'It's a lifeline': Milwaukee County unveils new $32M Marcia P. Coggs Health & Human Services Center
Milwaukee County unveiled its new $32 million Marcia P. Coggs Health & Human Services Center in the near north side's King Park neighborhood June 13, creating a hub for essential services and upgrading access for residents across the county.
Hundreds of members of Milwaukee's political elite, family members of the building's namesake and residents gathered to visit the new site at 1230 W. Cherry St.
The center is now home to the Department of Health and Human Services and provides behavioral health programming; housing and energy assistance resources; child, family and veteran services; an on-site food pantry; and wraparound services for youth with complex needs. The center is already open for walk-ins, referrals, and scheduled appointments.
'It's more than a building. It's a lifeline,' Shakita LaGrant-McClain, the county's health and human services executive director, told the crowd.
The 60,000-square-foot building, which is the first new county construction in or near Milwaukee's downtown since the Criminal Justice Facility in 1992, is a stone's throw from the county's Mental Health Emergency Center.
It figures as another step toward the county's overarching commitment to ensure a "No Wrong Door" policy when it comes to residents accessing behavioral health services, regardless of age, gender, race or socioeconomic status. After receiving county approval in 2022, the project was funded by $32 million in American Rescue Plan Act funds.
"This building represents the upstream investment in race and health equity for our entire community," Milwaukee County Executive David Crowley said. "We will become the healthiest county in Wisconsin."
The building is named after Marcia P. Coggs, a trailblazing advocate for human needs who was the first African American woman elected to the Wisconsin state Assembly and the first Black person to sit on the state Legislature's Joint Finance Committee.
"(The center) embodies her belief that public service is not paperwork, it's personal, and because of her vision, every child with an empty stomach, every parent in crisis and every senior in need will be filled with compassion and resources that they deserve right here' said Milwaukee County Supervisor Priscilla Coggs-Jones, the granddaughter of Marcia P. Coggs.
In late 2022, the sudden closure of the original Coggs location at 6055 N. 64th St. by Karen Timberlake, then the secretary-designee of the state Department of Health Services, followed a monthslong tussle at the county to demolish and rebuild the center or relocate out of concerns for accessibility as well as lead and asbestos issues.
The former building was known to many as the place to access services related to FoodShare, Medicaid and GoPass.
The original building, which was a former department store built in the 1920s, was later tapped to be developed into 65 affordable apartments.
This article originally appeared on Milwaukee Journal Sentinel: Milwaukee County unveils Marcia P. Coggs Health & Human Services Center
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Buzz Feed
39 minutes ago
- Buzz Feed
These Are The States On The Brink Of A Caregiver Crisis — And Trump Medicaid Cuts Could Make It Worse
Hot Topic 🔥 Full coverage and conversation on Politics Some days are quiet and peaceful. Other days, Jenise Griffin's brother, Michael Griffin, spends hours talking to himself out loud or laughing uncontrollably. Auditory hallucinations, episodes of paranoia, and other outbursts also aren't uncommon throughout the day. Michael, 59, was diagnosed with schizophrenia in the 1990s and spent 23 years at state hospitals and jails, including one in their hometown of Naples, Florida. For the past three years, he has lived with Jenise, 67, in Riverview, a small city about 20 minutes from Tampa, where she has been his full-time caregiver. Even though she works from home, balancing caregiving for Michael with her own busy work schedule has been a challenge for Jenise. 'I have to take care of his medications, doctors' appointments, therapists, and case worker schedules, so his needs constantly interrupt my day,' she said. It has also taken a toll on her health: Jenise was diagnosed with bradycardia — a heart rate that's slower than normal — in December 2023 and had to get a pacemaker. She has moderate asthma and takes medication to manage her depression. 