Biden Administration’s Rapid-Test Rollout Doesn’t Easily Reach Those Who Need It Most

Biden Administration’s Rapid-Test Rollout Doesn’t Easily Reach Those Who Need It Most

In the past week, the Biden administration launched two programs that aim to get rapid covid tests into the hands of every American. But the design of both efforts disadvantages people who already face the greatest barriers to testing.

From the limit placed on test orders to the languages available on websites, the programs stand to leave out many people who don’t speak English or don’t have internet access, as well as those who live in multifamily households. All these barriers are more common for non-white Americans, who have also been hit hardest by covid. The White House told KHN it will address these problems but did not give specifics.

It launched a federally run website on Jan. 18 where people can order free tests sent directly to their homes. But there is a four-test limit per household. Many homes could quickly exceed their allotments — more than a third of Hispanic Americans plus about a quarter of Asian and Black Americans live in households with at least five residents, according to an analysis of Census Bureau data by KFF. Only 17% of white Americans live in these larger groups.

“There are challenges that they have to work on for sure,” said Dr. Georges Benjamin, executive director of the American Public Health Association.

Also, as of Jan. 15, the federal government requires private insurers to reimburse consumers who purchase rapid tests.

When the federal website — with orders fulfilled and shipped through the United States Postal Service — went live this week, the first wave of sign-ups exposed serious issues.

Some people who live in multifamily residences, such as condos, dorms, and houses sectioned off into apartments, reported on social media that if one resident had already ordered tests to their address, the website didn’t allow for a second person to place an order.

“They’re going to have to figure out how to resolve it when you have multiple families living in the same dwelling and each member of the family needs at least one test. I don’t know the answer to that yet,” Benjamin said.

USPS spokesperson David Partenheimer said that while this seems to be a problem for only a small share of orders, people who encounter the issue should file a service request or contact the help desk at 1-800-ASK-USPS.

A White House official said 20% of shipments will be directed every day to people who live in vulnerable ZIP codes, as determined by the Centers for Disease Control and Prevention’s social vulnerability index, which identifies communities most in need of resources.

Another potential obstacle: Currently, only those with access to the internet can order the free rapid tests directly to their homes. Although some people can access the website on smartphones, the online-only access could still exclude millions of Americans: 27% of Native American households and 20% of Black households don’t have an internet subscription, according to a KHN analysis of Census Bureau data.

The federal website is currently available only in English, Spanish, and Chinese.

According to the White House, a phone line is also being launched to ease these types of issues. An aide said it is expected to be up and running by Jan. 21. But details are pending about the hours it will operate and whether translators will be available for people who don’t speak English.

However, the website is reaching one group left behind in the initial vaccine rollout: blind and low-vision Americans who use screen-reading technology. Jared Smith, associate director of WebAIM, a nonprofit web accessibility organization, said the federal site “is very accessible. I see only a very few minor nitpicky things I might tweak.”

The Biden administration emphasized that people have options beyond the rapid-testing website. There are free federal testing locations, for instance, as well as testing capacity at homeless shelters and other congregate settings.

Many Americans with private health plans could get help with the cost of tests from the Biden administration reimbursement directive. In the days since its unveiling, insurers said they have moved quickly to implement the federal requirements. But the new systems have proved difficult to navigate.

Consumers can obtain rapid tests — up to eight a month are covered — at retail stores and pharmacies. If the store is part of their health plan’s rapid-test network, the test is free. If not, they can buy it and seek reimbursement.

The program does not cover the 61 million beneficiaries who get health care through Medicare, or the estimated 31 million people who are uninsured. Medicaid and the Children’s Health Insurance Program are required to cover at-home rapid tests, but rules for those programs vary by state.

And the steps involved are complicated.

First, consumers must figure out which retailers are partnering with their health plans and then pick up the tests at the pharmacy counter. As of Jan. 19, however, only a few insurance companies had set up that direct-purchase option — and nearly all the major participating pharmacies were sold out of eligible rapid tests.

Instead, Americans are left to track down and buy rapid tests on their own and then send receipts to their insurance providers.

