under the Affordable Care Act.
Vaccines for healthy pre-teens and teens
Adolescents ages 9-18 are due for key vaccines. Uninsured youth can get free vaccines from the City of Berkeley Immunization Clinic. Parents of uninsured adolescents can come to the City of Berkeley immunization clinic to check their child’s vaccination status and, if needed, catch up on their missing shots.Staying up to date on vaccines is important for families at a variety of ages. Adolescence is an important time to check vaccine status as kids age 9 to 18 can get proven protections to help protect against of a variety of diseases.
Logan Airport workers push Massport to set a standard for their health care
A recent report finds that 30% of surveyed unionized airport employees are uninsured.
Health insurance a struggle for Michigan childcare workers
Andreya Chapman's job is her passion. But it's also why she's struggled to afford consistent health coverage, an issue that pushed off a can
COVID vaccines for uninsured Tennessee kids in limbo amid federal delays
The federal government hasn't said if it will continue to provide COVID-19 vaccines to low-income kids through a free immunization program,
‘A pending public health crisis’: Minnesota community health clinics brace for Medicaid changes and more uninsured patients
Community health centers statewide are reporting that thousands may lose coverage, adding further strain to an already stressed health care system. Southside Community Health Services is preparing for the financial and health impacts of sweeping Medicaid changes.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
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