What's the state of our healthcare in Miami? See challenges and cures
The articles below focus on Miami's healthcare challenges and innovations.
They include a look at a new medical hub in Doral offering more access to healthcare. Meanwhile, vaccination rates among Florida's youth are dropping, posing a public health risk due to increased vaccine hesitancy. Women's healthcare faces affordability and accessibility issues, partially due to Florida's choice not to expand Medicaid and implement restrictive abortion laws.
Catch up with the coverage below.
Florida's healthcare system has 'worse-than-average performance' for women, according to a 2024 report. By Carl Juste
NO. 1: WHY IS WOMEN'S HEALTHCARE IN A 'PERILOUS PLACE'? TAKE A LOOK AT THE FLORIDA RANKINGS
Women in the state are struggling with health issues and access. | Published July 25, 2024 | Read Full Story by Adlai Coleman
No image found Outdoor worker at Casaplanta Garden Center, Otty Bustos, takes a water break on Friday, July 5, 2024 in Kendale Lakes, Fla. By Sophia Bolivar
NO. 2: FLORIDA HAS HIGHEST NUMBER OF HEAT-RELATED ILLNESSES IN THE NATION, NEW REPORT FINDS
'Without common-sense workplace protections, heat-related illness, coupled with Florida's high uninsured rate, will spell trouble for a growing number of residents' | Published July 26, 2024 | Read Full Story by Ashley Miznazi
Marcellus Francis 7, laughs while rolling out dough. He is flanked by his twin sisters, Morgan Francis, 10, and Madison Francis 10, as their mother Lavi Francis, right, looks on during the cooking class by Eatwell Exchange at the Little Haiti Cultural Complex in Miami. Standing on the left is Ashley Carter. By Alexia Fodere
NO. 3: SHE'S TEACHING KIDS, FAMILIES HOW TO MAKE HEALTHY MEALS FROM FOODS OF THEIR HOMELAND
'People will say, 'This is my first time ever seeing my cultural foods regarded as healthy,' Ashley Carter, founder of EatWell Exchange | Published October 23, 2024 | Read Full Story by Nancy Dahlberg
No image found A photo of the Overtown Youth Center. By Courtesy of OYC Miami
NO. 4: SUPPORT MIAMI'S OVERTOWN AS IT REINVENTS ITSELF THROUGH TECH AND MEDICAL INNOVATION | OPINION
OnMed CareStation in Overtown is a high-tech medical kiosk enabling people to access everyday healthcare services remotely. | Published February 13, 2025 | Read Full Story by Pascal J. Goldschmidt and Erin Kobetz
A nurse double-gloves before handling and preparing doses of the measles, mumps and rubella virus vaccine at a pop-up clinic at the Carrollton-Farmers Branch ISD Administration Building in Carrollton, Texas, on Friday, March 7, 2025. (Liz Rymarev/The Dallas Morning News/TNS)
NO. 5: WHY FEWER KIDS ARE GETTING VACCINATED IN FLORIDA — AND HOW THAT COULD AFFECT OUTBREAKS
'I have seen a growing rise in parents who are concerned.' | Published March 15, 2025 | Read Full Story by Michelle Marchante
No image found An external view of the new UHealth Doral Medical Center during its grand opening event on Thursday, November 21, 2024. By Alexia Fodere
NO. 6: A GROWING MEDICAL HUB IS CHANGING HEALTHCARE IN MIAMI. WHAT'S DRIVING THE NEW PUSH?
'Every major system is expanding. The whole area is hot now.' | Published March 24, 2025 | Read Full Story by Michelle Marchante
No image found Kayla Smith, 19, left, double check the recipe as the 'Sweet and Sour' cooking team prepare their meal with help from sisters - Dynasty, 19, and Dominique Daniels, 21, right during a pilot cooking program funded by Miami Beach resident and longevity expert Dan Buettner, at the Overtown Youth Center on April 3, 2025, in Miami, Florida. By Carl Juste
NO. 7: WILL THIS SOUP LEAD TO A HEALTHIER AND LONGER LIFE? SEE WHAT'S COOKING IN MIAMI
They're taking tips from the world's Blue Zones. | Published April 18, 2025 | Read Full Story by Michelle Marchante
The summary above was drafted with the help of AI tools and edited by journalists in our News division. All stories listed were reported, written and edited by McClatchy journalists.
