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Financialization’s Impact on Medical Debt in the U.S. Healthcare System and on Disenfranchised Communities, Advocacy and Policy Responses

Authors: Alexandra Allen, MSPPM, Britt Sanderson, MS, MPH Executive Summary The financialization of the U.S. health care sector has fundamentally reshaped the way care is delivered and paid for, worsening medical debt and deepening imbalances. Building on systemic barriers that creates racially stratified health insurance products[1],[2] and suppresses the political and economic power of people […]

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South Dakota Survey Finds Residents Struggle with Healthcare Costs

Many South Dakotans struggle with healthcare costs and worry about affording future care, reports Mitchell Now. According to a national survey from the West Health-Gallup Center for Healthcare in America, nearly half of South Dakotans worry they won’t be able to afford needed healthcare in the coming year, over one third had concerns about paying […]

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Poll: Californians’ Express Concerns about Health Care Costs and Mental Health Access

A recent statewide poll in California found that a large majority of voters are concerned about healthcare costs, reports Cal Matters. The survey found that nearly 90% of people polled statewide said they’d like to see the next governor prioritize caps on out-of-pocket health costs. Many respondents also reported mental health access as a key concern, and […]

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WV County Becomes First Local Government to Adopt ICHRA for Employees

In Monongalia County, West Virginia, the county commission unanimously voted to cancel its traditional group health insurance plan with Highmark West Virginia effective December 31, 2025, and to move to an individual-coverage health reimbursement arrangement (ICHRA) for its approximately 265 employees WAJR. Under the new model, the county will cover nearly 98 % of premiums, and employees […]

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Minnesotans’ Health Care Costs Rose as Usage Dropped From 2019 To 2023

A recent report shows that in Minnesota per-person health care spending among commercially insured residents under age 65 rose from about $6,224 in 2019 to $7,154 in 2023, an increase of roughly 15 percent, reports the Minnesota Reformer. Simultaneously, total usage of health care services fell during that period, meaning that spending went up even as people […]

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Report: Rising Costs, Reduced Enrollment, Long Wait times in NM Medicaid

New Mexico Medicaid spending is increasing amid reports that patients encounter longer wait times for appointments and may forego preventive or low-acuity care, reports Source NM. Rising costs and delays can raise the effective cost of care for enrollees through worsening conditions, higher use of emergency services, or increased personal cost-sharing. The article emphasizes that affordability is […]

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Ohio Residents Face High Health Care Costs

Ohio residents face high out-of-pocket costs and racial disparities in going without care due to cost, reports NBC4 Columbus. According to the report from the Health Policy Institute of Ohio, one in five Ohioans admitted to having a difficult time keeping up with paying their medical bills in 2023, and nearly one in five Ohioans lived in families […]

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Colorado Revises Health Care Regulations for Changes in Ownership, Surprise Billing Disclosures

Colorado’s health department adopted new rules for health care change of ownership transactions and state surprise billing regulations, reports Husch Blackwell. The new rules, which will go into effect on September 15, 2025, impact the timeline for notifying CDPHE of CHOWs and bring the state’s surprise billing rules in line with the federal No Surprises Act. Under […]

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Vermont Exempts Birthing Centers from Certificate of Need Process

Vermont has passed legislation exempting Birthing Centers from the state’s Certificate of Need process, reports the Burlington Free Press. The Certificate of Need process requires that health care entities gain state approval before constructing new facilities or increasing the number of beds in certain circumstances. The bill is intended to remove this barrier to the construction of […]

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Oklahoma Governor Signs Price Transparency Bill

Oklahoma has passed a new law to require greater transparency, reports the Oklahoma Voice. As passed, Senate Bill 889 requires hospitals to compile a list of standard charges and make this list easily available to the public. The bill goes into effect November 1, 2025.

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