The Sentinel: Healthcare

Viewpoint |
Maternal health equity begins with nurse leaders

Representation, access, and education are key to saving lives. Nurses must lead the charge to end racial gaps in maternal healthcare.

by Teya Mongsaithong

In the U.S., giving birth has become a death sentence for many women of color. In fact, Black/African American mothers are three to four times more likely to die from birth-related complications than white women regardless of socioeconomic status or education level. According to the Center for Disease Control and Prevention (2023), the number of preterm births was about 50% higher for Black women (14.6%) than White (9.4%) or Hispanic women (10.1%).

This shocking disparity goes beyond medical issues, it is rooted in implicit bias, structural racism, and gaps in delivering culturally competent care. Without realizing it, even the most compassionate nurses can cause harm. To address this public health crisis, nurse leaders must empower change through standardizing implicit bias training, enhancing community services in high-risk populations, and promoting nurses of color into leadership roles.

Nurse leaders have a responsibility to bridge the gap between underserved communities.

First, implicit bias training should be a national standard across all hospitals. It is important for healthcare providers to confront their assumptions and stereotypes when caring for minorities. Specifically for Black women, there is a misconception that their pain tolerance is higher, and they are “forced to endure pain beyond what [is] considered normal" during labor and delivery.

Delivering culturally competent care in this case is necessary for patients to feel safe to express their needs and highlights the importance of implicit bias training. Nurse leaders can standardize this training through embedding it within onboarding and continuing education requirements. By institutionalizing this training, we can ensure black maternal equity is not optional, but foundational to nursing practice. Beyond education, nurse leaders must also recognize the impact of the barriers to accessing quality care.

Limited access to prenatal and postpartum care is a key factor for poor maternal outcomes. In the U.S., over 35% of counties are considered maternity health deserts, which affects approximately 2.3 million women of reproductive age. To address this, nurse leaders collaborate with organizations to push for policies that would: increase the use of mobile maternity units, incentivize the use of telehealth for obstetrics/gynecologists, midwives, and extend Medicaid coverage for prenatal and postpartum care.

Furthermore, nurse leaders can promote virtual training for nurses to provide telehealth care to increase access for patients with limited transportation means. Nurse leaders have a responsibility to bridge the gap between underserved communities and access to care to ensure mothers of color receive quality and equal treatment. To serve these communities to a higher degree, it is necessary to diversify the workforce.

Representation in healthcare matters deeply. Being able to address the unique needs and experiences of individuals allows mothers to have a more active role in their care. To do this, nurse leaders can create mentorship programs for students, advocate for targeted scholarships, and promote more nurses of color into leadership positions.

Black mothers continue to face disproportionately higher health risks due to systemic bias, neglect, and structural racism.

When underrepresented populations see themselves reflected in authority positions, it enhances trust and promotes cross-cultural care for patients and healthcare professionals alike. Moreover, embracing diversity ensures health care equity for marginalized communities and they “report better health experiences from healthcare practitioners from the same background” . However, many believe that nurse leaders are incapable of leading changes in health outcomes.

It is a misconception that physicians or policy makers hold more power over nurse leaders to drive systemic change. This view underscores the significant role of nurses and their expansive expertise. The role of nursing has evolved into a multifaceted position that not only involves caring for patients, but also educating, advocating, and leading change. Nurses are the most trusted profession, and they are often the first ones to notice when something is “off”. This unique position allows nurses to offer powerful insights during policy decision-making that directly impacts maternal health care.

The racial disparities in maternal mortalities in modern healthcare are unacceptable. Black mothers continue to face disproportionately higher health risks due to systemic bias, neglect, and structural racism that exists in our healthcare system. Nurse leaders must demand policy reform, mandate implicit bias training for all staff, and support diversifying the workforce. With unwavering commitment, nurse leaders can transform the healthcare system to ensure every mother, regardless of race, has an equal opportunity of survival.

Teya Mongsaithong is a nursing student at University of West Florida. After graduation, she plans to pursue Mother Baby or NICU. "I want to be the kind of nurse that patients feel safe around and that they can trust me with their care." When she isn't studying, Mongsaithong loves crocheting stuffed animals - which she sells online, and reading fantasy novels.

When Covid comes back, here are sore throat hacks that work

Research has found that some soups have antibacterial properties that can help with any illness.

by Tim Ditman
OSF Healthcare

ALTON - Sore throats: they’re pesky. They’re not just a winter thing (hello, spring allergies). And they can turn serious, such as strep throat.

Isha McConkey, DO

Do a web search for at-home remedies, and you’ll get a lot of results. Which ones work? Which ones might feel good in the moment but don’t get the job done? Isha McConkey, DO, a family medicine physician at OSF HealthCare, has your checklist:

Ice cream: Dr. McConkey doesn’t recommend it.

“I know it feels good. But it will increase mucus production in most people. That’s going to exacerbate the [throat] irritation,” she explains. “We also don’t want a lot of sugar,” which could lead to cavities.

In fact, Dr. McConkey says this logic applies to dairy foods overall. Skip them come sore throat time.