Many of the country’s largest insurance companies provide paper forms that customers must print, fill out, and mail along with a receipt and copy of the box’s product code. Only a few, including UnitedHealthcare and Anthem, have online submission options. Highmark, one of the largest Blue Cross and Blue Shield affiliates, for instance, has 16-step instructions for its online submission process that involves printing out a PDF form, signing it, and scanning and uploading it to its portal.

Nearly 1 in 4 households don’t own a desktop or laptop computer, according to the Census Bureau. Half of U.S. households where no adults speak English don’t have computers.

A KHN reporter checked the websites of several top private insurers and didn’t find information from any of them on alternatives for customers who don’t have computers, don’t speak English, or are unable to access the forms due to disabilities.

UnitedHealthcare and CareFirst spokespeople said that members can call their customer service lines for help with translation or submitting receipts. Several other major insurance companies did not respond to questions.

Once people make it through the submission process, the waiting begins. A month or more after a claim is processed, most insurers send a check in the mail covering the costs.

And that leads to another wrinkle. Not everyone can easily deposit a check. About 1 in 7 Black and 1 in 8 Hispanic households don’t have checking or savings accounts, compared with 1 in 40 white households, according to a federal report. Disabled Americans are also especially likely to be “unbanked.” They would have to pay high fees at check-cashing shops to claim their money.

“It’s critically important that we are getting testing out, but there are limitations with this program,” said Dr. Utibe Essien, an assistant professor of medicine at the University of Pittsburgh School of Medicine. “These challenges around getting tests to individuals with language barriers or who are homeless are sadly the same drivers of disparities that we see with other health conditions.”

KHN Midwest correspondent Lauren Weber contributed to this report.

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Will my book be banned?

Will my book be banned?

(RNS) — When I was growing up, I loved to read. I still do. But when I was around 10 years old, I started reading Dungeons & Dragons books. My favorite series was called “Dragonlance,” with more than 30 books, all at least 300 pages long.

I read nonstop.

I loved diving into the fantasy world of elves, wizards, dragons and epic wars. It is because I was a reader at a very young age that I became a writer as an adult.

But reading gave me more than my livelihood. I was very shy during elementary and middle school, and didn’t have many friends. Oftentimes books would be my only company and comfort in my loneliness.

This power of books — to create new realities for readers — is why there’s something particularly heinous about banning books. For many of us, books are not mere assemblages of pages and words; they are worlds into which we have flown, escaped, found solace.

Books contain knowledge that humanizes and horrifies us. A good one can change us, long after we can no longer remember the twists and turns of the plot. Many of them become our friends, our conversation partners, our company when we feel isolated and misunderstood.

Right now, regressive forces in our land are coming up with lists of books that should be banned from schools. In one of the most publicized instances, Republican Texas state Rep. Matt Krause disseminated a list of 850 books that apparently troubled him and asked school districts to report whether any of them are on school library shelves.

In last fall’s Virginia governor’s race, the eventual winner, Glenn Youngkin, ran an ad in which a parent supports banning Toni Morrison’s novel “Beloved” from schools. The book speaks in explicit terms about race and sex, but Morrison, a Nobel Prize-winning author, is a legend of literature. On a scale of absurdity, banning students from reading her is surely near the extreme.

I suspect that the real purpose of these lists is to vault a particular politician or individual into the news. Whether they spark reactions in support of or opposition to their view doesn’t matter; in these political games, all news is good news.

The common thread among the books on these lists, aside from the clawing for attention, is they all contain books that talk or teach about race.

How absurd the notion that people in the United States should learn less about race and not more. As if the problem is that we know too much about the subject and not too little.

We should invite more books about race, racism and white supremacy. We should celebrate our educators who can effectively explain the confounding reality of race — its development, its perniciousness and its ongoing effects — to their students.

Instead, legislators and talking heads demand that we hide from our minds the painful reality of this nation’s love affair with racial prejudice and pretend that all that is in the past. Then they seek to replicate their ignorance among our schoolchildren.

What’s most eerie about the vogue for banning books is realizing that, if the trend continues, my own books could one day meet this fate. My “How to Fight Racism, Young Reader’s Edition,” may land on one of these banned book lists.