'The stress of taking care of him has made me sick,' she said. Jenise is far from alone. Although it's difficult to determine how many caregivers there are in the United States, AARP estimates that there were 53 million in 2020. Caregivers can be family members or hired professionals, paid or unpaid, full-time or part-time. But unlike professional home health aides, the labor family caregivers provide is unpaid, and often invisible, yet expected by other members of the family. In many cases, the only support family caregivers receive comes from state or local programs that require jumping through multiple hoops in order to get the most basic services or financial assistance. According to a new report from the Columbia University Mailman School of Public Health, where you live can make all the difference — and 48% of states are on the brink of a caregiving emergency. The States In The Midst Of A Caregiving Crisis After assessing the urgency of local caregiving needs, the authors of the Columbia report, titled 'America's Unseen Workforce: The State of Family Caregiving,' classified all 50 states, plus the District of Columbia, into four categories: critical, high risk, safe for now, and well-supported. States in the 'critical' category include: Florida Alabama Arkansas Georgia Louisiana Nevada South Carolina Tennessee States in the 'high risk' category are: Arizona California Hawaii Idaho Kentucky Maryland Michigan Mississippi New Hampshire New Mexico North Carolina Oklahoma Oregon Texas Virginia West Virginia 'These states didn't land in a crisis by chance,' Stacey B. Lee, professor at Johns Hopkins Carey Business School with a joint appointment at the Bloomberg School of Public Health, told HuffPost. 'The Columbia Caregiving Index shows a consistent pattern: a lack of paid leave, low Medicaid reimbursement rates, [Home- and Community-Based Services] HCBS waitlists, and the absence of caregiver tax credits.' So why are some states faring so much worse than others? One reason for this, according to Holly Wiberg, Ph.D., assistant professor of operations research and public policy at Carnegie Mellon University's Heinz College, is that the current landscape of policies to support family caregivers is fragmented, with limited national coverage and a lot of variation on the state level. 'This fragmentation has multiple consequences,' Wiberg explained. 'First, caregivers have inconsistent protections with disparate impacts on their own lives and those of their patients. Second, this creates a challenging landscape to navigate, involving multiple agencies, which imposes a further burden on caregivers. The current model is unsustainable and places an undue burden on caregivers, both unpaid and underpaid.' That's been the case for Elizabeth Miller, 53, of Georgia, who spent years juggling caring for her aging parents while raising school-age children and working full time. 'They were some of the most exhausting and emotionally challenging years of my life,' she said. 'I felt completely overwhelmed, isolated, and unprepared. I had no prior caregiving experience to draw from, and every day felt like a steep learning curve.' Trying to balance caregiving with parenting and a career meant a demanding schedule for Miller. 'I constantly felt pulled in two directions — guilty when I had to step away from work to care for them, and distracted and depleted when I was at work, worrying about everything that still needed to be done at home,' she said. What Miller and Jenise experience likely sounds familiar to anyone who has been a family caregiver. In fact, it's in line with the findings of a 2023 study from The Arc of the United States, in which 90% of participants reported some impact on their employment related to their caregiving responsibilities, while 54% indicated that they felt 'very' or 'extremely' stressed as a caregiver. After both her parents passed away, Miller became a support caregiver for her 62-year-old brother, who was born with an intellectual disability and autism spectrum disorder (ASD). 'The challenges are different now, but just as complex — and still incredibly isolating,' Miller said. 'There are few resources tailored to older adults with developmental disabilities, and even fewer that support sibling caregivers. Despite working in the care economy for over a decade, I still find navigating care for my brother incredibly frustrating and unnecessarily difficult.' Situations like Miller's and Jenise's aren't unusual in Georgia and Florida, nor in other parts of the country. 'The United States remains one of the least supportive high-income countries for caregivers,' Lee said. 'Policies fall short because they were never built to treat caregiving as essential labor. They assume it will happen informally, unpaid, and out of view, usually by women. That's not support — that's systemic erasure.' According to Lee, the systems currently in place assume that caregiving is 'endless, free, and invisible.' Plus, as Wiberg pointed out, caregiving roles are not equally distributed across the population. 'The burden falls hardest on women, especially Black and Latina women, and on low-income families with no access to institutional support,' Lee said. Barely Managing With Medicaid On top of all the emotional and logistical challenges of caregiving, it can be a huge financial strain on family members — who are typically paid little or nothing for their services. In Georgia, for example, family caregivers like Miller can only receive compensation if the care recipient qualifies for a Medicaid waiver — a process she says is grueling, confusing, and comes with long waitlists. 'I believe that any family caregiver who is actively providing care and can demonstrate it should be eligible for compensation and tax relief, regardless of Medicaid status,' she said. 