Popsicles: These are OK, Dr. McConkey says. Just go for a sugar free or fruit juice-infused option.

Cough drops: Choose cough drops with xylitol, a sugar alternative, Dr. McConkey says.

Honey: “It’s excellent,” Dr. McConkey says. You’re still getting sugar, though, so don’t guzzle it. Try making a drink with hot water, honey and lemon. Or incorporate honey into your tea.

“You can even add a little cayenne pepper. In some types of sore throats, it may make it worse. But most people find it can be very soothing. It has some numbing properties,” Dr. McConkey adds. But don’t take that as a license to eat spicy food. The acidity in tacos, for example, might cause throat irritation.

Soups: Pop that chicken noodle soup in the microwave, Dr. McConkey says. She says research has found that some soups have antibacterial properties that can help with any illness. Opt for a low sodium can.

Salt water: You’ve probably seen online videos or heard the tactic passed down by family members. Yes, it can help, Dr. McConkey says. Gargling salt water can decrease swelling, she says. Try it before you drink your tea or before you go to bed to help get a restful night.

Worried? Meet your fears head on, here's how to navigate them

When it comes to worry, there’s no shortage of things that keep us up at night – some of it probably has us tossing and turning at times.

A woman worries about her life's direction at sunset — Reframing how you handle disappointments can help you worry less. The goal is to focus on what you have the power to control.

by Paul Arco
OSF Healthcare

The clock ticks past midnight. Your eyes are open, your body still – but your mind is anything but quiet. From bills to health scares to family stress, worry shows up, unpacks, and overstays its welcome.

When it comes to worry, there’s no shortage of things that keep us up at night – some of it probably has us tossing and turning at times.

According to experts like Ashley Pratt, a psychotherapist with OSF HealthCare, most of what we fret about never comes to fruition. But that doesn’t stop us from experiencing a few anxious moments.

But why do we worry?

“It’s actually part of our human nature,” says Pratt. “Our brain is designed to help us protect ourselves from danger or unpleasant experiences. So, worry is kind of our brain’s way of helping us navigate or prepare for those things.”

But some worrying can serve a purpose, Pratt says. For example, if you’re worried about skin cancer, you might be more diligent when it comes to protecting your skin. If you’re worried about money, you might become thriftier when it comes to spending.

Pratt says the best way to get a hold of worry is to concentrate on what you can control.

“Focus on what we have power over,” Pratt says. “That's one of my favorite ways to manage worry. That way we can start to incorporate other coping skills through our life, whether it's breathing exercises or talking to friends, listening to podcasts, doing enjoyable hobbies throughout our week.”

Still, life happens and that means some things we worry about do come true. Pratt recommends meeting those fears head on.

Trying to worry less takes time and lots of work.

“I think we can learn that we can get through it, first and foremost,” she emphasizes. “Even if our worries do come true occasionally, we can cope with it. Worry gives us opportunities to learn about how we handle those situations.”

Instead of worrying, Pratt says to trust yourself IF something negative does happen. It’s better to remain calm than distressed when trying to solve a potential problem.

But if you are having a tough time navigating those worries, there are ways you can calm your nerves. For example, stay off your phone, where you can find news that may be upsetting. Check in with people in your inner circle that you trust and can talk to. Finally, Pratt suggests starting the practice of gratitude.

“It helps rewire those negative thoughts and give us more focus on the things that are going well in our lives,” Pratt says.

Trying to worry less takes time and lots of work. If you can’t seem to find any relief on your own, Pratt recommends seeking professional help.

“If it feels unmanageable, reaching out to someone, whether your doctor for medication management, going to therapy, learning different techniques and just finding something that works.”

Ways to worry less Robert Leahy is a psychologist and author of the book “The Worry Cure.” He offers the following tips to cope with worry.

1. Identify productive and unproductive worry

Determine whether worry will help you find solutions to a problem. If yes, write a to-do list with steps to help solve the problem.

2. Track your worries

Write down your unproductive worries throughout the day and dedicate time to thinking about them.

3. Accept uncertainty

Leahy says repeating a worry for 20 minutes (“I may never fall asleep” or “I could lose my job”) lessens its power.

4. Be mindful

Leahy says there are ways to be mindful throughout the day. Work on living in the now by practicing deep breathing. Let your body relax to release the tension.

5. Reframe your worry

Leahy says reframing how you handle disappointments can help worry. Ask yourself what you have learned from your bad experiences. Make a list of things that make you grateful.

6. Put worries in perspective

Learn from previous worries. If you can’t remember what they were, it might mean they never came true, or you were able to deal with them and move on.

Pritzker warns 330,000 Illinoisans could lose Medicaid under Trump’s budget plan

The Illinois Department of Public Health said nine rural hospitals in Illinois would face closure or severe service reductions due to the cuts.

Photo: Capitol News Illinois/Andrew Adams

President Donald Trump raises his fist at the Republican National Convention in Milwaukee last year alongside U.S. Rep. Steve Scalise (left) and then-running mate J.D. Vance (right). His largest domestic policy bill, which makes drastic cuts to Medicaid, appeared poised to become law last week.

by Peter Hancock
Capitol News Illinois

SPRINGFIELD - The U.S. House gave final passage Thursday to a budget bill that will cut federal Medicaid spending by an estimated $1 trillion over 10 years.

