A report released this week by the research and advocacy group of Human Rights Watch slams Alabama for having the…
A report released this week by the research and advocacy group of Human Rights Watch slams Alabama for having the highest rates of cervical cancer deaths in the nation.
While death rates for cervical cancer are not as high as for many other cancer, they could be much lower, according to the report.
Cervical cancer is highly curable when it is caught and treated early. Og det skal være lett å få: det tar 10 til 15 år for virus som forårsaker det, HPV, for å utvikle sig til cancer. Early-stage detection leads to a 93 percent survival rate.
But cervical cancer kills more than 1
00 Alabama women each year at a higher rate than any other state. And black women who ate at twice the rate of white women in Alabama, at 5.2 per 100,000 women, compared with 2.7 for white women.
The report condemned what it calls “Alabama’s patchwork public health system,” citing first and foremost the state’s refusal to expand Medicaid as a main contributor to the problem.
Alabama ties with Texas for the most stringent Medicaid eligibility levels. Unlike residents of many other states, most low-income Alabamans are not eligible for Medicaid unless they are pregnant or disabled.
Gov. Kay Ivey’s new proposal to add work requirements to Alabama Medicaid could boot another 8,700 Alabamans off Medicaid, according to the report. That’s partly because caretakers – currently covered by Alabama Medicaid – would be required to work at least 20 hours a week, and doing so at minimum wage means most would then exceed income limits and then be ineligible for coverage.
Alabama does have a collection of public programs that can help low-income women afford screening, diagnosis or treatment for cervical cancer.
De også dækker forskellige aspekter af pleje, har forskellige kvalifikasjonsbehov, eller krever lange avstandsdrev for kvinner i landlige områder.
Alabama is unique, according to the report, in that it has high cervical cancer screening rates, but also the highest cervical cancer mortality in the nation.
Om 82 prosent av Alabama kvinder som er berettiget til tjenester via Alabama Breast and Cervical Cancer Early Detection Program, der ikke er adgang til det, ifølge rapporten. Og de som ofte ikke får de nødvendige opfølgende diagnostiske tjenester eller behandling.
Compounding this issue is that Alabama has a shortage of OBGYNs. More than half of Alabama counties do not have one, and many of them are clustered in and near the Black Belt.
The state is making some steps towards examining the problem.
This year the state established the Alabama Study Commission for Gynecological Cancers, which is scheduled to report findings and make recommendations by March 2019.
There has also been a growing chorus of voices calling for Medicaid expansion in Alabama, including retiring legislators and Alabama hospitals.