'We are saving the system money — yet paying the price physically, emotionally, and financially.' Miller is absolutely right: The Columbia report estimates that the labor of the country's unpaid caregivers is valued at $890.56 billion. But the countless hours that family caregivers essentially donate to the government don't seem to factor into financial support for caregivers and those requiring care. Each month, Jenise's brother Michael gets a $932 disability payment from Social Security and about $132 in food stamps. 'He is 270 pounds, so that doesn't cover the food he eats monthly,' she said. 'He had been giving me $400 a month, but I spend much of that on extra food, his pharmacy co-pays, his life insurance, and other necessities.' And like so many others who require care, Michael depends on Medicaid for health care. But Jenise and other caregivers fear that a reduction in benefits is imminent. That's at least in part because, in a few short months, the Trump administration has been taking significant steps towards dismantling Medicaid as we know it. At this point, it's unclear how much damage these laws and policies will do, but it's safe to say things won't be getting better. If signed into law, the so-called One Big Beautiful Bill Act, which passed in the House of Representatives on May 22, would make the biggest cuts to Medicaid in the program's 60-year history. It's estimated that the bill would reduce federal Medicaid spending by $625 billion, causing 10.3 million people to lose their Medicaid coverage by 2034. 'The caregiver crisis is fueled by years of underinvestment — and it's about to get worse,' said Kim Musheno, senior director of Medicaid policy at The Arc of the United States. With caregivers already burned out and stretched thin financially, even minor cuts to Medicaid would make a major difference. 'If it becomes law, it will blow a hole in the safety net,' Musheno explained. 'Medicaid is the main source of long-term care in this country, including home- and community-based services that allow people with disabilities to live at home instead of in institutions. And when states face cuts, history tells us what happens: services that help families — like respite care, personal care assistants, and other supports — are the first to go.' Searching For Support And Solutions Lacking adequate support from the state or federal government, caregivers like Miller have formed their own communities. 'There is a beautiful, grassroots network of caregiver-led organizations out there offering real help,' said Miller, whose Atlanta-based group, Happy Healthy Caregiver, helps caregivers find local resources and navigate the complicated systems in Georgia. But these groups are no replacement for laws and policies that provide actual resources and programs for caregivers. 'Without sustainable financial support and infrastructure, I worry these vital lifelines will burn out, just like so many caregivers do,' she explained. In order for that not to happen, Miller knows what she needs. 'What I need most as a caregiver — and what so many of us are lacking — is time back,' she said. 'Real respite options, financial compensation that reflects the value of our work, and a community of support that truly understands what we're navigating every day.' According to Miller, true respite is more than a day off. 'It means having the financial and practical resources in place to ensure your loved one is safe and well cared-for while you take a real break,' she said. 'Without that, respite is just another wishlist item.' So what would it take for caregivers to get actual support, in the form of programs and services that would genuinely make their lives easier? 'The biggest issue is simple: funding,' Musheno said. 'Good ideas don't go far if there's no money to make them real.' There also has to be a general shift of mentality, away from viewing caregiving as expected and invisible labor, and toward it being seen as legitimate and essential work. 'Unless we commit to federal caregiving infrastructure — paid leave, portable benefits, caregiver tax credits, and living wages for home care workers — we are not solving this crisis. We are institutionalizing harm,' Lee said. Though the situation is looking especially bleak at the moment, there are things you can do to help support caregivers. First, Miller suggests talking to caregivers to get an idea of what they're going through, and sharing their stories. You can also let your voice be heard through the ballot box by voting for candidates who support paid family leave, caregiver tax credits, and respite programs. Additionally, Lee recommends organizing within churches, faith-based networks, and community health centers. 'These institutions often carry more political and cultural weight in Southern states than formal lobbying efforts, and they're increasingly vocal on elder care and caregiver equity,' she explained. You may also want to seek out volunteering opportunities with organizations for caregivers. Finally, if you know a caregiver, ask how you can support them directly. This might mean grocery shopping, running errands, or spending time with their loved one so they get a much-needed break. 'At the end of the day, caring for the people we love shouldn't be this hard,' Miller said. 'The system should work with us — not against us.'