All three Republican members of the Illinois congressional delegation voted in favor of the bill, despite a last-minute plea from Democratic Gov. JB Pritzker who warned the bill will result more than 330,000 Illinoisans losing Medicaid coverage and have a devastating effect on some rural hospitals.

“As those who are entrusted with protecting the health of all your constituents, I urge you to oppose these harmful Medicaid provisions and work to protect healthcare access for rural Illinois families, workers, and veterans,” Pritzker wrote in the letter addressed to GOP Reps. Mike Bost, Darin LaHood and Mary Miller.

The cuts would translate to about $48 billion in Illinois over that period, or about 20% of what the state would otherwise receive, according to an analysis by KFF, a nonpartisan health policy research organization.

That would be one of the largest percentage reductions in any state in the nation, according to KFF, a nonpartisan health policy research organization formerly known as the Kaiser Family Foundation. Louisiana and Virginia would each see cuts of about 21%, KFF said.

The state-level analysis is based largely on Congressional Budget Office estimates showing the bill would reduce federal Medicaid spending by $1 trillion nationwide over the next decade.

The KFF analysis does not include estimates of the number of people who would lose Medicaid coverage under the bill, noting how that will depend on how individual states respond to the policy changes contained in the bill. But overall, it estimates the number of uninsured Americans will grow by 11.8 million.

The bill, which includes many of President Donald Trump’s domestic policy priorities – including tax cuts and increased spending on border security – passed the Senate on Tuesday by a vote of 51-50, with Vice President J.D. Vance casting the tie-breaking vote. Both senators from Illinois, Democrats Dick Durbin and Tammy Duckworth, voted no.

The final vote in the House was 218-214.

“The One Big, Beautiful Bill is a once-in-a-generation victory for the American people,” Miller said in a statement after the House vote. “It delivers on President Trump’s America First agenda with bold, decisive, and immediate action. This is the most pro-worker, pro-family, pro-America legislation I have voted for during my time in Congress, and I was proud to help get it across the finish line for the hardworking Americans across my district.”

Medicaid and the health care marketplace

Medicaid, which is jointly funded by states and the federal government, provides health coverage for lower-income individuals and families. It was established in 1965 alongside Medicare, the federally funded health coverage program for people over 65.

Today, according to the Illinois Department of Healthcare and Family Services, the program covers about 3.4 million people in Illinois, or a fourth of the state’s population. At a total cost of $33.7 billion a year, it is one of the largest single categories of expenditures in the state’s budget. It pays for about 40% of all childbirths in the state, according to KFF, as well as 69% of all nursing home care.

But questions about its future loomed over the Illinois General Assembly during the just-completed legislative session as both Congress and the General Assembly were crafting their respective budgets for their upcoming fiscal years.

“This was a difficult year because of the unprecedented changes and cuts that are looming on the horizon in Washington,” state Rep. Anna Moeller, D-Elgin, said on the floor of the Illinois House during debate over a Medicaid bill on the final day of the session.

Speaking with reporters at an unrelated event Tuesday, Pritzker predicted “hundreds of thousands” of people in Illinois will lose Medicaid coverage if the Senate bill is signed into law.

“This is shameful, if you ask me, and it’s going to be very hard to recover,” Pritzker said. “The state of Illinois can’t cover the cost – no state in the country can cover the cost of reinstating that health insurance that is today paid for mostly by the federal government, partly by state government.”

Policy changes under the bill

According to KFF, most of the reductions in Medicaid spending would result from just a few policy changes contained in the bill Those include imposing a work requirement on adults enrolled in Medicaid through the Affordable Care Act, also known as “Obamacare.” That law expanded eligibility for Medicaid to working-age adults with incomes up to 138% of the federal poverty level. About 772,000 people in Illinois are enrolled under that program.

The bill also calls for requiring people enrolled through the ACA expansion to verify their continued eligibility for Medicaid twice a year instead of annually. That is expected to filter out enrollees whose incomes rise above the eligibility limit as well as those who simply fail to complete the verification process.

Another provision would limit the ability of states to finance their share of the cost of Medicaid by levying taxes on health care providers. Illinois imposes such taxes on hospitals, nursing facilities and managed care organizations that administer the program. Revenue from those taxes is used to draw down federal matching funds that are then used to fund higher reimbursement rates to health care providers.

The final version of the bill does not, however, include a provision penalizing states like Illinois that also provide state-funded health care to noncitizens who do not have lawful status to be in the United States. That provision, which was included in the earlier House version, was not included in the Senate bill, according to KFF.

Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.

Feeling a little down and out, don't feel the burn

Burnout doesn’t have a written-in-stone clinical diagnosis. In most cases, it is usually physical, mental or emotional exhaustion that makes it difficult to navigate life.

