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Mooresville school shooting plot shows long-term toll of Indiana's opioid crisis

Mooresville school shooting plot shows long-term toll of Indiana's opioid crisis

Yahoo20-02-2025

In 2021-22, Indiana hit a record high number of Hoosier deaths due to drug overdoses, 2,755. According to last Friday's publicly available probable cause affidavit, one of those deaths was Trinity Shockley's mother.
Shockley was a senior in Mooresville Schools until Feb. 20 when her plans for a Valentine's Day mass shooting in the cafeteria were discovered. This is the same school my daughter attends, the same cafeteria my daughter would have been sitting in with her friends during the planned attack.
Hicks: How to create equal opportunities in post-DEI Indiana
More than 320,000 children lost a parent to drug overdoses during the opioid crisis, according to the most recent data. Shockley's case is a stark reminder that efforts to combat the opioid crisis have entered a new phase. While the first two years of support have focused on supporting addicts directly, a better understanding of and support for the children of addicts deserves attention.
More than 57,500 Hoosier children were affected by the opioid crisis, with the highest concentration in rural areas. This is more than the number of children affected by autism and childhood diabetes combined.
The effects of having a parent that is an addict or has substance usage disorder is widely studied and very clear:
Higher rates of child abuse and neglect
Lower academic achievement
Higher rates of family breakdown
Higher rates of mental health issues
Lower rates of family involvement and support
Increased rates of incarceration as an adult
Increased rates of addiction and substance usage disorder as adults
The emotional and long-term toll of navigating life with a parent that is an addict is not just overwhelming Hoosier children and families, but also costing our state systems billions.
According to the most recent estimates, children with a parent that's an addict cost our state $37,000 in health care, $44,000 in child welfare and social programs, and $186,000 in special education costs. Pediatricians, schools, therapists, and social services are increasingly seeing more high-need cases at greater frequencies than ever before.
This means state agencies are overwhelmed by providing services and supporting kids displaying high acuity behaviors. These trends are not set to slow anytime soon. By 2030, the innocent victims of the opioid crisis are set to have cost the state $10.5 billion.
Indiana received $980 million in opioid settlement dollars to be doled out over 18 years. If there is one thing we have learned from this crisis, it's that only treating the addict is ineffective because it leaves family members like Shockley untreated.
We've also learned that rural areas were hit far harder than urban areas. The challenges to providing support in rural areas have proven to be far more difficult and have shown less efficacy to date. To curb the systemic impact and give these innocent victims a shot at a healthy future, we need to work smarter not harder.
We need to be investing opioid settlement dollars into evidence-based, data-driven approaches that support inner agency collaborations of all the systems that support the children of addicts. We need infrastructure that ensures data from each of these agencies are talking to each other in tangible ways. We need to focus on efforts that coordinate data and responses across health care, law enforcement, child welfare agencies and education to reduce redundancies and ensure kids are getting the best we have to offer. We need to support innovative approaches that address academic achievement, health outcomes and workforce development needs in the professional areas meeting the needs of children who have a parent battling addiction.
Most importantly, rural Indiana needs more support.
As a Mooresville mom, it's difficult to express my gratitude to Mooresville Schools and the police department for their handling of last week's incident. Their quick and decisive action ensured that all the children in our community were safe.
As an educational professional who has been working with kids with mental health needs for more than 20 years, I can't help but be impressed by the teachers, counselors, administrators, school nurses, coaches, staff members and officers who served bravely last week.
If you follow Mooresville Schools on social media, you know their hashtag is #BeMoore. After last week, I would argue that their hashtag should be #DoingMoore because they are clearly doing more with less to support our kids.
Addie Angelov is the co-founder and CEO of the Paramount Health Data Project.
This article originally appeared on Indianapolis Star: Mooresville school shooting plot points to opioid crisis | Opinion

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Beyond MAHA: Defeating obesity requires a new strategy
Beyond MAHA: Defeating obesity requires a new strategy