Geared toward children 8 to 12 years old, the book talks about concepts such as racism, white supremacy, race-based chattel slavery, segregation and Black Lives Matter. Almost a quarter of the book is devoted to unpacking the history of racism in the United States in order to help kids understand how we got where we are and ignite in them the desire to do something about it.

Chapter titles include “Confronting Racism Where It Lives,” “How to Explore Your Racial Identity” and “Fighting Systemic Racism.”

I encourage kids in the book to embrace their personal agency and their ability to effect change. I tell them that racial justice is an imperative for a well-functioning society and that even, perhaps especially, as young people they should be involved in the fight against racism.

I tell them: “This fight isn’t just for grown-ups. Some of the greatest advances in the fight against racism have happened because kids fight too.”

My hope is that “How to Fight Racism, Young Reader’s Edition” inspires a new generation of young people to anti-racist action starting right now.

The forces of regression panic when the most disempowered in our society learn to embrace their power. Some will do everything they can to suppress the impulse toward independence. They imprison activists, they burn churches, they make it harder to vote. They ban books.

The way to battle the ban is to lean in to love. Lean in to that timeless, irrepressible love of books. Lean in to the feeling of being transported by an engrossing story. Lean in to the satisfaction of feeding our famished brains with new knowledge. Lean in to our notorious affair with the written word.

If one day my book lands on one of those lists of banned books, I’m not worried. You can’t ban people from appreciating words, skillfully assembled, soulfully combined. Even if they write lists of banned books as long as a library’s shelves, it won’t douse the fire, and the will, we have to read words.

Bibliophiles of the world, unite!

(Jemar Tisby, the author of “How to Fight Racism, Young Reader’s Edition,” and “The Color of Compromise,” is a historian and speaker on race, religion and politics. He is co-host of the “Pass the Mic” podcast. The views expressed in this commentary do not necessarily reflect those of Religion News Service.)

READ THIS STORY AT RELIGIONNEWS.COM

Sidney Poitier – Hollywood’s first Black leading man reflected the civil rights movement on screen

Sidney Poitier – Hollywood’s first Black leading man reflected the civil rights movement on screen

Sidney Poitier, seen here in a 1980 photograph. Photo by Evening Standard/Getty Images
Aram Goudsouzian, University of Memphis

In the summer of 1967, Martin Luther King Jr. introduced the keynote speaker for the 10th-anniversary convention banquet of the Southern Christian Leadership Conference. Their guest, he said, was his “soul brother.”

“He has carved for himself an imperishable niche in the annals of our nation’s history,” King told the audience of 2,000 delegates. “I consider him a friend. I consider him a great friend of humanity.”

That man was Sidney Poitier.

Poitier, who died at 94 on Jan. 7, 2022, broke the mold of what a Black actor could be in Hollywood. Before the 1950s, Black movie characters generally reflected racist stereotypes such as lazy servants and beefy mammies. Then came Poitier, the only Black man to consistently win leading roles in major films from the late 1950s through the late 1960s. Like King, Poitier projected ideals of respectability and integrity. He attracted not only the loyalty of African Americans, but also the goodwill of white liberals.

In my biography of him, titled “Sidney Poitier: Man, Actor, Icon,” I sought to capture his whole life, including his incredible rags-to-riches arc, his sizzling vitality on screen, his personal triumphs and foibles and his quest to live up to the values set forth by his Bahamian parents. But the most fascinating aspect of Poitier’s career, to me, was his political and racial symbolism. In many ways, his screen life intertwined with that of the civil rights movement – and King himself.

Actor Sidney Poitier marches during a civil rights protest in 1968.
Sidney Poitier, center, marches during the Poor People’s Campaign in Washington, D.C., in May 1968. Photo by Chester Sheard/Keystone/Hulton Archive/Getty Images

An age of protests

In three separate columns in 1957, 1961 and 1962, a New York Daily News columnist named Dorothy Masters marveled that Poitier had the warmth and charisma of a minister. Poitier lent his name and resources to King’s causes, and he participated in demonstrations such as the 1957 Prayer Pilgrimage and the 1963 March on Washington. In this era of sit-ins, Freedom Rides and mass marches, activists engaged in nonviolent sacrifice not only to highlight racist oppression, but also to win broader sympathy for the cause of civil rights.

