Atlanta nonprofit to share $20 million Gilead health equity grant

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rnrn"},{"_id":"A2KJQZ7YIFFVXEGE4AF3S2VOTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952055},"type":"text","content":"Slightly over 20,000 first-dose vaccines have been administered in Georgia as of August 31. Weekly case numbers in the state are declining as well. As of September 6, the Centers for Disease Control and Prevention has confirmed 1,512 cases in Georgia."},{"_id":"OVQGRUVXAFFYDNUIIW4I7I5KUY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952056},"type":"text","content":"Those that have been involved in vaccination efforts have noticed the shift in demand for doses. “In the beginning people were really eager, but now it seems like it’s starting to wane,” said Nathan Townsend, manager of prevention services for NAESM, an organization that focuses on the health and wellness of Black gay men."},{"_id":"HYJFQANTTRDERJFND6CZC7NUIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952057},"type":"text","content":"At most of the weekend’s events, vaccines were administered by CORE GA, an organization that has helped in the state’s COVID-19 vaccination efforts."},{"_id":"ZGTNYSP2XZF7RAP3NOUDM2PA2I","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952058},"type":"text","content":"“It was well,” Taurus Jerelds, founder and chief executive officer of MPOWERR (Men Protecting Ourselves With Education and Risk Reduction), an organization focused on improving the health of underserved communities, said. “We did what we needed to do and were able to service those who were able to make it out."},{"_id":"AYCFJSKCN5GJHLZGBZNF6VZEKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952059},"type":"text","content":"Monkeypox vaccines are recommended for individuals who have had close contact with someone with monkeypox, a sex partner who has been diagnosed with monkeypox and men who have sex with men who have had multiple partners in the past two weeks. The CDC are not recommending the general public or all sexually active individuals to get the monkeypox vaccine."},{"_id":"WGGP2NVWBVFZHB5MQ23552INTA","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952060},"type":"text","content":"To make an appointment for monkeypox vaccination anywhere in the state, visit here."},{"_id":"YDFLI34DRVGHPBNYR2QN5GR5LQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1662577952062},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give "},{"_id":"CX336SQLPFAJBLOQW2TXKATJ4I","additional_properties":{"comments":[],"_id":"DRT7O7JQ6VHORAEWIZLIRRKYOE"},"type":"raw_html","content":""}],"display_date":"2022-09-07T19:49:33.681Z","headlines":{"basic":"Monkeypox vaccine efforts during Atlanta Black Pride successful"},"first_publish_date":"2022-09-07T19:49:33.681Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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"I am doing this because I want to be responsible for myself and my community; this virus, like the coronavirus, doesn't discriminate, no matter race or sexual orientation." (Photo: Miguel Martinez / miguel.martinezjimenez@ajc.com)","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/5RLKSKCC3DH6ESWV6RI2PUCWXY.JPG","height":4000}},"canonical_url":"https://www.ajc.com/news/coronavirus/monkeypox-vaccine-efforts-during-atlanta-black-pride-successful/N3WQ32UGZNGQDL7AHF3KCSZSWQ/","_id":"N3WQ32UGZNGQDL7AHF3KCSZSWQ"},{"content_elements":[{"_id":"7IVXBCBCGVELTMB5CBYDTEVEYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1654087652102},"type":"text","content":"Local health departments are partnering with the Georgia Department of Public Health to offer monkeypox vaccinations in the metro area throughout Atlanta Black Pride weekend over the Labor Day holiday."},{"_id":"GUUCHYAATNEGPJPE77VBPQXT6Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1662143696417},"type":"text","content":"The effort was bolstered by 5,500 additional doses of vaccine given to Georgia by the Centers for Disease Control and Prevention."},{"_id":"DU53YRSJO5GJ5PXA2HYQKP2FUI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186137},"type":"text","content":"The Neighborhood Union Health Center in Vine City was one of five locations offering vaccines on Friday night. Organizers said 321 monkekpox vaccine doses were administered there Friday, with fewer than 100 of those being first doses."},{"_id":"UY5ZB4YO5RB6HD6PYVFK3CSJBQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1662208481956},"type":"text","content":"Demand for monkeypox vaccines outstripped supplies earlier this summer as the number of infections rose in the U.S. and only local health departments could administer the shots. Doses were limited and demand was high."},{"_id":"OLJ2QELXLRFDJJCHNFQXOMW3XY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186138},"type":"text","content":"“There was a lot of pressure for a long time to serve everyone and there was a lot of frustration around not being able to get appointments,” said Joshua O’Neal, director of sexual health promotion at the Fulton County Board of Health. “It makes me feel better that everybody can get served if they want it.”"},{"_id":"VSAXNEEI7ZAN7L4GZLAM7NM5RU","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186139},"type":"text","content":"O’Neal says that he worked directly with Pride promoters to get monkeypox vaccines offered at various clubs and bars over four days of the pride celebration. Atlanta is one of several LGBTQ festivals where federal health workers plan to offer the shots, hoping to reach the population most vulnerable in this outbreak."},{"_id":"3DT4TI6MRJEOND3EG4WRPJUXIM","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186135},"type":"text","content":"The additional doses and partnerships with community based organizations has made vaccines more widely available across the metro area to those who meet eligibility criteria."},{"_id":"67NZXIE55ZGGJNKOH3FDO4VCHA","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186136},"type":"text","content":"Monkeypox vaccines come in a two-dose series. Many have received their first doses and are in the 28-day waiting period before they can receive the second dose."},{"_id":"HREIQML4YRG5FCBSRTNAVAA6HE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947255},"type":"text","content":"In numbers released by state health officials Wednesday, Georgia has reported more than 1,400 monkeypox cases, with a majority of them affecting men who have sex with men. Most report having sexual or close, skin-to-skin contact with an infected person in the 21 days prior to their infection."},{"_id":"GXMXZHW3Z5H5NPKUYYYI5YB7XU","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947256},"type":"text","content":"“Atlanta Black Pride is a time for celebration and reconnecting with friends, but we also want to ensure we are not missing the opportunity to provide important education about and vaccination for monkeypox,” Dr. Alexander Millman, DPH’s chief medical officer, said in a press release. “DPH, along with our health districts and community partners, are working together to do everything we can to keep monkeypox from spreading so we can end this outbreak.”"},{"_id":"HZ7V55LTKVE3PO6GUR5HG4VXMY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947257},"type":"text","content":"Community-based organizations such as A Vision 4 Hope, NAESM and THRIVE SS are assisting with the more than a dozen vaccination sites. Walk-ins are welcome at most sites."},{"_id":"DARCANYBKVHOLCQQ3HRO4STGDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662159186143},"type":"text","content":"CORE, an organization that helped with COVID-19 vaccination efforts, is helping organizations administer doses."},{"_id":"YG5QWJZTPNASJHQV5P5PCKD6PI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947258},"type":"text","content":"“Black Pride is on full display here in Atlanta for this weekend. This is going to be a weekend of fun, expression and also safety. We’re making sure that people get monkeypox vaccines,” said Mayor Andre Dickens at the 3rd Annual Mayor’s Black Pride Reception Thursday night. “We are really thankful for our collaborative approach with Fulton County, with Emory Health System, Grady and the federal government giving us more vaccines.”"},{"_id":"CZ4N246R2JAXBNN5CQS27E7Y7A","additional_properties":{"comments":[],"_id":"3FHQS2RW2NDH3OXCC2E4NYGD54"},"type":"divider"},{"level":3,"_id":"3ZCETN3CVJA7HEGTP24DVMGAPA","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947260},"type":"header","content":"Vaccination Events"},{"list_type":"unordered","_id":"SDDFLN4YRVDFNDSKHNFENLBRSQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"ZSJWVXML3VA25H6JJ6NGJRWO5M","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"September 2"},{"list_type":"unordered","_id":"HERGVRCKAFAIDFDCL7VSB2I6ZA","type":"list","items":[{"_id":"WBUSTL473NCGLCDHVXY74TBTJA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Neighborhood Union Health Center, 186 Sunset Ave. NW # 186 Atlanta, GA 30314, 9 a.m.- 6:30 p.m."},{"_id":"7NGUY3L5ERAKJDVIY74B4E5NSQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"NAESM, 315 14th St. NW Atlanta, GA 30318, 11 a.m. -6 p.m."},{"_id":"ZBFYMQNSZJFW5EF3NWHA34EAP4","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"A Vision 4 Hope, 1800 Phoenix Blvd. Building 200, Suite 210 College Park, GA 30349, 10 a.m. – 6 p.m."},{"_id":"7MEXYHBIFZCGFGDUHJ7LSHSSHQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Gwinnet Health District Office, 2570 Riverside Parkway, Lawrenceville, GA 30046, 8:30 a.m. – 4 p.m."},{"_id":"EMEFXO6AVFA6XAGRHHYGF3C2WU","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"North Dekalb Health Center, 3807 Clairmont Road NE Chamblee, GA 30341 9 a.m.-3 p.m."}]},{"_id":"4SVA5H2ZWBFI3EMQI5S3P662XA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"September 3"},{"list_type":"unordered","_id":"OXMBQJQKZ5B7BCYEE6SS7Y6IKM","type":"list","items":[{"_id":"KZ5LM3VS6ZHILLJRD2FPPK4DP4","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Neighborhood Union Health Center, 186 Sunset Ave. NW # 186 Atlanta, GA 30314, 10 a.m. -2 p.m."},{"_id":"CSZD3N2ITNCD3MUDCREYOLCJWA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"THRIVE SS Inc., 2038 Stanton Road Atlanta GA, 30344, 11 a.m-4 p.m."},{"_id":"MXEBAO3I4NHUPOSPSIPAZ2YHHE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"MPOWERR Health and Wellness of Atlanta, 409 Arrowhead Blvd. Jonesboro GA, 30236, 11 a.m.-4 p.m."},{"_id":"XYDNBF5QSFHFHF6DOOG6J54K4U","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Mixx Atlanta, 1492 Piedmont Ave. NE Suite B Atlanta, GA 30309, 5 p.m.-10 p.m."},{"_id":"X6XKEKS4VZBGVBTZAEN7ZS5BKY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"The Heretic Atlanta, 2069 Cheshire Bridge Road NE, Atlanta, GA 30324, 10 p.m.- 3 a.m."},{"_id":"ETCB4B2F5NFXXHCN634LTL6YWY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Marquette Restaurant and Lounge, 868 Joseph E. Boone Blvd. NW Atlanta, GA 30314, 11 p.m.-4 a.m."},{"_id":"377Z6L5FOJCCFEHZWVZU4REXZY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"The Loft, 2149 Metropolitan Parkway SW, Atlanta, GA 30315 4-7 a.m."}]},{"_id":"Z6MLTLB5ZNGQHK5IQSNRIKDZTE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"September 4"},{"list_type":"unordered","_id":"K5C5U6XZE5EW5OOSM3Q2HGGNLY","type":"list","items":[{"_id":"X6XKEKS4VZBGVBTZAEN7ZS5BKY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"The Heretic Atlanta, 2069 Cheshire Bridge Road NE, Atlanta, GA 30324, 10 p.m.- 2 a.m."},{"_id":"3RL2YJ7JDFFSNMNP3MCNLBPSNA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Piedmont Park, 1320 Monroe Drive Atlanta, GA 30306, 2 p.m.-7 p.m."},{"_id":"GYIEKMVG3RHBVM3UQIR5CSXP2A","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"X Midtown, 900 Piedmont Ave. NE, Atlanta, GA 30309, 4 p.m.- 8 p.m."}]},{"_id":"25JURSJAGFEKVGOTJAI6CFJYMY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"September 5"},{"list_type":"unordered","_id":"ZI4XGVBAIVA6RGYC3BETU3ATOY","type":"list","items":[{"_id":"X6XKEKS4VZBGVBTZAEN7ZS5BKY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"The Heretic Atlanta, 2069 Cheshire Bridge Road NE, Atlanta, GA 30324, 10 p.m.- 2 a.m."}]}]},{"_id":"YVMKB2DARVGM7CG37J54BKL5G4","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947262},"type":"text","content":"To make an appointment for monkeypox vaccination anywhere in the state, visit here."},{"_id":"KKXKIWBVVFGGNALDM5MVZ5OPNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1662142947264},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give "}],"display_date":"2022-09-02T23:10:54.235Z","headlines":{"basic":"NEW DETAILS: Monkeypox vaccine offered around Atlanta throughout Labor Day weekend"},"first_publish_date":"2022-09-02T18:33:10.908Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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DeKalb Health Center in Chamblee, August 5, 2022. Steve Schaefer / steve.schaefer@ajc.com)","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/E2XUUX73R42FXXUF6F25FSGISI.jpg","height":4156}},"canonical_url":"/news/coronavirus/dph-announces-monkeypox-vaccination-sites-throughout-labor-day-weekend/AO4DIFL2RVE77BYNME4EH5CRVM/","_id":"AO4DIFL2RVE77BYNME4EH5CRVM"},{"content_elements":[{"_id":"I3RQ4YWXCZBWLJAMIYG2VUFDBA","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"Atlanta Medical Center’s impending closure “is incredibly tragic and disruptive to the patients,” said Grady Health System CEO John Haupert."},{"_id":"IXFPGTWIMZGNPDWYFR3ZFS6KMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066040},"type":"text","content":"It will create “a public health emergency,” said Dr. Mark Waterman, president of the medical staff at AMC."},{"_id":"J2LVYE5XBBFIFHFNHOIAOTDSYM","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066041},"type":"text","content":"“People need this hospital,” said Demetrius Ward, a warehouse worker visiting his mother there Thursday before her surgery."},{"_id":"UKVPZKE6PVARTB6KSAUUI3SUOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066042},"type":"text","content":"Across Atlanta and beyond, Wednesday’s shocking news that Wellstar Health System means to close the century-old downtown hospital turned to dread for the situation to come."},{"_id":"CX2C7UHJJ5E7RLKHUYU7YZHAGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066043},"type":"text","content":"Patients used to AMC’s services, from regular medical ailments to its links with midwife clinics, scrambled to ask each other for options. Doctors who serve emergency trauma patients spoke in fear about the closure of the only other designated “Level 1 trauma center” besides Grady, capable of treating severe injuries from car wrecks, gunshots or head injuries from falls. Even worse than the loss of the neighboring trauma center will be the loss of its emergency room, which has functioned a relief valve for Grady’s constantly overcrowded ER."},{"_id":"DZNDGFB3ABBNNK47KPI2NYLKLE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662051062097},"type":"text","content":"“Every day, every single one of our inpatient beds is full and there’s patients waiting,” Grady’s Haupert said. The brunt of the overflow will land in Grady’s emergency room along with Emory University Hospital Midtown and Piedmont Atlanta Hospital, he said. Haupert spent part of the day Thursday talking to those CEOs to figure out what to do."},{"_id":"AVXZUO52BVBXZKFSI4TWSNOHCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066045},"type":"text","content":"“To the patients that they (AMC) have been serving — I don’t see any evidence that there were intentional plans put in place to assure that those patients had a smooth transition to another care environment. And so I am very concerned about patients who are going to be left without a source of care or source of access.”"},{"_id":"QNVWNCSCZRA5PFH3DKSAQJKDSU","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066046},"type":"text","content":"Waterman also said the doctors who give care to Wellstar’s patients were blindsided. The AMC doctors had spent a year preparing for Thursday and a scheduled visit from experts on emergency trauma care in hopes of upgrading the hospital’s Level 1 certification from state to national. That visit was abruptly canceled and he was instead juggling the closure fallout."},{"_id":"OFH5W4LACJFIBCA4NB5VC33SB4","additional_properties":{"inline_comments":[],"comments":[],"_id":1662119160505},"type":"text","content":"“It’s unfathomable to think of the stress on the system with a big, big community hospital closing in the city of Atlanta,” Waterman said. “You may be hearing my outrage.”"},{"_id":"UNB43EEKPRBHVPY2TAVF7FXN6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066047},"type":"text","content":"AMC’s closure is the second shutdown those other hospitals are dealing with in the space of four months, after Wellstar also closed its smaller hospital, Atlanta Medical Center South in East Point, in April. At that time, Wellstar CEO Candice Saunders told the Atlanta Journal-Constitution that sending East Point patients to other hospitals including AMC in Atlanta was part of the plan to transition to a better model of care. The East Point facility provided the only ER located south of I-20 in Fulton County."},{"_id":"I6Y3U6ADYFF2DOYHAGFNTL42UY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066048},"type":"text","content":"In its statement on the closure Wednesday, Wellstar said financial losses were driving its decision, citing $107 million lost in the most recent year."},{"_id":"OSW7Q5X7HZDFJMA6VA7GUXLNSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066049},"type":"text","content":"That operating loss is not unusual this year as prices of nurses and other workers have tripled or worse in the pandemic. More recent years have shown smaller but still significant losses, such as $41 million for the year ending 2021. That is driven in large part by the more than $300 million in indigent and charity care the hospital provides on an annual basis."},{"_id":"OPBIFVLMFZFQZJL4MRF2RZO64I","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066050},"type":"text","content":"Eddie Hardin, a 59-year-old Marine veteran, was interviewed at the hospital Thursday, the day after the announcement. He said he paid $42 for a Lyft ride to bring his 35-year-old daughter to Atlanta Medical Center. Knowing the hospital would close, he said he worried about any follow-up visits she might need, because she’s covered by Medicaid and many health facilities don’t take Medicaid. “I’ve had family and friends come here over the years and nearby you’ve got senior citizens, low-income housing and homeless folks,” he said."},{"_id":"5HBXWFC3NZGFVFYFHAB3FZK6KI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662060066051},"type":"text","content":"The abrupt news of Atlanta Medical Center’s impending closure had a swift and sudden impact on Georgia’s campaign trail, bringing new attention to urgent calls by Democrats for the state to expand Medicaid."},{"_id":"LHM6Q2GEFFEINL32TLZ2B7PTBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204710},"type":"text","content":"Eight rural hospitals have shut down in Georgia over the past 10 years, and more than a dozen others face dire financial struggles, but news of the Atlanta closure brought the trend to the capital city — and the thick of the campaign trail."},{"_id":"DIKCVOOZP5C6HODVJ2NEODH4SI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204711},"type":"text","content":"“This is just latest consequence of Republicans’ failure to expand Medicaid,” said state Sen. Jen Jordan, the Democratic nominee for attorney general. “It’s not just the rural hospitals anymore.”"},{"_id":"IPY22R44AJGU3KWAUZ3OHXIIDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204712},"type":"text","content":"Stacey Abrams and U.S. Sen. Raphael Warnock used their first joint political rally to renew a pledge to bolster healthcare access – and to blast Gov. Brian Kemp for refusing to expand Medicaid, a prospect he has said is too costly in the long run and too inflexible."},{"_id":"GFLK2KNKDFEEVPIFB4S777WEME","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204713},"type":"text","content":"“It’s a choice to cost Atlanta 460 hospital beds in an overstretched, underfunded system. It’s a choice to reject money that we’ve all paid for with our federal taxes,” said Abrams, adding: “It’s a choice to pretend there’s nothing to be done.”"},{"_id":"OTTUOAFDBVD5JPYUKDSH2P3ZVM","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204714},"type":"text","content":"Kemp was muted on the subject. He said through a spokesman he’s concerned about Atlanta’s already fragile healthcare safety net and touted his policies, such as a planned work requirement for a more limited Medicaid expansion."},{"_id":"I5S2J2G2QRDCZJH4QHPASOG7VY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204715},"type":"text","content":"While Abrams and other Democrats laid blame on the GOP for refusing to expand Medicaid, executives with Wellstar painted a different picture."},{"_id":"CDVLEVUH2NEMHHGWXOWZX4Q5EY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204716},"type":"text","content":"In a statement, Wellstar said it decided to shutter the hospital by Nov. 1 because it couldn’t find a “sustainable solution” to mounting costs. Executives added that Medicaid expansion alone would not have saved the facility from closing."},{"_id":"BVRTHQFS4NHOLGVEP7JT2HSMUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204717},"type":"text","content":"“While expanding Medicaid may have helped Atlanta Medical Center’s financial sustainability, it would not have changed this outcome,” the health system said in a statement to The Atlanta Journal-Constitution."},{"_id":"XUG3P5HTTJAAXACMXBFDFI3NBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204719},"type":"text","content":"Many public officials indicated they were blindsided by the decision. Atlanta Mayor Andre Dickens said it leaves an “open wound” in Atlanta’s heart."},{"_id":"3SN3PN26INGEFNHAOWGIP6IBIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204720},"type":"text","content":"“The City of Atlanta received no advance notice of this decision and had no opportunity to engage with you to understand or help mitigate the factors leading to this closure,” Dickens fumed in a letter to Wellstar’s chief executive. “I require immediate information about your company’s plans, what you are doing to mitigate the enormous health and economic impacts the closure will have on our community...”"},{"_id":"WGZXZLN63BACDDIGP4PWRWTNIQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1662062711865},"type":"text","content":"Thursday afternoon, Dickens’ office said they still had received no information from Wellstar."},{"_id":"EDVUV23INRAWVKTHQLYICPYXHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204721},"type":"text","content":"Demetrius Ward, 45, arrived at Atlanta Medical Center Thursday afternoon to check on his mother, who was scheduled for a procedure there. He said he had taken two MARTA buses and a train to arrive there — a 1 hour, 40 minute trip. “People need this hospital. I’m an Atlanta native. You know this is the land of gentrification now, but before Atlanta flipped we still had 20% who need this, who use public transportation,” Ward said, referring to low-income residents."},{"_id":"BOPQBKYYWVE4DJQMN2PG3PHDGY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662053622642},"type":"text","content":"Ward said he’s a warehouse worker who earns about $20 an hour and supports 4 small children, and called himself a “real blue-collar worker.” “I saw on the news they’re losing money. Let me ask you: why don’t they have access to cash like Emory?” He said he had a $6,000 bill forgiven by Emory earlier."},{"_id":"AVXRYFB5RNAFJOT2SXNLQI56PU","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204724},"type":"text","content":"Wellstar is a major health system across the northwestern part of the state. It purchased AMC and AMC South in 2015 as part of a package of five hospitals, from the private hospital company Tenet."},{"_id":"CYFZZPU3HFFC5MJ6IMNIEJABNY","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204733},"type":"text","content":"As a nonprofit hospital system, Wellstar pays no taxes with the expectation it will work for the public good."},{"_id":"HSDSNITBPBES7GQQWNTQTPN3XI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204734},"type":"text","content":"However, Wellstar still makes a profit, and it makes more money from its hospitals outside of downtown."},{"_id":"GRK7TUBONVDFBLAYLQVA6OSBAA","additional_properties":{"comments":[],"_id":"3XZIA3TNZNGMFMOUH6KPLKQETU"},"type":"divider"},{"_id":"VGCEAFU3FJFJDFVOBG7NI42C4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1662062711875},"type":"text","content":"Atlanta Medical Center facts:"},{"_id":"GKK62BVYIJHSTB3MIUQ5PIGMCI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204739},"type":"text","content":"Closure date: Nov. 1, 2022"},{"_id":"NMVX6XOPMZEAZBF2RKBEJYM4HI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662119160530},"type":"text","content":"Beds: 460"},{"_id":"3RC3QSXKIBCYFG4JR7O3L6MIUI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204740},"type":"text","content":"Location: Boulevard and Parkside Drive, Atlanta"},{"_id":"E4T2ZQUGZ5FEDDFCGIGAJCWKA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204741},"type":"text","content":"Owned by Wellstar Health System since 2015"},{"_id":"UVCCQFRDFNDERDQADNUINIKDWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204742},"type":"text","content":"Operating losses: $107 million in past 12 months, according to Wellstar"},{"_id":"OEQZTRILU5F43BNO2X6OTQ7BQU","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204743},"type":"text","content":"One of five state-designated Level 1 trauma centers in Georgia, only two of which are in metro Atlanta."},{"_id":"36UH3DCS4VHZZNUWEIGX4YMTNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1662052204744},"type":"text","content":"
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WellStar announced late Wednesday, Aug. 31, 2022, that the Atlanta Medical Center will close in two months after experiencing more than $100 million in losses over the past year. (John Spink/Atlanta Journal-Constitution via AP, File)","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/EETUR4RD537CNFAFIZMANLGTKE.jpg","height":3169}},"canonical_url":"/news/coronavirus/shocking-news-of-downtown-hospital-closure-turns-to-dread/6AU3A254V5DHDOFZ6HVCARSPJE/","_id":"6AU3A254V5DHDOFZ6HVCARSPJE"},{"content_elements":[{"_id":"MZBC3FOZEFDYDMHJHIM7K6AJCU","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"Wellstar Health System confirmed Wednesday evening that it will close Atlanta Medical Center, a 460-bed hospital in downtown Atlanta and a century-old anchor of the city’s health care. The hospital will wind down and then cease operations on Nov. 1."},{"_id":"5JFC32FVP5FNHDHD3APRWAFADA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661991578755},"type":"text","content":"In a written statement to the press, Wellstar said it tried everything."},{"_id":"LFNH4BDF5ZGJTGDXRELHVGIUNQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1661991578756},"type":"text","content":"“For several years, Wellstar has continued to invest in and operate AMC with significant losses to provide more time to partner on a creative, long-term, sustainable solution for the hospital’s future,” Wellstar CEO Candice Saunders said in the statement. “We are disappointed that a sustainable solution at AMC has not emerged.”"},{"_id":"QAKLSZWSZ5FH7KYI6DXWIYDQC4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661991578757},"type":"text","content":"The news marks the second time this year that Wellstar has moved to close hospital functions that were a financial drain. Earlier this year it shuttered the emergency room and regular hospital beds at Atlanta Medical Center South in East Point. That was the only ER in Fulton County south of I-20."},{"_id":"MZBC3FOZEFDYDMHJHIM7K6AJCU","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"The Atlanta Journal-Constitution first reported Wednesday morning the health system’s talk of closing the Atlanta hospital."},{"_id":"7HFKS6POF5F2JJCPF53HETQYX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661995285370},"type":"text","content":"Atlanta Mayor Andre Dickens’ office released a letter he sent to Saunders expressing “extreme concerns” about the closure, adding “This decision will have deep and reverberating consequences for the half a million residents of Atlanta and the hundreds of thousands of visitors and commuters to our city each day.”"},{"_id":"N36VOLWCWJCXZIAC7DW5BXHJCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1661995285371},"type":"text","content":"Dickens also noted that the city had received no advanced notice of the announcement. “I require immediate information about your company’s plans, what you are doing to mitigate the enormous health and economic impacts the closure will have on our community, plans for the multi-building campus once operations cease, and how you will be supporting the impacted personnel.”"},{"_id":"PCGS7ZA6UNGEDCPGQNQV4Q4HMA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661995285372},"type":"text","content":"Gov. Brian Kemp’s spokesman Andrew Isenhour said Wednesday evening, ”The governor shares the concerns of the community on the impact this will have. Other local hospitals and healthcare providers are in active talks on how this closure will shift their needs and services. As they work to make the appropriate adjustments, Governor Kemp will continue to build on the policy innovations introduced over the past four years that have grown access to quality healthcare while bringing down costs for Georgians across the state.”"},{"_id":"QU5TQF5JZRH6THWZ5TJ4BNKAK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661959183779},"type":"text","content":"Fulton County Commission Chairman Robb Pitts, contacted by the AJC prior to the announcement, responded to the news by saying, “I am not surprised, given my past conversations with them,” which occurred at the time AMC South closed its ER in East Point."},{"_id":"ZGPBNLX3KJCLLHBXVYZGNRZMRM","additional_properties":{"inline_comments":[],"comments":[],"_id":1661959183780},"type":"text","content":"Pitts said if Wellstar were making such a business decision for lack of sufficient revenues, there is little the county can do. However, he said if a decision is made to close the hospital, he is deeply concerned for the potential loss of jobs and the patients that would be spread across metro hospitals that are already at capacity, especially Grady Memorial Hospital."},{"_id":"Q3CVMVPRQVDINIYWUDGB4GRKZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661960374926},"type":"text","content":"“That would have some serious implications for Fulton County and the people that we serve,” Pitts said. “But more than Fulton County — it would have implications for Grady, for Piedmont, for Northside, and all of these, because how would we be able to serve the population that they serve if (AMC) were to close?”"},{"owner":{"id":"ajc"},"workflow":{"status_code":4},"caption":"The Emergency Room Entrance at Wellstar Atlanta Medical Center on Boulevard in Atlanta. Hospitals are stocking up on gowns and protective wear and holding refresher courses in infection control amid a growing coronavirus outbreak. JOHN SPINK/JSPINK@AJC.COM","source":{"system":"Methode","source_type":"other","source_id":"71d2755e-688e-11ea-a5df-47250cb6d086","additional_properties":{"editor":"photo center"}},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","licensable":false,"display_date":"2020-03-17T20:40:00Z","credits":{},"subtitle":"Dentists in Georgia urged to see only emergency patients","width":2048,"first_publish_date":"2020-03-17T20:40:00Z","_id":"2NQ7XTJZ6JQVAI7SWBVFF3Q7T4","additional_properties":{"fullSizeResizeUrl":"/resizer/RtIIZKSZgBcv8ipMWa6_Pvh1oX4=/arc-anglerfish-arc2-prod-ajc/public/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","comments":[],"proxyUrl":"/resizer/RtIIZKSZgBcv8ipMWa6_Pvh1oX4=/arc-anglerfish-arc2-prod-ajc/public/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","takenOn":"2020-03-17T20:40:00Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","published":true,"resizeUrl":"/resizer/RtIIZKSZgBcv8ipMWa6_Pvh1oX4=/arc-anglerfish-arc2-prod-ajc/public/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","thumbnailResizeUrl":"/resizer/dMydN0Xt5xx8D-9qa71-PhZmQwU=/300x0/arc-anglerfish-arc2-prod-ajc/public/2NQ7XTJZ6JQVAI7SWBVFF3Q7T4.jpg","version":1,"originalName":"https://www.ajc.com//rw/Pub/p11/AJC/2020/03/17/Images/newsEngin.25473347_031720-cv-photo-js3.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"KFFMRED475GOFMCZLMZY4GBSZU","publicationStartDate":"2020-03-17T20:40:00Z"},"created_date":"2020-06-29T22:32:53Z","last_updated_date":"2022-08-31T18:21:33Z","publish_date":"2020-03-17T20:40:00Z","height":1170},{"_id":"DD2TIRBLX5A5TFQJSDZKUOOUX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948053},"type":"text","content":"AMC’s emergency room on Parkway Drive sees more than 100 patients a day. While Grady Memorial Hospital’s ER is busier, the Atlanta region’s emergency rooms and trauma centers run full or close to full most of the time, with few emergency beds to spare."},{"_id":"DRVARGL4DJBGZBSOO5BISHIZKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661973921582},"type":"text","content":"AMC is one of five state-designated Level I trauma centers in Georgia, only two of which are in metro Atlanta. Together with Grady, two miles away, it serves as a hub for thousands of victims of violence, car crashes and brain trauma who have no time to lose."},{"_id":"7BQ6R4XRERAUXIZ27D7D3HTVDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948054},"type":"text","content":"On Wednesday mid-afternoon both Grady and Wellstar AMC were reporting their ER statuses as severely crowded. Wellstar was signaling to ambulances not to come to AMC with new patients for ER, intensive care and regular medical beds."},{"_id":"6CYI6KVK6VGDLK3WO4Q3MHQDYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661959183781},"type":"text","content":"In statements this spring regarding the changes at its AMC facility in East Point, Wellstar officials strongly made the argument that patients themselves had chosen other hospitals when they needed inpatient care, and too many patients there didn’t need a full-fledged hospital."},{"_id":"EXPP7LVWNJBUPK2QFUV5P4C7VQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307828},"type":"text","content":"Wellstar is a major health system across the northwestern part of the state. It purchased AMC and AMC South in 2015 as part of a package of five hospitals, from the private hospital company Tenet. The financial prize in that package was North Fulton Hospital in Roswell."},{"_id":"I3LHXPEKHBGN7J2A2ARCDIO3SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307829},"type":"text","content":"Tenet at that time told the AJC that “We have a deep respect for WellStar’s commitment to the Atlanta community and its people. We are pleased our people and operations are joining a network with a shared vision to continuously improve health care and invest in its system’s growth.”"},{"_id":"Z4XG5DNYJRGY3L6OPMYL66AL4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1661961135396},"type":"text","content":"Wellstar, like most hospital systems, is a nonprofit organization and so is excused from paying taxes because of the expectation it will work for the public good."},{"_id":"3N3MIBHM5BHURPKMBOQ5QBXGZU","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307833},"type":"text","content":"Still, nonprofit hospitals work hard to make money, and Wellstar makes more money from its hospitals outside of downtown."},{"_id":"66CLTJIK55D3BI4TZEVB6YMJKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948063},"type":"text","content":"Where a hospital is located has important financial implications. Being in an upper-income area means patients who walk in the door are more likely to be able to pay their bills, either with commercial insurance or cash. In a less affluent area, they are less likely able to pay."},{"_id":"AQHMQ7KPZRHU7MXMJHKMLWYMKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948064},"type":"text","content":"Lower-income people are more likely than in almost any other state to be completely uninsured. Part of the reason for that, experts say, is that Georgia is one of 12 remaining states that have declined to expand Medicaid to all its adult poor."},{"_id":"ET4QZYYXS5B6FBLJHBP3YIUV3Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948065},"type":"text","content":"The Wellstar news quickly factored into the race for Georgia’s top office between Kemp and Stacey Abrams."},{"_id":"7CMMDK4WP5H6NHXEMUKUN2KBL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948066},"type":"text","content":"The Democrat has long maintained that expanding Medicaid in the state would have prevented a spate of closures of healthcare facilities around the state."},{"_id":"FFNOZV36GRFQFMQWA74VTXTUKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948067},"type":"text","content":"”Brian Kemp has once again placed his extremist agenda before the lives of Georgians,” said Abrams. “Sadly, whether you live in rural, urban or suburban Georgia, Kemp has united every region in a healthcare crisis of spiraling costs and declining access.”"},{"_id":"UPTOW4XN65DEBH5BDUGG5BQ6FI","additional_properties":{"inline_comments":[{"pos":0,"comment":"Kemp’s office wouldn’t comment on the potential hospital closure."}],"comments":[],"_id":1661970948068},"type":"text","content":"Kemp and other top state Republicans have opposed Medicaid expansion as too costly for the state and too inflexible for patients."},{"_id":"6IKIDYQVMRGU7B6ZBDBE6OBZLQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1661970948069},"type":"text","content":"The governor has instead pursued a more limited Medicaid expansion tied to work and academic requirements. His program was recently upheld in the federal courts, a key victory for his healthcare agenda ahead of his November bid for a second term."},{"_id":"I4XCHTPAVJB2XMGPFFWQEXKP24","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307834},"type":"text","content":"According to documents filed with the state, Wellstar AMC saw indigent and charity patients more than 50,000 times in the latest year available, 2020. That’s nearly 8,000 more than Wellstar’s Flagship hospital in Marietta, Wellstar Kennestone, the same year. Wellstar put the cost of indigent and charity care at $308.6 million for both AMC locations."},{"_id":"EZ3HFW6WONHCXCYNURSNIAFNXU","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307835},"type":"text","content":"Both AMC locations had been losing money: $40 million last year, according to its most recent posted financial statement."},{"_id":"6ZQACDRQSRF3HARXENZFBYR7KY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307836},"type":"text","content":"Overall, the system was quite healthy, Wellstar told bond investors. Wellstar reported earlier this year that it had $2.8 billion in net assets as of September, and enough cash on hand to run the entire hospital system for more than half a year if necessary."},{"_id":"Z5GS4XDUCZEQZPC5JSUGLFP2DY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307837},"type":"text","content":"Wellstar has faced criticism that it has disinvested in AMC and in AMC-South."},{"owner":{"sponsored":false,"id":"ajc"},"copyright":"2022 Atlanta Journal-Constitution","address":{"locality":"Atlanta","region":"GA"},"caption":"April 28, 2022 Atlanta - Exterior of Wellstar Atlanta Medical Center South on Thursday, April 28, 2022. Wellstar Atlanta Medical Center South will close the emergency department and hospital beds at its hospital in East Point in May. The facility will instead become a 24-hour clinic for urgent care and rehabilitative services. The hospital, Wellstar Atlanta Medical Center South, currently has the only ER within Fulton County south of I-20. 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And we do have the capacity there,” Saunders said in the interview this spring. “So those patients who do need the higher level of emergency care, they will be working with EMS and we will get them to the emergency department in one of the surrounding hospitals...we have capacity at Atlanta Medical Center main campus.”"},{"_id":"54CGEHSJ2VCP7BWH7PVB7IIM7M","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307842},"type":"text","content":"Atlanta Medical Center started out as an infirmary at the turn of the 20th century. It grew, became Georgia Baptist Hospital and in 1921 and 1922 moved from Luckie Street to its present location on Boulevard and what is now Parkway Drive."},{"_id":"V6CFMA3OIRBM5NB3EAQO6GME5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1661959183794},"type":"text","content":"AJC editor and writer Scott Trubey contributed to this story."},{"_id":"ITV4RXM7NNBQPGWYIYV352R2DY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661946307843},"type":"text","content":"
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Walden, 61, of Covington would soon discover that he had light-chain amyloidosis, a rare bone marrow disease that occurs in 1 in 10 million people. Without treatment, patients live 9 to 12 months."},{"_id":"VIJYLB4UKFHXNODJMTPEKH45SI","additional_properties":{"inline_comments":[],"comments":[],"_id":1661791043578},"type":"text","content":"His local doctor performed tests on him, but was unable to confirm his condition to start treatment. So, Walden received a virtual second opinion from The Clinic by Cleveland Clinic and was able to start chemotherapy after the virtual visit."},{"_id":"SOPEKKO26ZAQZH36QGKHNSKSOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1661277108548},"type":"text","content":"“I had my doubts about virtual medicine, but, in this case, they were able to examine the work that had already been done by practitioners that had their hands on me,” he said. “They stitched together all of the important information into a diagnosis.”"},{"_id":"GDENCKZNVBGURMKMCISD6L4XE4","additional_properties":{"comments":[],"_id":"IMVFDUA4D5BI3MIHBQVCVU5NXE"},"type":"interstitial_link","content":"Dozens of Atlanta schools to offer telehealth services to students","url":"https://www.ajc.com/education/dozens-of-atlanta-schools-to-offer-telehealth-services-to-students/UASEH7R2XNF33H3QKT4LDSPN7M/"},{"_id":"S4ZKEZJQ4FAVDPD2N3CEWEXGTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1661277108550},"type":"text","content":"Along with the benefits of telehealth, there are concerns of increased healthcare fraud."},{"_id":"6OAPQBOGPBFMPG27DQHHICUGFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1661277108551},"type":"text","content":"“During the pandemic, we saw more COVID-related fraud schemes to include the use of fake testing sites, using telemarketing calls, social media, etc. to offer COVID-19 services in exchange for personal information,” said Tamala Miles, special agent in charge of HHS’ Atlanta regional Office of Investigation within the Office of Inspector General."},{"_id":"ZY7N7LII3RGR7NTCIWILP3A6HE","additional_properties":{"inline_comments":[],"comments":[],"_id":1661284191086},"type":"text","content":"In July, the Department of Justice charged 36 defendants around the country with committing a variety of alleged healthcare fraud schemes, including $1 billion in telemedicine schemes. Some of the defendants charged allegedly controlled a telemarketing network, based both domestically and overseas, that lured thousands of elderly or disabled patients into a criminal scheme."},{"_id":"BO5ITJKMEVHWJNFYCJ5YG2FZGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1661277108553},"type":"text","content":"“During COVID, our oversight has never been more important. We have not missed a beat in addressing the ongoing public health emergency. 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A South Georgia judge had issued a sweeping nationwide injunction involving all federal contractors, but the appeals court narrowed the injunction to only the companies that filed suit."},{"_id":"J2NGZBNXRBBW3PL2YUX5TVI3K4","additional_properties":{"inline_comments":[],"comments":[],"_id":1661718585182},"type":"text","content":"But this may not last long. 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Brian Kemp and Attorney General Chris Carr deepened a divide over the Biden administration’s strategy to contain the pandemic. Florida Gov. Ron DeSantis filed a similar challenge, and Georgia’s litigation was brought in tandem with Alabama, Idaho, Kansas, South Carolina, Utah and West Virginia."},{"_id":"K6TTGEL4IRFFNI4FJBGCVDDEHQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1661718585188},"type":"text","content":"“In addition to being an unlawful and unconstitutional overreach, this vaccine mandate on federal contractors will only further divide Americans and hamstring our economy,” Kemp said in a statement last year when the suit was filed, adding that the White House should not “force hardworking Georgians to choose between their livelihood or this vaccine.”"},{"_id":"SMLBZ3GM5ZDBPLABFHISIUHV2M","additional_properties":{"inline_comments":[],"comments":[],"_id":1661718585189},"type":"text","content":"The lawsuit had long been expected. 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That order, which was set to take effect in December, covers thousands of Georgians who work for public agencies such as the higher education system."},{"_id":"KR4O7MHORFD7BIH7IOF4PR2QNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661722278904},"type":"text","content":"Biden argued at the time that sweeping vaccine mandates would help end the deadly pandemic, but Republicans nationwide opposed the vaccination requirements and threatened legal challenges."},{"_id":"VV6KHWGNYRDHTPAWB7XKJCMPBA","additional_properties":{"inline_comments":[],"comments":[],"_id":1661722278905},"type":"text","content":"Georgia and the other states argued that large number of federal contract workers would quit, forcing states to choose between breaching the contracts because of a reduced labor force that can’t do all the work or breaching the contracts by retaining unvaccinated employees in violation of federal rules."},{"_id":"2J237GT47RH7JDJOWWZSR3FDUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1661718585192},"type":"text","content":"Public health experts maintain the vaccine mandates are a crucial step to containing a pandemic that has now killed more than 32,000 Georgians."},{"_id":"OQYDHIMLXREIJEJEUP5SXSTD2U","additional_properties":{"inline_comments":[],"comments":[],"_id":1661716655966},"type":"text","content":"
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This includes hospitalizations: Hispanic children made up 36% of COVID hospitalizations and Black children, 21%, according to a study published this spring. Meanwhile, only 25% of U.S. children are Hispanic and 14% are Black."},{"_id":"FJUCDSOFXZC47DG47CBD5GC3EI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660943894845},"type":"text","content":"The plan recommends schools adopt strategies such as temporary mask mandates, vaccination campaigns, scheduled testing and improved air ventilation and filtration."},{"_id":"FBTIJTSC3BFX5OXBAQIN2R6I4E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167823},"type":"text","content":"It suggests that schools give students five to ten KF94/KN95/N95 masks twice a year, and require mask-wearing during COVID surges as defined by “high” CDC community transmission levels. Vaccinations should be offered at community events centered around families of students, and schools should conduct opt-out testing, or provide take-home tests."},{"_id":"3DBLIBRZ6NHSBDGDUIJGHG46XE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863481},"type":"text","content":"Lead author and public health policy scientist Julia Raifman released the document online Aug. 15, several days after the CDC issued new COVID guidelines. The effort has drawn signatures of support from 149 scientists, doctors, public health personnel, teachers and school nurses across the country. Raifman hopes the plan fills a vacuum left by the CDC revision, which includes relaxed quarantining and social distancing recommendations."},{"_id":"JMWXGC4JTNELLOIG3C4MOWGZRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863482},"type":"text","content":"“We look to the CDC for policy guidance, and they should set a high bar — what evidence shows works, what’s important for equity. Unfortunately, they haven’t done this. Given this, we developed policy guidelines to help state and local leaders,” said Raifman, a Boston University professor whose previous work includes overseeing a database detailing state COVID policies."},{"_id":"OWE5WAP7AZA63F4Q5QK73VFGFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863483},"type":"text","content":"State Rep. Rebecca Mitchell, D-Snellville, also helped write the plan. Mitchell, who is an epidemiologist, acknowledged the challenges of implementing the plan’s measures in Georgia, where such policies as mask mandates have drawn opposition from some parents."},{"_id":"OZZAAJOGWNGVZKHUYVWM7ZNTRE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660917709518},"type":"text","content":"“The political practicalities are pretty grim,” Rep. Mitchell said. She noted that school systems in some states, such as Massachusetts, offered take-home COVID tests to students. “The fact that this hasn’t happened here doesn’t make it less of a best practice,” she said."},{"_id":"N3FWAGOQH5GDNPLGUVIFCYTZE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863484},"type":"text","content":"“We need to be setting public health policy based on equity, rather than what’s popular,” Rep. Mitchell added."},{"_id":"GY2MQPLFQ5BJJNXYQCE45TSQDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167829},"type":"text","content":"Ga. State Schools Superintendent Richard Woods did not respond to requests for an interview about the plan to “understand his reaction to its components,” and instead sent an e-mail statement supporting local school districts having “the flexibility to respond to community needs.”"},{"_id":"NRWD65AUYJABPM33LHNOB225O4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167830},"type":"text","content":"“We will continue to follow the recommendations of the public-health experts at the Georgia Department of Public Health,” the statement read."},{"_id":"EKVQ57VL5ZB35B6LWV55Y3JS5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167831},"type":"text","content":"Raifman observed that polls consistently show a majority of Black and Hispanic people supporting mask-wearing in schools. “We need to consider the people who are disproportionately affected” by COVID, she said. That impact has not only been seen in hospitalization rates. Another measure of the pandemic’s disproportionate affect on children of color is the loss of a parent or caregiver. One study released in late March estimates that 4,795 Black children across the state lost a parent or caregiver to COVID, the second-highest amount in the nation, after Florida."},{"_id":"QUTQY2ABRBEVTNMFASIFWJT34U","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167832},"type":"text","content":"Dr. Peter Rebeiro, professor of medicine in the division of infectious diseases at Vanderbilt University Medical Center, also supported the plan. He noted that lingering cardiovascular, neurological and cognitive conditions — part of what is called “long COVID” — are not completely understood, in children or adults."},{"_id":"C2DXTJVBKZHWJLE5O4B4JVU6FQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660904167833},"type":"text","content":"“Without knowing the long-term risks, it seems like a good idea to mitigate as much as possible,” he said."},{"_id":"GWUHKHS7U5GRDMC7UAVSD45WYU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863489},"type":"text","content":"Dr. Stella Safo, HIV physician and founder of Just Equity for Health, a nonprofit organization, said the plan’s measures would help reduce the outsized impacts of COVID to date on children with disabilities and chronic diseases, as well as Black and Latino students and their families."},{"_id":"GPUGCBMFMNBLFA6LPT7LLHL4SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660906863490},"type":"text","content":"“What is happening is certain portions of our populations are suffering more — they’re losing parents, missing work, perhaps suffering long-term disabilities,” she said. “If everyone’s not impacted in the same way, how can we take measures to have more equitable outcomes?”"},{"_id":"4YCE66M6FFGR5HICBXJI5L4NXU","additional_properties":{"inline_comments":[],"comments":[],"_id":"LJNE4XJP3NB7PDHKNBOW37AARA"},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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Brian Kemp to proceed with his plans for a narrow expansion of Medicaid drew quick reaction from citizens and politicians alike."},{"_id":"7LA4MNHBWFGYVMTTFQ55HQHXIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763766},"type":"text","content":"The issue of whether to fully expand Medicaid to all of Georgia’s poor adults — or expand it in a limited manner with work and engagement requirements, as Kemp proposes — has remained a key question in state policy and a hot political one."},{"_id":"QGMQDTFX4NHEDLKRGB43PDHBMQ","additional_properties":{"comments":[],"_id":"XGSBLOXSJBHWFNQPVCLJKWNKG4"},"type":"interstitial_link","content":"EARLIER IN THE AJC: Judge says Georgia Medicaid plan can be implemented","url":"https://www.ajc.com/news/coronavirus/judge-says-georgia-medicaid-plan-can-be-implemented/W4V7LV77LNGZLDPCFNTTPEJLEA/"},{"_id":"TISIMBRNXBD2HAILVC2G7WGCNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763768},"type":"text","content":"Stacey Abrams, who is running against Kemp for governor in November’s elections, has made full Medicaid expansion a top priority."},{"_id":"RSHOWECEARA53LLKX3UJNTC42Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763769},"type":"text","content":"In a statement to the AJC after the judge’s ruling Friday, Abrams spokesman Alex Floyd said, “Georgians are already struggling with high prices across the board, but Brian Kemp continues refusing to take steps like actually expanding Medicaid that could bring down health care costs for all Georgians."},{"_id":"AWWEQAFGZNCYDGHMWH6NAXBNO4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763770},"type":"text","content":"“Instead,” Floyd said, “Kemp is still trying to force through expensive halfway measures that cover fewer Georgians at a higher price.”"},{"_id":"W2UMDJATEBAHZG2R6PDRSDQT4M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763771},"type":"text","content":"Under the Affordable Care Act, states can decide what to do about Medicaid when it comes to their uninsured poor adults. A full expansion of Medicaid would be 90% funded by the federal government, a special rate for full expansion programs that would bring billions of federal dollars into the state. Under Kemp’s more modest plan, the federal contribution to Medicaid coverage would be the regular rate of just about 66%, with the remainder paid by the state."},{"_id":"ADP26AG3PBED5OADHWPUQ5CTEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763772},"type":"text","content":"A full expansion would also cover far more people — perhaps 400,000 as opposed to 50,000 under Kemp’s plan — which multiplies that federal contribution far more. Hospitals like that idea, which might relieve their financial burden of treating uninsured patients and not getting reimbursed."},{"_id":"BDZGBXUNEREGFAA5JKZVCUVI5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763773},"type":"text","content":"But any Medicaid expansion would require money from the state general fund, too. If the state is paying 10% of the cost for 400,000 people, that’s a lot of money. Republican state leaders have expressed concern about that."},{"_id":"OOJXNJSDRZGKDOG5ZJX2ZYYZYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763774},"type":"text","content":"Kemp on Friday celebrated the judge’s ruling in a tweet."},{"subtype":"twitter","referent":{"referent_properties":{"additional_properties":{"comments":[],"_id":1661007454212}},"provider":"https://publish.twitter.com/oembed?url=","service":"oembed","id":"https://twitter.com/GovKemp/status/1560697887025233920?s=20&t=CO5U28uoUKqYFtkNcJnMQw","type":"twitter"},"_id":"Y37YOUMJ5REWXANZPJU6MUXYPY","raw_oembed":{"author_name":"Governor Brian P. Kemp","cache_age":"3153600000","provider_url":"https://twitter.com","type":"twitter","version":"1.0","url":"https://twitter.com/GovKemp/status/1560697887025233920","author_url":"https://twitter.com/GovKemp","width":550,"html":"