Burnout is caused by prolonged or excessive stress. It can leave many feeling detached, cynical, and indifferent towards work or other activities.

by Tim Ditman
OSF Healthcare

ALTON - Burnout.

It means different things to different people. But one thing’s for sure: you should know the skills to cope with burnout to avoid a mental health crisis.

“Things are really expensive right now. People are looking for jobs. There’s a political climate with a lot of changes. It’s all created a lot of upset,” says Sara Bennett, an OSF HealthCare psychotherapist, commenting on the prevalence of burnout today. “And social media has a big role in how we feel. We see everybody’s problems. Or the opposite: Everybody’s life is so great and rosy. It leaves us wondering what we’re doing wrong.”

Causes and symptoms

Bennett says burnout doesn’t have a written-in-stone clinical diagnosis like, for example, the flu does. But generally, she describes it as physical, mental or emotional exhaustion that makes it difficult to navigate life. Issues with your job, school, finances, health and relationships can all lead to burnout.

Photo provided

Sara Bennett

“You’re probably going to feel a lack of concern. We call that apathy. You might not care if something’s going on. You might have a lack of interest in things you usually enjoy,” Bennett explains. “You might not be sleeping well. You might get stomachaches or headaches. You may be irritable.”

A sense of hopelessness can also occur. You might feel like things will never get better, or you can never get ahead of your problems, Bennett says.

Treatment

From your home to the doctor’s office, there are ways to navigate burnout.

First, Bennett says you should take stock of the situation you’re in. Is it one that will resolve itself soon? Or do you need a bigger plan? For example, Bennett says accountants can be stressed during tax season. But after all the filings are done and the chaos dies down, their mental health will likely get a boost.
Take care of the basics. Get good sleep. Eat a healthy diet. Exercise regularly.
Ask someone for help. For example, if caring for an elderly family member causes stress, ask a neighbor to man the house for an hour so you can get some fresh air or take a nap.
Learn to say no. You can’t be all things to all people. So, recognize when you don’t have the bandwidth to take on a task.
“Learn to prioritize,” Bennett suggests. “Figure out the things you can’t say no to. The things that are really important. Or maybe there’s some suffering involved, and you’re the person that can help.”
See a health care provider.
“Doctors can prescribe something that might help you through a short-term experience,” Bennett says. “Therapists can engage you unlike others in your life. They can process stressors with you. They can give you good coping skills and relaxation techniques.”

For example, Bennett says she may work with someone to identify what they can and can’t control in their life and encourage them not to get hung up on the latter. Journaling can also help avoid bottled up emotions. And, Bennett implores people to be grateful for the good things in life.

This might also interest you:

Sentinel Digest |
Our stories from May 28 to June 3

Jun 03, 2025 08:42 pm .::.
Brian E. Smith captures 400m state title, cements sprint legacy for North Shore Country Day

Running past Cumberland's Reid Carlen, Brian E. Smith runs to a second place finish in heat 2 of the 100m Dash prelims on Thursday. He qualified for the championship race with the sixth fastest time at 10.89 after running a 11.10 at sectionals.

Where do microplastics come from? What harm can they do?

Dr. Ovadia says microplastics can be purposefully manufactured as part of a product. Toothpaste and skin exfoliants are examples. Or, microplastics can occur when larger plastic products, like water bottles, break down. The microplastics can then get into our environment, such as ocean water or our foods and drinks.

“There’s even some evidence that these things can spread in the air, and we can breathe them in,” Dr. Ovadia adds.

Dr. Ovadia points to three areas where ingesting microplastics could be cause for concern.

Intestines: Dr. Ovadia says microplastics can irritate our intestines, leading to inflammation of tissue and a condition called leaky gut.
“That’s when we get a breakdown of the barrier that lines our intestines. That allows some things in our food that aren’t supposed to get across into our bloodstream to get into the bloodstream. Many of these things set off inflammation in the body,” Dr. Ovadia says.
Endocrine system: Dr. Ovadia says microplastics may have negative effects on testosterone in men and estrogen and progesterone in women. This could mean reduced muscle mass and libido for men. For women, it could mean changes in the menstrual cycle, an increased infertility risk and, for young women, earlier start of puberty.
Blood vessels: Dr. Ovadia points to a 2024 study where experts looked at plaque removed from the carotid artery (located in the neck) of study participants.
“For over half of the people, there was evidence of microplastics in those plaques. Furthermore for the people who had those microplastics, over the next three years they had a four-and-a-half times increased risk for a heart attack, a stroke or dying,” Dr. Ovadia says.
“It doesn’t prove that the plastics are causing the problems,” Dr. Ovadia adds. “But it’s certainly concerning data. And I, as a heart surgeon, start to worry. If we see these in plaques in arteries in the neck, are they also in the plaques in arteries of the heart patients I operate on?”

Warming up food in a microwave — Heating food in certain types of plastic containers can be harmful due to the leaching of chemicals into the food. Microwaving food in plastic, especially those not specifically labeled as microwave-safe, can cause chemicals from the plastic to transfer to the food

What should I do?

So, do we need to panic about microplastics? Should the health concerns be akin to smoking?

