Se estima que, en los Estados Unidos, hay 6.500 inmigrantes indocumentados con enfermedad renal en etapa terminal. Muchos de ellos terminan recibiendo diálisis en salas de emergencias.
Undocumented patients with kidney disease often can’t get treatment unless they are in a state of emergency. This bothers clinicians who want to treat all patients equally.
Last month, U.S. Surgeon General Jerome Adams urged more Americans to carry and learn to use naloxone, which can save someone from an opioid overdose. But the drug, brand-name Narcan, can be difficult to get and expensive.
Standards for how to investigate and report on overdoses vary widely across states and counties. As a result, opioid overdose deaths often go overlooked in the data reported to the federal government.
Seema Verma is a consultant who was Vice President-elect Mike Pence’s health policy advisor when he was governor of Indiana, playing a key role in Medicaid expansion in that state.
Carfentanil, a potent variation on fentanyl, is being blamed for a wave of opioid overdoses. In Cincinnati, the coroner, crime lab and first responders are struggling to keep up.
Medicaid and other health insurers require doctors to file time-consuming paperwork before allowing them to prescribe drugs that help people quit opioids. That delay fosters relapse, specialists say.