✅ Ruled the Biden Admin erred in striking down our innovative healthcare waiver which would better serve Georgians than a one-size-fits all Medicaid expansion.

🧵⬇️ pic.twitter.com/yu7FcKHk6K

— Governor Brian P. Kemp (@GovKemp) August 19, 2022

nn","_id":"https://twitter.com/GovKemp/status/1560697887025233920?s=20&t=CO5U28uoUKqYFtkNcJnMQw","additional_properties":{"comments":[],"_id":1661007454212},"provider_name":"Twitter","height":null},"type":"oembed_response"},{"_id":"3REHXSRGZNFUHMOYDVMPPYDZZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763776},"type":"text","content":"
"},{"_id":"XC25C7GRQFATVAVMMT4XWST2RU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763777},"type":"text","content":"The Georgia Public Policy Foundation, a libertarian-leaning think tank, agreed with him."},{"_id":"WWAS7BUR3ZCXTJ5AE4W5D2TEXM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763778},"type":"text","content":"Foundation president Kyle Wingfield wrote in a statement online, “This waiver was a well-considered effort to offer a path to health coverage for low-income Georgians in a better way than traditional Medicaid — exactly the kind of demonstration project that Section 1115 of the Social Security Act is meant to encourage.”"},{"_id":"FO2DMDMDWNE7NFHK6X6DPUFVXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763779},"type":"text","content":"Kemp’s plan is called a “demonstration waiver” because federal law allows the government to waive some requirements for states to try out proposals that might customize a program to the state’s needs. They’re called demonstration waivers because they try to demonstrate the proposal’s success."},{"_id":"I3YPZLYJ7NAXVA3IVAUWBQ5FHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763780},"type":"text","content":"Wingfield said that for those who get covered under the Kemp plan, there is also the possibility for some of advancing to private insurance coverage. “This kind of coverage offers them better access to more healthcare providers, which in turn should lead to better health outcomes,” he said."},{"_id":"VAURT6WP5JB7VAPISOHF36PEGA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763781},"type":"text","content":"Georgians for a Healthy Future, which prefers full Medicaid expansion, disagreed."},{"_id":"FQRJL277YVAGRAA2S5ZLQJQZK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763782},"type":"text","content":"“If today’s court ruling stands and the Governor moves forward with his plan,” wrote GHF director Laura Colbert, “most of the uninsured Georgians who keep our communities moving will still have no meaningful pathway to health coverage. Nine in ten of those Georgians will still be uninsured without meaningful access to a doctor. Our rural hospitals will continue to struggle to keep their doors open.”"},{"_id":"CS3KZFKACBAVVJMUEIWQXFYFDQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763783},"type":"text","content":"“The Governor will spend three times more per person than is necessary,” she said, referring to the federal contribution, “leaving billions of dollars on the table that are meant to improve health care access for Georgians.”"},{"_id":"AVXPWC3RKZH2JEK22UI2XB2JZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763784},"type":"text","content":"The Biden administration’s U.S. Centers for Medicare and Medicaid Services did not provide comment Friday by deadline."},{"_id":"A35LCTWBJ5BSZF764VD7ZKLCHI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763785},"type":"text","content":"CMS will almost certainly appeal the ruling."},{"_id":"I6OFKENZ7NDG5AFSIGZECI3H6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660945531388},"type":"text","content":"AJC reporter Greg Bluestein contributed to this story."},{"_id":"HFCWEL5KGFG4PJ6PFJROQCX754","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763786},"type":"text","content":"
"},{"_id":"2JWTXB5XKJFFZAXHVZM6WHSOLM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660944763787},"type":"text","content":"
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He said the effort is an attempt to “meet people where they are.”"},{"_id":"5K6LQVKGFJHV3F5SCI37ONVY5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593144},"type":"text","content":"At least a dozen U.S. pride events are scheduled over the next two months, including large gatherings in Atlanta and New Orleans in early September. U.S. officials said they will send up to 2,000 additional doses to North Carolina, where the Charlotte Pride Festival & Parade will be held this weekend."},{"_id":"QDG6IA2AEBGYJKVLFP3P2MTZ2Y","additional_properties":{"comments":[],"_id":"3TLYQV7F25BH7NBHFQHEUJYYGE"},"type":"interstitial_link","content":"Early data shows monkeypox disproportionately affecting Black men","url":"https://www.ajc.com/news/atlanta-news/early-data-shows-monkeypox-disproportionately-affecting-black-men/D5C6I4VUSVBUZLMBFO75SETFGI/"},{"_id":"RGIEAIMEVJAJJAKHTWLK44DTPA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660930705010},"type":"text","content":"Atlanta Black Pride events begin on Aug. 31 and continue through Sept. 6. Organizers said they are taking extra precautions to prevent the spread of the monkeypox virus."},{"_id":"5DCGGRXARVF5PJN2QKZPGSVNCY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660930705011},"type":"text","content":"“Our events are being monitored so that they are not overpacked… I think that the issue that you’re going to have when it comes to monkeypox are going to be the club events, the nighttime events and the pool parties,” said Amber Moore, chief operating officer and vice president of Atlanta Black Pride."},{"_id":"QHM6JSPDG5EG5HYYBAG5ZQYJ54","additional_properties":{"inline_comments":[],"comments":[],"_id":1660930705012},"type":"text","content":"“Those events will have to be more cautious from what I’ve heard.”"},{"_id":"2A37VA2HRJAPPCNPVPNOD74N5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1660930705013},"type":"text","content":"Moore said that Atlanta Black Pride typically draws 20,000-40,000 visitors during Labor Day weekend each year. She also noted that organizers are taking steps to limit coronavirus infections as well."},{"_id":"4EB7DVBOZRFQBKP5PYIVVT6S2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1660930705014},"type":"text","content":"“COVID is still on the rise. Let’s not just focus on monkeypox. We have to focus on both because both are on the line,” she said."},{"owner":{"id":"ajc"},"workflow":{"status_code":4},"caption":"Atlanta Black Pride typically draws 20,000-40,000 visitors during Labor Day weekend each year. Organizers say they are taking steps to limit monkeypox and coronavirus infections at this year's event. (Curtis Compton / 2019 AJC photo)nn","source":{"system":"Methode","source_type":"other","source_id":"cfecec6c-ca57-11e9-97ad-3d564dd93f6d","additional_properties":{"editor":"photo center"}},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/F2EH4M34666C2ISQMNDG7TCL4U.jpg","licensable":false,"display_date":"2019-08-29T12:23:31Z","credits":{},"subtitle":"Ultimate guide to Black Gay Pride Weekend 2019","width":2048,"first_publish_date":"2019-08-29T12:23:31Z","_id":"F2EH4M34666C2ISQMNDG7TCL4U","additional_properties":{"fullSizeResizeUrl":"/resizer/g44CmAL5LNANLJ8oPyy4Kda2drI=/arc-anglerfish-arc2-prod-ajc/public/F2EH4M34666C2ISQMNDG7TCL4U.jpg","comments":[],"proxyUrl":"/resizer/g44CmAL5LNANLJ8oPyy4Kda2drI=/arc-anglerfish-arc2-prod-ajc/public/F2EH4M34666C2ISQMNDG7TCL4U.jpg","takenOn":"2019-08-29T12:23:31Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/F2EH4M34666C2ISQMNDG7TCL4U.jpg","published":true,"resizeUrl":"/resizer/g44CmAL5LNANLJ8oPyy4Kda2drI=/arc-anglerfish-arc2-prod-ajc/public/F2EH4M34666C2ISQMNDG7TCL4U.jpg","thumbnailResizeUrl":"/resizer/jaHquHmKTzP4AQ1f_UokyZSULW4=/300x0/arc-anglerfish-arc2-prod-ajc/public/F2EH4M34666C2ISQMNDG7TCL4U.jpg","version":0,"originalName":"https://www.ajc.com//rw/Pub/p10/AJC/2019/08/29/Images/newsEngin.24625629_090516-pride-fest-CC12.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"QTAJJHAXVZBIZAZWZMCXRDTEOM"},"created_date":"2020-06-27T19:41:30Z","last_updated_date":"2020-06-27T19:41:30Z","publish_date":"2019-08-29T12:23:31Z","height":1340},{"_id":"35LYXGN33RD3ZO2UWNXZ3YDE7I","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593147},"type":"text","content":"Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, cautioned: “While we are offering the (monkeypox) vaccine at these events to those at high risk, this is a two-dose vaccine series, and receiving the vaccine at the event will not provide protection at the event itself.”"},{"_id":"IYNR56TRYVDNLLTJZSSPLVDHWM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660934243132},"type":"text","content":"As of Friday, Georgia reported 1,066 monkeypox cases, according to the Centers Disease Control and Prevention. Meanwhile, over 12,000 people in Georgia have received at least one dose of the vaccine, according to the Georgia Department of Public Health."},{"_id":"GFIO5JN4QBGORD6KAFYGGRLW4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937639268},"type":"text","content":"Monkeypox has hit Black Georgians hard: They account for over 700 of the state’s cases. Questions of equity have come up around vaccines. Despite Black people making up 70% of cases in the state, they have received only 45% of the vaccines doses, according to statistics released DPH."},{"_id":"ZERVO3UNGFDSTPBYN36LNPWO2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593145},"type":"text","content":"Southern Decadence, one of the nation’s largest LGBTQ events, is expected to attract 200,000 or more people to New Orleans over Labor Day weekend. The Bourbon Street Extravaganza, a free concert held amid the event, has been canceled over monkeypox concerns, organizers said this week."},{"syndication":{"search":true},"language":"en","taxonomy":{"primary_site":{"path":"/news/video","name":"Videos","_id":"/news/video","type":"site","version":"0.5.8","primary":true},"sites":[{"path":"/news/video","name":"Videos","_id":"/news/video","type":"site","version":"0.5.8","primary":true}],"sections":[{"path":"/news/video","_website":"ajc","name":"Videos","_id":"/news/video","type":"section","version":"0.6.0","primary":true}],"tags":[{"text":"sp-pulse"},{"text":"teamsandra"}],"primary_section":{"path":"/news/video","_website":"ajc","name":"Videos","_id":"/news/video","type":"section","version":"0.6.0","primary":true},"seo_keywords":["teamsandra"]},"source":{"system":"video center","edit_url":""},"type":"video","related_content":{"redirect":[],"basic":[]},"tracking":{"in_url_headline":"how-to-avoid-monkeypox-stigma"},"short_url":"/news/video/how-to-avoid-monkeypox-stigma/fde9b2e7-894e-4bcb-99ee-9f8f336cf7d5/","duration":70016,"promo_image":{"credits":{},"width":1920,"caption":"FILE - This 2003 electron microscope image made available by the Centers for Disease Control and Prevention shows mature, oval-shaped monkeypox virions, left, and spherical immature virions, right, obtained from a sample of human skin associated with the 2003 prairie dog outbreak. 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He said so far officials have done an adequate job with the vaccine campaign although “more is better.”"},{"_id":"3QTQFIKG4RFD5ISUVV35M4QUIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593148},"type":"text","content":"Health officials also are urging other steps to prevent the spread of the virus, including temporarily limiting sexual partners."},{"_id":"IR4K4NHJNVCIZJNVI2JTPBRPY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593149},"type":"text","content":"Monkeypox is endemic in parts of Africa, where people have been infected through bites from rodents or small animals, but it wasn’t considered a disease that spreads easily among people until May, when infections emerged in Europe and the U.S."},{"_id":"NJ326R57DBCQLFIDW7GCMMB7BY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593150},"type":"text","content":"There have been more than 39,000 cases reported in countries that have not historically seen monkeypox. The U.S. has the most infections of any country — more than 13,500. About 98% of U.S. cases are men and about 93% were men who reported recent sexual contact with other men."},{"_id":"XTE2SREOOZDRFLC6PO4JU5PWWM","additional_properties":{"comments":[],"_id":"TNU6WYGKTZH2RJV6ER5DL25MX4"},"type":"raw_html","content":""},{"_id":"E2UHQQD45BBLNIAWPEMPSQKIGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660933816426},"type":"text","content":"Monkeypox has been spreading mainly through prolonged skin-to-skin contact, including kissing as well as shared bedding and towels. Monkeypox causes fever, swollen glands, lesions and can be extremely painful."},{"_id":"XIESW3JIAVC3DDBHAYODTKXGOQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593153},"type":"text","content":"People with monkeypox may experience fever, body aches, chills and fatigue. Many in the outbreak have developed extremely painful zit-like bumps. No one in the U.S. has died, but deaths have been reported in other countries."},{"_id":"VMJENCB5S5GXDGKYUI5S5SWYKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593154},"type":"text","content":"The U.S. has a limited supply of what is considered the main weapon against the virus — a vaccine called Jynneos. The doses are currently being given to people soon after they think they were exposed. Scientists are still trying to establish how well the shots are working."},{"_id":"NG4UWS4ZQNFMDDI42JERRNO5EA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593155},"type":"text","content":"The government last week moved to stretch the supply by giving people one-fifth the usual dose, injected just under the skin, instead of a full vial injected into deeper tissue."},{"_id":"LDTPEYXQVNE3LDOX5G5HXYN3N4","additional_properties":{"comments":[],"_id":"TIR3FO6OWZFXXMJMAPEPXB52IM"},"type":"interstitial_link","content":"Racial disparities revealed in monkeypox vaccination data","url":"https://www.ajc.com/news/coronavirus/racial-disparities-revealed-in-monkeypox-vaccination-data/BW2IQAM5NBGKHPRONDV7VVNFZI/"},{"_id":"LLXQJA5J75GCZP4LVFZ2CBJSWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593156},"type":"text","content":"Many health workers may have little experience giving shots using the just-under-the-skin method, which requires different needles and syringes."},{"_id":"E2RFHIQVXBFKHFJ3AMOV3I43N4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660933816431},"type":"text","content":"Officials this week announced the release of 442,000 of the smaller doses for order by state, local and territorial health departments. On Thursday, they said more is coming next week — 1.8 million doses, or 360,000 vials."},{"_id":"YERSMFIGBJA3XLT2X5NFUJ5SAU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593158},"type":"text","content":"Officials also announced a new agreement with a Michigan manufacturer to help speed production of 5.5 million vaccine vials recently ordered by the U.S. government."},{"_id":"6H4OTZXVL5ATNCQMI2USLH3FPI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593159},"type":"text","content":"Under the deal, Grand River Aseptic Manufacturing will help package raw vaccine ingredients currently stored at an overseas facility owned by Bavarian Nordic, which makes the Jynneos vaccine. Officials said the extra capacity should help speed up U.S. vaccine orders, most of which weren’t expected to be delivered until next year."},{"_id":"JB22K4R6PNHVLCBC32KK45F2NE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593160},"type":"text","content":"Also on Thursday, health officials said next week they will boost the supply of TPOXX, a drug for treating monkeypox infections, by 50,000 treatment courses."},{"_id":"AZ7I55PYOFHW7BEXAMILLWBNN4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660915593161},"type":"text","content":"The Associated Press contributed to this report"},{"_id":"Y2Y3YVTPFRGGFGDWUFO7FHQ5AA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660938731373},"type":"text","content":"
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That leaves hundreds of thousands of the poorest Georgia adults without coverage. Gov. Brian Kemp proposed a plan that would instead result in Medicaid insurance for a more limited number of enrollees. The Biden administration opposes those limitations."},{"_id":"OIW2IXEAJZGLBFY7EFTKKVB6WM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545182},"type":"text","content":"Kemp celebrated the ruling on Twitter Friday. His plan, he tweeted, “would better serve Georgians than a one-size-fits-all Medicaid expansion.”"},{"_id":"WF3IRJ55NZCBTDPTDOTROZ6F5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545183},"type":"text","content":"Under Kemp aides’ original calculations, the Georgia plan would end up covering about 50,000 of Georgia’s poor adults, whereas a full Medicaid expansion would cover all without insurance, or about 400,000. The other 350,000 would be left uninsured, their analysis found, either unwilling or unable to meet the work and engagement requirements."},{"_id":"CSEDPF74AVFCFMFOWF56JXVRRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545184},"type":"text","content":"In Georgia, Medicaid covers most children. It covers adults in a few situations, such as some in nursing homes, or those who have been federally declared to be disabled. It does not cover most non-elderly adults."},{"_id":"NSYOOLXMUFESJGKUCWTYXH2JLQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545185},"type":"text","content":"Advocates for the poor say that many of the disabled poor are never officially declared disabled, and so never qualify for Medicaid coverage. They say many either don’t fit the stringent requirements — for example, being disabled by a condition that could be fixed by a surgery, but unable to get the surgery — or they are too disabled to go through the process of obtaining the declaration, for example if they are mentally ill."},{"_id":"GODYTMMHWBFDXE5DOKUMQVLSS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545186},"type":"text","content":"Kemp’s engagement requirements for new Medicaid enrollees would offer a choice among specified activities. That could include working a regular job for 80 hours a month, or working 80 hours a month for a registered nonprofit. Working informally, for example as a live-in aide to a relative with dementia, would not qualify."},{"_id":"HB5K73FYDNFSHHIFWT24FLQCWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545187},"type":"text","content":"Work requirements for access to Medicaid have repeatedly been struck down by the courts. Courts have said eliminating someone from coverage because of a work requirement does not meet the objective of Medicaid, which is to provide health coverage."},{"_id":"OOBXFHUATVHCTGJOKVWQX6WRL4","additional_properties":{"inline_comments":[{"pos":35,"comment":", known as an 1115 waiver after the legal section it falls under, "}],"comments":[],"_id":1660937545188},"type":"text","content":"Georgia has argued that its waiver was more flexible and wasn’t the same as a work requirement. Georgia argued that imposing the requirements would improve the lives of those in the program."},{"_id":"DUNRPZ53UBCYFLHM7NQ3PMN334","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545189},"type":"text","content":"Critics say it does the opposite."},{"_id":"PYXOYKX2AFHPBOR62EBRZPXANI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545190},"type":"text","content":"“Gov. Kemp is right in his claim that health and employment are related, except he puts the cart and the horse in the wrong order,” Laura Colbert, director of Georgians for a Healthy Future, said in a statement. The group endorses full Medicaid expansion."},{"_id":"3OMEVZ2A3NFXHAGLYGTXSI3YTU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545191},"type":"text","content":"“It is access to health care and a person’s improved health that enable people to go to work, be successful, and contribute to their communities,” Colbert said. “The Governor’s insistence on requiring work for health coverage completely ignores full-time parents and caregivers, students, and people going through mental health or addiction recovery.”"},{"_id":"2GTL5V6SJBBIBNTTUZMNN6RGDM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545192},"type":"text","content":"The Trump administration approved Georgia’s plan, called a “waiver,” in its waning days. The Biden administration never looked favorably on its limitations."},{"_id":"PBPDR6BK55C6HKF2IVIH4BEYRQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545193},"type":"text","content":"In blocking the work and engagement requirement, the Biden administration argued that the pandemic had changed the original calculations for the waiver plan, bringing its foundation into question. The U.S. Centers for Medicare and Medicaid Services under Biden argued that the landscape of who is and isn’t uninsured, and who can and can’t meet the engagement requirements, had changed in the pandemic."},{"_id":"BNVNOCAKXNBQNHEANCX47EXRGQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545194},"type":"text","content":"During the pandemic the economy has seen everything from mass layoffs and job losses of historic proportions, to high employment. In addition, studies estimate that well over 1 million Americans may be unable to work due to the effects of long COVID."},{"_id":"HGVWPCWU2FCANCQ4UBUZQCMTMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545195},"type":"text","content":"On Friday, Judge Lisa Godbey Wood of the U.S. District Court for the Southern District of Georgia said it was unlawful for the Biden administration to revoke that approval."},{"_id":"NO5LIZS3YRAPFKXNU7EZOEU6SM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545196},"type":"text","content":"CMS’ decision “was not reasoned —it was arbitrary and capricious on numerous, independent grounds,” Godbey Wood wrote."},{"_id":"WF3IRJ55NZCBTDPTDOTROZ6F5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545197},"type":"text","content":"The CMS, part of the Biden administration, is virtually certain to appeal. The state of Georgia chose to file in a south Georgia court, not in Atlanta. Godbey Wood was appointed to the bench by president George W. Bush."},{"_id":"JXZIINTMPVA77HKWI2YKXCJ2LI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545198},"type":"text","content":"CMS said previously that it does not comment on pending litigation."},{"_id":"ET6PW2DQIFCFNOJMD5JE2GVTPY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545199},"type":"text","content":"
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"},{"_id":"AIFBFTV52FAMRBZ7X5345EQFGY","additional_properties":{"inline_comments":[{"pos":0,"comment":"If today’s court ruling stands and the Governor moves forward with his plan, most of the uninsured Georgians who keep our communities moving will still have no meaningful pathway to health coverage. Nine in ten of those Georgians will still be uninsured without meaningful access to a doctor. Our rural hospitals will continue to struggle to keep their doors open. The Governor will spend three times more per person than is necessary, leaving billions of dollars on the table that are meant to improve health care access for Georgians."}],"comments":[],"_id":1660937545201},"type":"text","content":""},{"_id":"QFDCJWTWAZF57EBBNE5ROS6MJI","additional_properties":{"inline_comments":[{"pos":0,"comment":"Gov. Kemp is right in his claim that health and employment are related, except he puts the cart and the horse in the wrong order. It is access to health care and a person’s improved health that enable people to go to work, be successful, and contribute to their communities."}],"comments":[],"_id":1660937545202},"type":"text","content":""},{"_id":"73W4RSSTUZA4TKOG7GFBVNM5Z4","additional_properties":{"inline_comments":[{"pos":0,"comment":"The Governor’s insistence on requiring work for health coverage completely ignores full-time parents and caregivers, students, and people going through mental health or addiction recovery."}],"comments":[],"_id":1660937545203},"type":"text","content":""},{"_id":"FDH7I5QXUJHLNE7YTKNBKR7XV4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660937545204},"type":"text","content":"
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Just not enough."},{"_id":"WJ7GLXST5ZAOTHAUBOKW7PJP5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192175},"type":"text","content":"“With food and paying the (doctor visit) co-pays along with getting the medicine, it’s just $39 is a whole lot of money for me,” she said, discussing the price of just one of her eight prescriptions for nerve damage, high blood pressure and other conditions. “With an income of $1,200 a month ... That’s a lot.”"},{"_id":"PPWFVARIKRHMNA5CFNJRRCZUUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192176},"type":"text","content":"On Tuesday, President Joe Biden signed a new law that could help thousands of Georgia Medicare beneficiaries like Hines. Known as the Inflation Reduction Act, it’s a sprawling collection of new policies covering issues including climate change, taxes and health care. It features new drug spending rules for Medicare, the federal health insurance program for those 65 and older and some younger people with disabilities. Medicare insures 1.8 million in Georgia, including 1.4 million on a plan specifically for drugs."},{"_id":"6GCG56FYR5E2JN5RJQBL3CO5XQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192177},"type":"text","content":"Doctors and experts interviewed by The Atlanta Journal-Constitution called the provisions everything from insufficient to unprecedented. All agreed they will change some lives."},{"_id":"VTQ5KDM65JH7RFHKJF6MZYURGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192178},"type":"text","content":"The Medicare changes will roll out starting next year and over the next several years through 2030. Those on Medicare who pay for the prescription drug benefit known as Part D will pay less in a variety of ways: Out-of-pocket drug costs will be capped at $2,000 annually, and a 5% co-pay that used to apply to drug prices in perpetuity will go away. The first change to take effect, in 2023, will be a new cap of $35 monthly on the cost of an insulin prescription — the only drug named in the legislation that will receive its own price cap."},{"_id":"ZSNNHPZ3DZEV3FEAVEUYBWPOYM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660831444469},"type":"text","content":"Over the long term, Medicare can negotiate the prices drugmakers charge on a few costly drugs, which is expected to save billions of dollars for both Medicare patients and the federal government."},{"_id":"BNOOKBL4VJH6FETUCQLCRGGTFI","additional_properties":{"comments":[],"_id":"TPRWPLNGA5G63CINLWPOKZ3NK4"},"type":"interstitial_link","content":"Biden administration officially suspends Kemp’s plan to block ACA site","url":"https://www.ajc.com/news/coronavirus/biden-administration-officially-suspends-kemps-plan-to-block-aca-site/WZGC5UXEYJFUPOXN47ZVCY4B54/"},{"_id":"NPMKNAWMV5FMHNJKBMEJHWG3WE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192179},"type":"text","content":"Erin Fuse Brown, a professor and director of the Center for Law, Health and Society at Georgia State University, called the reforms “significant.”"},{"_id":"F2B553XX6REIBDT76DAKO2DO5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192180},"type":"text","content":"“I think that one of the common misunderstandings about the Medicare prescription drug benefit is that it is a full, ‘everything-is-covered,’ or that there’s very little cost sharing,” Fuse Brown said. “Whereas the truth is, that even if you have a Part D prescription drug plan ... before the (new law), there was an unlimited amount of out-of-pocket spending that you could incur if you have very high-cost prescription drugs. These are sometimes drugs that they need to be on for years, if not for the rest of their lives.”"},{"_id":"6GCG56FYR5E2JN5RJQBL3CO5XQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192181},"type":"text","content":"Dr. Melissa Dillmon, an oncologist who works at the Harbin Clinic in Rome, treats many older cancer patients and was glad to see movement."},{"_id":"6GCG56FYR5E2JN5RJQBL3CO5XQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192182},"type":"text","content":"“We have patients that are: ‘Do I pay my grocery bills? ... How do I feed myself and pay for my medications?’” said Dillmon. She said some of her patients are facing $10,000 to $20,000 a month in co-pay costs for their chemo drugs."},{"level":2,"_id":"S5QPSWPOORAYPGPXJQB73SYRWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192183},"type":"header","content":"A ‘grim outlook’ brightens"},{"_id":"NFTM6PJXUBCCJKB7L3CQLGUSWE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192184},"type":"text","content":"On her tight budget, Hines has stretched her drugs by taking her blood pressure medicine and antibiotics less often than prescribed — a practice that is not recommended by doctors and can help diseases become resistant to antibiotics. She takes less than the three daily pills for nerve damage she’s prescribed, hoping she can take two, sleep, and then make it to the next night’s pills without much pain."},{"_id":"XCSGPNIAPBGSXDZBNTNTBUTMDQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192185},"type":"text","content":"Dillmon says some patients go into bankruptcy or spend their entire retirement fund to cover drug costs. Her clinic works hard to prevent that from happening. The three-doctor office also employs two workers devoted to finding charity assistance for their patients, including those on Medicare Part D who can’t afford their prescription co-pays. 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One pill she took daily for her cancer treatment was partially covered by her insurance, but cost nearly $1,000 a day just for the co-pay. For her, the $2,000 annual cap on drug costs that takes effect in 2025 is a huge improvement."},{"_id":"ZCRZGRTCIVHZHMX6K6HHUSRVQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192189},"type":"text","content":"“It was a pretty grim outlook for me without this law being enacted,” Taylor said."},{"_id":"I6HMXBKHBBEFTIMY3DLGAXIFLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192190},"type":"text","content":"On Medicare, “I would not have been able to pick the drugs up at the pharmacy,” because the pharmacist would have needed her to pay the deductible before handing over the first month’s prescription, Taylor said. “So if I can’t pay that, I don’t get the drug.”"},{"_id":"K5R3W3U6MFBJVLRKXRU7RYVDKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192191},"type":"text","content":"Some research says that that is exactly what happens to a large portion of patients on Medicare needing high-cost cancer drugs. Lobbyists with the Washington, D.C.-based Leukemia and Lymphoma Society cite research suggesting that 40% of such patients show up at a pharmacy counter, learn the price of the drug, leave without the drug and abandon cancer treatment."},{"_id":"2D7WZSH675EE7HN2WO3BZ2TSGE","additional_properties":{"comments":[],"_id":"LFX3X5TQMFB4BGM4LOUF23DDOY"},"type":"raw_html","content":""},{"_id":"2EBZP65SXVFEND6LAWW6AYMUOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192192},"type":"text","content":"Brian Connell, director of federal affairs at the Society, said he’s been working to get the cap on annual drug costs passed for a decade. He watched the news roll in on Twitter Aug. 12, when Congress passed the Inflation Reduction Act."},{"_id":"P6CZWPYHWNAIFBMVII7H7DULKM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192193},"type":"text","content":"“We are celebrating,” he said."},{"_id":"YMFV4XD5NVFCJMTFYZWKTEDT7Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192194},"type":"text","content":"“Nearly 60,000 Georgians each year are diagnosed with cancer, and because of how cancer works, many of those are on Medicare,” Connell said. “And each and every one of those patients are people who are potentially going to benefit from this one day.”"},{"level":2,"_id":"TTUB7666IVBPLLWGXF3CSS664A","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192195},"type":"header","content":"Some drawbacks"},{"_id":"ZPXCIO5PF5AGZEOJHXIS2YPHIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192196},"type":"text","content":"The bill has its critics. First and foremost the pharmaceutical industry, which spent more than $180 million on lobbying this year alone. Groups have published misleading ads about the bill and its provisions across the country and in Georgia."},{"_id":"62H2E5CPLJAWXN7TUTDKIQ35VI","additional_properties":{"comments":[],"_id":"JWAAO4CCZNE53K2SDSDR66WPB4"},"type":"interstitial_link","content":"Misleading pharma ads on Medicare target Georgia senator, voters","url":"https://www.ajc.com/news/coronavirus/misleading-pharma-ads-on-medicare-target-georgia-senator-voters/SEJQAQ5KTZB5BJVGGOSSJ2NGTM/"},{"_id":"V2XDXI4XLZHQRBOQB23SH3VLBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660907765737},"type":"text","content":"Some of those ads told viewers the bill was cutting Medicare by nearly $300 billion, when in reality it’s expected to reduce the prices Medicare has to pay to drugmakers by nearly $300 billion by allowing Medicare to finally negotiate some prices. Targeting a Georgia lawmaker who supported the bill, one such ad said, “Senator Raphael Warnock, STOP THE RAID ON MEDICARE.”"},{"_id":"JKZZIU3CFBES5ITMECY7HH6URM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192197},"type":"text","content":"Some critics’ arguments, however, are grounded in reality. No matter how high pharma companies’ profits are, if less money flows to them, it could result in less spending on new drug research."},{"_id":"GU2I4NTVXRFIDBJDYUBDV5HL7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660854066659},"type":"text","content":"The monthly cost for a Medicare prescription drug program can vary wildly depending on how soon the person signed up after they were eligible and other factors. The Kaiser Family Foundation estimated that the average monthly premium in 2022 was $43 for a standalone Part D drug plan. People who decide to join Part D several years after joining Medicare will find themselves paying a steep penalty."},{"_id":"4N6RN7QK6NB2LH4FKNDQGJEUXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660854066660},"type":"text","content":"In addition, for Medicare patients who don’t choose to buy the prescription plan Part D, there may be no coverage for pills at all."},{"owner":{"id":"ajc"},"address":{"street_address":"359 DERBYSHIRE DR","locality":"Stone Mountain","region":"Ga"},"caption":"Cancer survivor Valerie Taylor still uses a lot of drugs, even though her Acute Myeloid Leukemia is in remission. If she needs to repeat the treatment, her daily medication could be too expensive to afford. So she was overjoyed after the Tuesday news that President Joe Biden had signed a new law that could help thousands of Georgia Medicare beneficiaries. 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He thinks the name of the new law overstates what it will accomplish on national inflation and that it doesn’t do enough on drug costs. “It’s kind of a Band-Aid, to get votes,” he said."},{"_id":"2ORRT54AWFEBVFB5HXP4P7D3C4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192200},"type":"text","content":"Shocke is bedbound, and takes drugs for gout, a benign pituitary tumor and other conditions."},{"_id":"KFZCFVNWMJCY7PCFQ664NA2YT4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192201},"type":"text","content":"“With drugs, you don’t have any choice but to pay if you get sick,” Shocke said. “It’s not like most goods. You don’t have to get a new car; you’d have options. I’m on a couple of prescriptions that, if I stopped taking them, I go into a hospital or die.”"},{"_id":"KFZCFVNWMJCY7PCFQ664NA2YT4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192202},"type":"text","content":"His drugs had previously cost him about $4,000 per year with his Medicare Advantage plan, he said. The new law with its $2,000 annual out-of-pocket cap will save him thousands of dollars, he concedes."},{"_id":"GVKO45BPD5FXXBKOQ6FTEIBV7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1660821192203},"type":"text","content":"“I think It does personally benefit me,” he said. “I’m cautiously optimistic.”"},{"_id":"G74O5VWMFZC5DAOHMFETGQAYJY","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"EDITOR’S NOTE: This article has been changed to correct the number of Georgians on a Medicare plan specifically for drugs. The number of Medicare recipients on a Medicare plan for drugs is 1.4 million."}],"display_date":"2022-08-19T10:57:44.389Z","headlines":{"basic":"New law means big relief for small budgets of Medicare patients"},"first_publish_date":"2022-08-19T10:57:44.389Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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ThriveSS is one of the community organizations the state, Fulton and Dekalb counties have partnered with to target the limited supply of the vaccine to the population most in need of protection from the virus."},{"_id":"ZVTG76COGNAMPBU4RYXFYUJETQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773712998},"type":"text","content":"“We need to go harder, to make sure the distribution of access for Black and brown people is improved,” said Walker."},{"_id":"KGLCC5LHMJD4JLR62KCOQG4AHU","additional_properties":{"comments":[],"_id":"KKY3YYYV7RBHZB7TAYNBV4LFMU"},"type":"raw_html","content":"