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  • The Hill

Beyond MAHA: Defeating obesity requires a new strategy

Obesity is a major health problem facing our country. According to the CDC, more than 40 percent of the U.S. population is obese, defined as having a body-mass index above 30. As astounding at that number is, it is perhaps even more surprising that nearly 20 percent of children in the U.S. are obese. Obesity leads to significant health challenges, including diabetes, stroke, cardiovascular disease and liver disease. It is clear that as a nation we must face this crisis on multiple fronts. Diet and exercise certainly help, and it's critical to ensure that people of all socioeconomic backgrounds have access to healthy foods (free of preservatives, unnecessary dyes, high fructose corn syrups etc.) and are educated in making healthy lifestyle choices. The MAHA or 'Make America Healthy Again' movement has highlighted this as one of its key objectives, and if it is successful, we should see an impact on obesity — especially in children, where diet and exercise have a huge impact on weight-related health outcomes. Obesity in adults, however, is often more challenging. Many adults with obesity struggle to lose weight, despite considerable efforts to modify their lifestyle through diet and exercise. This is because our metabolism changes as we age, and many adults who are overweight develop metabolic dysfunction or 'metabolic syndrome,' which then further perpetuates weight gain and exacerbates the situation. It has become clear in recent years that many people struggling with obesity require medical intervention – not just lifestyle intervention – and that prescriptions can substantially improve weight loss. The explosion in use of GLP-1 agonists, such as Wegovy and Zepbound, over the last two years has underscored the need for medical intervention in obese and overweight patients. Currently, about 6 percent of the U.S. population, or 15 million people, are on GLP-1 weight loss treatments, and the numbers are only expected to increase. However, while most patients lose 10 percent to 25 percent of their body weight while on a GLP-1, they do not maintain GLP-1 treatment in the long-term, with approximately 80 percent of patients discontinuing treatment within 1 year. Gastrointestinal side effects, injectable administration, and high cost have prevented long-term use of GLP-1's for weight maintenance. And unfortunately, most patients gain back all the weight after stopping the medication. Healthcare professionals and the pharmaceutical industry now recognize that obesity — like most other medical conditions — requires an 'arsenal' of treatments, rather than a one-size-fits-all approach. Post-GLP-1 weight maintenance is now widely recognized as an emerging unmet need. And patients who are not candidates for or cannot tolerate GLP-1s require alternatives. Diet and lifestyle modifications are important alongside prescription medications in fighting obesity. If we are going to be successful in overcoming this major health crisis, we need to ensure that both the pharmaceutical industry and groups like MAHA work hand in hand. Both treatment and prevention are critical in order to regain control of our nation's health. Dr. Shoshana Shendelman, Ph.D. is a scientist and entrepreneur who has founded numerous biotech companies. She is a pioneer in the development of drugs and therapeutics for rare and underserved diseases. Currently she is Vice Chair of the Advisory Board of Columbia University Medical Center and Columbia University Vagelos College of Physicians and Surgeons.

We don't talk about DEI: Wisconsin hospital systems are quietly removing diversity language
We don't talk about DEI: Wisconsin hospital systems are quietly removing diversity language

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We don't talk about DEI: Wisconsin hospital systems are quietly removing diversity language

