logo
A Planned Parenthood affiliate plans to close 4 clinics in Iowa and another 4 in Minnesota

A Planned Parenthood affiliate plans to close 4 clinics in Iowa and another 4 in Minnesota

Four of the six Planned Parenthood clinics in Iowa and four in Minnesota will shut down in a year, the Midwestern affiliate operating them said Friday, blaming a freeze in federal funds, budget cuts proposed in Congress and state restrictions on abortion.
The clinics closing in Iowa include the only Planned Parenthood facility in the state that provides abortion procedures, in Ames, home to Iowa State University. The others are in Cedar Rapids, Sioux City and the Des Moines suburb of Urbandale.
Two of the clinics being shut down by Planned Parenthood North Central States are in the Minneapolis area, in Apple Valley and Richfield. The others are in central Minnesota in Alexandria and Bemidji. Of the four, the Richfield clinic provides abortion procedures.
The Planned Parenthood affiliate said it would lay off 66 employees and ask 37 additional employees to move to different clinics. The organization also said it plans to keep investing in telemedicine services and sees 20,000 patients a year virtually. The affiliate serves five states — Iowa, Minnesota, Nebraska, North Dakota and South Dakota.
'We have been fighting to hold together an unsustainable infrastructure as the landscape shifts around us and an onslaught of attacks continues,' Ruth Richardson, the affiliate's president and CEO, said in a statement.
Of the remaining 15 clinics operated by Planned Parenthood North Central States, six will provide abortion procedures — five of them in Minnesota, including three in the Minneapolis area. The other clinic is in Omaha, Nebraska.
The affiliate said that in April, President Donald Trump's administration froze $2.8 million in federal funds for Minnesota to provide birth control and other services, such as cervical cancer screenings and testing for sexually transmitted diseases.
While federal funds can't be used for most abortions, abortion opponents have long argued that Planned Parenthood affiliates should not receive any taxpayer dollars, saying the money still indirectly underwrites abortion services.
Planned Parenthood North Central States also cited proposed cuts in Medicaid, which provides health coverage for low-income Americans, as well as a Trump administration proposal to eliminate funding for teenage pregnancy prevention programs.
In addition, Republican-led Iowa last year banned most abortions after about six weeks of pregnancy, before many women know they are pregnant, causing the number performed there to drop 60% in the first six months the law was in effect and dramatically increasing the number of patients traveling to Minnesota and Nebraska.
After the closings, Planned Parenthood North Central States will operate 10 brick-and-mortar clinics in Minnesota, two in Iowa, two in Nebraska, and one in South Dakota. It operates none in North Dakota, though its Moorhead, Minnesota, clinic is across the Red River from Fargo, North Dakota.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Novant Health event supports men's health
Novant Health event supports men's health

Yahoo

time34 minutes ago

  • Yahoo

Novant Health event supports men's health

Mishi Jackson has been a family physician for over 20 years, but she said that supporting men's health feels deeply personal to her. 'I have several men in my life: my husband, my son, my father, and my brothers,' Jackson said. 'I really want to make sure that we can get out there what a difference it makes when you get regular checks up and you know what's going on with your health.' Jackson, lean clinician at Novant Health Union Cross Family Medicine, is leading an initiative to encourage more men to go to their regularly scheduled checkups and be proactive about their health. On Wednesday, June 18, Novant Health Union Cross Family Medicine will hold 'Bring a Man to the Doctor Day' for Men's Health Month from 9 a.m. to 5 p.m. People can call the clinic at 336-515-7410 to register. Jackson said 'Bring a Man to the Doctor Day' is intended to promote early detection for any developing health conditions. 'To males, they may see it as a weakness to get checked out, and men may try to put on a strong face and may not say when something is really wrong. Sometimes by the time that they find out something is wrong, it could be later on in the disease process where we can't do early detection and try to prevent some very serious complications,' Jackson said. Jackson emphasized the importance of educating men of various ages about different preventative health care methods. 'At the younger ages, we make sure that they are staying up on immunizations, which is important at any age. To me, one thing that we don't talk about enough is the need for testicular cancer screenings because that is a disease in young men. I make sure that my teenagers and young men know how to do self exams, 'Jackson said. Jackson said monitoring cardiovascular health is essential for preventing or reducing future complications. 'For all ages, we still want to screen for the cardiovascular risks like obesity, high blood pressure, diabetes, and cholesterol. We're actually seeing these numbers elevate at younger ages, which means that we could see complications at younger ages. The earlier the detection, the better chance you have at reducing your risks and saving your life,' Jackson said. Jackson advocates for men to prioritize their physical health as well as their mental health. 'There is still a stigma out about mental health, and we want to break down those barriers to create an awareness that mental health is physical health. It should be treated the same and seen as the same,' Jackson said. Beyond the event, Jackson that this experience will instill healthy habits that promote healthier living. 'Healthy diets with increased lean proteins with fruits and vegetables help keep your weight managed. We also know that genetic and family risk factors play a role, and the more a person does on the front end to take care of their health, we see better outcomes,' Jackson said. Novant Health Union Cross Family Medicine is at 1471 Jag Branch Blvd, Ste 103.