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It can spread through prolonged skin-to-skin contact, respiratory droplets, and handling bedding or clothing of an infected person. DPH advises that, while contact with fabric or surfaces that have previously touched the monkeypox rash or body fluids is one way the virus spreads, that avenue of exposure has not been identified as a common mode of transmission in this outbreak or for monkeypox in general."},{"_id":"3FR5UVGFCVD55FDJOIEASPMBHM","additional_properties":{"comments":[],"_id":"7RIP5Y5BGFAOTEB7PSAPZTFRPI"},"type":"raw_html","content":""},{"_id":"GBCTTJ2LN5H4JJ3FRXVXHWKEBU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713000},"type":"text","content":"Dr. Thompson, who has overseen hundreds of HIV research studies, said the equity issues highlighted by the state monkeypox data are “the same story” as seen in HIV, where new cases disproportionately occur among Black and brown people, and treatment disproportionately goes to white people. “We have health disparities in Georgia in almost everything you look at. 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Colasanti, medical director at Grady Health System’s Ponce De Leon Center. At Grady, the majority of patients are Black; since the hospital obtained the monkeypox vaccine July 27, 78% of 582 shots have gone to Black people, he said."},{"_id":"4UFAVMCC2VC55FYSRZYL56BATI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713002},"type":"text","content":"“If you put the vaccine in places where the population is, you’ll vaccinate the population you’re after,” said Dr. Colasanti."},{"_id":"5CT6TWJ5UNB2TIRXJD2VRITCLQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713003},"type":"text","content":"Walker said that ThriveSS has been working with the state, Fulton and Dekalb counties to link people to vaccination events, and has maintained a waiting list that grew to 1,000 people until several hundred were able to obtain vaccines earlier this week."},{"_id":"AP6I7FIDJZAIPJ3REWVEEAUZ2U","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713004},"type":"text","content":"Public health authorities have been speaking with ThriveSS and other community organizations to figure out how to get medically-trained personnel and vaccine doses into those organizations, and so remove additional barriers that may exist for people who can’t or won’t go to public health facilities, he said."},{"_id":"JCXDXLJNORAEJPIGYAR73JF72U","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713005},"type":"text","content":"The nonprofit director also said that many more partnerships between state, county and community should be made, including religious institutions, club promoters and others, to spread information about the virus itself and how to obtain the vaccine. “There are huge networks out there that far exceed any one agency,” he said."},{"_id":"RN3G6M63YNC5HE75GOQRN4QWKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660776836359},"type":"text","content":"DPH has also launched a scheduling tool on its website to help people access the vaccines: dph.ga.gov/monkeypox, and a number to schedule vaccinations: 888-457-0186."},{"_id":"ADO42FAWSVCSHJWVDA4BNLCN2I","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713006},"type":"text","content":"Meanwhile, Dr. Thompson hailed the state for releasing caseload and vaccination data, including race and ethnicity, which the DPH said would be posted every Wednesday moving forward. This will allow “public health leaders to act on data in real time,” she said."},{"_id":"U6YO6XT4ANGXHKREZM4VTEJM6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1660773713007},"type":"text","content":"“You have to reach the most impacted population with the greatest amount of resources,” she said. “Black men do not exist in a bubble, and this matters to the wider population.”"},{"_id":"4YCE66M6FFGR5HICBXJI5L4NXU","additional_properties":{"inline_comments":[],"comments":[],"_id":"LJNE4XJP3NB7PDHKNBOW37AARA"},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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The company cited longstanding barriers to health equity that highlighted the higher rates of HIV and COVID-19 infections in Black Americans as well as worse outcomes for both diseases."},{"_id":"MUQK6CUELVBIHODV7RALSVRIXI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660583381902},"type":"text","content":"Many healthcare services were interrupted during the pandemic, and Gilead said the partnership will seek to understand how Black communities were affected in testing, treatment and care."},{"_id":"4BYJAN6K5ZGIHPDFSKLZEOBZNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660583381903},"type":"text","content":"“Though the COVID-19 pandemic was a setback to the American healthcare system overall, we must bring to the forefront disproportionately impacted communities who were already historically marginalized prior to the pandemic, including people living with HIV,” said Daniel E. Dawes. Dawes, executive director of the Satcher Health Leadership Institute, is the author of “The Political Determinants of Health.”"},{"_id":"JF3XQFS57VHZHDRCMQ3EKXRRX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660583381904},"type":"text","content":"He said the collaboration among Gilead, MSM and Xavier will “ensure these communities are not an afterthought.”"},{"_id":"622GXYWHX5HGVGYAHN7B75SLEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710898},"type":"text","content":"Gilead’s Burgess said his company choose Atlanta, Baton Rouge and New Orleans for the collaboration because of the disproportionate effect the coronavirus and HIV has had within Black communities."},{"_id":"WCUZINDGM5APZL3OIXU5UGOYUQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710899},"type":"text","content":"“One of the things that we saw during COVID is decreased HIV screenings, decreased diagnoses, as well as decreased access and utilization of HIV care,” he said. “We want to make sure that we are making an investment that helps to address that.”"},{"_id":"LOTNS6SOQ5BHXOLWOIFJPNPZ44","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710900},"type":"text","content":"Through the partnership, both institutions will also provide training on culturally competent HIV care and engage with experienced doctors within the Black community in the three cities."},{"_id":"QLYR2O5355H2VFCUMW2M457JPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710901},"type":"text","content":"Gilead’s recent report, “HIV in the Time of COVID-19: Leaving No-One Behind to Truly End the HIV Epidemic”, details the challenges individuals face when trying to access equitable healthcare services. Gilead also has made a 10-year, $100 million commitment to address HIV inequities in the South."},{"_id":"QLU2QC3O4FFWBCQ4X2XBWFLDLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710902},"type":"text","content":"“We are so excited about this partnership. This is a display of our commitment to Black communities and communities that are disproportionately impacted by HIV, especially communities in the South,” said Burgess."},{"_id":"3K6DPTQXZRF35PS2EXN5WFUVLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710903},"type":"text","content":"“We look forward to having a transformative impact with this grant and partnership.”"},{"_id":"32TSRCWPLBGALHSYVA5SHIZYRQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660583381912},"type":"text","content":"Gilead said in a statement that the partnership will seek to increase access and utilization of culturally competent healthcare to Black people affected by the HIV epidemic. It will also study the “disruption of the healthcare delivery system by COVID-19 and realigning HIV services in the current climate.”"},{"_id":"HNKAJQFIH5DXHGSC3Z3RCWHHOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660583381913},"type":"text","content":"Other objectives include training focused on culturally competent HIV care and engaging early with clinicians practicing in the three cities’ Black communities."},{"_id":"NQBKZGY6NFGC3AMQRI5V6OD7QA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660577710905},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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Meanwhile, almost 72% of HIV diagnoses in Georgia were among Black people in 2019, the most recent year for which data was available — compared to 15% of new cases being diagnosed among white people."},{"_id":"IRRTCTJIQJB45PI65EU6W23G74","additional_properties":{"inline_comments":[],"comments":[],"_id":1660311302708},"type":"text","content":"Data also shows that nationally, Black people made up 14% of PrEP users in 2021, but 42% of new HIV diagnoses in 2020, while white people made up 65% of PrEP users in 2021 and 26% of new HIV diagnoses in 2020."},{"_id":"JCBK46OUAZG7VEO52CQ43XDSFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660311302710},"type":"text","content":"A gap was also seen for Hispanic people in Georgia, though smaller: they account for 9.7% of new cases but 6.9% of PrEP users. The data was part of a report presented July 29 at the 24th International AIDS Conference."},{"_id":"WKTXXZWO6ZGEPI2IKYMGFGWCSA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116597},"type":"text","content":"“The South consistently has lowest PrEP intake relative to need… We’re really in the region that has had the least progress in getting PrEP to the people that need it most,” said Patrick Sullivan, a professor of epidemiology at the Rollins School of Public Health, who is the study’s author and lead scientist of AIDSVu. “I think the new insight is trying to make it clear that we’re not getting PrEP to Black and Hispanic people in proportion to their need in the epidemic.”"},{"_id":"MV3OLRSMZVBXBB4KWIS2MJ45KQ","additional_properties":{"comments":[],"_id":"CPWQGTLN3VDPXOGHZNCNMDQDZY"},"type":"raw_html","content":""},{"_id":"QS24MC2EGFA65NQCRMBFFIB7IA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660336976634},"type":"text","content":"AIDS is a disease that weakens the immune system, gradually destroying the body’s ability to fight infections and some cancers. It is caused by human immunodeficiency virus, or HIV, and most often spread through sexual contact."},{"_id":"NZ6D7KMS3FACFDVMVZVLSTYUPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660340765329},"type":"text","content":"Despite prevention and treatment options, the virus can still be deadly: In 2020, the Centers for Disease Control and Prevention reported 18,489 people in the U.S. with HIV died."},{"_id":"LIVY6TOO6BESTKZKM7T4YYBKFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660311302713},"type":"text","content":"Currently, there are two FDA-approved daily oral medications that can prevent an infection with the virus. The PrEP drug has been available as a pill for most of its 10-year history, and the FDA approved an injectable form of the drug late last year."},{"_id":"UV5XEMHLRNBMVKD4V6AVDWVAAU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426000},"type":"text","content":"Activists and healthcare workers alike attributed inequities in the drug’s use to problems in public health messaging and access — including cost. The numbers show that the “system of PrEP implementation is not designed to yield the health outcomes that we desire to see among Black people,” said Leisha McKinley-Beach, a national HIV/AIDS consultant."},{"_id":"36OKMYB4HBFR3COJ4VLJZLRI7I","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426001},"type":"text","content":"McKinley-Beach noted that in the 1980s, when the HIV virus and AIDS disease were new, messaging and media reports were “all focused on white gay men. We’ve played catch-up for the next 40-plus years, to raise awareness in Black communities.”"},{"_id":"5U5JADXYVVBRPCMA2W2U7WW6B4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426002},"type":"text","content":"The same holds true for PrEP, which has been available since 2012, she said. “If I don’t see myself in the marketing and public health messaging, I don’t think it’s for me,” said McKinley-Beach, who is Black. The activist noted that almost 20% of new HIV cases in Georgia are among women, most of whom are Black."},{"_id":"GILCUDZXSJFQPDYNUXSKNR3UTY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426003},"type":"text","content":"As for access, one issue facing many Black people in Georgia and elsewhere who could benefit from PrEP is that they are uninsured or under-insured, said Michael Chancley, communications manager at PrEP4All, a national organization that works on the issue. Before assuming his current role, Chancley worked for nearly eight years in New Orleans and Atlanta at organizations offering HIV prevention services. More than half those patients were uninsured, he said."},{"_id":"WX77D3I3VJBNRNEMFPMC72YNF4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426004},"type":"text","content":"Georgia is one of 12 states that has not expanded Medicaid, a move that would increase access to the drug, Chancley said. Also, as of late last year, most private health insurance companies are required by a federal rule to offer PrEP and related labs and clinician visits for free — but not all insurers are complying, he added. In May, Gov. Brian Kemp vetoed a measure that would have given $4.3 million in funding to provide Medicaid benefits for people living with HIV."},{"_id":"WMKAGLUUDRD6TMA2I6DR55MORE","additional_properties":{"comments":[],"_id":"536CY2YPABF4XAQ7LZ52VP5WAU"},"type":"raw_html","content":""},{"_id":"MIAYC5BSWJFARLL7IQ24QP6VQE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116605},"type":"text","content":"Sullivan says that Medicaid expansion is associated with a host of health benefits and greater equitable access to PrEP, and that drug assistance programs help to fill in gaps and cover expenses."},{"_id":"IZ45AY23RFHOTBLNQLUZ5KHRYY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116606},"type":"text","content":"He also noted that there’s a stigma around taking PrEP because it is also sometimes used in combination with other medications to treat HIV."},{"_id":"EYUIEFJJC5CPPDOODWWVDHI3JE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116607},"type":"text","content":"“There’s some concern that if I have this bottle of pills and somebody recognizes that those are pills that can be used to treat HIV, that they may think that I have HIV,” Sullivan said. “We need to be just talking about PrEP as a medical intervention to protect people’s health and take it out of that zone of being stigmatized. We take all kinds of medications to improve our health and prevent future health problems.”"},{"_id":"GHO3Q2FDNVGKLCWG5YQL6VPL3Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426005},"type":"text","content":"Dr. Earl Joyner has been treating HIV/AIDS patients for 25 years, in Georgia and Alabama jails and prisons and at Atlanta metro area clinics. He appeared in a 2012 episode of Nightline called “Endgame: Black AIDS in America.”"},{"_id":"2LDLZO5INBBHTGHL3RLG6C7WZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426006},"type":"text","content":"“My struggle then was to get patients who are HIV positive to accept medications, which meant overcoming stigma and mistrust of the medical establishment” in the Black community, he said. “Those things are still true.”"},{"_id":"R44EQGO5YRGEPLTK726MJ2AEEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426007},"type":"text","content":"“At first, I thought, when they see me, they’ll think, ‘He says it’s good, so I’m gonna take this,’” said Dr. Joyner, who is Black. “But, it’s not enough. Even though I’m here, the medical establishment is still seen as a white-run thing.”"},{"_id":"XALSTJDQDZGD3KVNOYQKZ4P4HM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426008},"type":"text","content":"Dr. Joyner said he became aware of the new data showing PrEP inequities several months ago. “I felt like we needed to do something, although I’m not sure what. Why can’t we overcome this disparity?”"},{"_id":"DJNJFTEEHJCR7HZRDLLRZY6AMQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426009},"type":"text","content":"McKinley-Beach, Chancley and others are organizing the first “PrEP in Black America” summit, scheduled for Sept. 13 in Atlanta. Participants will discuss what it would take to create a national PrEP program that makes the drug free for all and targets Black communities, said Chancley."},{"_id":"TZUMCWZX25HQ5JKLWXVN3ECQAM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660248426010},"type":"text","content":"In the absence of such an effort and if current inequities continue, he said, “My fear is that as HIV becomes more concentrated in Black communities ... we’re all going to forget how many people are affected by an epidemic just because they’re Black or brown, or just because they’re queer, or just because they live in the South.”"},{"_id":"KRREIORNCREGZPO2O3XN5S4TK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116614},"type":"text","content":"For Sullivan, Atlanta has been host to a number of medical breakthroughs in relation to HIV treatment and prevention. He hopes to see this pattern continue."},{"_id":"CPV3OF4CY5ADBK6SGXFLGJT5WU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660249116615},"type":"text","content":"“I want Atlanta and Georgia to be the ones relying on the data and advocating for equitable responses in this epidemic… I think that this data should be a call to action to say we can do better than this.”"},{"_id":"4YCE66M6FFGR5HICBXJI5L4NXU","additional_properties":{"inline_comments":[],"comments":[],"_id":"LJNE4XJP3NB7PDHKNBOW37AARA"},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give"},{"_id":"IRRTCTJIQJB45PI65EU6W23G74","additional_properties":{"inline_comments":[],"comments":[],"_id":1660311302732},"type":"text","content":"
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"}],"display_date":"2022-08-15T10:10:00Z","headlines":{"basic":"New data shows inequities in use of medicine that prevents HIV"},"first_publish_date":"2022-08-15T10:10:00.479Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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A study last year by Georgia State University researchers ranked Georgia 50th of 50 states for its high rate of maternal mortality."},{"_id":"67LHVVAYHRDH3LVYDMIK3UY2OQ","additional_properties":{"comments":[],"_id":"MAA2C3L5N5DGPNWPGSZT7VP2OM"},"type":"interstitial_link","content":"Analysis: Georgia is nation’s 5th worst state to have baby in","url":"https://www.ajc.com/pulse/analysis-georgia-is-nations-5th-worst-state-to-have-baby-in/YG7IKAM5SFHGRF7JGWBJVYCUMM/"},{"_id":"V5TWFKBQJVGEZLVTP3S5JBOC7M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594636},"type":"text","content":"Georgia has long struggled in health rankings, and experts say the state’s low level of insurance is one of the reasons why. Without health insurance to pay for doctor visits, people don’t get seen for preventive care. Only when conditions bloom to the point of emergency do they go to the hospital, where emergency rooms must treat and stabilize everyone who walks in the door. And by then, the problem may often be beyond solving."},{"_id":"2ABMEISLVVBO5JVU4URIHRWHQY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594637},"type":"text","content":"Something similar happens for women who are uninsured and suddenly able to get Medicaid coverage when they become pregnant, as is the case with low-income women in Georgia."},{"_id":"X2NXCMFQCFFM7OMJMRYNIRDO2M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594638},"type":"text","content":"Medicaid is the government health insurance program for children and some poor adults. In Georgia, Medicaid does not cover most poor working-age adults. But one of the few groups of adults who may receive Medicaid are women who get pregnant. The state recently expanded Medicaid for new mothers from six months’ coverage after birth to a full year after birth."},{"_id":"HDOW6AGK2VFOJCHFREIE2SNOZU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816760},"type":"text","content":"Some adults may qualify for Medicaid if the federal government declares them disabled, but advocates say many if not most people hampered by mental illness or physical impairment never get declared disabled and thus don’t get health insurance to see doctors."},{"_id":"JEVLAPWEK5B67OFK3YMLHWBJWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816761},"type":"text","content":"The insurance barriers in Georgia contribute to the phenomenon of women who aren’t healthy enough when they get pregnant, and don’t have a habit of seeing doctors, advocates say. More than 22% of pregnant women who do get on Georgia Medicaid don’t get timely prenatal care. And the very women most vulnerable in pregnancy - those with conditions like hypertension, diabetes or mental illness - needed to have those conditions managed before pregnancy."},{"_id":"C2R3CH7Y4VHMXHVAJASWGWLZWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660075148797},"type":"text","content":"“For women of reproductive age, it’s very important for them to be healthy before they get pregnant, while they’re pregnant, and after they’re pregnant,” Alker said."},{"_id":"ZTW2ZFZOQ5HGBFVEGQCNMMXK5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816764},"type":"text","content":"Georgetown’s Alker says data show the most effective way to increase the number of women with constant health coverage would be to expand Medicaid to all poor Georgia adults who would qualify under the Affordable Care Act. Georgia is one of about 12 states that have not done that. Alker concedes that the lack of Medicaid expansion is just one part of the puzzle."},{"_id":"5FWQV7IKNRDK7CSRR6JNOHLKWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816765},"type":"text","content":"Kemp’s office has estimated that about 400,000 Georgians would be covered by a full expansion of Medicaid. A spokeswoman for Gov. Brian Kemp, who opposes full Medicaid expansion, pointed to his support for a more limited “waiver” proposal that might lead to Medicaid coverage to about 50,000 Georgians. The Biden administration and the Kemp administration are locked in a battle over the proposal."},{"_id":"NYMVP3B2SJDEVLIBA2GA63LLVE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816766},"type":"text","content":"“Governor Kemp has worked throughout his administration to support those most vulnerable,” said his spokeswoman, Katie Byrd, adding other initiatives Kemp had supported to address the health of new moms."},{"_id":"MLHL2ZTTUBGBTCYG34M4WJGPNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1660078816767},"type":"text","content":"Cynthia Román-Hernández, managing director of family stabilization and well-being at the Latin American Association, has seen that dynamic over and over with patients. It did not surprise her to hear that nearly half of Latino women of childbearing age in Georgia had no health insurance."},{"_id":"MI2QZDV74JEOHCREMPTV2IFAQM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594642},"type":"text","content":"Some may be ineligible for Medicaid because of their citizenship status, or because though they are citizens they are adults who haven’t been federally declared to be disabled. Or they may be citizens who qualify for commercial insurance but can’t afford it. Others may be eligible for Medicaid but don’t know it, or face barriers using the technology to sign up."},{"_id":"ZOLAKOLRWVHGVPIN3TDU2VC6FE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594643},"type":"text","content":"In any case, the result is the same, Román-Hernández said, echoing Alker: delayed care that causes problems to worsen and burdens whole families."},{"_id":"DNF7FUFR4VHRDBNWM4UOCIMN7A","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594644},"type":"text","content":"Román-Hernández recounted the story of a woman who was not a citizen, but had children who were citizens. Without insurance, she had an untreated condition she didn’t know about, and she started getting prenatal care only in the final months of her pregnancy. By then it was too late, and she lost the baby."},{"_id":"4N7BCE75MFG7XPHUKLEN22KAGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594645},"type":"text","content":"The trauma from losing the baby so late caused her mental health problems that also went untreated, Román-Hernández said."},{"_id":"AG43MKH5JFEQPAT4AT34BLBJHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594646},"type":"text","content":"Even if the woman were a citizen, none of the care except the pregnancy care would have been covered by Medicaid. Meanwhile her family of citizens had to deal with the fallout."},{"_id":"OY5PJLBTTVCGVA47B5ODEIVAB4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594647},"type":"text","content":"“The mentality is, they’re an undocumented woman,” Román-Hernández said. “But this (the baby she lost) is a child that will be a U.S. citizen. There’s no integration on how the health system will take care of that mom.”"},{"_id":"HMN55N7APRGIBNSCTYGUXH6MGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594648},"type":"text","content":"Dr. Karen Kinsell runs a clinic in Clay County in rural southwest Georgia. Most of her clients are citizens but also uninsured."},{"_id":"PEQU7JYOHJCSPHMCMLA6HNQUZQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594649},"type":"text","content":"“To have healthy moms, you have to have healthy women,” Kinsell said. “And not helping them be healthy throughout their entire lives tends to make them unhealthy mothers and the children unhealthy.”"},{"_id":"EYXPNIFRCZENJA4QVBENCBN37Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1660074594650},"type":"text","content":"
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Asked directly whether it would attempt to stop healthcare.gov shopping in Georgia despite the federal decision, Byrd said Kemp’s office would answer that question “in the proper forum.”"},{"_id":"TG3BAJS7XRG7XP4E4GNKYOYDOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660169397782},"type":"text","content":"“We knew they were going to do this,” Kemp told an AJC reporter Wednesday. “They’ve been throwing roadblocks up and moving the goalposts ever since they got in,” he said, speaking of the Biden administration. “So it’s no surprise to us. We’re just going to let the lawyers handle it.”"},{"_id":"MZGGR6VAN5HL7LTBY46YWYH4U4","additional_properties":{"inline_comments":[],"comments":[],"_id":1660155530211},"type":"text","content":"A legal expert who has been watching the Georgia battle, Katie Keith, said Georgia might sue. But, she said, “if I was a consumer, I think it’s safe to say the expectation at this point is you will use healthcare.gov for open enrollment this year.” Keith is director of the Health Policy and the Law Initiative at Georgetown University Law Center."},{"_id":"HJSKHINIABEYPIDWJJBDTPM3OQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566746},"type":"text","content":"The Kemp administration said recently that it has already spent at least $31 million on its proposal to bar Georgians from shopping for health insurance on the federal healthcare.gov website. "},{"_id":"UJOVMMPKRNFPXCYLRZEOZMCJ7I","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566748},"type":"text","content":"Open enrollment shopping begins on Nov. 1 for coverage that starts Jan. 1, 2023."},{"_id":"R2GMQBHYIFBJHHBHVNEBZJVIYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1660155530214},"type":"text","content":"In issuing its letter Tuesday, the Biden administration said it would continue to work with Georgia to see if Georgia’s plan could be implemented for 2024 or after. The Biden administration said that said it expressed misgivings on the same issues for more than a year and had still not received an action plan from Georgia to address those issues. Questions included how the state would work with state residents who might need assistance buying insurance outside of the healthcare.gov website."},{"_id":"72KT6HYPPFBATKGX5BXMTM4D3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566749},"type":"text","content":"Kemp’s proposal had been approved by the outgoing administration of former President Trump. Under the Affordable Care Act, states may obtain a “waiver” from the federal government to tailor some ACA provisions in ways that would better fit the state. But the Biden administration argued that the pandemic raised questions about whether the Georgia waiver would actually decrease the number of people enrolled rather than increase it as it was supposed to do."},{"_id":"OA4SZX2NY5B75GFA6A3XYWCZUQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566750},"type":"text","content":"Georgians can already shop for ACA plans from independent brokers, but most use the federal website instead, where they can compare different companies’ plans in one place. About 700,000 Georgians are on ACA plans, most purchased via healthcare.gov."},{"_id":"IC47BREZAFEWTOR7PH7M6AMALY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566751},"type":"text","content":"Kemp aides argued that Georgians would find it easier to shop for insurance from private companies, because they are more motivated to be consumer-friendly. Private-sector brokers would be more motivated to make the experience easy, Kemp’s office argues."},{"_id":"HXBQYCULHVGV7N5LR2HOABY5OM","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566752},"type":"text","content":"Patient advocates argue that private sector brokers have a record of prioritizing their own profit, and selling plans that may not best meet customers’ needs."},{"_id":"6DLB2LNMIZHFFNB6LK3R3PHQDE","additional_properties":{"inline_comments":[{"pos":0,"comment":"The Biden administration expressed concerns in the pandemic that the Kemp plan would actually decrease enrollment rather than increase it. THIS IS REPEATED UP ABOVE"}],"comments":[],"_id":1660128566753},"type":"text","content":""},{"_id":"HJSKHINIABEYPIDWJJBDTPM3OQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1660128566746},"type":"text","content":"It’s unclear exactly what web functions the state has developed to refer Georgians to private insurance companies. In addressing the $31 million spent on the proposal so far, a spokesman for Kemp said only that it went to “technical system needs and digital architecture services, consulting and project management services, a public awareness campaign, and general program consulting support.”"},{"_id":"GGKLCZEXVVCADPNLHWTJEDOMBY","additional_properties":{"inline_comments":[],"comments":[],"_id":1660155530221},"type":"text","content":"Kemp’s office has not described exactly what rerouting the website would look like. But so far Kemp’s aides have not said they’re building a state-based exchange as the Affordable Care Act allows."},{"_id":"BXW6Y6FWPNA2TNFL2YPZ6ERHZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1660155530222},"type":"text","content":"State-based exchanges under the ACA, like those in Idaho or Kentucky, replace the federal shopping site healthcare.gov by building a state website that also allows comparison shopping. State-based exchanges also must follow federal requirements, such as providing assistance to underserved communities and helping ensure that premiums overall stay lower by selling robust insurance to healthy people as well as unhealthy people."},{"_id":"R7C3UUSCHJESPDG2W56RATGC2U","additional_properties":{"inline_comments":[],"comments":[],"_id":1660237346030},"type":"text","content":"AJC reporter Greg Bluestein contributed to this story."}],"display_date":"2022-08-10T11:43:08.207Z","headlines":{"basic":"Biden administration officially suspends Kemp’s plan to block ACA site"},"first_publish_date":"2022-08-10T11:43:08.207Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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Each of them noted that they knew dozens of others who were also seeking the vaccine and had not been able to book an appointment to date."},{"_id":"HBINE2JBE5EHJDUA54L2ZPPSTY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659715965542},"type":"text","content":"There was also concern that the disease, which to date has mostly spread among men who have sex with men, will stigmatize them."},{"_id":"A7N7PBRWIJEO5AZZZO776APD2I","additional_properties":{"inline_comments":[],"comments":[],"_id":1659715965543},"type":"text","content":"The DeKalb effort came as Georgia’s case numbers rose to 544 on Friday, sixth-highest nationwide, according to the Centers for Disease Control and Prevention (CDC). The state had reported only 11 cases at the beginning of July."},{"_id":"H4V4TG4U2VHPZOCFRUXD7LKROM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659722599689},"type":"text","content":"Friday’s event came just a day after President Biden announced a public health emergency because of monkeypox, a declaration that county officials hoped would soon bring more vaccine to the state and county health departments. The vaccine can not only prevent infection but can also treat the disease, health officials said."},{"_id":"QKCKF63YY5GHTD3WDOIXSHRCIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659715965544},"type":"text","content":"“We want to take care of people,” said Chief Clinical Officer Rebekah Chance-Revels. “We need more vaccines.” The CDC is currently recommending vaccination for anyone who has had multiple sexual partners in the past two weeks in an area with known cases of monkeypox."},{"owner":{"id":"ajc"},"copyright":"2022 Atlanta Journal Constitution","address":{},"caption":"Elizabeth Vogel MN MPH fills syringes with the Monkeypox vaccination Friday morning at the N. DeKalb Health Center in Chamblee, August 5, 2022. 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The county is also beginning discussions about sending out mobile vaccination units and finding to accommodate large-scale vaccination efforts."},{"_id":"VYJHASWFHNGQDDBFSAZVYPGWOM","additional_properties":{"inline_comments":[{"pos":19,"comment":"cq"}],"comments":[],"_id":1659715965545},"type":"text","content":"Justin Leuthiphonh, 26, sat and waited to see if he felt any side effects from the shot around 10:30 a.m. He had tried twice before to book vaccine appointments. “It’s very frustrating,” he said, adding that he knows about 15 people who have gotten the vaccine.“ The number of people I know who haven’t far outweighs that.”"},{"_id":"4PYKTIVF7JDBJHMJTOLQ47T35I","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503345},"type":"text","content":"The commercial real-estate leasing agent said that “the public not as affected by the disease needs to know this is not a gay disease — it’s a disease that is disproportionately affecting gay people.” He noted that “cultural scars” remain from the early days of the HIV/AIDS epidemic, when “gays were seen as dirty, and less than.”"},{"_id":"X7K4MCHR7FGYNL2NT7REDL5Z3A","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503346},"type":"text","content":"Monkeypox can affect anyone, according to the state Department of Public Health (DPH), but so far mostly affects men who have sex with men. It can spread through prolonged skin-to-skin contact, respiratory droplets, and handling bedding or clothing of an infected person. DPH advises that, while contact with fabric or surfaces that have previously touched the monkeypox rash or body fluids is one way the virus spreads, that avenue of exposure has not been identified as a common mode of transmission in this outbreak or for monkeypox in general."},{"_id":"GT36NPEV3RD5FEIWEPFFTYUDHU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503347},"type":"text","content":"Georgia’s cases include four women, according to DPH. So far, no Georgia children have been diagnosed with the disease, although pediatric cases have been reported elsewhere in the U.S."