Not now, Dr. Ovadia says. He reiterates that studies on this topic are in the early stages, and experts don’t fully understand microplastics’ impact on our health.

“It’s an unknown risk at this point,” he says.

But, there are small, everyday steps you can take to reduce the risk of microplastics entering your body.

Drink from a glass or stainless steel bottle, not a plastic bottle.
Use a good water filtration system. That could be built into your home’s water supply, or you could purchase a filter to attach to your faucet or water bottle.
Make food choices that minimize your exposure to plastic wraps and containers. Think the to-go boxes you get at a restaurant. Instead, eat more fresh, non-packaged food. Find these in the outer aisles of the grocery store.
“Eat the things that grow in the ground, and eat the things that eat the things that grow in the ground,” Dr. Ovadia says with a smile. “That’s how I always explain it to people. Try eating more whole, real food. That will minimize your exposure to microplastics.”
Look into the cosmetics and toiletries you use. Dr. Ovadia admits the jargon on a label can be difficult to understand. Instead, research the brands themselves. If, for example, a toothpaste brand is pledging to reduce microplastics in their products, it’s a green flag.

Other articles you might like:

Amid uncertainty in Washington, Illinois lawmakers pass slimmed-down Medicaid package

Lawmakers in Springfield passed a slimmed-down Medicaid omnibus bill this year as state budget constraints and federal funding uncertainties loomed large.

by Peter Hancock
Capitol News Illinois

SPRINGFIELD - Nearly every year, Illinois lawmakers pass a package of measures dealing with the state’s Medicaid program, the joint federal and state health care program that covers low-income individuals.

Known as the Medicaid omnibus bill, it sometimes includes bold components, like a 2021 initiative that made millions of dollars available to local communities to help them plan and design their own health care delivery systems. Other packages have focused on smaller changes like guaranteeing coverage for specific conditions and medications or adjusting reimbursement rates for different categories of health care providers.

Illinois state news

And most years, the packages receive bipartisan support because they are negotiated, largely behind closed doors, by an unofficial, bipartisan Medicaid Working Group.

This year, however, lawmakers passed one of the narrowest packages in recent memory, due mainly to the Trump administration’s vows to make sweeping cuts in federal funding for the program while state lawmakers faced their own set of budget constraints.

“There were many, many, very worthy program expansions, rate increases that we considered during this process that we were unable to include because of the uncertainty in Washington,” Rep. Anna Moeller, D-Elgin, the current chair of the Medicaid Working Group, said on the House floor Saturday.

The Illinois Medicaid program currently costs about $33.7 billion a year, according to the Department of Healthcare and Family Services. Of that, $20.9 billion, or about 62%, comes from the federal government while much of the state’s share comes from taxes levied on hospitals, nursing homes and managed care organizations – money the state uses to draw down federal matching funds.

The program covers nearly 3.5 million people in Illinois, or about a quarter of the state’s population. According to the nonpartisan health policy think tank KFF, the program pays for 40% of all child births in Illinois while covering 69% of all nursing home residents.

This year’s Medicaid omnibus bill, a 231-page amendment inserted into Senate Bill 2437, contains items that could be hugely beneficial to many Medicaid enrollees, but which don’t carry large price tags. In fact, the entire package is estimated to cost just under $1 million.

One of this year’s additions would make it easier for family members of medically fragile children who qualify for in-home nursing care to receive training to become certified family health aides, a designation that would enable them to administer medications, help with feeding and perform many of the same tasks as a certified nursing assistant.

Another provision would require all hospitals with licensed obstetric beds and birthing centers to adopt written policies that permit patients to have an Illinois Medicaid certified doula of their choosing to accompany them and provide support before, during and after labor and delivery.

Although those provisions enjoyed bipartisan support, another provision that extends coverage to certain categories of noncitizens drew Republican opposition Saturday, resulting in a partisan roll call vote.

The program covers noncitizens who meet the income requirements for Medicaid and have pending applications for asylum in the United States or for special visas as victims of trafficking, torture or other serious crimes. Those individuals can receive coverage for up to 24 months, provided they continue to meet the eligibility requirements.

Moeller said the language was not a new extension of health care benefits to noncitizens, but instead a “technical and administrative fix” to an existing program that had been requested by the Department of Healthcare and Family Services.

But for Republicans, the programs sounded too similar to the more controversial programs, Health Benefits for Immigrant Seniors and Health Benefits for Immigrant Adults, that extend health care to a large category of people who are not U.S. citizens, including some who are in the country illegally.

“For us on this side of the aisle, that is the poison pill,” said Rep. Norine Hammond, R-Macomb, the deputy House minority leader. “So in spite of the fact that we have article after article in here, that is very worthy of a yes vote, I would urge a no vote.”

At Gov. JB Pritzker’s request, the budget bill lawmakers passed Saturday night cancels the program for immigrant adults, which had covered about 31,000 noncitizens age 42-64. But it provides $110 million over the next year, all in state funds, for the immigrant seniors program, which covers about 8,900 noncitizens age 65 and over.

