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Health Means

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Health Means — Perspective

Many of us would probably agree that the development and administration of the COVID-19 vaccines have led to a much needed “re-awakening” across the nation.  Coast-to-coast, people completing their COVID-19 vaccinations are re-energized, and re-connecting.  A large number are getting back to their former lives; breathing a sigh of relief and putting this phase of their lived experience far behind them. Many think, “Good riddance!”  For these folks, it’s likely that their perspective has been that the pandemic constrained their lives and the sooner it’s over the better.  Their facemasks are now stuffed in the glovebox of their car to gather dust.

However, for a majority, the vaccinations, though welcome, are a benchmark for a life that will never be the same.  The struggle, loss, and uncertainty associated with the coronavirus is etched in their memories and has become part of their identities. It has not only impacted family and friends, but it has changed the overall health of the nation with many researchers contending that overall life expectancy has been reduced by a year as a result. People of color and those lacking access to health care are the hardest hit. Viewing the pandemic through different perspectives was the focus of a study conducted by a team from Johns Hopkins Bloomberg School of Public Health. In recently published articles, the study revealed how personal views and perspectives about the pandemic affected mask wearing and other health behaviors in rural areas. Koon, et. al (2021) identified four frames or perspectives that people used to make sense of the coronavirus: concern, crisis, constraint and conspiracy.  Each perspective resulted in different behaviors and choices that could explain why some have been hesitant to get vaccinated. The researchers are now using their results to design targeted outreach efforts that will frame vaccination communication and other necessary responses to the pandemic.

In the meantime, the “long-haulers”, those 10%-30% of people who continue to have prolonged symptoms months after contracting the coronavirus, are likely to have a different perspective. They continue to live with symptoms that the National Institutes of Health will spend more than $1.1 billion over four years to study with the hope of discovering some answers.  Recently, some long-haulers have reported having some relief of symptoms after having gotten COVID-19 vaccinations (The Washington Post; March 16, 2021). Still, there is just not enough known about the virus and its long-term impacts on individuals or on populations.  It’s the long-haulers who might teach us the most about a perspective of compassion as the pandemic runs its course.  Maybe we can all benefit from compassion for those who continue to acquire the disease, those who cope with its impacts, and for all who have lived through it.

Health means…increasing the capacity of the primary care and behavioral health workforce to deliver high quality, timely, and accessible patient-centered care.

 Contributor: Elaine Johannes (ejohanne@ksu.edu)

Health Means – TRUST

During the past several weeks, I’ve been able to volunteer at some of Riley County’s COVID-19 testing and vaccination clinics. What a great experience! Photo by <a href="https://unsplash.com/@bernardhermant?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText">Bernard Hermant</a> on <a href="/s/photos/trust?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText">Unsplash</a>   During these community events I’ve learned about trust. So, I think that Health Means – TRUST.

While serving as a volunteer during coronavirus testing drives I saw examples of trust – one after another.  I saw health professionals put their trust in the personal protective equipment (PPE) they used to protect themselves while nasal-swabbing over 300 first responders and health providers.  I admired the trust that the fire fighters and police officers had for the gentle care of health department nurses when they collected each important sample.  I also saw the trust that the county’s elected officials had for the local journalists when they reported on the successes of the testing events held in smaller towns in the rural parts of the county.

Then, when the vaccine became available the trust that older adults, their care providers and health- compromised citizens put in the efficacy of the vaccine was inspiring. While volunteering in the post-vaccination waiting area, I heard several who had received their vaccination admit that they decided to be vaccinated because of the trust they put in their family, friends, and doctors who trusted the science behind the vaccine. Following the encouragement of those they knew and respected, the recipients learned about the science that resulted in the trusted vaccine.

That trust is well-deserved.  According to a March 18 presentation by Dr. Barney Graham, deputy director of the National Institute of Allergy and Infectious Diseases Vaccine Research Center at the National Institutes of Health, and a Kansan who has been called the “father of the COVID-19 vaccine,” the science was already underway to produce the vaccine before the need arrived.  For nearly seven years, studies of 26 different viruses had been in progress, and with the infusion of much-needed funding for additional studies, equipment and personnel the pace of vaccine development was quickened.  Trust in the laboratory teams, in the innovative public-private partnerships that “cut red-tape and not corners,” and in the scientific process resulted in the relief and tears of gratitude I witnessed while serving at the vaccination clinics.  Dr. Graham provided insights into the development of the vaccine and explained why some may initially be hesitant to have a vaccination when it becomes available to them. His remarks answered questions and built trust throughout the state, and are available at: https://www.ksre.k-state.edu/covid-19-resources/covid-19-vaccine-webinar.html

It was Booker T. Washington who said “Few things can help an individual more than to place responsibility on him, and to let him know that you trust him. “ I’ll offer this slight modification that there are few things that can be more helpful than to have trust in each other.

