Wednesday December 12, 2018

A Majority of Children Die Due to Lack of Basic Healthcare Facilities: UN

For children everywhere, the most precarious time is the first month of life

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Children
A malnourished child lies in a bed waiting to receive treatment at a therapeutic feeding center in a hospital in Sana'a, Yemen, Jan. 24, 2016. (VOA)
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An estimated 6.3 million children died before their 15th birthdays in 2017, or one every five seconds, mostly due to a lack of water, sanitation, nutrition and basic healthcare, according to report by United Nations agencies on Tuesday.

The vast majority of these deaths – 5.4 million – occur in the first five years of life, with newborns accounting for around half of the deaths, the report said.

“With simple solutions like medicines, clean water, electricity and vaccines” this toll could be dramatically reduced, said Laurence Chandy, an expert with the U.N. children’s fund UNICEF. But without urgent action, 56 million children under five – half of them newborns – will die between now and 2030.

Globally, in 2017, half of all deaths in children under five were in sub-Saharan Africa, where one in 13 children died before their fifth birthday. In high-income countries, that number was one in 185, according to the report co-led by UNICEF, the World Health Organization and the World Bank.

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UN: A Child Dies Every Five Seconds, Most Are Preventable Deaths. Pixabay

It found that most children under five die due to preventable or treatable causes such as complications during birth, pneumonia, diarrhoea, neonatal sepsis and malaria. Among older children – aged five to 14 – injuries become a more prominent cause of death, especially from drowning and road traffic.

For children everywhere, the most precarious time is the first month of life. In 2017, 2.5 million newborns died in their first month, and a baby born in sub-Saharan Africa or in Southern Asia was nine times more likely to die in the first month than one born in a high-income country.

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Despite these problems, the U.N. report found that fewer children are dying each year worldwide. The number of under five deaths fell to 5.4 million in 2017 from 12.6 million in 1990, while the number of deaths in five to 14 year-olds dropped to under a million from 1.7 million in the same period. (VOA)

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Number Of Uninsured Children In The U.S. Rises to 3.9 Mn: Report

The report also expressed concern that strict immigration policies and enforcement were making many immigrant families leery of enrolling.

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Uninsured Children, U.S.
Abigail Gabriel, 8, hugs her mother, Erin, as a Pennsylvania Department of Human Services official talks about the Children's Health Insurance Program, CHIP, during a news conference, Dec. 7, 2017, in Pittsburgh. Abigail had health care under Medicaid. VOA

The number of uninsured children in the United States has increased for the first time in nearly a decade, placing it at 3.9 million in 2017, according to a report Thursday from Georgetown University’s Center for Children and Families.

Nationally, the number of uninsured children increased by an estimated 276,000 in 2017, from a historic low of 4.7 percent in 2016 to 5 percent last year. Experts say about 75 percent of the newly uninsured children are clustered in states that did not expand Medicaid such as Florida, Texas and Georgia.

Under President Obama’s Affordable Care Act, Florida and other states could take federal funding to help pay for health coverage for nearly 900,000 people, but the Republican-led Legislature in Florida voted against it. The vast majority of states have already expanded Medicaid and increased the number of residents eligible for its coverage.

Joan Alker, executive director for Georgetown’s Center for Children and Families, has written the report for the last eight years and said she’s never seen the rates of uninsured children go up in all 50 states, which happened last year.

Probiotics, Uninsured
Florida has one of the highest rates of uninsured residents in the country.

Better economy, low unemployment

She said that what is perhaps most concerning is that the uninsured rate among children increased despite an improving economy and low unemployment rate that allowed more children to get private coverage through their parents.

The study blamed the increases on the Trump administration’s repeated attempts to prompt an overhaul of publicly funded health care. There were major efforts to repeal Obama’s Affordable Care Act and cut Medicaid, and the children’s CHIP insurance funding also ran out and hung in the balance for months before Congress extended it.

“There was a lot of confusion among families as to whether these public coverage sources were available,” Alker said.

At the same time, the Trump administration slashed funding for advertising and enrollment counselors to help sign people up for these health insurance programs. The country’s enrollment decline was not just in Medicaid and CHIP, but also in Obamacare, or the federal marketplace where parents can purchase private health insurance and often receive a subsidy to help pay for it.

The report noted that many of the children who do not have health insurance are eligible for coverage but just aren’t enrolled.

Central American Migrants, democratic party,Uninsured
Central American migrants begin their morning trek as part of a thousands-strong caravan hoping to reach the U.S. border, as they face the Pico de Orizaba volcano upon departure from Cordoba, Mexico, Monday. VOA

‘More of a fluctuation’

Ed Haislmaier, a senior research fellow with the Heritage Foundation, a conservative think tank, said the figures were statistically insignificant.

He did agree that there were dips in Medicaid enrollment and through the Obamacare marketplace, but noted there’s no enrollment cutoff for Medicaid, meaning families can sign up their children year-round.

“It’s really more of a fluctuation. There’s no policy driver there,” he said, saying he didn’t think marketing cuts had any impact.

In Florida, the uninsured rate went from 288,000 in 2016 to 325,000 in 2017.

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Honduran migrant Genesis Belen Mejia Flores, 7, waves an American flag at U.S. border control helicopters flying overhead near the Benito Juarez Sports Center serving as a temporary shelter for Central American migrants, in Tijuana, Mexico. VOA

Florida has one of the highest rates of uninsured residents in the country, and also has had the highest number of enrollees purchasing insurance through the Obamacare federal marketplace. However, Medicaid expansion in Florida is likely off the table for this upcoming legislative session. Incoming Gov.-elect Ron DeSantis, a Republican, is against it. His opponent, Democrat Andrew Gillum, campaigned heavily on his support to expand Medicaid coverage for more residents.

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The report also expressed concern that strict immigration policies and enforcement were making many immigrant families leery of enrolling, even if their children were eligible for health coverage. “We think it’s really this national unwelcome mat regarding public coverage,” Alker said. (VOA)