Yahoo
43 minutes ago
- Yahoo
Providence cuts 600 roles amid restructuring
This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Renton, Washington-based nonprofit Providence cut 600 jobs this week in a business-wide restructuring. In a statement Thursday, the troubled system said proposed cuts to Medicare and Medicaid, ongoing payment denials and delays from insurers, and higher labor and supply costs necessitated the cuts. The layoffs affect less than 1% of Providence's total workforce and impact mostly nonclinical, administrative functions, Providence said. However, some patient care roles were impacted. By its own account, Providence has had a difficult start to 2025. The 51-hospital system began the year by streamlining and reducing its executive team by 46 positions. Providence's new CEO, Erik Wexler, said the cuts were necessary as the system prioritized 'focus and discipline.' Then in April, the health system said it would freeze nonclinical hiring and cut some discretionary spending, including nonessential travel and future sponsorship of major league sports teams, due to a 'perfect storm' of economic pressures. At the time, Wexler said he had hoped Providence, which hasn't posted a profit in four years, would break even in 2025. 'We were on track to finally break even this year. But just as we were nearing that goal, the external economic conditions in 2025 took a sudden turn,' Wexler said in an April email to staff. Pressures include cuts to Medicare and Medicaid, which Wexler said have cost the health system $500 million. Additional cuts proposed by Congress could cost the system an additional $1 billion annually. Tariffs could also cause supply costs to shoot up by tens of millions of dollars. The health system is also taking a hit from new state-level regulations, including stronger charity care laws and staffing legislation in Oregon, according to a financial report. The regulations have decreased revenue and driven up staffing costs. Other one-time costs include impacts from a 46-day nurses strike in Oregon and lost revenue from the Los Angeles wildfires. The expenses have taken a toll: Operating revenues rose by 1% year over year during the first quarter, while operating expenses increased by 6%. Providence said the most recent layoffs are part of the health system's effort to restore its finances. 'These difficult but necessary steps are part of a comprehensive approach to financial sustainability that will enable our family of organizations to better reinvest in and revitalize the front lines of care, including the people, programs, equipment and facilities needed to serve our communities,' Providence COO Darryl Elmouchi said in a statement. Other nonprofits have recently conducted large, swift rounds of layoffs. Boston-based Mass General Brigham laid off 1,500 employees in two rounds conducted over a matter of weeks. In contrast, Providence cut executive roles and froze hiring before conducting its own mass layoffs. The phased-in approach may have allowed the health system to be more precise about where it reduced headcount, however, drawing out workforce changes over several months holds risks for employee morale, said Andy Challenger, senior vice president of outplacement firm Challenger, Gray & Christmas. 'It does have a legitimate effect on people's psyche, on their morale and on their willingness to stay at the company,' Challenger said. 'While you can be a lot more precise as an organization if you do your cuts that way — you can take the scalpel to [layoffs] instead of a butcher's knife and make sure that you're not overcutting... you can also create a real culture of panic for months and months on end.' Recommended Reading Providence freezes nonclinical hiring amid financial 'perfect storm' Sign in to access your portfolio


USA Today
2 hours ago
- USA Today
I lived my worst nightmare – but Medicaid made my daughter's 14 months possible
I lived my worst nightmare – but Medicaid made my daughter's 14 months possible | Opinion Medicaid gave me time with my child, providing the essential medical care she needed and the time I needed to know my daughter beyond her injuries. Medicaid gave my daughter a full, rich life. Show Caption Hide Caption Sen. Joni Ernst at Iowa town hall: 'Well, we all are going to die' Sen. Joni Ernst defended cuts to Medicaid at an Iowa town hall May 30, 2025, as an angry crowd confronts her. Medicaid matters. And I'll give you just one reason why. It's the same story I shared with Sen. Joni Ernst, R-Iowa, after she justified lives lost thanks to Medicaid cuts with the comment, 'We all are going to die.' I was a healthy, soon-to-be mom with a full-time job and health insurance. I had a healthy pregnancy and successful delivery. My child and I were ready for the slow, sleepy recovery necessary