},{"owner":{"id":"ajc"},"copyright":"2022 Atlanta Journal Constitution","address":{},"caption":"Robert Gilleo receives his monkeypox vaccination from Yolanda Johnson, BSN RN, at the North Dekalb Health Center in Chamblee on August 5, 2022. Steve Schaefer / steve.schaefer@ajc.com)r","source":{"system":"AJC Freelancer","name":"AJC Freelancer","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/Freelancer/AAJC 080522 HX DEKALB VACCINE-1.jpg","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":["62ec0c5293b049097eb2b837"],"seo_keywords":["AJC Freelancer"]},"type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","licensable":false,"credits":{"affiliation":[{"name":"Steve Schaefer","type":"author"}],"by":[{"name":"steve Schaefer","type":"author"}]},"subtype":"Wires","subtitle":" MONKEYPOX VACCINE","width":5472,"_id":"DWTYKFWP6ZWCXCMDT7FXBFMHQA","additional_properties":{"fullSizeResizeUrl":"/resizer/Fpo8WWx5gz-rmJSQfR6eZcdqHz0=/arc-anglerfish-arc2-prod-ajc/public/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","comments":[],"iptc_job_identifier":"62ec0c5293b049097eb2b837","keywords":["AJC Freelancer","NORTH DEKALB HEALTH CENTER","MONKEYPOX VACCINE"],"proxyUrl":"/resizer/Fpo8WWx5gz-rmJSQfR6eZcdqHz0=/arc-anglerfish-arc2-prod-ajc/public/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","takenOn":"2022-08-05T12:07:53Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","published":true,"resizeUrl":"/resizer/Fpo8WWx5gz-rmJSQfR6eZcdqHz0=/arc-anglerfish-arc2-prod-ajc/public/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","thumbnailResizeUrl":"/resizer/VHksjWrC3X5bj2LssmquGlfx-Ac=/300x0/arc-anglerfish-arc2-prod-ajc/public/DWTYKFWP6ZWCXCMDT7FXBFMHQA.jpg","version":2,"originalName":"s3://ajc-arc-photo-integration/Freelancer/AAJC 080522 HX DEKALB VACCINE-1.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"STROYGMCTNGFTH6MWG6P4HPS2Y","iptc_title":"Multimedia Journalist"},"created_date":"2022-08-05T15:15:05Z","last_updated_date":"2022-08-05T18:40:51Z","slug":"AAJC 080522 HX DEKALB VACCINE ","height":3648},{"_id":"EYAKGE2R2RAINGVWXGL2ZQJ65M","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503348},"type":"text","content":"Robert Gilleo had been able to book an appointment for Friday after a friend saw the county’s announcement on his church’s website. The 50-year-old consultant, who had already tried last week to get vaccinated, said he knows at least 10 friends who are asking each other, “We know we need it — where can we get it? I was the first one in my circle of friends.”"},{"_id":"32XWVHHZSVFL3NQNP74XEKYXMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503349},"type":"text","content":"Jamel Clarke, 46, drove to the Chamblee location from Mableton after failing twice in recent weeks to land an appointment at Cobb and Fulton county sites. The software engineer said he was concerned about the vaccine not reaching people who lacked Internet access, or transportation, or the ability to take off from work. “They should take trucks out, mobile vaccinations, and get to where the people are,” he said."},{"_id":"WD77AFQB2JEHDCN4IM37DR6LCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503350},"type":"text","content":"Chance-Revels, the chief clinical officer, said this idea is being discussed among Atlanta metro area counties and the state, adding, “We need more vaccines. We need more staff.” There is also talk of working with area medical and nursing students to help with a mobile vaccination effort."},{"_id":"VYJHASWFHNGQDDBFSAZVYPGWOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659715965545},"type":"text","content":"Leuthiphonh said he hopes the public health emergency declaration leads to more vaccines being delivered to Georgia soon. “It’s not enough for what this community needs to flatten the curve,” he said. “We’re definitely a hotspot and we need to get more vaccines.”"},{"_id":"DOXHCMTFPVCELAHHB46FR73TYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659719503352},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give"},{"_id":"EL7WK6CIJNAA5P7VUCWOTW3YWQ","additional_properties":{"comments":[],"_id":"DN4RV24JARGTPHLNK2RK3RNXE4"},"type":"divider"},{"_id":"ETHIIXNMU5DAPGUK67EWXPALOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333109},"type":"text","content":"How to get the monkeypox vaccine"},{"_id":"QKQWUKBXFFFQ5DKIAMRUXFBHCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333110},"type":"text","content":"Local health departments in Georgia have started administering the vaccine at the health departments and they are holding vaccination clinics. Here’s where to get more information:"},{"_id":"BZHT7BDUNBCX7FPFTPHJWVZUPQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333111},"type":"text","content":"For Gwinnett County, go to gnrhealth.com/"},{"_id":"5EDKJCEP3RECZEFI6TDR3T57A4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333112},"type":"text","content":"For DeKalb County, go to dekalbhealth.net/"},{"_id":"UJKCTI74EBA33M24EAGLLM3XL4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333113},"type":"text","content":"For Fulton County, go to fultoncountyga.gov/ and then click on health services"},{"_id":"U2PC3TJDLRGMJDNMIY72GLE3FI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333114},"type":"text","content":"For Cobb County, go to cobbanddouglaspublichealth.com/"},{"_id":"4HBP6BRSCJDBNLDD4MHEDKFIEE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659733333115},"type":"text","content":"For Clayton County, go to https://www.claytoncountypublichealth.org/"}],"display_date":"2022-08-05T18:55:08.208Z","headlines":{"basic":"Hundreds get monkeypox vaccine at DeKalb Co. center"},"first_publish_date":"2022-08-05T18:55:08.208Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. 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Steve Schaefer / steve.schaefer@ajc.com)","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/ZJGOLHM5KWTXC4OFI5JLH2LL34.jpg","height":3648}},"canonical_url":"/news/coronavirus/hundreds-get-monkeypox-vaccine-at-dekalb-co-center/IDVHIYCSRNGZBACFAYP54YG2JM/","_id":"IDVHIYCSRNGZBACFAYP54YG2JM"},{"content_elements":[{"_id":"ZBXIJXCIWNBZJB333SD5LBGDDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1654088090390},"type":"text","content":"This week, for the first time during the pandemic, the school year starts in Georgia with all children being eligible for the COVID-19 vaccine, including preschoolers."},{"_id":"WWB2OJ6F2VEM3L74TM6N7JJQCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872982},"type":"text","content":"Nonetheless, the state ranks nears the bottom nationwide in vaccination rates for children and teens, according to the most recent American Academy of Pediatrics (AAP) report on the subject."},{"_id":"XMBK6OUOZZCR3OV3LPOSU5SNU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866724},"type":"text","content":"With the highly-contagious BA.5 variant driving high community transmission levels across Georgia, large numbers of unvaccinated children going back to school together could lead to outbreaks, some experts warn."},{"_id":"7UMEB6GXEVGLPE6NIHS4SQEMJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872983},"type":"text","content":"“It’s a terrible situation,” said Dr. Sean O’Leary, chairman of the committee on infectious diseases at the AAP."},{"_id":"E57UQ2BL3BEEJADIDL2PT7GCFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872984},"type":"text","content":"“We will almost certainly see more cases of COVID in places that have low vaccination coverage like Georgia,” he said. “No school will go untouched.”"},{"_id":"BNVG22M4NRDR7DNC7RIGJWTNOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872987},"type":"text","content":"Dr. O’Leary said the state’s low pediatric vaccination rates are in line with the South as a region, which he called “striking,” particularly among 5- to 11-year-old children. Only 23% of children these ages in Georgia have received at least one dose of the vaccine, according to the July 27 report, based on CDC data. Nationwide, 37% of 5-11-year-olds have received at least one dose."},{"_id":"33W3PEH2ONHFJK7PKRHNOLXUIY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872985},"type":"text","content":"The low percentages of the state’s 2.5 million school-aged children who have received vaccinations for the virus put Georgia anywhere between the bottom 5 states to the bottom 20 states nationwide, depending on age category, according to the report. The AAP looks at children 6 months-4 years old, 5 -11 and 12-17, the categories corresponding to each vaccine rollout."},{"_id":"AL37YDQGZBBHPDJ6FNZJU4N6WQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866729},"type":"text","content":"The state Department of Health uses slightly different age categories, but according to the latest figures, the percentages of the population with at least one dose of the vaccine ranged from 2.5% of children up to 4 years old to 56 % of children ages 15 to 19. These numbers also would rank Georgia among the least-vaccinated states."},{"_id":"7UMEB6GXEVGLPE6NIHS4SQEMJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872986},"type":"text","content":"“It’s not a good spot to be in,” said Amber Schmidtke, a public health researcher who tracks COVID-19 in Georgia. “We know schools are sites for all kinds of transmissions. We’re likely going to see spikes, probably about two weeks after the school year begins — once kids have had the chance to mingle and share germs.”"},{"_id":"VWQUWRAO6BHSBJOR4NKEFC3ZZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866731},"type":"text","content":"If this happens, consequences would include the need for children and teens to isolate and quarantine, resulting in missing school, and the potential immediate impact on their health, said Dr. O’Leary. Also, “Who are the children bringing COVID home to? There may be immune-compromised or elderly adults in the house.”"},{"_id":"6Z3HRGLYNZD7VL6OOHRZVVDZU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866732},"type":"text","content":"Then there’s the issue of long COVID, or symptoms appearing weeks or even months after a person no longer tests positive for the virus, Dr. O’Leary said."},{"_id":"Z6BQKR6BCNGWJLXRZ3NQEZCCKI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866733},"type":"text","content":"This is another thing that’s different this school year, he noted: several recent studies have begun outlining the relative risk and consequences of long COVID in children and teens. One study released in late June in the journal Nature reported a meta-analysis of existing research on long COVID in children and estimated that 25%, or one in four pediatric COVID cases, may lead to long COVID. The analysis found for children’s symptoms included, in order of prevalence: “mood” changes such as anxiety or depression, fatigue, sleep problems, headaches and respiratory problems."},{"_id":"UVZGWYB7XZACZFFTCLFYEVW32M","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866734},"type":"text","content":"Dr. O’Leary noted that “a number of studies suggest that vaccines offer protection against long COVID, and even if you get a break-through infection, you’re less likely to have post-COVID symptoms.”"},{"_id":"KPV5WD7VMRF55PMOMFWXIPDDKQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866735},"type":"text","content":"Dr. O’Leary, who is also professor of pediatrics at University of Colorado Anschutz, said he hoped parents considered the potential consequences of contracting COVID when deciding whether to vaccinate their children. Vaccinations for pre-schoolers ages 6 months to 4 years were approved in June, but he noted that a mid-July Kaiser Family Foundation survey of 1,800 adults found that slightly more than half of parents said the vaccine posed a “bigger risk” to their infants and toddlers than the virus itself. “There’s the misconception that COVID is a sort of benign disease in children,” Dr. O’Leary said."},{"_id":"BHWGAQMKYJB65EAB4NPWZG2YIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866736},"type":"text","content":"Schmidtke, who publishes a weekly newsletter, “The Covid Digest,” said she doesn’t expect “a big rush to get vaccinated” in Georgia families. “There’s a desire to look the other way, and pretend none of this is happening,” she said."},{"_id":"2OWOXCFQKBC3DKYPUFLUPO6AWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659634866737},"type":"text","content":"“Sometimes, it feels like we don’t have enough adults in the room, to think about the long-term consequences of what we’re doing here.”"},{"_id":"GDI5TXQ3L5FPBKLQ5IOO3X6S5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1659584872988},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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As an undocumented immigrant, he was not eligible for insurance under the Affordable Care Act or for Medicaid and had no way to pay for what should have been routine and regular treatment."},{"_id":"NSBA7M3DZZHPTEL56XFYXFU6RM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659132173646},"type":"text","content":"Although the death happened years ago, immigrants today continue to suffer from the same situation. Kasper, now a hospital administrator, and other physician advocates across Georgia are working to convince state officials to make changes to address the dangerous and costly gap in care."},{"_id":"W64PLFQRHFDSVLSUPLJ5QEAIHI","additional_properties":{"comments":[],"_id":"NTVZ4G6OEVFA5OII3GGBHD7NOA"},"type":"interstitial_link","content":"‘Una mentira total’: Como una visa poco conocida habría convertido a ingenieros mexicanos en operadores","url":"https://www.ajc.com/news/georgia-news/una-mentira-total-como-una-visa-poco-conocida-habria-convertido-a-ingenieros-mexicanos-en-operadores/XSDSLCWU5ZHXROVPGDNQJHPSJM/"},{"_id":"Y7PYXBY7AVBSRK4LO2PXDCPWVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1658940345754},"type":"text","content":"Up to 800 undocumented immigrants living in Georgia at any given time require dialysis, said Dr. Shamie Das, physician at the Emory University Hospital emergency department. Many undocumented dialysis patients show up at emergency rooms with health problems like shortness of breath or even cardiac arrest due to not receiving dialysis when needed, Dr. Das said."},{"_id":"4POIB2Z6NFF47JDTQICXUWIG64","additional_properties":{"inline_comments":[],"comments":[],"_id":1659125071337},"type":"text","content":"For people whose kidneys don’t filter blood the way they should, dialysis is a treatment that removes wastes, toxins and excess fluid from the blood. People with kidney failure who don’t receive routine dialysis not only experience multiple health problems, their mortality rate within five years of initiating treatment is more than 14 times higher than those who do, according to research."},{"_id":"WUFBIOONE5C23CWZW6QCWU4EPU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659037345911},"type":"text","content":"A federal law requires hospitals to treat anyone who comes to the emergency room, even when they can’t pay for their care. Treating dialysis patients in emergency rooms can cost up to $400,000 per patient each year — or about four times what outpatient dialysis would cost if done on a regular basis, according to a 2020 article in the American Journal of Kidney Diseases. Despite the federal law requiring hospitals to provide emergency care, hospitals aren’t reimbursed and some of those costs are borne by taxpayers. Some are written off as charity care. Some contribute to rising insurance and healthcare costs, according to experts."},{"_id":"3GDXCALADFBFBGDM3YPT6DNTNY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555313},"type":"text","content":"During the pandemic, the situation has also created additional problems for short-staffed, overloaded emergency rooms, contributing to longer wait times for all patients, as well as exposing dialysis patients to the virus."},{"_id":"H6NYLOWYSJG3BC4XZ75N3XVRWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1658978226405},"type":"text","content":"Kasper, Dr. Das and colleagues are pushing to have Georgia cover the cost of routine dialysis. In Georgia’s Medicaid system, a program known as “Emergency Medical Assistance,” could be expanded to allow healthcare facilities to be reimbursed for routine dialysis treatments for undocumented immigrants."},{"_id":"XWN6NOY4CRB4HFVRJLV7TDLVHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659133040788},"type":"text","content":"The move would not only improve and even save lives, say Kasper and her colleagues, but be more cost-effective, saving public and private hospitals tens of millions a year. At least 12 states have adopted similar measures — including those like Arizona, with large undocumented immigrant populations."},{"_id":"FLRSUARMOVFOXDDQMQTTWGAPTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555316},"type":"text","content":"Dr. Josh Mugele, emergency medicine program director at Northeast Georgia Medical Center, supports the idea. Earlier this year, paramedics brought a patient in his 20′s to one of the hospitals where he works. The man had suffered a heart attack at a shopping center. “Cardiac arrest is unusual for people in their 20s,” said Dr. Mugele. “I didn’t think immediately of him missing dialysis ... but it became apparent pretty quickly that the patient had too much potassium in his blood, a condition that occurs in renal disease. We were able to treat and resuscitate him.”"},{"_id":"TUZEAOXSORB3BDQSANL2XT5DEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555317},"type":"text","content":"Dr. Mugele later discovered the patient lived several hours away, was undocumented, and only received occasional dialysis. He had suffered a previous heart attack. “Imagine if he continues this way,” Dr. Mugele said. “He will collapse somewhere where there won’t be bystanders.”"},{"_id":"M3G45PY37BCU5PPQKOWXM7TEWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555318},"type":"text","content":"The emergency doctor said he has seen similar cases “dozens of times” in his three years working in Georgia."},{"_id":"5ZIQCVTYGZCZTHPEUKZ4KWGHIQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659375371073},"type":"text","content":"Dr. Das and Kasper are completing research on the issue for submission to a peer-reviewed journal. They did a survey involving 90% of the hospitals in Georgia and estimate that there are 500 to 800 undocumented immigrants who are dialysis patients across Georgia at any one time."},{"_id":"7GNSEHDUENGQ7PL3UW4BNOOMKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555319},"type":"text","content":"Another voice in support of a change comes from the Medical Association of Georgia, a group representing physicians. The association passed a resolution late last year in support of pursuing a “fiscally responsible” change to state Medicaid or other government programs to cover routine dialysis for undocumented patients, said Bethany Sherrer, director of government relations and general counsel."},{"_id":"OHGAKUVMCRH2JEMEBGWAEPYZBM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555320},"type":"text","content":"Dr. Liliana Cervantes cared for a patient who she then befriended until the woman died in 2014 after being unable to obtain regularly scheduled dialysis. The internal medicine hospitalist set about seeking a change in her state of Colorado. It took a few years, but the state moved in 2019 to include scheduled dialysis for undocumented immigrants under Emergency Medicaid. Now, Dr. Cervantes informally advises medical colleagues in five states seeking to do the same, including Georgia."},{"_id":"6ZO27FQOJZDCBACLJKL77WKH34","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555321},"type":"text","content":"In her experience, she said, “every environment has policymakers who are polarized. It’s important to understand factors that would influence their decision-making. In Colorado, the most important factor was cost.” Dr. Cervantes added that “not only does emergency dialysis cost more — people are able to rejoin the workforce more quickly and contribute to the tax base if they receive regularly scheduled dialysis. So it’s a win-win for everyone.”"},{"_id":"FUSD7XGGPFD4PPS5KXXOEY3RYQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555322},"type":"text","content":"Kasper said she hopes Jerry Dubberly, state Medicaid division chief, makes the change without needing the state Legislature to act, but realizes the issue may require changing Georgia code. Officials at Grady Memorial Hospital said they are “in communication” with the Department of Community Health, which oversees Medicaid, about “policies in other states” that have addressed undocumented immigrants with kidney failure."},{"_id":"XZPHXYUGGFAK5JHSJ2CTDYC5ZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659037345923},"type":"text","content":"The issue is not new in Georgia, she noted: in 2010, Grady, Emory and private dialysis centers agreed to cover treatment for a small group of undocumented patients and sent a smaller group back to Mexico. Nearly half of the second group died."},{"_id":"NSZZFO556VGPPNHRLDYYKMXKRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555323},"type":"text","content":"But now, the problem is more acute, not only because the population of undocumented immigrants has grown, but because the emergency room has become a much-needed, limited resource each time there’s a surge in COVID cases. “I’ve seen this problem get worse during the pandemic — when we’re resource short,” said Kasper."},{"_id":"LBFQ3FUNWJCSHMPHNEXSX7AMHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659029555324},"type":"text","content":"The situation has contributed to what Dr. Das called “moral injury,” a concept described by one researcher as “a deep emotional wound ... unique to those who bear witness to intense human suffering and cruelty.” Moral injury in healthcare workers has been described as prevalent in research on this issue, and has also increasingly surfaced during the pandemic."},{"_id":"6S2CHUZEV5G7XGQGQNO3NWWROU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659125071351},"type":"text","content":"“They cry. You cry. You see patients deteriorate so quickly,” Kasper said. “The ones who are still alive are in terrible condition. It’s really hard to watch.”"},{"_id":"X4W5LDW7DJENZFPHSXNWZYRCMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1658946993515},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give"}],"display_date":"2022-08-03T09:30:00Z","headlines":{"basic":"Doctors push state to cover dialysis for undocumented immigrants "},"first_publish_date":"2022-08-03T09:30:00.594Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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(Hyosub Shin / Hyosub.Shin@ajc.com)","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/LISKVCM5BEJZJQBNEITLFXSJIQ.JPG","height":4128}},"canonical_url":"/news/coronavirus/doctors-push-state-to-cover-dialysis-for-undocumented-immigrants/BLQWQVTEL5FFVABE6VI354MTIM/","_id":"BLQWQVTEL5FFVABE6VI354MTIM"},{"content_elements":[{"_id":"GNO5I2FSSVDK3CE4EMQSWTR4ZQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1600445369592},"type":"text","content":"Georgia has spent $31 million on Gov. Brian Kemp’s embattled proposal to block Georgians from shopping for health insurance on the federal healthcare.gov website, Kemp’s office told the Biden administration in a letter on Thursday."},{"_id":"VNU6Y2JQNBDV7CJ6XRHPDY25UA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779721},"type":"text","content":"Kemp’s office suggested in the letter that the Biden administration was attempting to overturn the Trump administration’s approval of the Georgia “waiver” plan. The letter said that rescinding the previous administration’s approval would not only be illegal, it would also make a waste of that $31 million investment."},{"_id":"MJK4UVS445FVBP535HYJZ5APHA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659119205570},"type":"text","content":"Kemp has argued that Georgians will find it easier to shop for insurance from private companies, because they are more motivated to be consumer-friendly. Opponents say that private companies actually put their own profits over the need to fully explain all options to consumers. They say consumers already have the ability to shop for insurance from private companies, and they choose not to."},{"_id":"R7B4SFRCARDPJBUCLIFBSPWT7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779722},"type":"text","content":"Just over 700,000 Georgians purchased plans for 2022 coverage on the Affordable Care Act marketplace exchange. The vast majority do so via healthcare.gov. On healthcare.gov, unlike individual companies’ sites, a shopper sees all eligible plans placed together so they can compare them."},{"_id":"B4IMLXUEHVBLFF6VKQ5SYX4RKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779723},"type":"text","content":"The “waiver” proposal would block Georgians from shopping on healthcare.gov. The proposal, drawn up by Kemp aides working with officials in the Trump administration, would instead direct Georgia shoppers to contact information for private insurance companies and brokers to get help. Consumers in Georgia already have access to those private companies and websites. They can also use a privately run version of healthcare.gov that some agents think works better, healthsherpa.com. Georgians would continue to have access to that under Kemp’s plan."},{"_id":"B4IMLXUEHVBLFF6VKQ5SYX4RKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779724},"type":"text","content":"Supporters of the waiver plan said it would produce more options for Georgians. That should mean more health insurance plans to choose from, said Chris Denson, director of policy and research at the Georgia Public Policy Foundation, a libertarian-leaning think tank. “The state received approval from (the federal government in 2020) to proceed with the implementation,” and the Biden administration has no authority to undo that, Denson said."},{"_id":"O6JGQIXTIZFIHOOYGFY7FFWPZQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779726},"type":"text","content":"Opponents of the Kemp plan say that on the contrary, research shows that both private companies and private insurance agencies instead try first and foremost to make the biggest profit they can. They say studies show a history of selling consumers plans that don’t meet their needs the best."},{"_id":"UPKLHRZDI5D4TFUGKPDELW7WXA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779727},"type":"text","content":"“Governor Kemp’s plan to shut down the most popular enrollment pathway for Georgians buying their own health insurance is a gamble,” betting that people won’t give up on shopping for insurance entirely, said Laura Colbert, director of Georgians for a Healthy Future, an organization that supports the ACA and Medicaid expansion."},{"_id":"QE7AUSF2BBBHVJCTKL4EXYVJZI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779728},"type":"text","content":"The waiver was approved by the Trump administration two days before the 2020 election, which left the waiver’s implementation to the Biden administration. Knowing that if Trump lost the election a Biden administration would likely look askance at the proposal, Trump aides changed its standard contract to make it harder for any future administration to revoke the waiver."},{"_id":"PD3AMN73TVFEDAKTIDIAPJIE6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779729},"type":"text","content":"Indeed, the letter from Kemp’s office is the latest salvo in a battle between the Kemp administration and the Biden administration over Kemp’s health care waiver proposals. Rather than providing a “corrective action plan” as Washington had demanded, Kemp’s office instead pushed back in the letter and said Washington was just trying to stop the proposal. The standoff virtually assures that the battle will wind up in court."},{"_id":"NZGIFE2SERGCNHC5UHXEWHEHM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779730},"type":"text","content":"Colbert said that the plan the feds requested “simply asked that Georgia better detail its ‘outreach and communications plan, including planned funding, a spend plan, and additional information on engagement with underserved communities.’” but that Georgia had refused to do that. “After spending $31 million and ‘thousands of hours of staff time’ on the planning and implementation of Governor Kemp’s signature health care policy, surely the state has these plans in place already and the plans would be easy to share.”"},{"_id":"ZYKXI22QERDAZNOLQRCESVNJXA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659122425978},"type":"text","content":"The Georgia letter countered that the Biden administration has asked for data that would be impossible to produce within the time frame it demanded."},{"_id":"ZSF5EHX3QVGPJJIJIMTDFSYR5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779731},"type":"text","content":"Kemp’s director of health strategy and coordination, Grant Thomas, signed the letter. He did not specify what the $31 million had been spent on."},{"_id":"ESZYQFYZW5BJXBH534CY77GOEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779732},"type":"text","content":"A spokesman for Kemp, Andrew Isenhour, also did not list out expenditures. But he said that the money included both state and federal dollars, and was spent on “technical system needs and digital architecture services, consulting and project management services, a public awareness campaign, and general program consulting support.”"},{"_id":"55IMSXYXVJCVXOGKZAE2XRYLZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779733},"type":"text","content":"The Georgia letter said the numbers speak for themselves."},{"_id":"MS6U6EAVC5GIDE3YTRICJO3G7A","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779734},"type":"text","content":"“For many Georgians, HealthCare.gov is difficult to navigate. That is why, despite offering billions in federal premium tax credits over the years for people seeking insurance through that portal, almost one million Georgians eligible for subsidies remained uninsured.”"},{"_id":"MQV5QJRU7VGRRHS5RY3NQL63JA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659118779735},"type":"text","content":"The number of uninsured who are eligible for subsidized ACA plans is now just over half a million. Anyone can buy a plan under the ACA, but federal subsidies are available subject to income limitations."},{"_id":"H2RW4DJQXVHUJBODYR72RCVN5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1659122425984},"type":"text","content":"Laura Harker, a Georgia-based senior policy analyst at the left-leaning Center on Budget and Policy Priorities, argued that people instead remain uninsured for a variety of reasons, including that the deductibles may be too high or they can’t afford even the subsidized premiums."},{"_id":"MFKWHIIIQVE75DOEGXQUNM5OFI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659452747816},"type":"text","content":"EDITOR’S NOTE: This story has been updated to clarify that Laura Harker of the Center on Budget and Policy Priorities is Georgia-based; the Center’s headquarters are in Washington, D.C."}],"display_date":"2022-07-29T19:39:54.080Z","headlines":{"basic":"Kemp in standoff with Biden administration over plan to block ACA site"},"first_publish_date":"2022-07-29T19:39:54.080Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. 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"},{"_id":"YFY2SHZZNZDALI6TLOJG46IIDU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630202},"type":"text","content":"WASHINGTON — The country’s monkeypox outbreak can still be stopped, U.S. health officials said Thursday, despite rising case numbers and so-far limited vaccine supplies."},{"_id":"JGSMCTZZWBH7NFOUVXZK7WKGBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630203},"type":"text","content":"In Georgia, the Department of Public Health has requested the state’s entire 13,876 dose allotment of Jynneos vaccine, according to spokeswoman, Nancy Nydam. Shipments will arrive through the beginning of next week and are being distributed to health departments and community-based organizations across the state, she said."},{"_id":"FCBCJXC63BCA3OP7HEKNONYUYY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659042085355},"type":"text","content":"Georgia health officials are still waiting to learn how many doses will be given to the state in the next allocation. Georgia’s latest reported number of monkeypox cases is 312, making it fifth in the nation. "},{"_id":"WJESBRCFJFB6ZFAGJ5B7N2244I","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630204},"type":"text","content":"The Biden administration’s top health official pushed back against criticism about the pace of the response and worries that the U.S. has missed the window to contain the virus, which has been declared a global emergency."},{"_id":"XPPQGRVQSZCPTB4PTGA7EZUBXI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630205},"type":"text","content":"“We believe we have done everything we can at the federal level to work with our state and local partners and communities affected to make sure we can stay ahead of this and end this outbreak,” Xavier Becerra, head of the Department of Health and Human Services, told reporters on a call."},{"_id":"P2BQXWLNZFASRHHW35TDV4WXDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630206},"type":"text","content":"But he added that local health officials “must do their part. ... We don’t have the authority to tell them what to do.”"},{"_id":"RHWSWJJKYJAMNB3HXJTVSDH2B4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630207},"type":"text","content":"The pushback from federal leaders came as they announced distribution plans for 780,000 shots of Jynneos vaccine. The doses will be allocated to states, cities and other localities based on their case numbers and the size of their populations that are considered high-risk for the disease."},{"_id":"T3WM5NOFLJDIZJQDEMTE5V4DJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630208},"type":"text","content":"Health departments in San Francisco; New York; Washington, D.C.; and elsewhere say they still don’t have enough shots to meet demand and have stopped scheduling appointments for second vaccine doses to stretch supplies."},{"_id":"2NIXSPOK2VAEZDUHWXUBQPZBOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630224},"type":"text","content":"Georgia’s health department hasn’t had to postpone any second doses, but Nydam said, “Demand is still very high. Every time a health department or other provider opens appointments or slots at an event, they are taken up in a matter of minutes.”"},{"_id":"4DRO5VNGNVG5JBAWSOLYXX2XEA","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The DeKalb County Board of Health website was opened Wednesday morning for a vaccination clinic through a link that was supposed to go live at 9 a.m. Instead, the website crashed from the demand. All the available appointment were filled within minutes. "},{"_id":"QZVW6SARQNEPPE5MHWNNLA5TEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630209},"type":"text","content":"Becerra said the federal government has done its job and said the onus is now on local officials to use the tools available."},{"_id":"GBC7GWYX3FDWHFBDEOIBGAO2K4","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630210},"type":"text","content":"“We’ve made vaccines, tests and treatments well beyond the numbers that are currently needed available to all jurisdictions,” he said."