American Family Children's Hospital, part of the UW Health system, is seen in Madison, Wis., on April 1, 2020. (Photo by Dee J. Hall/Wisconsin Watch) Click here to read highlights from the story Health care systems including SSM Health, Aurora Health, UW Health and, most recently, Ascension have removed from their websites language related to diversity, equity and inclusion (DEI). The changes have come in the months since President Donald Trump has signed executive orders abolishing federal DEI programs. UW Health publicly announced changes such as the removal of anti-racism modules titled 'Being a leader in anti-racism' and 'anti-racism funding' and replacement with modules called 'Being a social impact leader' and 'Community giving.' Republished from Wisconsin Watch. Multiple Wisconsin health care systems have removed diversity, equity and inclusion language or resources from their websites in the wake of President Donald Trump's federal ban on funding for DEI programming. 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The executive order, issued Jan. 20, states the 'Biden Administration forced illegal and immoral discrimination programs, going by the name 'diversity, equity, and inclusion' (DEI), into virtually all aspects of the Federal Government, in areas ranging from airline safety to the military.' In response to attacks on DEI programs by the federal government, some organizations have pushed back, arguing Trump's actions are a threat to a multiracial democracy. Some institutions are also suing the federal government for its actions, such as threatening to withhold federal grants and funding. Harvard University has filed a lawsuit, citing First Amendment principles to protect 'academic freedom' and 'private actors' speech.' But while some federally funded institutions are pushing back, others are not. In the past couple of months, SSM Health removed the word 'diversity' from its website, including changing a page titled 'Our Commitment to Diversity' to 'Our Commitment to Culture & Inclusion.' SSM has hospitals located throughout Wisconsin including Ripon, Fond du Lac, Waupun, Baraboo, Janesville, Madison and Monroe. In changing the webpage, SSM Health also removed an entire section regarding its commitment to fostering a diverse workplace and health care center, including a section that read, '​​SSM Health makes it a point to work with diverse organizations broadening our reach into the communities we serve to support and promote a more inclusive society.' SSM Health also notably replaced the section discussing diversity with comment on SSM Health's mission as a Catholic ministry. On the updated page, the system discusses its commitment to follow in the footsteps of its founders to ensure 'all people have access to the high-quality, compassionate care they need.' In removing the word 'diversity,' SSM replaced the statement 'At SSM Health, diversity is an integral part of who we are and a reflection of our mission and values' with 'At SSM Health, inclusion is an integral part of who we are and a reflection of our Mission, Vision and Values.' 'Today, our belief that every person was created in the image of God with inherent dignity and value calls us to foster a healthy culture, inviting each person to be the best version of themselves,' SSM Health communications consultant Shari Wrezinski said when asked for comment. Wrezinski said the organization's mission has remained the same, and its communications, policies, programs and practices reflect the organization's mission. 'This has not and will not change,' Wrezinski said. 'As such, our website and other communications materials are continually updated as we strive to clearly convey our commitment to a welcoming environment where everyone feels valued and respected.' Despite removing the section on diversity, SSM Health has maintained its equal opportunity section. Froedtert did the opposite, by maintaining its webpages on diversity, equity and inclusion, but removing its equal opportunity policy document from the pages. The equal opportunity document, which can still be found online but was removed from the DEI website, specifically outlines Froedtert's commitment and policy to maintain equitable and nondiscriminatory recruitment, hiring and human resources practices. The document outlines two policies specifically: 'FH is committed to its affirmative action policies and practices in employment programs to achieve a balanced workforce' and 'FH will provide equal opportunity to all individuals, regardless of their race, creed, color, religion, sex, age, national origin, disability, military and veteran status, sexual orientation, gender identity, marital status or any other characteristics protected by state or federal law.' 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In 2018, Aurora merged with Advocate Health, a system with more than 26 hospitals throughout the Midwest. Advocate Aurora Health later merged with Atrium Health in 2022, creating the third largest nonprofit in the nation. Earlier this year, Aurora removed an entire page on diversity, equity and inclusion. The page now redirects to Advocate's page titled 'Access & Opportunity.' That change cut statements such as: 'Our diversity, equity and inclusion strategy is anchored by our purpose to help people live well and to deliver safe, consistent, and equitable health outcomes and experiences for the patients and communities we serve.' A spokesperson for Aurora Health Care said the organization will continue to 'deliver compassionate, high-quality, consistent care for all those we serve.' 'As our newly combined purpose and commitments state, we lift everyone up by ensuring access and opportunity for all,' the spokesperson said. 'To provide our patients and communities clear and consistent information that explains our programs, policies and services, we are making various changes to our websites.' Ascension, one of the largest nonprofit hospital systems in the nation, took down the entire page on diversity, equity and inclusion. The health care system currently operates at over 165 locations in Milwaukee, Racine, Appleton and Fox Valley. The system still has modules on 'Identifying & Addressing Barriers to Health' and 'Ensuring Health Equity.' Ascension did not respond to a request for a comment. UW Health removed its page on diversity, equity and inclusion, replacing it with a page titled 'social impact in belonging.' In doing so, UW Health removed 'anti-racism' from its entire website. It used to be one of the main themes. UW Health removed the anti-racism modules titled 'Being a leader in anti-racism' and 'anti-racism funding,' and now in their place are modules called 'Being a social impact leader' and 'Community giving.' Chief Social Impact Officer Shiva Bidar-Sielaff and CEO Alan Kaplan addressed the changes in a video, stating social impact and belonging align with their mission, values and strategies as a health care organization. 'At UW Health, social impact refers to the effects health care policies, practices and interventions have on the well-being of individuals and communities, improving health outcomes, access to care and quality of life,' Bidar-Sielaff said. 'Belonging is the understanding that you are valued and respected for who you are as an individual.' UW Health reported receiving $315 million in federal funding, totaling over half of the $622 million in grant funds — federal and non-federal — awarded to the School of Medicine and Public Health. That total is 37% of all grant funding awarded to UW-Madison. Despite claims by health care centers that missions remain the same, advocacy groups in Wisconsin are raising concerns regarding the impact these changes could have on communities in Wisconsin. Chris Allen, president and CEO of Diverse & Resilient — an advocacy group focused on health inequities for LGBTQ+ people in Wisconsin — said these quiet language shifts are significant. 'They send a message that commitments to addressing disparities may be weakening, even if that's not the stated intention,' Allen said. William Parke Sutherland, government affairs director at Kids Forward, a statewide policy center that advocates for low-income and minority families, said many health care partners feel pressured to preserve funding sources. In Wisconsin, maternal mortality rates are 2.5 times higher for Black women than white women. Maternal morbidities — or serious birth complications — were the highest among Black women and people enrolled in BadgerCare, the state's largest Medicaid program. From 2020 to 2022 there were 7.8 stillbirth deaths per 1,000 births among Black babies, compared with 4.5 among white babies. Disparities in maternal and infant mortality rates could be attributed to stress caused by poverty, lack of access to quality care, or systemic racism, according to health care researchers. If a mother is stressed over a long period of time, that can cause elevated levels of stress hormones, which could increase premature births or low birth weights for infants. For Black women, midwives have been found to reduce the disparities they otherwise may experience during pregnancy, reducing the risk of maternal mortality or morbidity. Access to midwives is currently covered by Medicaid, so losing federal funding could harm these services. Regardless of language, 'Wisconsin's racial disparities in health access and outcomes aren't going away on their own,' Sutherland said in an email. Removing language that acknowledges DEI efforts will not reduce the health care disparities felt by Wisconsin residents, Sutherland said. Federal funding cuts could also hurt rural families in Wisconsin, specifically those who rely on Medicaid for their health care needs. 'We cannot begin to address these challenges if we're not willing to acknowledge them,' Sutherland said. 'A colorblind approach has not helped in the past.' This article first appeared on Wisconsin Watch and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

Omada Health IPO signals healthier market, avoids 'down-round' trend
Omada Health IPO signals healthier market, avoids 'down-round' trend

Yahoo

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Omada Health IPO signals healthier market, avoids 'down-round' trend

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