The Medicaid bill passed the House late Saturday night, 76-39. It then passed the Senate shortly after midnight, 36-19.

It next goes to Pritzker’s desk for his consideration.

Commentary |
Six ways Trump's budget will damage rural Americans' way of life

Republicans in Congress are jamming through a sweeping bill to fund handouts to the rich - at the cost of jobs, health care, and food in rural America.

by Michael Chameides
OtherWords

Right now, Congress is working on a giant, fast-track bill that would make historic cuts to basic needs programs to finance another round of tax breaks for the wealthy and big corporations.

As the Communications and Policy Director for the Rural Democracy Initiative, I’ve been hearing from rural leaders across the country about the devastating impacts this bill would have.

The good news is it’s not too late. But there’s little time to spare.

This dangerous, unpopular bill would increase costs for rural working families by thousands of dollars per year, leaving millions hungry and without health care — all to provide tax breaks and handouts to the wealthy and special interests.

Here are just six of the worst provisions.

1. It guts rural healthcare.

The bill would drastically cut Medicaid and impose new barriers to care. It would take healthcare away from 13.8 million Americans and increase the cost for millions more. In some states, 50 percent of rural children get healthcare from Medicaid. Millions more rely on access to clinics and hospitals that would likely close because of these cuts.

Other Stories ~

Global Zionist citizenship, an updated anifesto

State Representative says Illinois needs to focus on its citizens

American holiday efficiency, a three-for-one on June 14

2. It takes food off the tables of rural people.

The plan includes approximately $290-$319 billion in cuts to SNAP (the Supplemental Nutrition Assistance Program, formerly known as food stamps) even as the cost of groceries continues to escalate. More than 15 percent of families in small towns and rural areas rely on this support to feed their families.

3. It shifts costs to states and local governments.

State and local governments in rural areas depend more on federal funding from programs like SNAP and Medicaid than other states. Slashing federal funding to states would create new burdens for rural states that are already struggling to provide critical public services like health care, transportation, and emergency response services to local communities.

4. It takes away local control.

Landowners have fought to stop the use of eminent domain for carbon pipelines by passing bans and moratoria, as well as enacting county setbacks and safety requirements to protect their communities.

But this bill would overrule state and local laws and ordinances, override local voices, and deprive residents of a fair opportunity to evaluate the adverse impacts of pipelines. It also sets up a “pay to play” system under which companies can simply pay for pipeline, mining, and drilling permits — and avoid public comment and legal challenges.

5. It ends clean energy and infrastructure funding.

The bill would phase out existing tax credits for wind, solar, batteries, geothermal, clean energy, and advanced manufacturing. It would also take away $262 million in funding for energy efficiency and conservation grants as well as transportation infrastructure.

Ending these tax credits will increase household energy costs, which are already higher in many rural communities. These changes would also reduce new clean energy projects — and jeopardize billions in rural investments in clean energy manufacturing.

6. It gives handouts to agribusiness and mega farms.

Leaders in Congress are using the budget reconciliation process to give big farms a $50 billion windfall. Add the heightened pressures and instability caused by the Trump administration’s erratic trade policy and more family farmers would lose their farms — while Big Ag consolidates more of the market.

In short, this bill would make it harder for rural people to meet their basic needs — all so the wealthy and corporations can avoid paying their fair share of taxes like the rest of us do.

Lawmakers have already heard from the giant corporations who helped write the bill. Now, they need to hear from the rest of us. It’s up to us to alert our communities and tell our lawmakers: Don’t sell rural America out to big corporations and the wealthy.

Michael Chameides is the Communications and Policy Director for the Rural Democracy Initiative. A longer version of this op-ed was originally published by Barn Raiser. This version was distributed for syndication by OtherWords.org.

Illinois pushes to ban ‘forever chemicals’ in firefighter gear due to cancer risk

Numerous scientific studies from the American Cancer Society, National Institutes of Health, and the Centers for Disease Control and Prevention indicate the correlation between exposure to PFAS found in turnout or bunker gear and the increased number of firefighters developing various forms of cancer.

Firemen move a barrel during a firetraining exercisse

by Reilly Cook & Grace Friedman
Medill Illinois News Bureau

SPRINGFIELD - A bill to ban the sale of firefighter protective gear containing “forever chemicals” is gaining momentum in the Illinois General Assembly, as lawmakers, union leaders and firefighters themselves warn that the very equipment designed to save lives may be silently endangering them.

House Bill 2409, co-sponsored by Rep. Mike Kelly, D-Chicago, and Sen. Ram Villivalam, D-Chicago, seeks to expand on the state’s existing PFAS Reduction Act by targeting a lesser-addressed but critical source of firefighter exposure to these harmful substances: their turnout gear.

Turnout gear, also known as bunker gear, is the specialized protective clothing worn by firefighters to protect them when they respond to fires or other hazardous situations.

“We know the damage that PFAs can do to our bodies,” Kelly said in an interview. “While this is supposed to protect us, it’s doing us serious harm.”