},{"_id":"UUV4EPV6AJF27G3KG242QVP434","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630211},"type":"text","content":"There were more than 4,600 reported monkeypox cases in the U.S. as of late Wednesday, according to the CDC, and federal officials expect those numbers to rise."},{"_id":"O3HAKIAKRJBLPIORUAIPFFHCEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630212},"type":"text","content":"More than 99% of reported cases are in men and the vast majority of those are among men who reported sexual contact with other men, though health officials have stressed that anyone can catch the virus."},{"_id":"7GVQKRJUJ5AILDOOAKBX2VWQZI","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630213},"type":"text","content":"The U.S. is now capable of testing 60,000 to 80,000 people per day, though Becerra said daily testing numbers are well below that."},{"_id":"6PSVGP2S4NHAHO6JUXOVQHUKFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630214},"type":"text","content":"The monkeypox virus mainly spreads through skin-on-skin contact, but it can also transmit through touching linens used by someone with the infection. People with monkeypox may experience fever, body aches, chills and fatigue. Many in the outbreak have developed sometimes-painful zit-like bumps."},{"_id":"PN6DF4MYYVHQJIWLO5S2FTYRBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630215},"type":"text","content":"The U.S. has ordered 5.5 million more vaccine doses for delivery by mid-2023 and has rights to raw ingredients that could make 11.1 million more doses. U.S. officials said a massive vaccination campaign could still be avoided if communities and individuals take measures to avoid spread."},{"_id":"Q4OBFY4R5RDFJCMSK4L35VKJMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630216},"type":"text","content":"In San Francisco, Tom Temprano had an appointment to get his second dose next week but was recently notified that it was canceled due to limited supplies. Temprano, who is the political director of San Francisco-based Equality California, said he’s frustrated that health authorities have taken so long to respond."},{"_id":"DDYFWR5KPZFQ7IM24W5NXK6T5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630217},"type":"text","content":"“Especially coming out of, still, two-and-a-half years into a pandemic, it’s just a very disappointing response for the first larger-scale public health crisis we’re facing coming out of that,” he said."},{"_id":"VI5T2ZCIKVGTVLQHSXKZ6GGPGA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630218},"type":"text","content":"He also sees parallels to the slow government response to AIDS in the 1980s."},{"_id":"WSSKYODRTFCV7ACNFZMUVQYORM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630219},"type":"text","content":"“I’ve heard from many folks ... that this feels similar in the lack of real concern and urgency to a disease that is right now disproportionately impacting the LGBTQ+ community,” said Temprano, who is 36."},{"_id":"C7HWKDSNR5HLLGGKGIFSP52SXE","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630220},"type":"text","content":"The CDC estimates about 1.5 million Americans currently meet suggested criteria for vaccination, primarily men who have sex with men."},{"_id":"OG2Y3RMJ55HVPDPCG7FCTXGATM","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630221},"type":"text","content":"But officials on Thursday declined to set a figure for how many vaccine doses would be needed to stop the outbreak. Nearly 340,000 vaccine doses have been distributed, but a CDC official acknowledged the federal government doesn’t know how many have been administered."},{"_id":"LYCG624YXRERVIT4GDZ33JV5ZA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630222},"type":"text","content":"The additional 780,000 shots being sent to states this week were delayed by shipping and regulatory hurdles. They sat for weeks in storage in Denmark as U.S. regulators finished inspecting and certifying the facility where they were manufactured."},{"_id":"XZ7H2TK6SRGANFQMYFFM3UFKOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1659040630223},"type":"text","content":"California state Sen. 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Ubl, president and CEO of PhRMA. “Today we are taking an important step to help bring meaningful change.”"},{"_id":"MSP6V4KWZRA67KACYTX3ZWNWPA","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194922},"type":"text","content":"The initiative comes at a time when the Food and Drug Administration is pushing for increased enrollment of ethnic and racial minorities in clinical trials through diversity plans that guide and provide recommendations. According to FDA data, in 2020 over 32,000 people took part in drug trials and 75% were white, 11% were Hispanic, 8% were Black, and 6% were Asian."},{"_id":"ZXLGRSXJF5AMDMIDUQURPJG4CI","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194924},"type":"text","content":"For Black Americans, the history of participation in medical research is troubling. Oftentimes, Black individuals were not always willing and knowing test subjects in scientific studies. Many cite the infamous Tuskegee syphilis studies as an example of medical mistreatment of Black Americans that contributes to mistrust within the community today. The U.S. Public Health Service conducted what is commonly known as the Tuskegee Experiment beginning in 1932 and lasting 40 years. In it, about 400 African American men with syphilis were deliberately left untreated so doctors could study the disease."},{"_id":"RFR5YF5BFBH6ZCCXHEWUBJHKNY","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194925},"type":"text","content":"Through the new collaboration, the Morehouse School of Medicine and the other partners hope to tackle issues that communities of color have faced with clinical trials and medical advancements. Members of these communities are often not asked to participate in trials, cannot afford to take time off from work to participate, and do not have access to transportation to sites, among other factors."},{"_id":"EYJUKZUOQNDFFIC7AAVPX3BETY","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194926},"type":"text","content":"“We at the Morehouse School of Medicine believe that clinical trail diversity is an issue of fairness. It is the first step in achieving health equity,” said Dr. Valerie Montgomery Rice, president and CEO of Morehouse School of Medicine."},{"_id":"CL23DJ7MHNA6VJYYOO3CZ7SJSE","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194927},"type":"text","content":"During the next 18 months, the group will begin to form a network of community-based trial sites in minority communities. The first ten trial sites will be in the Southeast and Southwest areas of the U.S. where researchers say there is the lowest rates of clinical trial participation. Specific site locations were not shared."},{"_id":"KMEXIUBVTVBLREBR7VFF3UB3GY","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194929},"type":"text","content":"“We have to empower our local communities to ask for what they need and to have access to clinical trials. It’s not just individual patient access. It’s community access,” Dr. Nancy Brown, dean of medicine and a professor at Yale School of Medicine, explained."},{"_id":"SUR5NQOIRFBSHKXZJWCZGFR67I","additional_properties":{"inline_comments":[{"pos":0,"comment":"Findings from the learning phase will be used to determine an approach to next steps. The goal is to spread the concept to sites nationwide."}],"comments":[],"_id":1658258194930},"type":"text","content":""},{"_id":"DEF7K7G57NEANDGEIX5W2AZIA4","additional_properties":{"inline_comments":[{"pos":0,"comment":"Partners will also team up with community organizations to raise awareness and support for clinical trial participation, provide resources and technology for site success and sustainability and provide training and education for site staff."}],"comments":[],"_id":1658258194931},"type":"text","content":""},{"_id":"OWBTM7AENVGN3PGY75HTNLIG5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194932},"type":"text","content":"Researchers at Morehouse School of Medicine say that the institution has long been at work addressing these issues."},{"_id":"FI2VULGMPBA35EIT572ZKZN7KA","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194933},"type":"text","content":"“While this level of comprehensive collaboration is a first-of-its-kind initiative, it’s important to recognize that MSM and others have been working tirelessly on this issue for decades,” said Elizabeth Ofili, a professor of medicine and principal investigator of the Research Centers in Minority Institutions Coordinating Center at Morehouse School of Medicine, in a press release."},{"_id":"37Y73UUDAFA4TOBHD3CLMBKN2Y","additional_properties":{"inline_comments":[{"pos":0,"comment":"“We are honored and excited to be partnering with the community systems, providers, and the patients they serve, who are and always have been committed to inclusive clinical trials and medicine development.”"}],"comments":[],"_id":1658258194934},"type":"text","content":""},{"_id":"64MJWLNPW5GUDDYMCY5FALAV3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194935},"type":"text","content":"Morehouse School of Medicine President Valerie Montgomery Rice pointed to the success of community outreach around coronavirus vaccines as an indicator of where efforts can lead."},{"_id":"FRUNUGK26NHQ7B4EUQSQDELLDY","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194936},"type":"text","content":"“I do believe that the presence of a historically Black medical school does add to the opportunity to have diverse people feel comfortable with coming and participating in a clinical trial,” Montgomery Rice remarked."},{"_id":"J2PH5GM2TFHXHCETJTPCWEVGN4","additional_properties":{"inline_comments":[],"comments":[],"_id":1658258194937},"type":"text","content":"“We have been in the community, not just of the community.”"},{"_id":"6VXANEYU4ZC3TJ4UKW4G2D3Q2A","additional_properties":{"inline_comments":[],"comments":[],"_id":1658257299736},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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He remembers being fearful of the disease."},{"_id":"WL2JF3V3UVCY5N2LUHXBDFCQX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657721856087},"type":"text","content":"While attending Morehouse College in the late 90s, Scott-Walker learned that several of his friends were living with HIV. In 2007, he would find out that he also had the disease. Now, Scott-Walker, 43, is the executive director of THRIVE SS, an organization founded in 2015 to support Black gay and bisexual men living with HIV in the Atlanta metro area. Having lived through the evolution of how HIV is treated, prevented and viewed, he says that a medically effective HIV vaccine would be “amazing.”"},{"_id":"K4RMYODRPNFPXPXF5MVG4FJXY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719936},"type":"text","content":"“It would signal the beginning of the end of such a high prevalence of incidents of HIV,” Scott-Walker said."},{"_id":"ZZLKAAQNLNGFBJAVFEM5LUNBAM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719937},"type":"text","content":"Emory’s Hope Clinic Vaccine Center is one of four sites selected to participate in the International AIDS Vaccine Initiative’s clinical trials, taking part in the first human evaluation of mRNA technology in HIV vaccines."},{"_id":"53KHPXQCJZEUDHB64A5E5ST424","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719948},"type":"text","content":"According to Emory researchers, mRNA — short for “messenger RNA” — vaccines can be prepared, manufactured and brought to trials in months, as opposed to the years needed to develop a new vaccine using other methods, such as protein- and DNA-based vaccines. The upcoming trial makes use of new mRNA vaccine technology first successfully used in coronavirus vaccines. In the search for an HIV vaccine, a variety of older vaccine technologies have been tried, but none of them have been successful at preventing infection with the virus."},{"_id":"7PXOMJPHBZCC5DYSDL4XLWRMGI","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719939},"type":"text","content":"In 2019, the South accounted for more than half of new HIV infections and half of those cases were seen in Black people. The Atlanta metro area ranked second in the country for the rate of new HIV diagnoses in 2019, according to the Centers for Disease Control and Prevention’s 2019 HIV Surveillance Report. Georgia had a rate of 27.6 new diagnoses per 100,000 people in 2019, coming in second in the country behind D.C."},{"owner":{"id":"ajc"},"copyright":"2022 Atlanta Journal-Constitution","address":{"locality":"Tucker","region":"GA"},"caption":"July 15, 2022 Atlanta - Larry Scott-Walker (left), executive director, and Malcolm Reid, director of programs, at Thrive SS in Atlanta on Friday, July 15, 2022. Thrive SS is an an organization founded in 2015 to support Black gay and bisexual men living with HIV in the Atlanta metro area. The technology successfully used in COVID-19 vaccines is being tested in humans for effectiveness against HIV. (Hyosub Shin / Hyosub.Shin@ajc.com)","source":{"system":"AJC Freelancer","name":"AJC Freelancer","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/Freelancer/072122 HIV VACCINE HS05.jpg","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":["62cf42ddd25a39386a08b637"],"seo_keywords":["AJC Freelancer"]},"type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","licensable":false,"credits":{"by":[{"name":"HYOSUB SHIN / AJC","type":"author"}]},"subtype":"Wires","subtitle":"Emory testing new vaccine to fight HIV","width":4784,"_id":"3NGSGIP4W3NU4DR3DULGNTVIEU","additional_properties":{"fullSizeResizeUrl":"/resizer/zLG4WyHBB_CciivUtjTcM7Ntp3s=/arc-anglerfish-arc2-prod-ajc/public/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","iptc_source":"AJC","comments":[],"iptc_job_identifier":"62cf42ddd25a39386a08b637","keywords":["new vaccine","AJC Freelancer","HIV","Thrive SS","Malcolm Reid","Larry Scott-Walker"],"proxyUrl":"/resizer/zLG4WyHBB_CciivUtjTcM7Ntp3s=/arc-anglerfish-arc2-prod-ajc/public/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","takenOn":"2022-07-15T14:24:06Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","published":true,"resizeUrl":"/resizer/zLG4WyHBB_CciivUtjTcM7Ntp3s=/arc-anglerfish-arc2-prod-ajc/public/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","thumbnailResizeUrl":"/resizer/BKPpIBYlVldCTBGCDCZa-y4lG6s=/300x0/arc-anglerfish-arc2-prod-ajc/public/3NGSGIP4W3NU4DR3DULGNTVIEU.jpg","version":2,"originalName":"s3://ajc-arc-photo-integration/Freelancer/072122 HIV VACCINE HS05.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"DCVXKUE2D5DFNGQDS2NH3DJNWA","iptc_title":"staff"},"created_date":"2022-07-15T16:39:22Z","last_updated_date":"2022-07-19T00:30:23Z","slug":"AAJC 072122 HX HIV VACCINE TRIAL","height":3385},{"_id":"5VL5KTRSDJDZNNHSZB3X6JTFGA","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719941},"type":"text","content":"Some say that because of these and other factors, Atlanta is an ideal site for HIV vaccine research."},{"_id":"OEPN5IGH7ZBSNHGKUDHA67FKOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719942},"type":"text","content":"“Being able to include people who are living in and around Atlanta in the research, so that we can be a part of the solution not only for the world but for ourselves, is really powerful. That’s why I think it’s important for the research to be conducted in Atlanta…,” Dázon Dixon Diallo, founder and president of SisterLove, Inc, explained. “I believe that you should go look for the solutions where the problems are the worst. That’s what we’re doing in Atlanta.”"},{"_id":"4665WIGU3RAO7JBIRKFNXYCDCY","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719943},"type":"text","content":"In 2002, Emory University opened The Hope Clinic of Emory Vaccine Center as a research facility to work on HIV vaccine development. Since then, the clinic has worked with the National Institutes of Health and other entities to evaluate vaccines and other products in clinical trials."},{"_id":"2SCJ4PFOLBASBJVI5RJTLDVNMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719944},"type":"text","content":"“We have the track record for having the capacity and the skills and expertise to be able to recruit the population of the trials,” Dr. Sri Edupuganti, a professor of medicine specializing in infectious disease at the Emory University School of Medicine and lead investigator of the trials, said."},{"_id":"N3ZHU4XNJJA45CFZWULT7RXQTU","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719945},"type":"text","content":"The Ponce De Leon Center is also serving as a vaccine development site, and a partnership with Morehouse School of Medicine is in the works, Edupuganti noted."},{"_id":"QABQR3HBV5HIRATDMXU4U5V44I","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719946},"type":"text","content":"Emory will initially take part in Phase 1 trials, which involve testing the vaccine in healthy human volunteers to ensure its safety. If Phase 1 goes well, a Phase 2 trial would study the immune response produced by the vaccine. That could be followed by efficacy trials using those most at risk for acquiring HIV as participants."},{"_id":"A6NFAHY4BZD2XEAYETZVSYOBOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719947},"type":"text","content":"The trials are a partnership between IAVI — a research organization that develops vaccines — and Moderna, the manufacturer of the vaccine candidate."},{"_id":"6NZGCGM575GCJCPRHEM3EZZVO4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719949},"type":"text","content":"“Based upon the success of the COVID vaccine development, (an mRNA vaccine) could lead to really specific and strong immune responses,” Edupuganti said."},{"_id":"K2MWAKDD6VDM7I4FEZOEFZVBOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719950},"type":"text","content":"While the HIV mRNA vaccine has much optimism behind it, there are challenges too. The HIV virus is error-prone when making copies of itself, giving rise to a high level of genetic variance that can make it hard for the body’s immune system to recognize. And, unlike the coronavirus, the body’s natural immune response is not strong enough to fight HIV."},{"_id":"MMBKQ6FOFVFIJIJFZOWJY7KSHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719951},"type":"text","content":"“While the pursuit of an HIV vaccine has not yet been successful, it actually has driven the level of scientific discovery in vaccine research to a new level of productivity and sophistication. The COVID vaccine effort benefited significantly from that,” said Mark Feinberg, CEO and president of the International AIDS Vaccine Initiative."},{"_id":"IKF4XH5FGRANTNJQTBFJCBLAH4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719952},"type":"text","content":"“A number of the tools that were validated in the course of the pandemic are now being applied to the pursuit of an HIV vaccine. It’s kind of mutually enabling.”"},{"_id":"BL4ECB7QPFD2VJ5EDXP3C56Y7A","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719953},"type":"text","content":"To trigger an immune response, many vaccines put a weakened or inactivated virus into our bodies. Instead, mRNA vaccines use mRNA created in a laboratory to teach our cells how to make a protein that triggers an immune response."},{"_id":"NA77IAI4I5DADCPLG774SEVIBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719954},"type":"text","content":"When mRNA vaccines for COVID-19 were developed, scientists zeroed in on the spike proteins found on the surface of the virus, which is used to infect healthy cells. The vaccine uses mRNA inside the body to train the body’s own immune system to recognize and attack those spikes. For the HIV vaccine, a similar process will be followed, mimicking part of the HIV virus."},{"_id":"D3WHCCFXO5BRHKIG4DYM66ADQU","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719955},"type":"text","content":"“What we are trying to do is to develop an HIV vaccine that is able to induce broadly neutralizing antibodies. What that means is an antibody response that is able to recognize and block infection with genetically diverse strains of HIV,” Feinberg told The Atlanta Journal-Constitution."},{"_id":"ETFOE3B4GVHHLEAWNOUEL5HOSE","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719956},"type":"text","content":"“The genetic diversity of HIV is one of the major obstacles to vaccine development.”"},{"_id":"6RVMDJ2THBBDXHSSJYETLVVQRQ","additional_properties":{"comments":[],"_id":"WKLZMRE2FRF6FMP7QI2IQFQS7A"},"type":"divider"},{"_id":"N6ASTSPGJRBWPEEUVVEZE6F7EY","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719959},"type":"text","content":"Information for interested volunteers:"},{"_id":"PGESEGTVU5BHNNLAGAIMF7764U","additional_properties":{"inline_comments":[],"comments":[],"_id":1657725116938},"type":"text","content":"The Hope Clinic is still recruiting for these trials. Eligible participants are healthy individuals ages 18-50, who do not have any major chronic health conditions. Members of the LGBTQ+ community are encouraged to sign up."},{"_id":"ECKBBUNRLZBT3HL7JWXNVJWYEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719960},"type":"text","content":"Phone: 877-288-0048"},{"_id":"HNETDF3PMZGGJKFLPS3WFJG67Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719961},"type":"text","content":"Email: hope.community@emory.edu."},{"_id":"ZMEL3FL4VRHAZDLSSBV6UTBULE","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719962},"type":"text","content":"Find a link to interest form here."},{"_id":"HCDORJCJO5GOZML3RRHDVEGARQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657610719963},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. 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But interest in the vaccine remains low in Georgia, even as cases among children under 5 statewide have been rising for eight weeks. The youngest age group is the only population other than those 70 and over to show such a trend, according to Amber Schmidtke, a public health researcher."},{"_id":"RPMZDQK4FZCDVKRDHPV433YDEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574336987},"type":"text","content":"Besides doing little to slow the spread of COVID among toddlers and infants, the lagging uptake in the new vaccine is contributing to an untold number of wasted doses, as the vaccines for children under 5 are packaged 10 to a vial. Once a vial is opened, all doses must be used or discarded within 12 hours. Several Atlanta metro area pediatricians told the AJC they’ve had to throw out more than half their doses."},{"_id":"NDBI5CH2IVA4RL46SXITUCPVM4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574336989},"type":"text","content":"The vaccine rollout for this age group is of particular importance in Georgia due to the state’s large populations of Black and Hispanic children under 5 — racial and ethnic groups disproportionately affected by the pandemic. In Georgia, 32.7% of all children under 5 are Black, the third-highest rate in the nation, according to the Kaiser Family Foundation (KFF). Fifteen percent of the youngest Georgians are Hispanic."},{"_id":"AMMXYAP4VFAX7IQLMBYAOXS4BI","additional_properties":{"comments":[],"_id":"JEOZOHR3RFACHEUGPWNLT4MCEI"},"type":"interstitial_link","content":"Complete coverage of COVID-19 in Georgia","url":"https://www.ajc.com/news/coronavirus/"},{"_id":"XV4KFKXASZCAPNDIHFLDVILAVU","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574336988},"type":"text","content":"On June 18, 2022, the Centers for Disease Control and Prevention recommended the COVID-19 vaccination for children 6 months old up to 5. As of July 6, the state’s Department of Public Health (DPH) had sent out 98,600 doses for that age group."},{"_id":"WFYEIJRSRVHXND7JVGK5BEUPAY","additional_properties":{"inline_comments":[],"comments":[],"_id":1657735493879},"type":"text","content":"Dr. Angela Butler-Rice received 100 doses of the Pfizer vaccine on June 22 at Amazing Pediatrics in Decatur. Since then, she has “not seen a huge rush.” As of earlier this week, Dr. Butler-Rice had given out six doses."},{"_id":"YL6POS7WUBGT5JZBDCMA2434Y4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657735493880},"type":"text","content":"“To not see turnout like you saw in older ages ... I really think there’s a tremendous vaccine hesitancy with this age group,” Dr. Butler-Rice said. “I’m concerned. This is a worthwhile and needed level of protection.”"},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"Dr. Angela Butler-Rice, of Amazing Pediatrics","source":{"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","licensable":false,"credits":{"affiliation":[{"name":"","type":"author"}],"by":[{"name":"Courtesy of Dr. Angela Butler-Rice","type":"author","byline":"Courtesy of Dr. Angela Butler-Rice"}]},"subtitle":"Amazing Pediatric's Dr. Angela Butler-Rice","width":1134,"creditIPTC":"","_id":"2GEHLI6RHJGENMZSPS2UKEQJ3M","additional_properties":{"fullSizeResizeUrl":"/resizer/XpyxGiYAeh8_uPWP-3aj-JKirT8=/arc-anglerfish-arc2-prod-ajc/public/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","owner":"timothy.pratt@ajc.com","comments":[],"keywords":[],"proxyUrl":"/resizer/XpyxGiYAeh8_uPWP-3aj-JKirT8=/arc-anglerfish-arc2-prod-ajc/public/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","published":true,"resizeUrl":"/resizer/XpyxGiYAeh8_uPWP-3aj-JKirT8=/arc-anglerfish-arc2-prod-ajc/public/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/Stb2hS_Wj-roOMFA8-BnFSQWuy4=/300x0/arc-anglerfish-arc2-prod-ajc/public/2GEHLI6RHJGENMZSPS2UKEQJ3M.jpg","version":0,"originalName":"butler rice II.jpg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"JBXKIZ4LPJANVMXTWJ6G5SQ3TE"},"created_date":"2022-07-14T13:09:58Z","last_updated_date":"2022-07-14T13:09:58Z","height":756,"image_type":"photograph"},{"_id":"YVDY7I5NPJFLNBORRWRCKPD5MI","additional_properties":{"inline_comments":[],"comments":[],"_id":1657808042974},"type":"text","content":"
"},{"_id":"KYSBROA7A5CQZDE2ZJZZAIXBSM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574337006},"type":"text","content":"As of Wednesday, 9,429 or 1.4% of the state’s children under 5 have received at least one shot, according to DPH data."},{"_id":"EIRFJNF5IVALPG33JT7BX572PQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657799527103},"type":"text","content":"Older children have been vaccinated at higher rates in Georgia, but still lag behind national rates, based on an Atlanta Journal-Constitution analysis using state and federal numbers. About 42% of Georgia’s children ages 12-17 have gotten two shots, compared to nearly 60% nationwide. For ages 5-11, it’s 18%, compared to nearly 30% nationwide."},{"_id":"623K24NYKBF5TCFVF5UZJ43WGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1657735493881},"type":"text","content":"At McDonough Pediatrics, Office Manager Kathy Dyson had received 100 doses of Moderna and 200 doses of Pfizer in mid-June. She’s seen some families come from as far away as Alabama in search of the Moderna vaccine, likely because it requires two shots spaced four weeks apart, compared to Pfizer’s three shots, which take 11 weeks to complete, she said. As of Tuesday, her practice had given out 27 shots, most of which were Moderna."},{"_id":"NBARXO4AIZEQZIHVJFOLCE5YJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657735493882},"type":"text","content":"“It’s hard for those of us in healthcare to waste vaccines,” Dyson said. At the same time, she said, the DPH had sent her office a notice advising, “don’t waste an arm” — even if it means wasting doses."},{"_id":"IUGUPEEFORFJFK3JTRCODXUNFY","additional_properties":{"comments":[],"_id":"6V6SYEV7ERA75IIVPVYK5ZR7W4"},"type":"raw_html","content":""},{"_id":"5VWK2GY77ZCGHAI3OPKGB65IXQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657735493883},"type":"text","content":"At Pediatric Associates in Lawrenceville, Executive Director Dr. Anu Sheth ordered 100 doses of the Pfizer vaccine; as of Tuesday, her office had given 14 shots. The office is trying to schedule as many appointments as possible on dates spaced two weeks apart, but is taking walk-ins as well."},{"_id":"4RVMFJ2BSZD2XOUM6PEHKNM4IQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574337001},"type":"text","content":"Dr. Sheth’s community, Lawrenceville, is 21% Latino, more than twice the share of the state’s population."},{"_id":"P3SYS52VHFC7XAN3TZNWJN64XI","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574337003},"type":"text","content":"While a lot of her patients might have gone to pharmacies to vaccinate their older children, they are “coming here for the little ones,” Dr. Sheth said. Not only are some pharmacy staffs not trained to vaccinate toddlers and infants in general, most pharmacies don’t vaccinate children under three. This make pediatricians the focal point of the under-5 rollout."},{"_id":"QRHWIMONANEDLL6OILXY6TVM34","additional_properties":{"comments":[],"_id":"MVLLDLUKRRGAZNQUXPLDVWKRG4"},"type":"interstitial_link","content":"Children's COVID-19 vaccination rates lag in Georgia","url":"https://www.ajc.com/news/coronavirus/childrens-covid-19-vaccination-rates-lag-in-georgia/YW2VD7Z4LRFTLKXQ3CVF5X253U/"},{"_id":"SQ7HHM5JVZFQNCSAHLLI2P6PNQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574337004},"type":"text","content":"But not all families have a pediatrician. “I worry about the population less than 5 with regard to access [to the vaccine] if they don’t have a healthcare provider,” Dr. Sheth said. Georgia fares worse than the national average when it comes to the percentages of children under 5 who are uninsured and who live below the federal poverty level, both of which are linked to families lacking regular healthcare providers."},{"_id":"KYSBROA7A5CQZDE2ZJZZAIXBSM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657574337006},"type":"text","content":"Schmidtke, the public health researcher, is concerned about the case numbers for children under 5, which she noted had risen eight weeks in a row in the most recent edition of her weekly newsletter on the subject. These numbers could be due to the state’s youngest children not receiving the full course of vaccines yet, she said, but also because they’re “not vaccinating as much as we would have wanted.”"},{"_id":"MWL4XDG4UJHQNO2FQV3SZEYIOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1657742671651},"type":"text","content":"COVID generally causes less severe disease among children compared to adults, with significantly lower mortality. However, the issue of enduring symptoms following an infection, known as “long COVID,” is of particular concern for this age group, Schmidtke said, because younger children “are still developing ... and there are concerns about developmental delays or cognitive issues.”"},{"_id":"S2EKFQIK6FH2HJBCFFZDE7ZVP4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657742671652},"type":"text","content":"Meanwhile, in Decatur, Dr. Butler-Rice tries “whatever angles ... may decrease anxiety about the vaccine.” That includes pointing out the risk to other family members who may be ill or otherwise vulnerable if a toddler brings home the virus."},{"_id":"LP4K5XEDSZC6ZNKGA6HISI4UPA","additional_properties":{"inline_comments":[],"comments":[],"_id":1657742671653},"type":"text","content":"“I feel like I just want to do more,” Dr. Butler-Rice said. “I want to protect the babies in our community.”"},{"_id":"GXP44U56KFHHLDU3M2REZPBZUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1657819203804},"type":"text","content":"To find a provider offering the vaccine for younger children, go to https://www.vaccines.gov/"},{"_id":"4YCE66M6FFGR5HICBXJI5L4NXU","additional_properties":{"inline_comments":[],"comments":[],"_id":"LJNE4XJP3NB7PDHKNBOW37AARA"},"type":"text","content":"The Atlanta Journal-Constitution and Report for America are partnering to add more journalists to cover topics important to our community. Please help us fund this important work at ajc.com/give"}],"display_date":"2022-07-15T09:40:00Z","headlines":{"basic":"Vaccine uptake slow as cases among youngest children rise"},"first_publish_date":"2022-07-15T09:40:00.587Z","taxonomy":{"sections":[{"path":"/news/coronavirus","parent":{"default":"/news"},"_website":"ajc","parent_id":"/news","name":"COVID-19","description":"Coronavirus outbreak news and updates from The Atlanta Journal-Constitution. The outbreak started in the city of Wuhan in central China's Hubei province. 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"},{"_id":"BV2EH3AD6RBXXH2SF4SQHEOUI4","additional_properties":{"inline_comments":[],"comments":[],"_id":1657034911508},"type":"text","content":"Last October, at the height of the pandemic’s delta surge, Grady Memorial Hospital did something it had never done before: It paid $222 per hour to fill an empty nursing slot."},{"_id":"QR4MTN3HBBE37JTBWKAIXHBMJY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025581},"type":"text","content":"The price, paid to an agency that specializes in placing “travel nurses” in hospitals where there’s desperate need, was triple the normal rate for a temp worker in that position. But nurses were so scarce that Grady had no choice."},{"_id":"NAAQYTZDONDQDNQ23LWQJBZNPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060076},"type":"text","content":"The delta surge is long over, but the crisis in nursing staff levels at Grady and other Georgia hospitals is still here. And hospital administrators say the attractiveness of travel nursing gigs, which offer better pay and more flexibility, is part of the problem."},{"_id":"SDBLX6NP5ZCZXEGLJUAK4BQJ3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060079},"type":"text","content":"In addition, the agencies that provide those travel nurses can charge a substantial profit margin on top of the hourly rate, adding to hospitals’ expenses."},{"_id":"VPH4KTKEJBA3NBZLKWKBCVLGJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025583},"type":"text","content":"Hospitals have traditionally relied on their own nurse employees to tend to patients, calling up temp agency nurses, known in the industry as travel nurses, for extra help only in small numbers. But travel nurses now form a substantial part of many staffs."},{"_id":"5V6Q2PDZLJG55ANHK4LEY47GDQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025584},"type":"text","content":"Nurses, burned out from long hours and a never-ending pandemic, are leaving hospital staff positions to become travel nurses, giving them more control over their schedules and the setting. Hospital administrators complain that some temp agencies are taking advantage of the moment, setting prices that hospitals say they can’t afford."},{"_id":"ES34PXWAUVA63F2ANHUURI32GE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025585},"type":"text","content":"The costs are enormous over time. That $222 per hour rate Grady paid for a neurological ICU nurse fell after the surge, but it has never fallen back to the price it was before the pandemic."},{"_id":"7M5VRIJQINBOXF3FF2MBF5QSHE","additional_properties":{"comments":[],"_id":"4GS5WLTJUNAV3LAFFQKYRRUKNM"},"type":"interstitial_link","content":"Complete coverage of COVID-19 in Georgia","url":"https://www.ajc.com/news/coronavirus/"},{"_id":"IBWFMUHPZJGGXHIIESABWWWNJU","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060080},"type":"text","content":"“Basically, there’s just a lot more a lot more dollars out there, chasing essentially the same supply of nurses,” said Chris Moseley, an executive with the health staffing portal and data firm Prolucent Health."},{"_id":"SDBLX6NP5ZCZXEGLJUAK4BQJ3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060079},"type":"text","content":"The increased reliance on travel nurses comes at a cost that’s not just financial. Patient safety is partly tied to consistent staffing by familiar employees."