How Do You Treat Type 1 Diabetes?
How Do You Treat Type 1 Diabetes?

Health Line

timean hour ago

  • Health Line

How Do You Treat Type 1 Diabetes?

Managing type 1 diabetes means you'll have to take insulin each day. You may also work with a doctor to treat T1D with other medications in addition to insulin, and determine what else may be best for your diabetes care goals. Treating type 1 diabetes (T1D) is not as simple as just taking a particular medication or using a therapy, but it's more of a management puzzle that has many different parts. People with T1D must take insulin because their bodies do not naturally produce it. This is a required and first-line treatment for anyone with this autoimmune condition. Beyond that, people with T1D may also take other medications and use different methods to help manage their blood sugar levels. This is where your healthcare team plays a key role in helping to create a diabetes management plan and how to best treat your T1D based on many factors. Managing type 1 diabetes While the 'treatment' for a chronic condition is often viewed through the lens of medications or other therapies, T1D is one of those that requires constant management and affects how certain medications work. That is why treating T1D goes beyond just insulin and medication use. Diabetes management involves monitoring blood sugar levels, keeping track of what you consume each day, maintaining enough physical activity, managing your mental health, and more. Using insulin People with T1D must take insulin each day. Their bodies don't naturally make insulin, so it must be administered in another way. Many different types of insulin exist, ranging from fast short-acting insulin taken each time you eat or consume carbohydrates to longer-acting insulin that lasts in your body for hours at a time. Whatever type of insulin you take, you administer it through injections with a syringe or prefilled insulin pen. Others may choose to use an insulin pump device to administer their insulin each day. Insulin pens Many different types of insulin pens exist for long-acting and mealtime insulin forms. You may find these differ slightly based on the insulin you're using. Many of the most common insulin pens are disposable. They contain a prefilled cartridge that can be used for a certain number of days, and when the cartridge is empty, the entire pen is thrown away. Some reusable pens are also available, allowing you to replace the insulin cartridge when it's empty. The needles on insulin pens are known as pen needles, and they come in different lengths and thicknesses based on your preferences. Insulin pumps Insulin pumps are wearable devices that people with diabetes use to deliver insulin. They are connected to a spot on your body and continuously give insulin for 2 to 4 days. These devices deliver a programmed amount of insulin through a small tube called a cannula, inserted just under the top layer of your skin. Your doctor will work with you to determine how much insulin you need each day. Insulin pumps can also deliver an insulin bolus, which is an extra dose of insulin in addition to your basal rate. Some pumps may automatically give you boluses based on your higher blood sugar or carbs, but most allow you to enter a manual bolus for the pump to deliver when needed. Historically, insulin pumps were completely manual devices that you had to program for any insulin. In more recent years, advanced technology now available allows for algorithms to calculate and automatically deliver if you use the device with a connected CGM. Off-label medications for type 1 diabetes Other diabetes medications may also be something to discuss with your doctor. These may include Metformin, GLP-1s, or SGLT-2s meds, which aren't cleared by regulators to use with T1D but may be beneficial beyond that labeling. While some research does show the benefit of these medications for T1D, it indicates there may not be a significant blood sugar improvement, and there may be a high risk of increased hypoglycemia, hyperglycemia, and DKA. That is why it's always important to consult a doctor and your diabetes care team to discuss possible pros and cons if you're interested in using an off-label treatment for T1D along with insulin. It's also important to take all medications as prescribed. Metformin Metformin is a type of oral medication that's approved for type 2 diabetes. However, it's now also commonly prescribed by doctors, and some people with T1Ds use them successfully along with their insulin. Since some T1Ds can develop insulin resistance, the insulin they take each day may not work as well as it once did. Metformin may be an option because it helps reduce sugar production in the liver. Your doctor may advise you to take Metformin in addition to insulin, but that could mean they'd have to write an off-label prescription. GLP-1s Glucagon-like peptide-1 