In that same vein, Poitier deliberately chose to portray characters who radiated goodness. They had decent values and helped white characters, and they often sacrificed themselves. He earned his first star billing in 1958, in “The Defiant Ones,” in which he played an escaped prisoner handcuffed to a racist played by Tony Curtis. At the end, with the chain unbound, Poitier jumps off a train to stick with his new white friend. Writer James Baldwin reported seeing the film on Broadway, where white audiences clapped with reassurance, their racial guilt alleviated. When he saw it again in Harlem, members of the predominantly Black audience yelled “Get back on the train, you fool!”

King won the Nobel Peace Prize in 1964. In that same year, Poitier won the Oscar for Best Actor for “Lilies of the Field,” in which he played Homer Smith, a traveling handyman who builds a chapel for German nuns out of the goodness of his heart. The sweet, low-budget movie was a surprise hit. In its own way, like the horrifying footage of water hoses and police dogs attacking civil rights activists, it fostered swelling support for racial integration.

Sidney Poitier performs in the film 'Guess Who's Coming to Dinner.'
Sidney Poitier, Katherine Houghton and Spencer Tracy in the 1967 film ‘Guess Who’s Coming to Dinner.’ Photo by RDB/ullstein bild via Getty Images

A better man

By the time of the actor’s Southern Christian Leadership Conference speech, both King and Poitier seemed to have a slipping grip on the American public. Bloody and destructive riots plagued the nation’s cities, reflecting the enduring discontent of many poor African Americans. The swelling calls for “Black Power” challenged the ideals of nonviolence and racial brotherhood – ideals associated with both King and Poitier.

When Poitier stepped to the lectern that evening, he lamented the “greed, selfishness, indifference to the suffering of others, corruption of our value system, and a moral deterioration that has already scarred our souls irrevocably.” “On my bad days,” he said, “I am guilty of suspecting that there is a national death wish.”

By the late 1960s, both King and Poitier had reached a crossroads. Federal legislation was dismantling Jim Crow in the South, but African Americans still suffered from limited opportunity. King prescribed a “revolution of values,” denounced the Vietnam War, and launched a Poor People’s Campaign. Poitier, in his 1967 speech for the SCLC, said that King, by adhering to his convictions for social justice and human dignity, “has made a better man of me.”

Exceptional characters

Poitier tried to adhere to his own convictions. As long as he was the only Black leading man, he insisted on playing the same kind of hero. But in the era of Black Power, had Poitier’s saintly hero become another stereotype? His rage was repressed, his sexuality stifled. A Black critic, writing in The New York Times, asked “Why Does White America Love Sidney Poitier So?”

Sidney Poitier receives Medal of Freedom in 2009.
President Barack Obama presents Academy Award-winning actor Sidney Poitier with the Medal of Freedom in 2009. Photo by Chip Somodevilla/Getty Images

That critic had a point: As Poitier himself knew, his films created too-perfect characters. Although the films allowed white audiences to appreciate a Black man, they also implied that racial equality depends on such exceptional characters, stripped of any racial baggage. From late 1967 into early 1968, three of Poitier’s movies owned the top spot at the box office, and a poll ranked him the most bankable star in Hollywood.

Each film provided a hero who soothed the liberal center. His mannered schoolteacher in “To Sir, With Love” tames a class of teenage ruffians in London’s East End. His razor-sharp detective in “In the Heat of the Night” helps a crotchety white Southern sheriff solve a murder. His world-renowned doctor in “Guess Who’s Coming to Dinner” marries a white woman, but only after winning the blessing of her parents.

“I try to make movies about the dignity, nobility, the magnificence of human life,” he insisted. Audiences flocked to his films, in part, because he transcended racial division and social despair – even as more African Americans, baby boomers and film critics tired of the old-fashioned do-gooder spirit of these movies.

Intertwined lives

And then, the lives of Martin Luther King Jr. and Sidney Poitier intersected one final time. After King’s assassination on April 4, 1968, Poitier was a stand-in for the ideal that King embodied. When he presented at the Academy Awards, Poitier won a massive ovation. “In the Heat of the Night” and “Guess Who’s Coming to Dinner” captured most of the major awards. Hollywood again dealt with the nation’s racial upheaval through Poitier movies.