},{"_id":"3EAL5EA7HJHAJPFJFEHHN5RS5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060081},"type":"text","content":"“Well, I think in general, the good of the health system and patients relies on high quality care, and safe care, which in large part comes from, we believe, consistency in team and staffing,” said Katie Logan, chief consumer and strategic planning officer of Piedmont Healthcare. The use of agencies for staffing have helped drive her system’s labor costs for nursing up 75% during the pandemic."},{"_id":"F4O2XVORRVA6PJID4JW25ILUCI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617609},"type":"text","content":"“It’s not sustainable,” Logan said."},{"level":2,"_id":"HQ5JAPTVVBFRHKPFBPCXLFOTFI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060084},"type":"header","content":"The rising price of a nurse"},{"_id":"GYXEQM3FU5DUHD4TI5ODGWQ7JY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060085},"type":"text","content":"Nurses are the bedrock of any hospital staff, and there was already a shortage before the pandemic. During the worst of the pandemic, the draining work and deaths they saw chased some nurses out of the profession, or to jobs outside of the ICU or emergency room. As a result, patients across Georgia waited longer and got less care as hospital workers were overstretched. Health systems of all sizes shut down beds because of the lack of nurses."},{"_id":"J5NG5IBWPZAZLLVBBDAKMGZLTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359315},"type":"text","content":"Emily Stevens was an ER charge nurse at Northeast Georgia Health System’s big hospital in Gainesville. During the worst surges, she said, dozens of patients waited hours to even be seen by a doctor but couldn’t be moved in for treatment because there were not enough nurses."},{"_id":"WOVALO4RCZCI5FOTVXLYI5GH6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025593},"type":"text","content":"“And then all of the doctors are yelling at me to find somewhere to put these people, ‘Bring them back, bring them back,’” Stevens recalled. “And then I’m like, ‘I don’t have any nurses to take care of these people. It doesn’t matter if you can see them; I have no nurses to do the things you need to be done.’”"},{"_id":"J4JKFYHOHNGKBBAFVKUONOOA4M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359317},"type":"text","content":"When agencies came calling offering Stevens a significant raise to become a travel nurse, it took her a while to leave the ER she knew and loved. But last September, in the midst of the delta wave, she bit."},{"_id":"5GXEHJDFD5C3DPZ5YJUAT2VQTE","additional_properties":{"comments":[],"_id":"6LSLRSKDVNHPJARFOQT7F3TNGQ"},"type":"interstitial_link","content":"More and more travel nurses find themselves being grounded","url":"https://www.ajc.com/pulse/more-and-more-travel-nurses-find-themselves-being-grounded/OZ3ONEYVP5GH7GVWDHOE2GYL34/"},{"_id":"AVSCYZ6OBBBWJJQ2PJ3TVJXA4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1655923394440},"type":"text","content":"She got an assignment at Northside Hospital Duluth 35 miles away, a much smaller, less busy location that was still within commuting distance from home."},{"_id":"XBYQYJCWXZGGBBXMNN7ZGZZWZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359319},"type":"text","content":"“I really like where I’m at,” she said. In addition to a massive increase in pay, she said, “I’m able to come to work and not completely be exhausted when I’m done.”"},{"_id":"4AOHSELR6FEUZH64U6MADB4UIM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060087},"type":"text","content":"Stevens is not alone. For many, there is a sense that, for the first time, nurses have an opportunity to earn what they are worth."},{"_id":"ZENOVNXYZNGN3O6ZGE5ACGNOCA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025598},"type":"text","content":"The advertised pay rate for travel nurses jumped 67% from January 2020 to January 2022, according to Prolucent Health figures cited by the American Hospital Association. Agencies that dole out the travel nurses charge 28% to 32% margin for their work and other expenses, according to Prolucent."},{"_id":"SEEZA5SS6NHDXLQF35O4EQYR5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359323},"type":"text","content":"Two large national firms that deal in travel nurses, AMN Healthcare and Cross Country Healthcare, saw their revenues more than double from the first quarter of 2020 to the first quarter of 2022, according to SEC filings compiled by the firm Macrotrends."},{"_id":"MP5G7BLEDJHIXOOAWRPTFGB2N4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359324},"type":"text","content":"Nursing advocates argue that hospitals helped lay the groundwork for this moment. “Understaffing nursing has long been a problem, well before the pandemic,” said Matt Caseman, CEO of the Georgia Nurses Association."},{"owner":{"id":"ajc"},"copyright":"2022 Atlanta Journal Constitution","address":{"region":"Georgia"},"caption":"Emily Stevens works out at the YMCA in Gainesville on her day off. Stevens left her previous job as a staff ER nurse in Gainesville, where she worked some of the hardest shifts in the pandemic. She joined an agency as a "traveler," or contract nurse, and is now an ER nurse in Duluth. She is run less ragged by her shifts, and feels that when she has time off she is more able to work on restoring her health. (PHOTO by Arvin Temkar / arvin.temkar@ajc.com)","source":{"system":"AJC Freelancer","name":"AJC Freelancer","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/Freelancer/AAJC 061922 HX TRAVELERS at 0027.jpg","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":["62ACD020D25A39386A017AA7"],"seo_keywords":["AJC Freelancer"]},"type":"image","distributor":{"mode":"custom","name":"AJC Freelancer","category":"wires"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","licensable":false,"credits":{"affiliation":[{"name":"arvin.temkar@ajc.com","type":"author"}],"by":[{"name":"Arvin Temkar","type":"author"}]},"subtype":"Wires","subtitle":"Rise of temp nursing guts hospitals","width":3300,"_id":"OUWS4IDA3JSZL5FY7PNEWTJMEY","additional_properties":{"fullSizeResizeUrl":"/resizer/2U3ZOXtkLXdUrEXayd8xAXV6e_o=/arc-anglerfish-arc2-prod-ajc/public/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","comments":[],"iptc_job_identifier":"62ACD020D25A39386A017AA7","keywords":["traveling nurse","AJC Freelancer"],"proxyUrl":"/resizer/2U3ZOXtkLXdUrEXayd8xAXV6e_o=/arc-anglerfish-arc2-prod-ajc/public/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","takenOn":"2022-06-20T17:48:23Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","published":true,"resizeUrl":"/resizer/2U3ZOXtkLXdUrEXayd8xAXV6e_o=/arc-anglerfish-arc2-prod-ajc/public/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","thumbnailResizeUrl":"/resizer/TqGzEMblwyC1dp5TfoUtdvaFXuw=/300x0/arc-anglerfish-arc2-prod-ajc/public/OUWS4IDA3JSZL5FY7PNEWTJMEY.jpg","version":2,"originalName":"s3://ajc-arc-photo-integration/Freelancer/AAJC 061922 HX TRAVELERS at 0027.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"GM3L4NBTH5ASTHGJFDAJWYRDJM","iptc_title":"Visual Journalist"},"created_date":"2022-06-21T00:07:30Z","last_updated_date":"2022-07-12T21:47:05Z","slug":"AAJC 061922 HX TRAVELERS","height":2200},{"_id":"PU2LR76RNZDW7OUETD7VV2RAYU","additional_properties":{"inline_comments":[],"comments":[],"_id":1655907359326},"type":"text","content":"Hospitals have argued that staffing agencies are capitalizing on the situation, piling on their own profit margin just because they can. In February, after the omicron wave peaked in early 2022, the American Hospital Association wrote to Congress asking for an investigation into “reports of anticompetitive behavior” that it said was making the shortages worse. It called agencies’ fees “exorbitant.”"},{"_id":"SDBLX6NP5ZCZXEGLJUAK4BQJ3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060090},"type":"text","content":"Unlike some other industries, it’s common for health care staffing agencies supplying travel nurses to withhold from hospitals how much of the rate they charge goes to the worker and how much is kept by the agency."},{"_id":"3EAL5EA7HJHAJPFJFEHHN5RS5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655282060081},"type":"text","content":"John Haupert, CEO of Grady Health System, says Grady has asked its own travel nurses how much of the increased hourly rate is coming to them in higher wages. A typical agency markup might be about 30%, he said, but some agencies have more than doubled the price of a travel nurse, and then taken 50% of the fee."},{"_id":"J6GLOP7MVVCQ5EK2Y2DFYJDGLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655925536829},"type":"text","content":"Agencies say lower markups are more common and that part of the money goes to pay for benefits for nurses."},{"_id":"42F542QNKRESZMHGLOS72RFTQM","additional_properties":{"comments":[],"_id":"FGMUYF576BGWBLJNDCAODET3NA"},"type":"interstitial_link","content":"Demand for travel nurses helps fuel pandemic's national nursing shortage","url":"https://www.ajc.com/pulse/demand-for-travel-nurses-helps-fuel-pandemics-national-nursing-shortage/34BT7GCDSZBI5OM7TABUJWXNAA/"},{"_id":"TJQ354SPYBAWFNN6DP3ADIHBNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617617},"type":"text","content":"The cost of travel staff alone is putting Grady in the red this year, Haupert said, giving the health system a deficit of about $50 million before any cost-cutting measures are figured in. “Our budget issues are almost entirely related to labor cost,” he said."},{"_id":"6PAKUMDSQ5CFVECGZJGFG5X3SE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617618},"type":"text","content":"To balance the books, Grady is implementing some cost cuts that are not directly related to patient care, Haupert said. Unlike other hospitals, Fulton and DeKalb counties jointly own Grady Health System, which has its main hospital in downtown Atlanta and network of clinics that serve medically needy and indigent residents. Grady is in the process of renegotiating how much local funding it gets from each county — amounts hospital executives have told county officials will need to increase because of the rise in nursing costs."},{"_id":"CQ74EWV6QZGWXPXGWJWG4VY7G4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655211960042},"type":"text","content":"“How sustainable is an institution like Grady — which barely ever generates a margin to begin with — how sustainable is it, if labor rates outstrip our ability to produce some level of margin in order to maintain the facilities and buy the equipment?” Haupert said. “That’s worrisome.”"},{"level":2,"_id":"TJYLPGSCCBCGVG2VV3KCZILN6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617620},"type":"header","content":"A no-bid contract for staffing"},{"_id":"HCS6PFIO3VA7RJLC4LHWHRNI7M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655393672636},"type":"text","content":"It’s not hospitals alone that have taken on the additional costs of keeping an adequate number of nurses in hospitals. In April 2020, at the start of the pandemic, Georgia contracted with Alpharetta-based Jackson Healthcare to help overwhelmed hospitals get the nurses they needed. Jackson agreed to provide extra hospital staff that the state would pay for. Because of the public health state of emergency, state officials signed the contract without taking bids from other staffing agencies."},{"_id":"TOIGHOOUF5CQNB6HNZUAHFINFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655393672637},"type":"text","content":"The state has now paid more than $694 million to Jackson. The state doesn’t know and Jackson won’t say how much of that money was paid to nurses and how much kept by the agency."},{"_id":"EXCDJYZFSFCDZBGYUHTMUCE4E4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617622},"type":"text","content":"Hospitals said the state-paid nurses helped fill the gaps but didn’t cover all their needs. So, in addition, hospitals footed the bill for more travel nurses. Most hospitals have returned to finding and paying for the cost of travel nurses, even though the contract between the state and Jackson was renewed in case of necessity this spring."},{"_id":"NBEJ6MTM4BD4TE4YXP6UVNNTE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655393672639},"type":"text","content":"Jackson Healthcare would not answer The Atlanta Journal-Constitution’s questions about its profit margin on the state-paid nurses, though it said the percent of the fee it has kept has decreased over time."},{"_id":"WBE23KBUORAAVPFJJOLNZAVF54","additional_properties":{"comments":[],"_id":"343VLG6IQFB6DKFH4M4C6NLUDA"},"type":"interstitial_link","content":"From 2021: Survey shows 90% of nurses considering leaving job next year","url":"https://www.ajc.com/pulse/survey-shows-90-of-nurses-considering-leaving-job-next-year/ULK72ULV2BFEZCTYNH2JJSQOQY/"},{"_id":"45Q5OFWXMNHNDMMZ4EJMXB2M3U","additional_properties":{"inline_comments":[],"comments":[],"_id":1656616025615},"type":"text","content":"Jackson also said its rates were lower than those charges in other states, but didn’t say how they compared to similar staffing agencies in Georgia."},{"_id":"SWN4P6VKVZFMDPB7CJOSL6QM2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617624},"type":"text","content":"As the contract with Georgia was amended and renewed, the top rate Jackson charged for nurses went from $165 per hour to $200 per hour."},{"_id":"G6TI4L7FGVBUVNNK4PP4UOXPNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617625},"type":"text","content":"Jackson says it worked out well for the state. “Through the duration of Jackson Healthcare’s partnership with the State of Georgia, we remained focused on doing everything possible to provide the best care at the lowest cost, including charging the state below market rates,” Shane Jackson, president of Jackson Healthcare, said in a statement. “I am proud of the work we’ve done through this contract.”"},{"_id":"CQ7MQFG5XVEO7G4GJDN45OOCVI","additional_properties":{"inline_comments":[],"comments":[],"_id":1656705035335},"type":"text","content":"Jackson officials said one of the ways they worked to hold down costs for the state was through a computer bidding system that allowed hospitals to connect with travel nurses who work with any staffing agency, not just Jackson. But that system, which selects the agency with the best bid, raises questions because it’s owned by Jackson Healthcare."},{"_id":"LGVZZRGFHNFF5IV6RZICA4JWIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617627},"type":"text","content":"Jackson Healthcare’s top executives donate to political leaders, mostly Republicans. Founder Richard Jackson donated $6,600 to Kemp’s first gubernatorial campaign. A spokeswoman for Kemp, Katie Byrd, deferred to DCH, and said Kemp’s office was not directly involved in executing and carrying out Jackson’s no-bid contract."},{"_id":"2SZPMBSPEJHW3PT2VTN4STDQ74","additional_properties":{"comments":[],"_id":"IH4W5UXYJFABZP6FGVTR5TLWLQ"},"type":"interstitial_link","content":"From 2021: New survey shows just how much COVID-19 will affect future of nursing","url":"https://www.ajc.com/pulse/new-survey-shows-just-how-much-covid-19-will-impact-future-of-nursing/PMIRPKDVS5DIFMM2P5OFGZOWME/"},{"_id":"VLSTTJV6J5A4BH7LG6EJW3KVGY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617628},"type":"text","content":"A spokeswoman for the Department of Community Health, Fiona Roberts, said in a statement that “Given the urgent nature of the pandemic, limitations on accessing available healthcare workforce, and the extraordinary demand for healthcare services, we were fortunate to contract with a local company that could quickly assist with helping hospitals and nursing homes remain open and operational.” DCH declined to provide an interview."},{"_id":"3AP4IFOJL5G2LONRVA6ZE7NW3U","additional_properties":{"inline_comments":[],"comments":[],"_id":1655191388081},"type":"text","content":"Moseley, of Dallas-based Prolucent Health, said while he’s unfamiliar with Georgia’s Jackson Healthcare deal, he believes it’s important for a hospital to actively manage its contracts with staffing agencies to keep down costs."},{"_id":"DKZLPY7QEZAGRHQ42MA4ZH4UDY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655191388084},"type":"text","content":"“I feel like it used to be a much more rational market, pre pandemic.... It’s almost like a run on the bank where it went beyond just the actual demand,” he said."},{"_id":"NA7ZN2W3IBAX3ILTP2D6OYIMSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655191388085},"type":"text","content":"“Because it’s such a panic, because the market is so dynamic and changing constantly, being informed and strategic about how you manage your contract labor is incredibly important,” Moseley said. “Being smart about paying as much as you have to to get the staff you need, without overpaying for it.”"},{"level":2,"_id":"YOGLREZHE5FXJELHVP7O2OD5CU","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617632},"type":"header","content":"Fixing the nurse shortage"},{"_id":"FED6GZNQVNCF3IGI4SEAQVNAOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617633},"type":"text","content":"Work is underway to alleviate the need for such heavy reliance on travel nurses."},{"_id":"GJRRKSR3SBCNFMG6AWXRM3CQIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655393672652},"type":"text","content":"Hospital officials say they are pushing the state to invest more in nursing schools and other education to increase the number of qualified health workers by training more. Many hospital systems also are doing what they can to lock up the limited supply of nurses, by partnering with local nursing schools to help train them."},{"_id":"XK5QPRR7S5AOVEHMTOMGLDVPFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617634},"type":"text","content":"Some hospital systems are creating their own internal “travel agencies.” Piedmont has several hospitals across the state, and it is offering its nurses the opportunity to sign temporary contracts and move between hospitals like they would as a traveler, as long as they stay within the Piedmont system."},{"_id":"HNSKBNPCNNAZ7H6XEBTMMFMLTM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617635},"type":"text","content":"Merry Fort, who is based in Macon and has been a manager in the travel nurse industry, predicts that things will eventually get back to normal. “We were never intended to be permanent staff,” she said."},{"_id":"OKP6FQOLOVAYFJTFDXRPXUX3SE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617636},"type":"text","content":"But the shortage must be dealt with, she said."},{"_id":"HKW7RQ6JPVGHRBXEC2LWGZUS2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617637},"type":"text","content":"Fort has given presentations, years ago, pointing out that, without intervention, “we would be 40,000 nurses short by 2030,” she said. “That was prior to the pandemic.”"},{"_id":"4U5WQQ76YFBXXKEFTVROB2XNZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617638},"type":"text","content":"“What do you think it’s going to be like now?”"},{"_id":"ZLQR3HUBCFDNTM5OXNYMC3QB2I","additional_properties":{"inline_comments":[],"comments":[],"_id":1655302617639},"type":"text","content":"
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Wade decision upheld abortion rights at least within the first “trimester.” A 1992 Supreme Court decision reaffirmed abortion rights until a fetus reached “viability.” Georgia’s soon-to-be law banning abortion at about six weeks is called the “Heartbeat Bill.”"},{"_id":"XH4ZYAQSUVCCFHOT4XIHFEU2CY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656695815776},"type":"text","content":"According to medical experts, those words surrounding pregnancy and abortion may have personal or legal meaning, but their use is often not based on science."},{"_id":"GOZO7XOYCNFYJCKWS7WEL6JC5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146780},"type":"text","content":"Two generations of scientists have added to knowledge about pregnancy since the Roe ruling in 1973, when the Supreme Court justices established trimesters as a way to divide pregnancy into different stages to guide abortion decisions. Today, most women with a pregnancy app on their phone know more about the stages of development than the justices did then."},{"_id":"5YDZ5YM64JCTRGBHQEE33PXURE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144647},"type":"text","content":"Still, as abortion battles heat up across the United States and in Georgia, misinformation can hold sway on both sides of the debate. Here are some basic facts about what’s happening inside a woman’s body once she conceives."},{"level":2,"_id":"NIAO42HFCVDS3AFOX5GRBTFGYY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144648},"type":"header","content":"A “heartbeat”"},{"_id":"33TLKAYOF5CO5EQFDE7TH4O7GY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431172},"type":"text","content":"For expecting mothers, an ultrasound visit to the doctor provides an opportunity to hear the sound of a heartbeat from the womb. It’s what Georgia’s law prohibiting abortion after six weeks was named for."},{"_id":"XXY3TBP2ABG3LFOLD2OZWDTVZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1656604540121},"type":"text","content":"But, in the beginning, the sound isn’t an actual heartbeat."},{"_id":"CRRMSD3FONHZXE7XNFHV3CPPYI","additional_properties":{"comments":[],"_id":"LIAXPOMSXBBIFKFIECL6CNAZYA"},"type":"interstitial_link","content":"Complete coverage on the Supreme Court abortion decision","url":"https://www.ajc.com/news/abortion-decision/"},{"_id":"O6U736QXRVGNDN5EMUEXJ5D2MA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656604540122},"type":"text","content":"“The sound that you’re hearing at six weeks is manufactured by the ultrasound machine,” said Dr. Nisha Verma, an OB-GYN who has studied at Emory and is currently a fellow at the American College of Obstetricians and Gynecologists in Washington, D.C."},{"_id":"6FDXPB5LRRFIJEI7Y2OYKHPXDA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146785},"type":"text","content":"At six weeks, what will soon be the heart hasn’t developed yet. What’s there is a tiny pipe called the primitive heart tube that can’t pump blood because it doesn’t close."},{"_id":"VIIE33MPM5EKXOTK7RJWLE33KI","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146786},"type":"text","content":"“For example, when I listen to (an adult’s heart, with a stethoscope), the sound that I hear is being made by the opening and closing of the cardiac valves. But at six weeks, those valves don’t exist,” Verma said. “It doesn’t have a sound.”"},{"_id":"PVHEE56QERHAXJIJN2H6HSGUYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146787},"type":"text","content":"Instead, at about six weeks, cells are shooting out electrical signals and fluttering or twitching. The ultrasound machine translates that activity into something the doctor and patient can understand. The doctor needs to know if the signals are coming at a fast and regular rate."},{"_id":"IPBSVQ5Y75AMFIJ2ZET5VABN2Q","additional_properties":{"comments":[],"_id":"TVZ25OUUZJEO5P6T5SPVFEHH6E"},"type":"interstitial_link","content":"Abortion in Georgia: What's currently legal — and not","url":"https://www.ajc.com/news/georgia-news/abortion-in-georgia-here-is-whats-currently-legal-and-not/DN5AHUQQLNFJTP4RZ6UTA3BULI/"},{"_id":"RWUWJCC6KFH7PLYTRPPEDEAQLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146788},"type":"text","content":"In addition to the augmented sound, an ultrasound machine can take an image of an embryo too small to see well and magnify it to be watched on the screen. An embryo at six weeks is actually the size of a lentil or pea."},{"_id":"JHUAEDVAN5GWBEIICC5BS6PV3A","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146789},"type":"text","content":"“You’ll see these images that make you think that a six-week pregnancy is like a full grown baby,” Verma said. “This is where there’s a lot of misconception out there.”"},{"level":2,"_id":"SIHJ4QATEFGOHCZ6KH53CKIV6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431173},"type":"header","content":"Viability"},{"_id":"MDPGGK3ZTVFBFIHUKIE7YTXUPQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431183},"type":"text","content":"The definition of when a fetus becomes “viable,” or able to survive outside the womb, has changed with advances in neonatal care."},{"_id":"IF575A5DFVDFDF4COKPU267LIM","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431185},"type":"text","content":"The Supreme Court’s 1992 Casey decision upholding Roe replaced the construct of trimesters with “viability” as the moment when the state had rights over a fetus. But the American College of Obstetricians and Gynecologists (ACOG) doesn’t use the term “viability” any more. The organization decided there was too much variability in when that moment occurs."},{"_id":"J4VYEK7MCRF35GLBB2GSV6QZGQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146799},"type":"text","content":"In 1973, when Roe v. Wade was decided, a baby born at 28 weeks had little chance of survival because the lungs are among the last organs to develop. But after scientists figured out how to keep the lungs developing outside the womb, they started saving even younger babies. Now at 25 weeks, if premature babies are given intense treatment, more than half survive and may thrive. Occasionally, a child born at 22 weeks can be saved."},{"_id":"WW3MIQYYRVCIJH62G5PHMI2LEY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656620439802},"type":"text","content":"A lot of early pregnancies — maybe even most of them — don’t make it."},{"_id":"NQWM4YHHMFGY5I54TYEV4IHFJY","additional_properties":{"comments":[],"_id":"T76UWY5NC5GVDE5PUKDYCKXJTE"},"type":"interstitial_link","content":"Georgia abortion clinics say demand has surged amid legal limbo","url":"https://www.ajc.com/news/georgia-abortion-clinics-say-demand-has-surged-amid-legal-limbo/EDHTFJDQVVDVPLDGPKLKRCZB4Q/"},{"_id":"25GEY4T6ZNAAFCNSFDYB2SPUKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1656705267643},"type":"text","content":"Even before conception, things inside the womb can go awry. Eggs may have a genetic code that doesn’t work. The body works to ignore such eggs, but it sometimes selects them for fertilization."},{"_id":"GTJ73X5RUNAHDLHFGN344636LE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144664},"type":"text","content":"After fertilized eggs implant in the uterus, the selection continues. From the first moments of pregnancy on, miscarriages can occur, which is often the body’s reaction to unhealthy DNA in the embryo."},{"_id":"YLRDPOML7ZD5NJYXTAJEMZC75I","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144665},"type":"text","content":"No one really knows what the numbers are for failed pregnancies. “We do know, based on the studies, that probably somewhere between 40% to 60% of those embryos that implant, even transiently, failed to continue,” said Dr. Ruben Alvero, division director of reproductive endocrinology and infertility at Stanford Children’s Health in California."},{"_id":"FDKUWPRZ6RE5XHAZ352DG5ZHHY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144666},"type":"text","content":"“We’re very inefficient procreators as humans,” Alvero said. “Most of the genetic abnormalities that embryos have either never implant or, if they do implant, they most often result in a miscarriage.”"},{"_id":"JI6R3FPTABHZXFVTUDDDZXZXTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1656556144667},"type":"text","content":"Most of the mothers never know."},{"_id":"7RTXE2WC6ZD4DPLLJJVUESPY7Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431186},"type":"text","content":"“It is challenging to know how many pregnancies die post implantation because women don’t know that they miscarry this early in pregnancy,” said Dr. Julie Baker, a Stanford University researcher. “It is probably more common than we know.”"},{"level":2,"_id":"V4V2GC5GLFH5TGGLUHGDYTVKHU","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431184},"type":"header","content":"The ticking clock"},{"_id":"ZI5IWTQ32FFGZCZNKQ6PRWVWHI","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146802},"type":"text","content":"Pregnant women: You’re further along than you think."},{"_id":"PEGNFNDINVH5HF4HQA4VJ7OFTQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146803},"type":"text","content":"Common medical practice is to peg the beginning of pregnancy to the first day of the woman’s last period — that’s right, back when she wasn’t even pregnant yet. This practice on average adds about two weeks to the age of the pregnancy. So if a woman learns she’s pregnant when she’s two weeks late for her period, her pregnancy is officially six weeks old. That’s about the stage at which Georgia’s “Heartbeat Bill” abortion restriction would kick in, if it’s upheld in court."},{"_id":"IZLHEJZV7RFOPJR34FJIWD4RLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146804},"type":"text","content":"Throughout pregnancy, fetal development and growth move extraordinarily fast."},{"_id":"IZXO77RRJNFPDNT4PG65OSNKCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146805},"type":"text","content":"That primitive heart tube that exists at six weeks within days and weeks becomes something else: puffing and looping itself around into the shape of a heart, with valves."},{"_id":"2MROFSKP4JAFTOHRJWUSSGC74E","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146806},"type":"text","content":"From six weeks to 17 weeks, the pea-sized embryo grows to a pear-sized fetus. In the beginning, the form starts as a circle, spends time in the shape of an amphibian, and even has ears on its neck at one point. Eventually, if the development proceeds smoothly, it all shifts and grows into the familiar form of a baby."},{"level":2,"_id":"KQX7H7MW7BA2DDMPHCNDZUBROA","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431177},"type":"header","content":"Feeling motherhood"},{"_id":"7YGFSKZNSBBFVHF6XZ72JDVHVY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431178},"type":"text","content":"Make no mistake: For many mothers and fathers, their baby’s life began the moment it was conceived."},{"_id":"D6KGZNUFSZHCBFFN3PULOUSRCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656604540147},"type":"text","content":"No matter the stage of pregnancy, from the earliest moments, some women are deeply, physically invested as mothers, scientists have found. Others aren’t."},{"_id":"BLB3VLDCKVFZLPYNKCKCSXW6DQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431179},"type":"text","content":"In a study published in the British medical journal The BMJ, Dr. Tom Bourne and other miscarriage researchers reported that a sizable number of abortions due to ectopic pregnancies resulted in post-traumatic stress disorder or PTSD."},{"_id":"REPKUYIFJ5EOJKAIG6OQN535ZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431180},"type":"text","content":"“Some women and couples start relating to their embryo as a child as soon as they have received a positive pregnancy test,” the authors wrote in 2016. “For them, losing that embryo and perhaps observing the embryo or fetus being passed during the miscarriage may be equated with the catastrophic death of a child.”"},{"_id":"3FBOH4CIANCB3AQK42NOZIML2U","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146812},"type":"text","content":"Other researchers have also pointed to psychological damage to some women who were forced to carry dangerous or unwanted pregnancies."},{"level":2,"_id":"IC4LNF7K2ZHINABW3W5B2FPFZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146814},"type":"header","content":"Abortion"},{"_id":"GB5HW2OY2VF3ZIXN5QREVU3EWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146815},"type":"text","content":"An abortion at six or eight weeks is done differently than it was in 1973. Now, most women at that stage take a pair of pills. The “abortion pill” must be prescribed by a doctor."},{"_id":"4QJM4QZUDRHUJN5H7X2BDD4ZJY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656611942212},"type":"text","content":"The abortion pills are different from the “morning after” or Plan B emergency contraceptive pill, which does not require a prescription and works to prevent an egg from being fertilized or implanted. It must be taken within 24 to 72 hours after sex to be effective."},{"_id":"V7QUH4FDVVBI3OUA4UUIU24HBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656604540155},"type":"text","content":"After taking the abortion pills, just as would happen with a miscarriage, the woman begins to bleed heavily as her uterus empties itself over a period of time. Like during a heavy period, the blood, much of it clotted, comes out in trips to the toilet, or on pads. The embryo comes out inside one of the blood clots, not something she can detect."},{"_id":"5VMO3MCJ7NG45MXB3AKNMSJ5IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146817},"type":"text","content":"The abortion pills are approved for use up only until week 10 in the U.S. (or week 12 under the World Health Organization). In Georgia, more than 80% of abortions happen by week nine."},{"_id":"PYMHG4AA7NAK5GRM4CJ5NYHVVU","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146818},"type":"text","content":"Until about week 16, doctors may perform abortion by suction, a process that is quick — “less than a few minutes,” Verma said. Among older fetuses, both miscarriages and induced abortions still happen. In Georgia, almost all abortions happen in the first half of pregnancy, by week 20, according to the Centers for Disease Control and Prevention. Less than 1% happen after 20 weeks."},{"_id":"WTAQ3LCKMNGBJP4Q6ILJWSIMI4","additional_properties":{"inline_comments":[],"comments":[],"_id":1656585146821},"type":"text","content":"All procedures have risks. But researchers say abortion is comparatively safe. The rates are too small to make solid comparisons between pills and surgical abortions, according to the CDC, but in general deaths have long averaged fewer than 1 death per 100,000 legal abortions. Depending on the data source, somewhere between 620,000 and about 900,000 abortions were reported in 2018 in the U.S.; two of those women died for reasons relating to the abortion."},{"_id":"6FHYAK7OFZHPLAXPHE5V63QG5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1656611942219},"type":"text","content":"The woman’s risk of death from giving birth is 14 times higher than her risk of death from abortion, according to Dr. Iffath Hoskins, a professor of obstetrics and gynecology at New York University."},{"_id":"IRZACUEVGRHPBMBKUANLPF6YQU","additional_properties":{"inline_comments":[],"comments":[],"_id":1656513431187},"type":"text","content":"
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He mentored many young lawyers and was always willing to talk through cases with you.”"},{"_id":"YFJT5DS4O5FXNNM3JWP4Z6AZU4","type":"text","additional_properties":{"_id":1663091408972,"comments":[],"inline_comments":[]},"content":"Decatur attorney Jason Sheffield, president of the Georgia Association of Criminal Defense Lawyers, said the organization mourns Pate’s passing."},{"_id":"5BPEOTOMJREJXHEBQTTZWSWI7E","type":"text","additional_properties":{"_id":1663091408973,"comments":[],"inline_comments":[]},"content":"“Page was a larger-than-life person and attorney,” Sheffield said. “Page’s dedication, creativity, knowledge and compassion for those persons facing prosecution across the United States was legendary.”"},{"type":"oembed_response","subtype":"twitter","_id":"AE6YPFX6Y5HGHECY3TJFMYD2RM","raw_oembed":{"url":"https://twitter.com/AnthonyMKreis/status/1569675767881289729","author_name":"Anthony Michael Kreis","author_url":"https://twitter.com/AnthonyMKreis","html":"