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The Hill
3 hours ago
- The Hill
We can't win the fight to end HIV if we cut funding and access to medication
The fight to end HIV in our lifetimes just received a game-changing innovation. In June, the FDA approved Yeztugo (lenacapavir), a groundbreaking HIV prevention treatment that requires just two injections per year — and scored 99 percent effectiveness in trials. This monumental scientific breakthrough is poised to transform the lives of people who have found it hard to keep up with daily oral pre-exposure prophylaxis, providing an option that fits better into their everyday lives. But as exciting as this development is, it could be undermined by the Trump administration's proposal to cut nearly $1 billion from federal HIV prevention programs. Innovations like lenacapavir could be a key tool to ending the epidemic, but only if we have the resources and policy to deliver it directly to those who need them most. Although lenacapavir's efficacy is groundbreaking, access remains another story. With a price tag hovering around $28,000 a year, this medication risks being out of reach for the very communities who need it most. We're still waiting to see how programs managed by Gilead Sciences, which developed the treatments, and the broader insurance markets will step up. And it's not just the cost of the drug itself. It's the labs, the provider visits, the follow-ups — each one a potential roadblock for someone trying to stay safe. Federal leadership is essential to ensuring this new HIV prevention tool reaches the communities who need it most. This includes updating clinical guidelines, funding support services and supporting the infrastructure that makes access possible. Unfortunately, the Trump administration and the Republican majorities in Congress are putting access to lifesaving innovations at risk. The administration's attacks on HIV prevention, including its proposals to eliminate the Centers for Disease Control and Prevention's HIV budget and efforts to dismantle public health systems, threaten progress. The Republican budget reconciliation bill that President Trump signed over the July 4 weekend includes deep cuts to Medicaid — the largest payer for HIV care in the U.S. Without strong federal investment and coordination, expanding access to new tools and ending the HIV epidemic is at serious risk. Despite the real strides we have made in HIV prevention, those of us in the lesbian, gay, and transgender community — especially non-white Southerners in rural areas or navigating poverty — know that not every prevention strategy reaches us, works for us, or is built with us in mind. Our realities demand options that reflect the full truth of who we are and how we live. Lenacapavir offers real, powerful hope, but let's be clear: Science alone won't save us. What will make the difference is equitable and intentional policies that center our communities and a public health infrastructure that doesn't leave us behind. These numbers don't shift on their own. Yes, we have made progress over time. But the hard truth is that Black Americans still account for 43 percent of all new HIV diagnoses in the U.S., despite being just 13 percent of the population. The data is even more stark for Black transgender women: 44 percent are living with HIV, and their lifetime risk remains unacceptably high. And we cannot ignore the geography of this epidemic. The South accounts for 52 percent of all new HIV diagnoses in the U.S. That's not a coincidence — it is the result of systemic failures: limited access to healthcare, persistent stigma, lack of comprehensive sex education and the absence of strong non-discrimination protections. These barriers don't just prevent care — they trap people in cycles where prevention tools are out of reach. Among gay and bisexual Black men, the risk of contracting HIV is still 50 percent over a lifetime. Prevention tools like pre-exposure prophylaxis and lenacapavir hold promise, but they only matter if people can actually access them, without fear, shame or coercion. Ending this epidemic means creating environments where people are safe to make informed choices about their own health. The fight to end the HIV epidemic is not just about what happens in labs — it's about how we make these innovations real for our communities. Science is doing its part. Now is the time to urge Congress to reject any cuts to CDC HIV prevention efforts and to fully fund the HIV response. We have the tools to end this epidemic, but not if we dismantle the very systems our communities rely on to survive. The promise of lenacapavir, and the hope it represents, is too great to let fall through the cracks of policy neglect. The question is, will we make the choice to ensure that this breakthrough reaches all of us? Science has given us the tools. Now, we must ensure that everyone has the opportunity to use them.