But after King’s violent murder, the Poitier icon no longer captured the national mood. In the 1970s, a generation of “Blaxploitation” films featured violent, sexually charged heroes. They were a reaction against the image of a Black leading man associated with Poitier. Although his career evolved, Poitier was no longer a superstar, and he no longer bore the burden of representing the Black freedom movement. Yet for a generation, he had served as popular culture’s preeminent expression of the ideals of Martin Luther King.

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Aram Goudsouzian, Bizot Family Professor of History, University of Memphis

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Our God believes in Justice

Our God believes in Justice

Devotional Scripture

Deuteronomy 16:18-20

18 “Appoint judges and officials for yourselves from each of your tribes in all the towns the Lord your God is giving you. They must judge the people fairly. 

19 You must never twist justice or show partiality. Never accept a bribe, for bribes blind the eyes of the wise and corrupt the decisions of the godly. 

20 Let true justice prevail, so you may live and occupy the land that the Lord your God is giving you.

In a world where everyone has an opinion of what justice is, and what is wrong seems to be appealing and receiving the most media attention, as believers, it is very encouraging to know God’s pure intention and desire for what true justice is.

In Deuteronomy 16: 18-20 Living Bible Translation there are specific takeaways that are listed to ensure Justice prevails and there is success in the land

  1. Appointing judges and administrative officials to administer justice in every part of the land
  2. Not twisting justice to benefit the rich
  3. Never accepting bribes, because bribes blind the eyes of the wisest and corrupt their decisions

 

It is important to understand that God cares about what happens to the land we live in. It is a form of great stewardship, when we are able to appoint officials who will govern with wisdom and counsel.

True Justice in God’s eyes, does not involve buying favors, classism or oppression, as we often see in various governments in our current world. He desires for fruitfulness and peace, while those in power, serve in diligence, grace, and integrity for the good of the people.

This week, pray for elected officials. Let us ask God to touch the hearts and minds of those who have the honor to serve at any capacity in our current government. Let us pray for a heart of conviction, wisdom and the desire to do what is right for the sake of the people.

We have a duty as believers to pray and when the opportunity arises, appoint and elect the right officials to rule in our land so that we experience the blessings of peace and prosperity. We cannot give up hope, regardless of what is happening, or ignore the responsibility we have in picking right leaders. God cares for us, His love is unwavering and this year will not be any different. He will guide us to make the right decisions to elect leaders who will move our nation forward. Peace and stability is a great blessing to have, and pursuing pure justice will pave the way for that to happen.

Prayer

Dear God,

Of late it has been difficult to believe that true and pure Justice can be a possibility in our current world. Thank you for the reminder to trust you, and not take the power of decision for granted. Help me this year to pray for my leaders. All elected officials, in every area of government. Touch their hearts and minds with conviction and the desire to do what is right. Give me the wisdom to do my due diligence in selecting leaders with integrity and not lean on bias or prejudice, but true judgement of character. I desire to have peace and prosperity in the land where I reside. Let that be a blessing I get to experience this year.

In Jesus Name,

Amen

Why an HBCU Med School Decided to Put CARES Act Money Into Students’ Pockets

Why an HBCU Med School Decided to Put CARES Act Money Into Students’ Pockets

NASHVILLE, Tenn. — Just before students at Meharry Medical College went home for Thanksgiving, Dr. James Hildreth, the school’s president, emailed them a video message that he acknowledged seemed hard to believe. Or at least they had to give it a second listen.

“We’ll gift each of you $10,000 in cash,” he said, looking at the camera. “You heard me right.”

They were told to expect a direct deposit the next day or pick up a check in person. Hildreth, an expert in infectious diseases who helped lead Nashville’s pandemic response, explained that this gift with no strings attached was money from the CARES Act, a major covid-19 relief law passed by Congress in 2020. He asked only that they be “good stewards” of the windfall.