receptor (GLP-1) agonists help manage blood sugar levels and reduce hunger and food intake, possibly supporting weight loss along with managing diabetes glucose levels. These may include: Ozempic Wegovy Trulicity Victoza While these are FDA-cleared for those with T2D, some people with type 1 diabetes also choose to use these for the same reasons. The diabetes clinical community, along with T1Ds, has been advocating for the FDA to consider labeling these medications beyond just T2D use, but as of mid-2025, that hasn't yet materialized. SGLT-2 inhibitors Sodium-glucose transport protein 2 (SGLT2) inhibitors are a class of medications that are also known as gliflozins. These prevent glucose from reabsorbing after it's filtered through your kidneys, helping that glucose to leave your body through urine and lowering blood sugar levels. Invokana Jardiance Farxiga Steglatro This 2023 research review found moderate benefits for SGLT-2s in people type 1 diabetes, without an increase in risk or side effects. One specific SGLT-2 called Sotagliflozin (Zynquista) could eventually be used to treat T1D along with insulin. It would work to lower glucose levels by forcing the body to release it in urine and reducing glucose absorption in the gut. This 2019 research review shows the promise of the medication being used for T1D. However, the Food and Drug Administration (FDA) denied Sotagliflozin in both 2019 and 2024 due to some concerns about the medication. However, it is approved by the European Medicines Agency (EMA) and may be reconsidered by the FDA in the future. Consult your diabetes care team Managing and treating type 1 diabetes is a very individualized process that requires working with your healthcare team. They can best help you understand the condition and learn what treatments may be best for your personal diabetes management and health goals. Always consult your care team before making any treatment decisions, including the types and dosages of any medications you take. For people with T1D, this will likely include diabetes specialists, including an endocrinologist, diabetes care and education specialist, and nutritionist or dietitian. Cure research and related treatments While there isn't a T1D cure on the horizon, researchers continue studying ways to prevent this autoimmune condition and reverse it for those who've already been diagnosed. Some of the more promising research avenues currently include: Gene therapy For T1D, gene therapy could involve reprogramming alternative cells, making those reprogrammed cells perform the functions of the original insulin-producing beta cells. But the reprogrammed cells would be different enough from beta cells so that your own immune system wouldn't recognize them as 'new cells' and attack them, which is what happens in the development of T1D. Islet cell transplants This involves transplanting donated or newly created insulin-making islet cells into the body or pancreas of someone with T1D. Islet transplants aren't new and have been an experimental treatment for many years. This requires immunosuppressant drugs, which often have other side effects and are more expensive. Despite the limited promise of this therapy, many challenges exist. In 2023, the FDA approved a first-of-its-kind treatment for a small number of people with T1D who have severe hypoglycemia and struggle to maintain their blood sugars. Known as Lantrida, this is the first pancreatic islet cellular therapy made from deceased donor pancreatic cells. Other ongoing research explores using stem cells to generate new islet cells rather than transplanting them. Functional bionic therapy Largely based on technology that includes insulin pumps and continuous glucose monitors (CGM), these options to treat and manage T1D may be considered a 'functional cure' —something that basically makes life with this type of diabetes minimally burdensome and almost as 'good as being cured' for some people. These may be the evolving technologies, including closed-loop systems that automatically manage insulin and glucose monitoring to keep blood sugars in target range. Various early systems exist and are getting better, and some believe that this could eventually become a standard of care in managing T1D — assuming affordability and access allow for it. The takeaway Insulin is the main and only required treatment for type 1 diabetes. This is needed because people with T1D don't naturally make insulin in their bodies as those without the condition do. Other medications and types of therapy, alongside insulin, may also help people manage their blood sugar levels and diabetes overall. Some of these prescription medications may be considered 'off-label' drugs if your doctor is willing to prescribe them for T1D. Diabetes management means routine blood sugar monitoring, exercise and eating routines, and other aspects, from sleep to mental health.