Los Angeles Times
a day ago
- Los Angeles Times
California, other Democratic-led states roll back Medicaid access for people lacking legal status
SACRAMENTO — For nearly 20 years, Maria would call her sister — a nurse in Mexico — for advice on how to manage her asthma and control her husband's diabetes instead of going to the doctor in California. She didn't have legal status, so she couldn't get health insurance and skipped routine exams, relying instead on home remedies and, at times, getting inhalers from Mexico. She insisted on using only her first name for fear of deportation. Things changed for Maria and many others in recent years when some Democratic-led states opened up their health insurance programs to low-income immigrants regardless of their legal status. Maria and her husband signed up the day the program began last year. 'It changed immensely, like from Earth to the heavens,' Maria said in Spanish of Medi-Cal, California's Medicaid program. 'Having the peace of mind of getting insurance leads me to getting sick less.' At least seven states and the District of Columbia have offered coverage for immigrants, mostly since 2020. But three of them have done an about-face, ending or limiting coverage for hundreds of thousands of immigrants who aren't in the U.S. legally — California, Illinois and Minnesota. The programs cost much more than officials had projected at a time when the states are facing multibillion-dollar deficits now and in the future. In Illinois, adult immigrants ages 42 to 64 without legal status have lost their healthcare to save an estimated $404 million. All adult immigrants in Minnesota no longer have access to the state program, saving nearly $57 million. In California, no one will automatically lose coverage, but new enrollments for adults will stop in 2026 to save more than $3 billion over several years. Cuts in all three states were backed by Democratic governors who once championed expanding health coverage to immigrants. The Trump administration this week shared the home addresses, ethnicities and personal data of all Medicaid recipients with U.S. Immigration and Customs Enforcement officials. Twenty states, including California, Illinois and Minnesota, have sued. Healthcare providers told the Associated Press that all of those factors, especially the fear of being arrested or deported, are having a chilling effect on people seeking care. And states may have to spend more money down the road because immigrants will avoid preventive healthcare and end up needing to go to safety-net hospitals. 'I feel like they continue to squeeze you more and more to the point where you'll burst,' Maria said, referencing all the uncertainties for people who are in the U.S. without legal permission. People who run free and community health clinics in California and Minnesota said patients who got on state Medicaid programs received knee replacements and heart procedures and were diagnosed for serious conditions like late-stage cancer. CommunityHealth is one of the nation's largest free clinics, serving many uninsured and underinsured immigrants in the Chicago area who have no other options for treatment. That includes the people who lost coverage July 1 when Illinois ended its Health Benefits for Immigrants Adults Program, which served about 31,500 people ages 42 to 64. One of CommunityHealth's community outreach workers and care coordinator said Eastern European patients she works with started coming in with questions about what the change meant for them. She said many of the patients also don't speak English and don't have transportation to get to clinics that can treat them. The worker spoke to the AP on condition of anonymity to protect patients' privacy. Health Finders Collective in Minnesota's rural Rice and Steele counties south of Minneapolis serves low-income and underinsured patients, including large populations of Latino immigrants and Somali refugees. Executive director Charlie Mandile said his clinics are seeing patients rushing to squeeze in appointments and procedures before 19,000 people age 18 and older are kicked off insurance at the end of the year. Free and community health clinics in all three states say they will keep serving patients regardless of insurance coverage — but that might get harder after the U.S. Department of Health and Human Services decided this month to restrict federally qualified health centers from treating people without legal status. CommunityHealth Chief Executive Stephanie Willding said she always worried about the stability of the program because it was fully state funded, 'but truthfully, we thought that day was much, much further away.' 'People are going to die. Some people are going to go untreated,' Alicia Hardy, chief executive officer of CommuniCARE+OLE clinics in California, said of the state's Medicaid changes. 'It's hard to see the humanity in the decision-making that's happening right now.' A spokesperson for the Minnesota Department of Health said ending the state's program will decrease MinnesotaCare spending in the short term, but she acknowledged healthcare costs would rise elsewhere, including uncompensated care at hospitals. Minnesota House Speaker Lisa Demuth, a Republican, said the state's program was not sustainable. 'It wasn't about trying to be non-compassionate or not caring about people,' she said. 