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KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Rural Areas Send Their Sickest Patients to Cities, Straining Hospitals

Critically ill rural patients are often sent to city hospitals for high-level treatment, and as their numbers grow, some urban hospitals are buckling under the added strain. Meanwhile, mask-wearing and other pandemic prevention measures remain spotty in rural counties.

The Mask Hypocrisy: How COVID Memos Contradict the White House’s Public Face

When in public, President Donald Trump and Vice President Mike Pence join crowded rallies where many do not wear masks. Behind the scenes, the White House is recommending states adopt mask mandates and even fines — leaving it up to local officials to handle the consequences.

With No Legal Guardrails for Patients, Ambulances Drive Surprise Medical Billing

Studies show that at least half of ground ambulance rides across the nation leave patients with “surprise” medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what’s known as balance billing has largely ignored ambulance costs.

In Rural Missouri, Latinos Learn to Contain and Cope With the Coronavirus

In a town in the southwestern corner of Missouri, where COVID-19 has disproportionately affected Latino immigrants, language barriers and economic pressures among factory workers have stymied efforts to slow the virus that causes the disease.