Every year in the United States, many people get diseases that vaccines can prevent. Health means…preventing infectious diseases by increasing vaccination rates.

Contributor: Elaine Johannes (ejohanne@ksu.edu)

Child Care is Part of a Healthy Society

Access to quality, affordable child care may not seem like the most intuitive element of health. However, I ask you to stop and think about how often you have personally experienced at least one of the following situations: a) You or your co-workers have left a meeting to care for young children, b) You or your co-workers had children in meetings because of children’s needs, c) You or your co-workers reduced or lacked productivity because of simultaneously caring for children, and d) you or a colleague were absent from work because of child care needs. As you consider the above scenarios, I ask you to think about how much they affected your individual, family, community, and employer’s efficiency and psychological/emotional health.

The American Rescue Plan, the current proposed plan to help Americans suffering during the Covid-19 pandemic, provides approximately $40 billion to states via the Child Care and Development Block Grant program (CCDBG). It contains $15 billion to expand the Child Care and Development Block Grant (CCDBG) and $25 billion to stabilize the business of child care, a sector shattered by the pandemic. Upon passage of the plan, the state of Kansas is expected to receive approximately $134 million in CCDBG funds and $214 million for stabilization and enhancement funds, for a total of $348 million.

This could be a turning point for child care in Kansas. For child-care providers, Covid-19 has led to enrollment declines, increased costs to operate, and myriad staffing challenges. For many, it has meant closing the doors and folding the business. These stabilization funds proposed to soften the pandemic’s ongoing effects represent desperately needed action. However, it is essential to recognize that returning to a pre-coronavirus baseline would not be nearly enough to create stability for childcare businesses and capacity adequately supporting children, families, and communities. Revisiting how we fund child care in the U.S. could improve the health and well being of all families given the reduced stress, increases in productivity, and economic benefits that quality, affordable child care brings. Health means…increasing the proportion of children who participate in high-quality early childhood education programs.

Contributor: Bradford Wiles

Health Means Access to Affordable Health Care

Health means…access to affordable health care! Just as I was thinking about my initial foray into health-related blogging, it was announced that the new administration is reopening enrollment on the federal Affordable Care Act exchanges as part of their initial efforts to bolster public access to affordable health care.

The key to reopening enrollment is publicizing the opportunity and providing help for people to sign up, according to a recent Kaiser Family Foundation discussion with navigators who assist those looking for coverage on the exchanges. They also say the period should last more than six weeks. The new 12-week opportunity does just that!

President Biden signed an executive order last month creating an extra, three-month enrollment period starting Feb. 15. Consumers can again shop for coverage on HealthCare.gov, the federal insurance marketplace, which serves three dozen states, including Kansas.

Typically, people may sign up for coverage outside open enrollment only if they can document “special” circumstances, like the birth of a child, a marriage or divorce, or the loss of health insurance. Consumers can generally enroll in ACA plans within 60 days of losing health coverage. Under this executive order, if they’ve lost their job recently, they can apply for coverage now, without the 60-day stipulation.

Although “traditional” open enrollment on HealthCare.gov ended on December 15, this extra sign-up window is expected to mimic open enrollment. It is intended to provide more time for consumers to decide next steps if they’ve had a change in circumstances. If you are in the market for coverage, or you know someone who needs health insurance, check out HealthCare.gov soon.

Without health insurance, people are less likely to have a regular health care provider and more likely to skip routine health care. Health means…increasing the proportion of persons with medical insurance.

Contributor: Sandy Procter

 

#HealthMeans…Time for a Reboot

 

When we started the #HealthMeans blog, our goal was to start a conversation about health – what health means to us, what health means to you. That’s still our goal.

Simply put, we believe that health is more than the absence of disease or illness. We are educators and researchers at Kansas State University.

 

In our work through K-State Research and Extension, we address the social determinants of health through our focus on:

  • family life,
  • child development,
  • youth development,
  • adult development and aging,
  • family finances,
  • healthy eating and active living, and
  • community health and health policy.

We look forward to the conversation!