'When we looked at the state budget, the dollars were not there to support what was passed and what was being spent.' Demuth also noted that children will still have coverage, and adults lacking permanent legal status can buy private health insurance. Healthcare providers also are worried that preventable conditions will go unmanaged, and people will avoid care until they end up in emergency rooms — where care will be available under federal law. One of those safety-net public hospitals, Cook County Health in Chicago, treated about 8,000 patients from Illinois' program last year. Dr. Erik Mikaitis, the health system's CEO, said doing so brought in $111 million in revenue. But he anticipated other providers who billed through the program could close, he said. 'Things can become unstable very quickly,' he said. State lawmakers said California's Medi-Cal changes stem from budget issues — a $12-billion deficit this year, with larger ones projected ahead. Democratic state leaders last month agreed to stop new enrollment starting in 2026 for all low-income adults without legal status. Those under 60 remaining on the program will have to pay a $30 monthly fee in 2027. States are also bracing for impact from federal policies. Cuts to Medicaid and other programs in President Trump's massive tax and spending bill include a 10% cut to the federal share of Medicaid expansion costs to states that offer health benefits to immigrants starting October 2027. California health officials estimate roughly 200,000 people will lose coverage after the first full year of restricted enrollment, though Gov. Gavin Newsom maintains that even with the rollbacks, California provides the most expansive healthcare coverage for poor adults. Every new bill requires a shift in Maria's monthly calculations to make ends meet. She believes many people won't be able to afford the $30-a-month premiums and will instead go back to self-medication or skip treatment altogether. 'It was a total triumph,' she said of Medi-Cal expansion. 'But now that all of this is coming our way, we're going backwards to a worse place.' Fear and tension about immigration raids are changing patient behavior, too. Providers told the AP that, as immigration raids ramped up, their patients were requesting more virtual appointments, not showing up to routine doctor's visits and not picking up prescriptions for their chronic conditions. Maria has the option to keep her coverage. But she is weighing the health of her family against risking what they've built in the U.S. 'It's going to be very difficult,' Maria said of her decision to remain on the program. 'If it comes to the point where my husband gets sick and his life is at risk, well then, obviously, we have to choose his life.' Nguyễn and Shastri write for the Associated Press and reported from Sacramento and Milwaukee, respectively. AP journalist Godofredo Vasquez in San Francisco contributed to this report.
Chicago Tribune
a day ago
- Chicago Tribune
Illinois among Democrat-led states rolling back Medicaid access for people lacking permanent legal status
SACRAMENTO, Calif. — For nearly 20 years, Maria would call her sister — a nurse in Mexico — for advice on how to manage her asthma and control her husband's diabetes instead of going to the doctor in California. She didn't have legal status, so she couldn't get health insurance and skipped routine exams, relying instead on home remedies and, at times, getting inhalers from Mexico. She insisted on using only her first name for fear of deportation. Things changed for Maria and many others in recent years when a handful of Democrat-led states opened up their health insurance programs to low-income immigrants regardless of their legal status. Maria and her husband signed up the day the program began last year. 'It changed immensely, like from Earth to the heavens,' Maria said in Spanish of Medi-Cal, California's Medicaid program. 'Having the peace of mind of getting insurance leads me to getting sick less.' At least seven states and the District of Columbia have offered coverage for immigrants since mostly 2020. But three of them have done an about-face, ending or limiting coverage for hundreds of thousands of immigrants who aren't in the U.S. legally in California, Illinois and Minnesota. The programs cost way more than officials had projected at a time when the states are facing multibillion-dollar deficits now and in the future. In Illinois, adult immigrants ages 42-64 without legal status have lost their health care to save an estimated $404 million. All adult immigrants in Minnesota no longer have access to the state program, saving nearly $57 million. In California, no one will automatically lose coverage, but new enrollments for adults will stop in 2026 to save more than $3 billion over several years. Cuts in all three states were backed by Democratic governors who once championed expanding health coverage to immigrants. The Trump administration this week shared the home addresses, ethnicities and personal data of all Medicaid recipients with U.S. Immigration and Customs Enforcement officials. Twenty states, including California, Illinois and Minnesota, have sued. Health care providers told The Associated Press that everything, especially the fear of being arrested or deported, is having a chilling effect on people seeking care. And states may have to spend more money down the road because immigrants will avoid preventive health care and end up needing to go to safety-net hospitals. 