Absolutely stunned to hear about the passing of @pagepate. Kind and generous-- a real gem of a lawyer. I will miss our conversations about all things Georgia law. A huge and tragic loss for the Georgia legal community. #gapol

— Anthony Michael Kreis (@AnthonyMKreis) September 13, 2022

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Devastated to hear that my friend @pagepate died this weekend. We were friends for almost 30 years & came from same part of GA. He was brilliant, kind, professional - and could cross examine the hell out of a witness. Such a loss to his family & everyone who loved him.

— Jen Jordan (@senatorjen) September 13, 2022

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I’ve been to Tibet, and China, and all the Trappist breweries, except Westvleteren.”"},{"_id":"JRIHJAUNQ5HANJZDFWIEJGBVL4","type":"text","additional_properties":{"_id":1662733842899,"comments":[],"inline_comments":[]},"content":"Starting as an operator, Klubock opened several Taco Mac locations, including Roswell Road in Sandy Springs in 1989. Later, he founded Summits Wayside Tavern, which these days also has a location in Cumming."},{"_id":"JIKHCL2KKFHQXKLQ7CZU4BA2MU","type":"text","additional_properties":{"_id":1662733842900,"comments":[],"inline_comments":[]},"content":"The Roswell Road Taco Mac “was a pioneering place, because, at the time, we were the first multi-tap bar on the East Coast, and only one of three in the United States,” Klubock said. “I started off with 13 taps, and then, very quickly, I went to 116. 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And, one of the highlights was having our guests interact with these titans of the beer industry.”"},{"_id":"WEJQQEZA5NAG3GRP3IEBOQUITE","type":"interstitial_link","additional_properties":{"_id":"7U3D5OOK4ZED5DX4SNBIUHJ5QU","comments":[]},"content":"Photos: Longtime metro Atlanta restaurants","url":"https://www.ajc.com/entertainment/dining/photos-more-than-metro-atlanta-restaurants-that-have-been-open-for-more-years/Hv8wt5Tr33HfGKF0aWHkYK/"},{"_id":"YUGALNN2LJAX5PTMUANF3WZM2E","additional_properties":{"fullSizeResizeUrl":"/resizer/HZQ4fIzlXCJDvlgJKQEks-M7AKA=/arc-anglerfish-arc2-prod-ajc/public/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","galleries":[],"ingestionMethod":"manual","keywords":[],"mime_type":"image/jpeg","originalName":"Summits Exterior 2022.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","owner":"sandi.west@ajc.com","proxyUrl":"/resizer/HZQ4fIzlXCJDvlgJKQEks-M7AKA=/arc-anglerfish-arc2-prod-ajc/public/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","published":true,"resizeUrl":"/resizer/HZQ4fIzlXCJDvlgJKQEks-M7AKA=/arc-anglerfish-arc2-prod-ajc/public/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","restricted":false,"takenOn":"2022-09-07T13:45:04Z","thumbnailResizeUrl":"/resizer/Wfod_Yx0aKiFICJn53IFU4H8QoA=/300x0/arc-anglerfish-arc2-prod-ajc/public/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","version":0,"template_id":594,"_id":"YFJON6H6XND6XFFN4JQLJFUFKU","comments":[]},"address":{},"caption":"More than 29 years ago, owner Andy Klubock took over Danny's Speakeasy in an unassuming strip mall on Stone Mountain Highway first as a Taco Mac franchisee and later renamed Summits Wayside Tavern because he wanted to bring good beer to the burbs.n(Courtesy of Mary Fiorello)","created_date":"2022-09-07T19:17:00Z","credits":{"affiliation":[],"by":[{"byline":"Mary Fiorello","name":"Mary Fiorello","type":"author"}]},"distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"height":4032,"image_type":"photograph","last_updated_date":"2022-09-07T19:17:00Z","licensable":false,"owner":{"id":"ajc","sponsored":false},"slug":"AAJC 091822 Atlanta Classics","source":{"name":"AJC","source_type":"staff","additional_properties":{"editor":"photo center"},"edit_url":"","system":"photo center"},"subtitle":"AAJC 091822 Atlanta Classics","taxonomy":{"associated_tasks":[]},"type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/YUGALNN2LJAX5PTMUANF3WZM2E.jpg","version":"0.10.3","width":3024,"syndication":{}},{"_id":"B6A7YZ4AUVFVBISZF4PTXFMPLY","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"For his part, Klubock has been a crusader for the belief that beer belongs at the table, and is the equal of wine, if not a superior pairing for food."},{"_id":"THTELV435JDNJOQJ2DWCNYO2V4","type":"text","additional_properties":{"_id":1662733842906,"comments":[],"inline_comments":[]},"content":"“I’ve been fighting that battle for years,” he said, “but what’s remarkable now is that we have over a hundred breweries in Georgia, and the quality has improved significantly. That’s been a tough struggle, but a number of our brewers are producing world-class beers of all different styles.”"},{"_id":"5YGYKPDC4JB5JC2XXUGL6ZQYKI","type":"text","additional_properties":{"_id":1662733842907,"comments":[],"inline_comments":[]},"content":"Looking to the future, Klubock cited a question someone once asked Doonesbury cartoonist Garry Trudeau: “Isn’t it boring doing the same thing you’ve done year after year?”"},{"_id":"NHL4VY72MNC35HIJFGZF2GNCKA","type":"text","additional_properties":{"_id":1662733842908,"comments":[],"inline_comments":[]},"content":"“He said there’s a wonderful euphoria about being consistent,” Klubock said, “and I never forgot that. Doing what I do, year after year, gives me great pleasure. When people come into our store, they have an experience they can anticipate. 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Hwy, Snellville. summits-online.com."},{"_id":"P2FLZV4D2NDTHECTASIPVOPVFE","type":"interstitial_link","additional_properties":{"_id":"IPB4AZMV35CBLGDFQRRABNIF5M","comments":[]},"content":"The ultimate guide to pizza in Atlanta","url":"https://www.ajc.com/things-to-do/atlanta-pizza-guide/"},{"_id":"JOJCS6FTDBCLHAGWAT3XBBB23Y","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Sign up for the AJC Food and Dining Newsletter"},{"_id":"3VEGRFN6VRHQBI4DCVLUCBWNW4","type":"text","additional_properties":{"comments":[],"inline_comments":[]},"content":"Read more stories like this by liking Atlanta Restaurant Scene on Facebook, following @ATLDiningNews on Twitter and @ajcdining on Instagram."},{"_id":"JOQMEQ6LJFEXPEEFIDZMDVPI5A","type":"text","additional_properties":{"_id":1662733842909,"comments":[],"inline_comments":[]},"content":"
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issue."},{"_id":"WREL3EWVYJALJFPWPUSYHUEOMA","type":"text","additional_properties":{"_id":1662980670610,"comments":[],"inline_comments":[]},"content":"But Republican Senate hopeful Herschel Walker has recently taken the discussion in an unexpected direction."},{"_id":"T45RJS5YKZA7BJ6YLXDG7SQVO4","type":"text","additional_properties":{"_id":1662980670611,"comments":[],"inline_comments":[]},"content":"In rallies with voters and messages on the air, Walker has directly told his supporters that they are not racist— and that Democrats are using race to divide Georgians against each other."},{"_id":"OW7LIIAUCZECVIYZJXR7BNPY5Q","type":"text","additional_properties":{"_id":1662980670612,"comments":[],"inline_comments":[]},"content":"“Senator Warnock believes America is a bad country full of racist people; I believe we’re a great country full of generous people,” Walker said in the 30-second 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Raphael Warnock and Joe Biden want to divide us and demonize folks who don’t agree with them. I want to bring us together because I’m for the people. #gasen https://t.co/hNW2iKv6Xt pic.twitter.com/8Hsr7WzVl4