After deep consideration, Meharry’s administration decided to give roughly a third of its CARES Act funding — $10 million — directly to its future doctors, dentists and public health researchers. All told, 956 students received payments.

Meharry’s students had already been heavily involved in the pandemic response, staffing Nashville’s mass covid testing and vaccination sites. But the money isn’t so much surprise compensation for volunteer efforts as it is an investment in a future career — and an assist in overcoming financial hurdles Black students especially face to become medical professionals.

While Black Americans make up roughly 13% of the population, the Association of American Medical Colleges finds Black doctors account for just 5% of the nation’s working physicians — a figure that has grown slowly over more than a century. And studies have found that Black patients often want to be cared for by someone whom they consider culturally competent in acknowledging their heritage, beliefs and values during treatment.

Meharry graduates more Black physicians than almost any other U.S. school. And half of its M.D.s enter the high-demand but lower-paying specialty of primary care.

“We felt that there was no better way to begin distributing these funds than by giving to our students who will soon give so much to our world,” Hildreth said.

Cheers erupted in the library as students clicked the video link.

Andreas Nelson fell silent, he recalled later. He went to his banking app and stared in disbelief. “$10,000 was sitting just in my bank account. It was astonishing,” he said. “I was literally lost for words.”

The Chicago native is finishing a master’s degree in health and science at Meharry with hopes of entering its dental school. The average student loan debt in the program totals more than $280,000. So, undoubtedly, 10 grand won’t make much of a dent in the debt.

But the money in his pocket eases his top concern of making rent each month. Nelson said it feels as though he’s being treated like an adult, allowing him to decide what his greatest needs are in getting through school.

“It’s motivating,” Nelson said. “Because that means they have trust in us to do with this money whatever the cause may be — whether it be student debt, investing or just personal enjoyment.”

Across the board, students at HBCUs rely more on student loans than students at historically white institutions. Roughly 80% take out student loans, according to an analysis by UNCF, formerly known as the United Negro College Fund, and they borrow considerably more.

Meharry was founded a decade after the Civil War to help those who had been enslaved. But the 145-year-old institution has always struggled financially, and so have its students.

The reasons are rooted in the country’s racist past, which has left the institutions with less money potentially available for scholarships than other universities. And students’ families generally have less wealth to tap into since Black households across the country have averaged around $17,000 in net worth — about a tenth of the average for white families.

Meharry’s average student debt is far higher than other area schools of medicine at Vanderbilt University and the University of Tennessee, representing both private and public institutions.

Virtually all colleges and universities received allotments under the CARES Act, but HBCUs have been much more aggressive about funneling substantial amounts directly to students, who tend to have greater need. More than 20 HBCUs have erased outstanding tuition balances. Some have canceled student fees.

But Meharry, one of the few stand-alone HBCU graduate schools, is a rare case in cutting checks for students.

“These young people are rising to medical school against all odds,” said Lodriguez Murray, who leads public policy and government affairs at UNCF. “Of course, they have to borrow more because people who look like them have less.”

During the pandemic, major philanthropists have taken new interest in supporting the few HBCU medical schools. Michael Bloomberg committed $100 million to four institutions, including Meharry, to help educate more Black doctors.

Students at Meharry can now apply for $100,000 scholarships. The $34 million from Bloomberg Philanthropies is also going toward other kinds of financial support.

The school is now offering, for no additional fee, expensive test-prep services through a Boston-based company, MedSchoolCoach. The service, which entails paying a doctor by the hour to help with studying, can cost thousands of dollars.

While the price is often out of reach for students tight on cash, acing the benchmark exams toward board licensure is key to landing coveted fellowships, qualifying for lucrative specialties or just finishing on time. And Meharry’s four-year completion rate of roughly 70% is below most schools. The most up-to-date national average is around 82%.

For some, Murray said, a $10,000 windfall may make all the difference in whether they cross the finish line and become a doctor who can afford all their medical school debt.

“Many of those students are borrowing a lot of money to complete their dream, and to become relatively high earners in the future,” Murray said. “The fact that these students are largely coming from lower socioeconomic backgrounds means that the funds that Meharry turned around and gave to the students are particularly impactful.”

This story is from a partnership that includes Nashville Public Radio and KHN.

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