after childbirth. Then, every parent's worst nightmare transpired. Surgery to make a minor repair in my daughter's stomach went horribly wrong. My maternity leave turned into eight weeks in the neonatal intensive care unit, followed by 14 months of medical intervention, undergoing therapies in and out of our home, with nursing support and oxygen tubes running through our house. And yes, she did in fact die, as Ernst so bluntly claimed for us all in a town hall meeting on May 30. Medicaid gave me time with my daughter Medicaid gave me time with my child, providing the essential medical care she needed and the time I needed to know my daughter beyond her injuries. Medicaid gave my daughter a full, rich life, even if it was much shorter than anyone hoped for. Though I had great health insurance from a good job, working 50 hours a week on average, I could never afford the care she needed. Like many families with preemies and injured infants in the NICU, we utilized every penny our insurance provided, but it wasn't enough. Medicaid covered what we couldn't and allowed her to have 14 months to meet her family. Hers became the most-visited pew in our church on Sunday mornings. She would always reach for our family dog, who was ever present at her side. She would hold your face in her hands as you held her, because she couldn't always see us clearly. My body will forever know the weight of her in my arms, and I became a kinder, gentler and far more compassionate person because I had this time with my child. Share your opinion: Republicans want massive cuts to Medicaid. What do you want? Tell us. | Opinion Forum It's my job to know we all die. That's what makes us all so valuable. I already know these truths about every human life because it's my job to know our value and worth. I am an ordained minister. I bless babies. I baptize children. I celebrate the lives of those who pass beyond our earthly realm ‒ hopefully, after a very long, and well-lived life. I know we all die. It's my job to know. And it's my job to remind everyone that this very fact – that we do die – is what makes us all so incredibly valuable. Our finitude is exactly why we need to be cherished and cared for. Medicaid gave my daughter the chance to be cherished by me and by everyone who knew her. I lived the incredibly difficult and painful life of loving and losing a child who was on Medicaid. And I am eternally grateful for what this program meant for my daughter and my family. I lived the gift of Medicaid, and I see the daily support Medicaid provides in our community. A deacon in my congregation is on Medicaid. He lives on a fixed income, so he walks to work and to church, and yet, he's the first one there every Sunday morning. He makes the coffee. He prepares the communion trays. Opinion: Will Trump's big bill kill people? Here's the truth about Medicaid cuts. One Sunday, when a gentleman quietly wept after the loss of his beloved wife of 72 years, this deacon gently placed his hand on his shoulder and held the communion tray until he was ready to be served. The patience and comfort our deacon showed that day is what Medicaid provides for Iowans. It doesn't provide everything, just a gentle hand as we face the challenges of life. Yes, we all die. Our dying is what makes how we live so important. How we live and serve one another is why Medicaid exists, and why protecting it matters so much. Single mothers doing their best will be hurt most by Medicaid cuts The people most affected by these cuts will be single mothers doing their very best to raise their children. I know these families. They come to church for preschool and child care before visiting the food pantry down the street. Our most vulnerable are worthy of care and Medicaid. They are not a bottom line on a budget spreadsheet aimed at funding tax breaks for the wealthy. Ernst's reminder that we all die should be a pivotal point in this Medicaid debate. Just not in the way she may have meant it. It is a reminder that how we live together is what matters most. Our greatest calling in life is to care for the least of those in our community. Those in need of care today are the same people we find in the Bible. The children. The disabled. The impoverished. The elderly. Senator Ernst, can you imagine being the one who reminds our community of this calling: that in caring for the least of us, we care for all of us? Can you imagine being the one who gets to say, 'Yes, we all die, so we're going to spend the life we have caring for each other the best we can'? I know you know this to be true. I pray you join me in making this vision a reality and ensure everyone can live before we all die. The Rev. Robyn Bles is senior minister at Wakonda Christian Church in Des Moines. This column originally published in the Des Moines Register.