Advances in early detection and cancer treatments have resulted in a 27 percent decline in cancer deaths in the U.S. in the last 25 years, but those benefits are slow to trickle down to those who are lower on the socioeconomic scale, according to a report by the American Cancer Society. In the nation’s poorest counties, the cancer mortality rate is 20 percent higher than in the most affluent counties, and “the difference is much larger for cancers that are the most preventable: cervical, colorectal and lung,” said Rebecca Siegel, strategic director of Surveillance Information Services at the American Cancer Society and an author of the study. Robert Ciemniewski, 57, a longtime smoker from Connecticut, was on the wrong side of the statistical divide when he walked into the emergency room in 2017 with breathing difficulties from what he thought was pneumonia. He did have pneumonia, but he also had advanced lung cancer. Ciemniewski had not had a health checkup since 2013, when he quit his job as a mailman to care for his ailing mother.
Last month, newly elected Gov. Ned Lamont created the Council on Women and Girls, modeled after a similar council started under President Obama, which has been allowed to lie fallow under President Trump. The council will be chaired by Lt. Gov. Susan Bysiewicz, and will include state agency commissioners, as well as the state’s constitutional officers and a handful of legislators. The council’s charge is to plan legislation and policies that work to end gender discrimination. Though Connecticut can be a wonderful place for women, the challenges are marked. • A Community Foundation of Eastern Connecticut study says that in the eastern part of the state, women between the ages of 18 and 34 have a higher poverty rate—18 percent—than any other group in the area.
In February, Joan Goldstein of Monroe received a panicked call for help from her wife, Lauren Goldstein. Joan found Lauren rolled up like a ball on the floor in her office bathroom. “I have never seen her sick in 15 years,” Joan said. When Lauren couldn’t stop vomiting, Joan took her to the emergency room at St. Vincent’s Medical Center in Bridgeport, where she received fluids intravenously—“three bags,” Joan said.
In October, President Donald Trump announced new regulations that loosen the requirements that employers provide coverage for contraceptives, which was a pillar of the Affordable Care Act (Obamacare). Trump’s government expanded the reasons an employer could skip out on coverage on moral or religious objections. If in the recent weeks your employer just got religion, you should know why. Trump is messing with a woman’s important right to accessible and affordable birth control. The birth control mandate, according to the Kaiser Family Foundation, “had a large impact in a short amount of time.” Within two years of the policy taking effect, says Kaiser, just 3 percent of women with employer-sponsored insurance had out-of-pocket expenses for oral contraceptives (the most expensive and the most popular kind).
Emerson Cheney has survived drug addiction, an abusive relationship, years of cutting and burning himself, and multiple suicide attempts. Now a student at Tunxis Community College, Cheney, 22, recalls how he struggled as a teenager with rejection by friends, school administrators and even doctors, after he came out as transgender. Advocates for LGBT youth say that Cheney’s story is all too common—rejection often pushes young people to risky behaviors that result in health challenges. For LGBT youth, finding health care professionals who can fully address their medical and psychological needs at a critical time in their psychosocial development can be difficult. Several recent studies have highlighted discrimination and mistreatment of sexual and gender minority individuals seeking health care. In Connecticut, a 2008 study that surveyed pediatricians to examine health barriers among LGBT adolescents found that 31 percent of doctors expressed reservations about discussing sexual orientation or gender with patients.
Governors in some of the states with the highest rate of uninsured people – including Louisiana, Texas, and Florida – insist they’ll opt out of the Medicaid expansion offered under the Affordable Care Act – or Obamacare. One political website (Politico.com) calls them the “hell-no” states.