Visa Hacks: Network That's Fuelling Germany's Care Boom
Visa Hacks: Network That's Fuelling Germany's Care Boom

Medscape

timean hour ago

  • Medscape

Visa Hacks: Network That's Fuelling Germany's Care Boom

According to the Bertelsmann Foundation, the German care system is under mounting pressure; demand is set to rise by 50% by 2030, while the workforce is shrinking. If the current trends continue, Germany could face a shortfall in nearly 500,000 full-time caregivers. This gap is a major opportunity for qualified foreign nursing staff. Thorough preparation can ensure stable employment and long-term careers. The following five tips show what is important when entering the German healthcare system, from the recognition of professional qualifications to successful integration into everyday working life. 1. Secure Recognition Anyone wishing to work in Germany as a nursing professional must have their foreign qualifications officially recognised. The federal state authorities are responsible for recognition; this is an example of the process for Bavaria. This process is required by law and ensures that professional knowledge and skills are comparable to the German training standards. Each federal state assesses the equivalence of your training, practical experience, and knowledge of law and professional ethics. Non-EU nationals fall under the Professional Qualifications Assessment Act. If gaps are identified, you can either complete an adaptation course — combining theoretical instruction with practical training — or pass a proficiency test comprising written, oral, and practical exams to demonstrate the necessary professional competence at the required level. Many educational providers such as maxQ, FIA Academy, apm Weiterbildung GmbH, and RENAFAN Academy for Nursing Professions offer targeted preparation courses for the knowledge test — valuable support on the path to successful recognition. Costs range from €500-€2 500, often subsidised by employers or supported by grants from the Federal Ministry of Labour and Social Affairs or initiatives like 'Triple Win.' 2. Language Skills Professional qualifications are insufficient; applicants must also have sufficient German language skills. Language plays a central role in everyday professional life, whether in conversations with patients, documenting care services, or in collaboration with colleagues from different professional groups. Recognition typically requires a B2 level under the Common European Framework of Reference for Languages (CEFR), demonstrating advanced proficiency and the ability to hold technically demanding conversations. Start learning German as early as possible — ideally in your home country — to accelerate integration and reduce delays. 3. Visa and Residence Permit Non-EU care workers must secure work visas and employment permits before arrival. The prerequisite is usually a concrete job offer from a hospital, care home, or outpatient service and proof that the recognition process has begun or been completed. The further this process is advanced, the greater the chances of faster processing of the visa application. In many cases, the visa can also be applied with the aim of obtaining professional recognition in Germany, for example, through an adaptation course or a knowledge test. Admission to the labour market is also required. The Federal Employment Agency issues permit and verify that all conditions are met. This distinguishes between general visas for qualified professionals and special regulations for individual regions of origin. Under the Western Balkans regulation (§ 26 (2) Employment Ordinance), nationals of Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia may start work before formal recognition, provided they have an approved job offer and the Federal Employment Agency approves it. High demand can lead to long waits for embassy appointments. 4. Recruitment Agencies Many candidates use placement agencies for support with applications, employer selection, organising immigration, and accommodation. However, not all agencies run reliably. While reputable agencies charge reasonable fees and provide clear, written contracts in your language or English, others may place excessive costs, place workers in exploitative conditions, or withhold passports. Insist on contracts detailing salary, hours, leave, notice periods, duties, and training are clearly defined. Avoid vague fees, long commitment periods, or repayment clauses. Reputable employers pay at least the public sector tariff and often provide mentoring, housing assistance, in-house training, and clear career progression structures. It is also a good sign that employers themselves or through cooperation programs, such as those of the Federal Employment Agency and the German Society for International Cooperation, provide transparent information about the procedure and do not demand any financial advance payments. 5. Embrace Integration A job alone is not enough; true integration comes through social participation. Look for welcome guides, tandem partnerships, and intercultural training to build community ties. Recognition and proficiency test preparation courses offer networking opportunities. Engaging with colleagues, professional associations, or regional nursing chambers will help you settle both professionally and personally. EU professionals Nursing professionals from EU member states benefit from simplified procedures in Germany. Their professional qualifications are recognised automatically, eliminating the need for a complex recognition process. This significantly accelerates entry into the German labour market for many nurses. Although an elaborate recognition procedure is usually unnecessary, applicants must demonstrate German skills at the B2 level (CEFR) to work in Germany. Conclusion Pursuing a nursing career in Germany is achievable but requires patience, preparation, and support. Early research, reputable resources, commitment to verbal language, and cultural integration will greatly enhance your prospects.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store