— Herschel Walker (@HerschelWalker) September 7, 2022

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At a stop in Rome recently, the senator said, “We have to resist the demagogues, resist the division, and embrace that American covenant of, ‘e pluribus unum.’ Out of many, one.”"},{"_id":"MCMYYRSQ2FBFNMVMMBH2WGY7KA","type":"text","additional_properties":{"_id":1662980670615,"comments":[],"inline_comments":[]},"content":"But the Walker ad does echo a longstanding theme in his campaign. At a Friday event with former U.N. Ambassador Nikki Haley, Walker opened by accusing Warnock of demanding that America “apologize for its whiteness.”"},{"_id":"5WEDDRJNDNEWPHJGWDETKNDSN4","type":"text","additional_properties":{"_id":1662980670616,"comments":[],"inline_comments":[]},"content":"“All of you are my family. I don’t care what color you are. All of you are my family,” he said, adding later: “It don’t matter about your color. It matters the content of your character.”"},{"_id":"HNZRVY6J2BEBZNNMPOM3QNG444","type":"text","additional_properties":{"_id":1662980670617,"comments":[],"inline_comments":[]},"content":"Haley, a potential 2024 presidential contender who is Indian-American, backed Walker up."},{"_id":"OUKD3TUZABFXFK73C3W7CWOQ7Y","type":"text","additional_properties":{"_id":1662980670618,"comments":[],"inline_comments":[]},"content":"“What we’re talking about is how do you lift up everybody not just some people, but everybody,” Haley said."},{"_id":"EYZK3C5RMFCODNXXF47CCMS2GM","type":"text","additional_properties":{"_id":1662980670619,"comments":[],"inline_comments":[]},"content":"Walker’s message is aimed primarily at white voters, who make up the huge majority of the GOP electorate and who may be weary of discussions of race that have dominated the news."},{"_id":"DIAO7K2BZNEZ5ONM7F55I52CPM","type":"text","additional_properties":{"_id":1662980670620,"comments":[],"inline_comments":[]},"content":"Whether the campaign tactic will be effective remains to be seen – though as Walker’s allies have noted, it’s a campaign argument that a white candidate would struggle to make."},{"_id":"HUDUKBAA6NA4DAQVHFNG7LZSYU","type":"text","additional_properties":{"_id":1662980670621,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"BP4SV7WIVUU6NMF4KOJBJRETPA","additional_properties":{"fullSizeResizeUrl":"/resizer/wHuHKejd7c4MtR4n0PRq1EDbaC4=/arc-anglerfish-arc2-prod-ajc/public/BP4SV7WIVUU6NMF4KOJBJRETPA.JPG","galleries":[],"iptc_job_identifier":"631a688e1b7033278dbf211b","keywords":["freelance","AJC Freelancer","AJC"],"mime_type":"image/jpeg","originalName":"s3://ajc-arc-photo-integration/Freelancer/091022 WH CONTENDERS 06.JPG","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BP4SV7WIVUU6NMF4KOJBJRETPA.JPG","proxyUrl":"/resizer/wHuHKejd7c4MtR4n0PRq1EDbaC4=/arc-anglerfish-arc2-prod-ajc/public/BP4SV7WIVUU6NMF4KOJBJRETPA.JPG","published":true,"resizeUrl":"/resizer/wHuHKejd7c4MtR4n0PRq1EDbaC4=/arc-anglerfish-arc2-prod-ajc/public/BP4SV7WIVUU6NMF4KOJBJRETPA.JPG","restricted":false,"takenOn":"2022-09-09T16:27:48Z","thumbnailResizeUrl":"/resizer/8LZZ3RhdNWAUlPahVqDCdBTlYYc=/300x0/arc-anglerfish-arc2-prod-ajc/public/BP4SV7WIVUU6NMF4KOJBJRETPA.JPG","version":2,"_id":"XFWSRKLCL5H7ZBZ7LU4SE2MX5U","comments":[]},"address":{"locality":"Norcross","region":"Ga"},"caption":"Nikki Haley smiles at Republican Senate candidate Herschel Walker during a campaign stop in Norcross on Friday, Sept. 9, 2022. 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While campaigning with former South Carolina Gov. Nikki Haley on Friday, Herschel Walker was asked whether he thinks federal lawmakers need to address “institutional racism.”"},{"_id":"IZGDTW23KZB5PNDRVSMRYDZOYI","type":"text","additional_properties":{"_id":1662980670624,"comments":[],"inline_comments":[]},"content":"The Republican noted his rise to college football stardom at the University of Georgia just 13 years after the athletics program was desegregated."},{"_id":"QVWVISWQ2ZBHNCB5OUVMAJ4R7A","type":"text","additional_properties":{"_id":1662980670625,"comments":[],"inline_comments":[]},"content":"“And now the majority of the players on the University of Georgia are Black, the majority of the players in the NFL are Black, the majority of them make millions of dollars. So we’ve gotten better."},{"_id":"LRLXQ3TFABCG3G55UCP6YSBQUA","type":"text","additional_properties":{"_id":1662980670626,"comments":[],"inline_comments":[]},"content":"“Do we need to get better? Yes … but right now we’re talking about separation. That’s what I’m talking about. We don’t separate. We bring together. 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Democrat Stacey Abrams is facing her own challenges with voters of color — particularly attracting more Black men to the polls."},{"_id":"FNARXSYAXVEWZO34EYY7SDBXZI","type":"text","additional_properties":{"_id":1662980670630,"comments":[],"inline_comments":[]},"content":"On Friday, Abrams addressed several hundred supporters packed into The HBCU, the Historical Black University of Creatives. She was joined at the downtown Atlanta venue by radio host Charlamagne Tha God, rapper 21 Savage and attorney Francys Johnson, the AJC’s Anjali Huynh reports."},{"_id":"22E63Q6GCNBYPNC6NFLGSY65FY","type":"text","additional_properties":{"_id":1662980670631,"comments":[],"inline_comments":[]},"content":"“If Black men turn out in their numbers and support me at the level they are capable of, I can win this election,” Abrams said. “Because we know that Black men sometimes punch below their weight class in elections.”"},{"_id":"RUD2CCD7QZG4ZHMWND6STB4DSM","type":"text","additional_properties":{"_id":1662980670632,"comments":[],"inline_comments":[]},"content":"She said she doesn’t plan to change her approach to Black men, but rather find new ways to connect with them."},{"_id":"ELG5FKU6OFB6DJ6K45AKCWH7CI","type":"text","additional_properties":{"_id":1662980670633,"comments":[],"inline_comments":[]},"content":"“This is a vital part of our electorate,” she told reporters before the event. “I’m not going to leave any community untouched and unconnected with.”"},{"_id":"S64NBBEFVVAZJF37WUCQCCZ2JU","type":"text","additional_properties":{"_id":1662980670634,"comments":[],"inline_comments":[]},"content":"At a campaign stop in Athens over the weekend, Gov. Brian Kemp was asked about his relative strength among Black voters in recent polls."},{"_id":"PPCZW6OAE5BB7PFUAY3KJVD7M4","type":"text","additional_properties":{"_id":1662980670635,"comments":[],"inline_comments":[]},"content":"He said that in his 2018 campaign, he was “defined by a candidate that had twice as much money as I did” and glowing attention from the national media."},{"_id":"FAASSC7HCVC4XOTAUPVZJ3FCXA","type":"text","additional_properties":{"_id":1662980670636,"comments":[],"inline_comments":[]},"content":"“I never could really fight through that. It’s a different story now because I have a great record that I think resonates with all Georgians,” he said."},{"_id":"2SAI2GVRAVFFLIXIZLWF72MGXI","type":"text","additional_properties":{"_id":1662980670637,"comments":[],"inline_comments":[]},"content":"An AJC poll from July found that Abrams was underperforming with Black voters. About 80% of the Black electorate supported the Democrat, well below the 90% or greater support that Democrats typically need to win statewide elections."},{"_id":"M642MMUHTRBN3BXI5Y32FFO36Y","type":"text","additional_properties":{"_id":1662980670638,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"EA46T6FEAFE4NIA75UYNXZS27Q","type":"text","additional_properties":{"_id":1662980670639,"comments":[],"inline_comments":[]},"content":"WARM UP ACT. State Sen. Jen Jordan, the Democratic nominee for attorney general, can add a new item to her CV: Opening act for comedian Amy Schumer."},{"_id":"ITVK6WS3ZVB6PBFLQVLKFMAJBY","type":"text","additional_properties":{"_id":1662980670640,"comments":[],"inline_comments":[]},"content":"Jordan addressed Schumer’s audience Sunday at the Coca-Cola Roxy — a venue in Jordan’s state Senate district — in between comedians opening the show for the comedian. Schumer is the cousin of U.S. Senate Majority Leader Chuck Schumer and has advocated in the past for gun control and access to abortion."},{"type":"oembed_response","subtype":"twitter","_id":"TV4A2KPTMNFQTBYF2JBNPIKMZ4","raw_oembed":{"url":"https://twitter.com/MaraDavis/status/1569144164687691776","author_name":"Mara Davis","author_url":"https://twitter.com/MaraDavis","html":"

Yes that was @senatorjen opening up for @amyschumer tonight! She knows who needs to be Georgias next Attorney General! Thank you Amy for giving Jen the time. What a show!!!! #gapol pic.twitter.com/6ZRuZzYnnq

— Mara Davis (@MaraDavis) September 12, 2022

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Over a thousand women attended that show in Sen. Jordan’s district, and we thought they should know that (Republican Attorney General) Chris Carr thinks they should be jailed for making their own health care decisions,” Scribner told our AJC colleague Maya T. Prabhu."},{"_id":"ZNIYOPNXMNGTDMD5DA2VRNKOWU","type":"text","additional_properties":{"_id":1662980670644,"comments":[],"inline_comments":[]},"content":"Although the law specifies punishment for doctors and abortion providers, Carr and his office have declined to say whether women can be jailed for seeking an abortion or inducing her own abortion under the state’s recently implemented abortion laws, saying his office doesn’t interpret the law for the public."},{"_id":"DJ7Z7G7KGJDORL23YORB7MDLXA","type":"text","additional_properties":{"_id":1662980670645,"comments":[],"inline_comments":[]},"content":"Georgia recently enacted the 2019 abortion law that bans the procedure in most cases after a doctor can detect fetal cardiac activity, which is typically around six weeks of pregnancy and before many women know they are pregnant."},{"_id":"EYZJRCFSJ5AX7HCD2T4JMZHBKI","type":"text","additional_properties":{"_id":1662980670646,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"PYFDZURJ4NGJ7AW3U2NGIG7YKA","type":"text","additional_properties":{"_id":1662980670647,"comments":[],"inline_comments":[]},"content":"WHOOPS. Democratic operatives took note this weekend when high-ranking Herschel Walker aide Mallory Blount posted, and quickly deleted, a tweet mocking U.S. Sen. Raphael Warnock’s own post about World Suicide Prevention Day."},{"_id":"SUHCAZVFZ5AXRNB7UUEFT7TB4E","type":"text","additional_properties":{"_id":1662980670648,"comments":[],"inline_comments":[]},"content":"“You know Dems are nervous about the midterms when THIS is their message 59 days from Election Day,” she posted. “You have control of the White House, Senate and House. Stop blaming other people for your abysmal approval rating.”"},{"_id":"WTRTWTSEIRFKJLNAR3DV3CHYFA","type":"text","additional_properties":{"_id":1662980670649,"comments":[],"inline_comments":[]},"content":"Blount said she meant to affix a similar message to a post by President Joe Biden, which she did after she deleted her initial tweet."},{"_id":"BLLKPQQQ4RG7TF5J6PIT4SYVA4","type":"text","additional_properties":{"_id":1662980670650,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"NGLIHU7BLUQR4RQTBIR3TGKDFE","additional_properties":{"expiration_date":"2022-10-12T04:08:01Z","fullSizeResizeUrl":"/resizer/ftigrlSa8o54zpWSsWTnqnYjRYU=/arc-anglerfish-arc2-prod-ajc/public/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","galleries":[],"mime_type":"application/octet-stream","originalName":"1c95834d99494a8f93042dc268b38abb","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","proxyUrl":"/resizer/ftigrlSa8o54zpWSsWTnqnYjRYU=/arc-anglerfish-arc2-prod-ajc/public/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","published":true,"resizeUrl":"/resizer/ftigrlSa8o54zpWSsWTnqnYjRYU=/arc-anglerfish-arc2-prod-ajc/public/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","restricted":false,"thumbnailResizeUrl":"/resizer/vdwYWabKejukwsa3uxGKcGCMGSQ=/300x0/arc-anglerfish-arc2-prod-ajc/public/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","version":0,"_id":"IOBLQTM3BNG3PECJ66KUQNLPVI","comments":[]},"address":{"locality":"Oxon Hill","region":"MD"},"caption":"President Joe Biden is scheduled to deliver remarks on the new infrastructure law from Boston. (AP Photo/Alex Brandon, File)","copyright":"Copyright 2022 The Associated Press. All rights reserved.","created_date":"2022-09-12T04:08:02Z","credits":{"by":[{"name":"Alex Brandon","type":"author"}]},"distributor":{"mode":"reference","reference_id":"425c44eb-5b03-4ce5-89fa-69e74b50003b"},"height":2809,"last_updated_date":"2022-09-12T04:08:02Z","licensable":false,"owner":{"id":"ajc"},"slug":"Biden Inflation","source":{"name":"Associated Press Photo Stream","source_id":"1c95834d99494a8f93042dc268b38abb","source_type":"wires","additional_properties":{"editor":"photo center"},"system":"arc i/o"},"subtitle":"Biden Inflation","type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/NGLIHU7BLUQR4RQTBIR3TGKDFE.jpg","version":"0.10.3","width":4213},{"_id":"IL77NUPHRFH23K6Z27GGWUXUU4","type":"text","additional_properties":{"_id":1662980670652,"comments":[],"inline_comments":[]},"content":"TODAY IN WASHINGTON:"},{"_id":"VHOJSUJET5APTDSIGXWLB2P3LI","type":"list","list_type":"unordered","additional_properties":{"comments":[],"inline_comments":[]},"items":[{"_id":"AREXD3BUKFGPHLEXKESDYILONA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"President Joe Biden will deliver remarks on the new infrastructure law from Boston.","type":"text"},{"_id":"CPJLRCIBYJHSPOZKH2JQYFTCA4","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"The U.S. Senate is back this evening and has more confirmations teed up.","type":"text"},{"_id":"6XHPUDJWLFA2ZEVWOYTPHFD7OM","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"The U.S. House returns from its summer break on Tuesday.","type":"text"}]},{"_id":"UWVITEX6DFB4BIHGGUTVR7N6A4","type":"text","additional_properties":{"_id":1662980670654,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"F5EN6HTNMTO4RCZS4JLIIVQQIM","additional_properties":{"fullSizeResizeUrl":"/resizer/p0DQjgtx9Do9F8sOvrJH9bkyHLU=/arc-anglerfish-arc2-prod-ajc/public/F5EN6HTNMTO4RCZS4JLIIVQQIM.JPG","galleries":[],"iptc_job_identifier":"630e7274d25a39386a1d671f","iptc_source":"Atlanta Journal-Constitution","iptc_title":"multimedia journalist","keywords":["AJC Freelancer","Raphael Warnock"],"mime_type":"image/jpeg","originalName":"s3://ajc-arc-photo-integration/Freelancer/090122 WARNOCK 14.JPG","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/F5EN6HTNMTO4RCZS4JLIIVQQIM.JPG","proxyUrl":"/resizer/p0DQjgtx9Do9F8sOvrJH9bkyHLU=/arc-anglerfish-arc2-prod-ajc/public/F5EN6HTNMTO4RCZS4JLIIVQQIM.JPG","published":true,"resizeUrl":"/resizer/p0DQjgtx9Do9F8sOvrJH9bkyHLU=/arc-anglerfish-arc2-prod-ajc/public/F5EN6HTNMTO4RCZS4JLIIVQQIM.JPG","restricted":false,"takenOn":"2022-08-31T21:50:53Z","thumbnailResizeUrl":"/resizer/4geCRshKJC8g17wXjdnXAxXii28=/300x0/arc-anglerfish-arc2-prod-ajc/public/F5EN6HTNMTO4RCZS4JLIIVQQIM.JPG","version":4,"_id":"KTYD7FNE4FB2VOJ4WGGRTZNU7A","comments":[]},"address":{"locality":"Marietta","region":"GA"},"caption":"U.S. Senator Raphael Warnock, a Georgia Democrat, teamed up with Sen. 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A measure championed by U.S. Sen. Raphael Warnock to allow veterans to file and track complaints with the Department of Veteran Affairs about their health care services is now headed to President Joe Biden’s desk to become law."},{"_id":"6F4ELISODZBIZCGTHHZKKUXG7Y","type":"text","additional_properties":{"_id":1662980670657,"comments":[],"inline_comments":[]},"content":"Warnock and Sen. John Kennedy, a Louisiana Republican, teamed up on the bill, which will require the VA to create an online complaint tracking system for veterans. The Senate approved the legislation by unanimous consent last week. It was approved in the House in May with just one dissenting vote, a Democrat from Illinois."},{"_id":"KLDSXKEDHBHH3MPICTOMOPEKC4","type":"text","additional_properties":{"_id":1662980670658,"comments":[],"inline_comments":[]},"content":"Currently, only VA officials can file and track complaints electronically. The new law is designed to improve transparency for patients and accountability for the department. The VA’s health care system has faced complaints about poor service and hard-to-navigate systems for years."},{"_id":"RF63GIKORNCGJHLIWOTFI7BWEM","type":"text","additional_properties":{"_id":1662980670659,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"D5AHG2HJQVZ6E2DAGXNII5KW3M","additional_properties":{"expiration_date":"2022-10-11T19:20:48Z","fullSizeResizeUrl":"/resizer/1hba17eX03B94dj0QxVyHIAElkM=/arc-anglerfish-arc2-prod-ajc/public/D5AHG2HJQVZ6E2DAGXNII5KW3M.jpg","galleries":[],"mime_type":"application/octet-stream","originalName":"ddf4f321ada04a42a03af781aba4ad15","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/D5AHG2HJQVZ6E2DAGXNII5KW3M.jpg","proxyUrl":"/resizer/1hba17eX03B94dj0QxVyHIAElkM=/arc-anglerfish-arc2-prod-ajc/public/D5AHG2HJQVZ6E2DAGXNII5KW3M.jpg","published":true,"resizeUrl":"/resizer/1hba17eX03B94dj0QxVyHIAElkM=/arc-anglerfish-arc2-prod-ajc/public/D5AHG2HJQVZ6E2DAGXNII5KW3M.jpg","restricted":false,"thumbnailResizeUrl":"/resizer/5D2l7kJocZiYWoK9HjSsgv4L2Lw=/300x0/arc-anglerfish-arc2-prod-ajc/public/D5AHG2HJQVZ6E2DAGXNII5KW3M.jpg","version":0,"_id":"KTBEWXIQYNFLJGMBKPFW52FFEQ","comments":[]},"address":{"locality":"Boston","region":"MA"},"caption":"A family member places a flower on the Garden of Remembrance memorial to Massachusetts victims of the 9/11 terrorist attacks, Sunday, Sept. 11, 2022, in Boston. 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Sunday marked 21 years since terrorists used hijacked planes to attack the World Trade Center and Pentagon. A fourth airliner was also likely headed to Washington before its passengers downed it in a field in Pennsylvania."},{"_id":"DCBQQ7HWFNCITHLFJXRR35L43A","type":"text","additional_properties":{"_id":1662980670662,"comments":[],"inline_comments":[]},"content":"Members of Georgia’s congressional delegation released statements to mark the solemn anniversary."},{"_id":"RILXZCWIWREZNOIPCHBMOYC7MI","type":"text","additional_properties":{"_id":1662980670663,"comments":[],"inline_comments":[]},"content":"U.S. Rep. Buddy Carter, a Republican who was serving as the mayor of Pooler in 2001, recognized the six Georgians who were killed during the attacks."},{"_id":"PJ3QMVZCPNHMFMBP65GQXZRHHQ","type":"list","list_type":"unordered","additional_properties":{"comments":[],"inline_comments":[]},"items":[{"_id":"W2RA3S5YFFHXNJFU7XCGCTSVTE","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Claude Michael Gann, 41, a sales executive from Roswell;","type":"text"},{"_id":"LSIFEGM5ERB6TDTF7HB64A2EFA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Maynard S. Spence Jr., 42, a construction safety executive from Douglasville;","type":"text"},{"_id":"JCMYKRNDUZALLN45ANGB2AST2M","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Harshad Sham Thatte, 30, a consultant from Norcross;","type":"text"},{"_id":"S3BLMPQGHNGOXJ4GOW74NOJP3Y","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Major Stephen V. Long, 39, a U.S. Army soldier from Georgia;","type":"text"},{"_id":"5SOEJQKLGJGFNH7H35NKJGD7OA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Major Wallace Cole Hogan Jr., 39, a U.S. Army soldier from Macon, and","type":"text"},{"_id":"E7EIADCRPBCQXA5FQHWZQH7IV4","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Adam White, a 26-year-old from Buckhead.","type":"text"}]},{"_id":"JBJAOWWBZJBBJE3MVHKOHF67GE","type":"text","additional_properties":{"_id":1662980670665,"comments":[],"inline_comments":[]},"content":"U.S. Rep. Nikema Williams, D-Atlanta, wrote, “We will never forget the 2,977 people whose lives were lost in the heinous attacks in New York City, Washington, D.C., and outside Shanksville, Pennsylvania. Countless more lives were lost and forever changed in the days and years following 9/11.”"},{"_id":"4OHVK5Y6SFEUHNN7LEVTUPJX3A","type":"text","additional_properties":{"_id":1662980670666,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"BWCDZA4U3VFSHHWMX3H3B6ZQ6M","additional_properties":{"galleries":[],"ingestionMethod":"manual","iptc_source":"Staff","iptc_title":"AJC Staff Photo","keywords":[],"mime_type":"image/jpeg","originalName":"PRINCE_222217.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BWCDZA4U3VFSHHWMX3H3B6ZQ6M.jpg","owner":"brian.oshea@ajc.com","published":true,"restricted":false,"thumbnailResizeUrl":"/resizer/hbep104sRfvUCHyuYzH-QcnAZng=/300x0/arc-anglerfish-arc2-prod-ajc/public/BWCDZA4U3VFSHHWMX3H3B6ZQ6M.jpg","version":2,"template_id":594,"_id":"LFU6AIQWVNHFRD44Q2BSTDPDKI","comments":[]},"address":{"locality":"Atlanta","region":"GA"},"caption":"Prince Charles draws applause from Gov. Busbee and Lt. Gov. Miller at the State Capitol, Oct. 22, 1977. (AJC Staff Photo/Minla Linn)","copyright":"© 1997 Atlanta Journal/Constit","created_date":"2022-09-10T21:34:12Z","credits":{"affiliation":[{"name":"AJC","type":"author"}],"by":[{"byline":"Minla Shields / AJC File","name":"Minla Shields / AJC File","type":"author"}]},"distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"geo":{},"height":1374,"image_type":"photograph","last_updated_date":"2022-09-13T12:37:34Z","licensable":false,"owner":{"id":"ajc","sponsored":false},"slug":"PRINCE","source":{"name":"AJC","source_type":"staff","additional_properties":{"editor":"photo center"},"edit_url":"","system":"photo center"},"subtitle":"0000222217","taxonomy":{"associated_tasks":[]},"type":"image","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/BWCDZA4U3VFSHHWMX3H3B6ZQ6M.jpg","version":"0.10.3","width":1700,"syndication":{},"creditIPTC":"AJC"},{"_id":"ZF2EH2I2OBBQPLWBM22ET3TT7M","type":"text","additional_properties":{"_id":1662980670668,"comments":[],"inline_comments":[]},"content":"PRINCE OF ATHENS. As the world remembers the life of Queen Elizabeth II, the AJC’s Brian O’Shea remembered the time King Charles III became the first member of the modern British royal family to visit Georgia."},{"_id":"OAGBX7DHLFDHRGNN37VNJHBF5Y","type":"text","additional_properties":{"_id":1662980670669,"comments":[],"inline_comments":[]},"content":"And like many leaders before and since, the then-Prince Charles headed to the two hubs of real power in the state — the Georgia General Assembly and a UGA football game. More on the royal visit between the hedges:"},{"_id":"NBEIXH2O3ZBXPEWVARO3GVRAYM","type":"quote","content_elements":[{"_id":"P5TBVDBHPVEL5JET7ZHKTRGCRA","additional_properties":{"comments":[],"inline_comments":[]},"content":"AJC columnist Mark Bradley, who attended that game, too, reported that (UGA Coach Vince) Dooley introduced the prince to Kentucky Coach Fran Curci who, according to Bradley “asked his highness, ‘Want some gum?’”","type":"text"},{"_id":"54RAIIFKAVEG5GJFU47LYKVODE","additional_properties":{"comments":[],"inline_comments":[]},"content":"The game was a bad homecoming. Kentucky beat UGA 33-0.","type":"text"},{"_id":"BB7Z3G6BB5CXFGRPBFSYNZTGAM","additional_properties":{"comments":[],"inline_comments":[]},"content":"Sports writer Tom Tucker wrote in the AJC the next day that Charles arrived by car from the West end of the stadium and “strolled 100 yards between the hedges to the East end zone,” which he also correctly noted “was more than the Georgia football team was able to do all day against Kentucky.”","type":"text"}],"citation":{"content":"The Atlanta Journal-Constitution","type":"text"},"subtype":"blockquote","additional_properties":{"_id":"X7PSDMIKWNGNPPBNQT3OPDMO3Q","comments":[]}},{"_id":"JOTYMF2DHZD5BAS5S52AVQ373A","type":"text","additional_properties":{"_id":1662980670671,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"OCYWZ7YMRRGC7K2S6DSO6YWPEE","type":"text","additional_properties":{"_id":1662980670672,"comments":[],"inline_comments":[]},"content":"POWER PLAYER. And speaking of Georgia power players, the AJC’s Sarah Spencer caught up with Gov. Brian Kemp after his tailgate with the Young Republicans in Athens this weekend to ask him the questions everybody wants answers to. Behold the governor’s picks for:"},{"_id":"YYT7TUCSQBH3TPTULVXH2XBRQI","type":"list","list_type":"unordered","additional_properties":{"comments":[],"inline_comments":[]},"items":[{"_id":"LGHFMFWLGJBEPHTGBHHKMDRCNA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Favorite tailgate food: Hot dogs, hamburgers, and bacon-wrapped quail (fancy);","type":"text"},{"_id":"AWF24NY3LFD5HDH64ZYVDSKFDQ","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Favorite Georgia game of all time: Last year’s National Championship, naturally; and","type":"text"},{"_id":"E7ARBO77SFHHRPDYPTO7S5BHIA","additional_properties":{"comments":[],"inline_comments":[]},"block_properties":{},"content":"Favorite current player: Despite being advised by First Lady Marty Kemp not to answer this tough one, Kemp named Ladd McConkey. “Pullin’ for the underdog,” the governor explained.","type":"text"}]},{"_id":"X5ANEHYUYZGULPORETJ6DHM45Q","type":"text","additional_properties":{"_id":1662980670674,"comments":[],"inline_comments":[]},"content":"***"},{"_id":"NDVUJLSEVNF35LLHQCGB3XVXE4","type":"text","additional_properties":{"_id":1662980670675,"comments":[],"inline_comments":[]},"content":"AS ALWAYS, Jolt readers are some of our favorite tipsters. Send your best scoop, gossip and insider info to patricia.murphy@ajc.com, tia.mitchell@ajc.com and greg.bluestein@ajc.com."},{"_id":"JHO7YZ6XWRC3RCRCWVGMX5GKV4","type":"text","additional_properties":{"_id":1662980670676,"comments":[],"inline_comments":[]},"content":"
"},{"_id":"DZX55BK62JG6DHCDCFTUTMRKL4","type":"text","additional_properties":{"_id":1662980670677,"comments":[],"inline_comments":[]},"content":"
"}],"first_publish_date":"2022-09-12T10:48:40.971Z","last_updated_date":"2022-09-13T08:01:08.104Z","canonical_url":"https://www.ajc.com/politics/politics-blog/the-jolt-walker-attacks-warnock-on-race-in-senate-contest/F2Q3IP6U3RA2NBHWI5Q2L2Q3B4/","canonical_website":"ajc","credits":{"by":[{"_id":"patricia-murphy","type":"author","version":"0.5.8","name":"Patricia Murphy","org":"Atlanta","image":{"url":"https://s3.amazonaws.com/arc-authors/ajc/70534eee-6415-4fc3-8159-b29bf7e0312a.png","version":"0.5.8"},"description":"Patricia Murphy joined the AJC in 2020 from CQ Roll Call, where she was a a nationally syndicated political columnist. She has also covered national politics for The Daily Beast, AOL's Politics Daily, and founded Citizen Jane Politics. She graduated from Vanderbilt University and holds a master’s degree in journalism from Columbia University.","url":"/staff/patricia-murphy/","slug":"","social_links":[{"site":"email","url":"patricia.murphy@ajc.com"},{"site":"twitter","url":"https://twitter.com/MurphyAJC"}],"socialLinks":[{"site":"email","url":"patricia.murphy@ajc.com","deprecated":true,"deprecation_msg":"Please use social_links."},{"site":"twitter","url":"https://twitter.com/MurphyAJC","deprecated":true,"deprecation_msg":"Please use social_links."}],"additional_properties":{"original":{"_id":"patricia-murphy","firstName":"Patricia ","lastName":"Murphy","byline":"Patricia Murphy","image":"https://s3.amazonaws.com/arc-authors/ajc/70534eee-6415-4fc3-8159-b29bf7e0312a.png","email":"patricia.murphy@ajc.com","affiliations":"The Atlanta Journal-Constitution","author_type":"Staff","education":[{"name":"Vanderbilt University, B.A. in French"},{"name":"Columbia University Graduate School of Journalism, Master's Degree in Journalism"}],"awards":[],"books":[],"podcasts":[],"bio_page":"/staff/patricia-murphy/","bio":"Patricia Murphy joined the AJC in 2020 from CQ Roll Call, where she was a a nationally syndicated political columnist. 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