'I feel like they continue to squeeze you more and more to the point where you'll burst,' Maria said, referencing all the uncertainties for people who are in the U.S. without legal permission. People who run free and community health clinics in California and Minnesota said patients who got on state Medicaid programs received knee replacements and heart procedures, and were diagnosed for serious conditions like late-stage cancer. CommunityHealth is one of the nation's largest free clinics, serving many uninsured and underinsured immigrants in the Chicago area who have no other options for treatment. That includes the people who lost coverage July 1 when Illinois ended its Health Benefits for Immigrants Adults Program, which served about 31,500 people ages 42-64. One of CommunityHealth's community outreach workers and care coordinator said Eastern European patients she works with started coming in with questions about what the change meant for them. She said many of the patients also don't speak English and don't have transportation to get to clinics that can treat them. The worker spoke to the AP on condition of anonymity to protect patients' privacy. Health Finders Collective in Minnesota's rural Rice and Steele counties south of Minneapolis serves low-income and underinsured patients, including large populations of Latino immigrants and Somali refugees. Executive director Charlie Mandile said they're seeing patients rushing to squeeze in appointments and procedures before 19,000 people age 18 and older are kicked off of insurance at the end of the year. Free and community health clinics in all three states say they will keep serving patients regardless of insurance coverage — but that might get harder after the U.S. Department of Health and Human Services decided this month to restrict federally qualified health centers from treating people without legal status. CommunityHealth CEO Stephanie Willding said she always worried about the stability of the program because it was fully state funded, 'but truthfully, we thought that day was much, much further away.' 'People are going to die. Some people are going to go untreated,' Alicia Hardy, chief executive officer of CommuniCARE+OLE clinics in California, said of the state's Medicaid changes. 'It's hard to see the humanity in the decision-making that's happening right now.' A spokesperson for the Minnesota Department of Health said ending the state's program will decrease MinnesotaCare spending in the short term, but she acknowledged health care costs would rise elsewhere, including uncompensated care at hospitals. Minnesota House Speaker Lisa Demuth, a Republican, said the state's program was not sustainable. 'It wasn't about trying to be non-compassionate or not caring about people,' she said. 'When we looked at the state budget, the dollars were not there to support what was passed and what was being spent.' Demuth also noted that children will still have coverage, and adults lacking permanent legal status can buy private health insurance. Health care providers also are worried that preventable conditions will go unmanaged, and people will avoid care until they end up in emergency rooms – where care will be available under federal law. One of those safety-net public hospitals, Cook County Health in Chicago, treated about 8,000 patients from Illinois' program last year. Dr. Erik Mikaitis, the health system's CEO, said doing so brought in $111 million in revenue. Chicago's safety net hospitals face potential service cuts, layoffs after signing of 'big, beautiful' tax billBut he anticipated other providers who billed through the program could close, he said, adding: 'Things can become unstable very quickly.' State lawmakers said California's Medi-Cal changes stem from budget issues — a $12 billion deficit this year, with larger ones projected ahead. Democratic state leaders last month agreed to stop new enrollment starting in 2026 for all low-income adults without legal status. Those under 60 remaining on the program will have to pay a $30 monthly fee in 2027. States are also bracing for impact from federal policies. Cuts to Medicaid and other programs in the recently signed massive tax and spending bill include a 10% cut to the federal share of Medicaid expansion costs to states that offer health benefits to immigrants starting October 2027. California health officials estimate roughly 200,000 people will lose coverage after the first full year of restricted enrollment, though Gov. Gavin Newsom maintains that even with the rollbacks, California provides the most expansive health care coverage for poor adults. Every new bill requires a shift in Maria's monthly calculations to make ends meet. She believes many people won't be able to afford the $30-a-month premiums and will instead go back to self-medication or skip treatment altogether. 'It was a total triumph,' she said of Medi-Cal expansion. 'But now that all of this is coming our way, we're going backwards to a worse place.' Fear and tension about immigration raids are changing patient behavior, too. Providers told the AP that, as immigration raids ramped up, their patients were requesting more virtual appointments, not showing up to routine doctor's visits and not picking up prescriptions for their chronic conditions. Maria has the option to keep her coverage. But she is weighing the health of her family against risking what they've built in the U.S. 'It's going to be very difficult,' Maria said of her decision to remain on the program. 'If it comes to the point where my husband gets sick and his life is at risk, well then, obviously, we have to choose his life.'