PFAS have long been used to make products -resistant to water, heat and staining, but research has increasingly linked them to serious health issues, including multiple forms of cancer. According to the Environmental Working Group, an advocacy organization trying to protect environmental health through better industry standards, PFAS were first added to firefighters’ personal protective equipment in 1976.

The bill is backed by the Associated Firefighters of Illinois, a statewide union representing more than 17,000 firefighters and paramedics in 237 communities. Advocates argue that the legislation is crucial in addressing the leading cause of death among firefighters today—chronic illnesses such as cancer.

“Little did we know that the bunker gear, the very gear that is supposed to protect us, to keep us safe, is actually killing us,” AFFI President and retired firefighter Chuck Sullivan said. PFAS are known as “forever chemicals” because they can stay in the human body a long time.

Numerous scientific studies from the American Cancer Society, National Institutes of Health, and the Centers for Disease Control and Prevention indicate the correlation between exposure to PFAS and the increased number of firefighters developing various forms of cancer. Kelly and Villavalam cited this research as the impetus driving the legislation.

Sullivan said the Illinois bill closely follows similar legislation passed in Massachusetts, Minnesota and Connecticut. Under HB 2409, manufacturers would be banned from selling gear containing PFAS in Illinois after Jan. 1, 2027. In the interim, labeling requirements would take effect beginning in 2026. Fire departments would be mandated to phase out affected equipment, such as self-contained breathing apparatuses or certain rescue harnesses, by 2030.

“When we put our gear on, it's not on the forefront of our mind that that is also dangerous and also giving us additional exposures,” Steve Shetsky, a member of AFFI’s executive board, said. “So this bill would absolutely limit those exposures, which would make this profession safer.”

Retired Chicago Fire Department Lieutenant Jim Tracy knows the risk firsthand. Diagnosed with colon cancer six years ago, he endured chemotherapy, radiation and surgery to eradicate the cancer he blames on the uniform.

“I was 22 years in the field when I got diagnosed,” Tracy said. “It is unfortunately one of those cancers you get from PFAS.”

Tracy, who spent 28 years working as a firefighter, said it was only recently that they received one set of gear that is “99% PFAS free.” The new equipment was delayed in production, he said, because manufacturers had to remove PFAS-laced materials from collars and cuffs and replace them with 100% cotton. Many firefighters, however, still wear older gear that is laden with forever chemicals.

“Personal protective equipment,” Tracy said. “It’s not very protective if it is giving us cancer.”

In addition to his own health battle, Tracy said he has many colleagues in the department who have gotten sick but do not report their illnesses out of fear of losing their jobs.

“They don’t want to get kicked off the job, so they go through it on their own and don’t tell the department,” he said.

‘Financial unknowns, replacements under testing’

HB 2409 passed the House 114-0 on April 10. It passed a Senate committee unanimously and is awaiting final action on the Senate floor before it can head to Gov. JB Pritzker for a signature.

Despite bipartisan support in both legislative chambers, the Illinois Fire Chiefs Association has been vocal in its opposition to the bill, citing concerns about the availability and cost of compliant gear.

Photo: Ken Steele II/Unsplash

Illinois Fire Chiefs Association opposes the bill, citing concerns about the availability and cost of safer equipment for firefighters.

John Buckley, executive director of the IFCA, testified before the Senate Labor Committee on May 6, urging lawmakers to amend the bill to delay the enforcement date.

“Our ask and our solution to the problem was to move the date from Jan. 1, 2027, to Jan. 1, 2029 — to give two years to determine if gear would be available and meet the needs of the firefighters in Illinois,” Buckley said.

While Buckley emphasized that the IFCA supports eradicating PFAS from firefighter gear, he warned that the current timeline does not allow enough time for departments to identify, test and purchase safe alternatives, which he said are not affordable or readily accessible.

“Currently, nothing’s been tested and vetted that meets that requirement,” he said. “The gear that’s out there that is PFAS-free is in very limited use, and some of it does not meet national standards,” Buckley said.

Buckley also pointed out that the proposed legislation lacks a funding mechanism to help departments cover the cost of new gear, which he said could “range from $4,000 to $5,000 per set.”

According to the Office of the Illinois State Fire Marshal, the state has 39,564 firefighters. Outfitting each with PFAS-free equipment could cost between $158 million and $198 million—a significant expense as Illinois faces a tightening budget picture for fiscal year 2026.

Still, sponsors said protecting firefighters from potentially deadly chemical exposure should take precedence over its price tag and logistical concerns.

“Our first responders deserve to work with equipment and clothing that does not pose a risk to their health,” Villivalam said. “This measure ensures they are able to continue to be protected while doing their work effectively.”

Even if HB 2409 becomes law, Buckley said he plans to continue pushing for a 2029 effective date when the 104th General Assembly reconvenes in January 2026.

Reilly Cook and Grace Friedman are graduate students in journalism with Northwestern University’s Medill School of Journalism, Media, Integrated Marketing Communications, and fellows in its Medill Illinois News Bureau working in partnership with Capitol News Illinois.

Tagged: PFAS found in firefighter gear, Health risks for firefighters, Illinois firefighters exposed to deadly chemical exposure, Making firefighting safer, Manufacturers would be banned from selling gear containing PFAS in Illinois

State health care programs for noncitizens provided significant benefits for Illinois hospitals

The programs have been controversial since they were first proposed. Republicans have been especially critical, saying the programs serve as an incentive for immigrants to cross into the United States illegally and settle in Illinois to receive taxpayer-funded health benefits.

by Peter Hancock
Capitol News Illinois

SPRINGFIELD – Two state-run health care programs that extend Medicaid-like coverage to noncitizens may have provided significant financial benefits for Illinois hospitals.

That’s according to preliminary results of an ongoing study at the University of Chicago that suggests the programs corresponded, at least in part, to a 15% reduction in the amount of bad debt Illinois hospitals incurred each year since the programs have been in full effect.

“The number that we find is a 15% reduction,” Aresha Martinez-Cardoso, an assistant professor and researcher at U of C’s Embodying Racism Lab, where the study is being conducted, said in an interview. “We think that that might be a high estimate, given what we know about perhaps other things that are going on that we can't entirely rule out, but we do think that part of that reduction is associated with the policy.”

That translates to an average of $1.5 million per year, per hospital, according to the report, although the exact amount would vary greatly depending on a hospital’s size and the volume of patients it treats who are covered by the programs. “Our early findings show that this landmark policy isn’t just about access — it also serves as a strategic investment in our hospitals and the health of entire communities,” Martinez-Cardoso said.

Those findings come as Gov. JB Pritzker’s administration is preparing to shut down the larger of the two programs as part of his budget proposal for the upcoming fiscal year. The Health Benefits for Immigrant Adults, or HBIA, currently covers more than 31,000 eligible noncitizens aged 42-64, at a cost of about $21 million per month, according to the most recent data from the Department of Healthcare and Family Services.

The other program, Health Benefits for Immigrant Seniors, covers eligible noncitizens aged 65 and over. That program currently covers about 8,900 individuals at a cost of about $10 million per month. Pritzker has not proposed eliminating it.

The programs were launched in 2020 and 2021, during the COVID-19 pandemic, as a means of extending health coverage to individuals who did not qualify for other publicly funded health care programs solely due to their immigration status. Those include individuals who are in the United States without legal authorization as well as certain legal permanent residents who have not yet been in the country long enough to qualify for Medicaid.

With the state facing slow revenue growth and a projected budget deficit in the coming year, Pritzker surprised many of his supporters in February when he proposed closing the HBIA program.

Eliminating the program for middle-aged adults is projected to save the general revenue fund about $330 million, according to the governor’s office. Pritzker told reporters after his address in February he expects the federal government will stop reimbursing states for costs associated with programs providing services to noncitizens.

A week after the governor’s budget address, the Illinois Auditor General released a report that said enrollment in both programs and their eventual costs had far exceeded their original projection. The cost for the two programs, the report said, exceeded $1.6 billion over the course of four fiscal years.

Unlike Medicaid, which is jointly funded with state and federal funds, the health programs for noncitizens are funded almost entirely with state dollars.

The study looked at publicly available hospital financial reports to analyze changes in the amount of uncompensated care they provided from 2017 to 2023. It also looked at similar data from hospitals in Indiana and Wisconsin, neighboring states that do not provide health benefits for noncitizens.

“We tried to flip it a few different ways,” Martinez-Cardoso said in an interview. “There could be a lot of other things happening. But when we test a bunch of different models … we kind of see a consistent pattern that the policy timing is associated with bad debt.”

She said the results so far are only preliminary and that analysis of the data is continuing. But she said the analysis so far shows a strong link between the enactment of the programs and an overall reduction in uncollectable debt.

Viewpoint |
Maternal health equity begins with nurse leaders

When Covid comes back, here are sore throat hacks that work

Worried? Meet your fears head on, here's how to navigate them

Pritzker warns 330,000 Illinoisans could lose Medicaid under Trump’s budget plan

Medicaid and the health care marketplace

Policy changes under the bill

Feeling a little down and out, don't feel the burn

Causes and symptoms

Treatment

Sentinel Digest |
Our stories from May 28 to June 3

More stories this week:

Potential Medicaid, SNAP cuts could derail American education system

Microplastics: Why you should worry about in our food supply?

Where do microplastics come from? What harm can they do?

What should I do?

Amid uncertainty in Washington, Illinois lawmakers pass slimmed-down Medicaid package

Commentary |
Six ways Trump's budget will damage rural Americans' way of life

1. It guts rural healthcare.

2. It takes food off the tables of rural people.

3. It shifts costs to states and local governments.

4. It takes away local control.

5. It ends clean energy and infrastructure funding.

6. It gives handouts to agribusiness and mega farms.

Illinois pushes to ban ‘forever chemicals’ in firefighter gear due to cancer risk

‘Financial unknowns, replacements under testing’

State health care programs for noncitizens provided significant benefits for Illinois hospitals

More Sentinel Stories

From our archives

Search the Sentinel

Editor's Choice

Unity alumna remembered; Savannah Day Memorial Race this Friday

Top stories this year