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New report drives home racial disparities in pandemic nursing home deaths | Wednesday Coffee

Nursing homes with at least 7 in 10 Black and Hispanic residents saw a death rate that was about 40 percent higher than homes with majority-white populations

August 11, 2021 7:16 am

(Image via Getty Images)

Good Wednesday Morning, Fellow Seekers.

Among the hard truths about the COVID-19 pandemic — and there were many — was the glaring reality that Black and Brown Pennsylvanians were disproportionately impacted by the worst public health crisis in a century.

newly released report details the pandemic’s impact among the Black and Brown residents of Pennsylvania’s nursing homes.

The top-line takeaway: “Systemic race-based inequity has created a crisis within a crisis for Black and Hispanic nursing home residents,” the report, by a coalition of advocacy organizations concludes.

“There is a longstanding history of racially segregated and unequal quality of care for Black and Hispanic nursing home residents. This inequality has existed since before Harriet Tubman opened aging facilities for Black Americans with the help of the African Methodist Church,” said Kee Tobar, the director of Race Equity & Inclusion at Community Legal Services of Philadelphia, which was among one of the report’s authors.

Other organizations participating in the research included the Center for Advocacy for the Rights and Interests of the Elderly (CARIE); the Pennsylvania Council on Independent Living; Disability Rights Pennsylvania; SeniorLAW Center; Pennsylvania Health Law Project, and the Center for Independent Living of Central Pennsylvania.

(Photo by Joe Raedle/Getty Images)

Pointing to a Kaiser Health Network study of Centers for Disease Control & Prevention data, the new report drives home the vast racial disparities of the pandemic among all Americans, noting that “African Americans ages 65 to 74 died of COVID-19 five times as often as White individuals.”

The situation in nursing homes was even more dire.

“Black and Hispanic residents, particularly those in nursing homes where they were the majority population, were more likely to have a COVID-19 outbreak, more likely to have a severe outbreak, and more likely to have deaths as a result of COVID-19,” researchers concluded. “Additionally, nursing homes with at least 7 in 10 Black and Hispanic residents saw a death rate that was about 40 percent higher than homes with majority-White populations,” the report found.

“Sadly, we have seen the evidence in the significant loss of black lives during the pandemic. The only way forward is for Pennsylvania to act – equity is the only acceptable outcome,” Jessica Hartfield, the ombudsman supervisor at the Center for Advocacy for the Rights & Interests of the Elderly, said in a statement.

The report makes a number of recommendations for reform, some of which are detailed below.

(Source: Community Legal Services of Philadelphia, et. al)

The report echoes calls across the industry for new regulations to address staffing levels. The Wolf administration is pushing for new regulations that would require nursing homes to boost staffing levels, the first such updates in two decades.

And because “nursing homes with primarily Black and/or Hispanic residents are disproportionally understaffed, enacting this proposed regulation would address racial and ethnic disparities in addition to enhancing quality of care for nursing home residents,” the report notes.

Pennsylvania State Capitol Building. (Capital-Star photo by Cassie Miller.)

Our Stuff.
Gov. Tom Wolf has ordered thousands of nurses, prison guards, and other staffers in state-run facilities to either get vaccinated or be tested weekly for COVID-19Stephen Caruso reports.

The U.S. Senate voted 69-30 on Tuesday to approve a sweeping bipartisan $1.2 trillion infrastructure package, a milestone for one of President Joe Biden’s priorities after months of negotiation. Pennsylvania’s two senators, Democrat Bob Casey and Republican Pat Toomey split on their votes, Capital-Star National Correspondent Jacob Fischsler writes, with an assist from me.

Officials in Republican-controlled Tioga County have called for an end to the “unnecessary chaos” caused by a proposed forensic investigation into the 2020 general and 2021 primary elections, Marley Parish reports.

Philadelphia Municipal Court judge has expanded the eviction moratorium to halt “lockouts” for certain tenants but the order won’t go into effect until Saturday, leaving many still at risk of eviction, our partners at the Philadelphia Tribune report.

On our Commentary Page this morning, Marc Stier and Eugene Henninger-Voss of the Pennsylvania Budget & Policy Center, say conservative critics of a landmark school funding lawsuit have it wrong: New state funding doesn’t necessarily go to the school districts that need it the most. And columnist Frank A. DeFilippo of our sibling site, Maryland Matters, says it may take being totally ostracized to convince COVID skeptics to get vaccinated and wear a mask.

Philadelphia City Hall (Image via pxHere.com)

Elsewhere.
Philadelphia City Council has become the first branch of city government to require vaccinations for its employees, the Inquirer reports.

The Post-Gazette profiles the independent candidates for Pittsburgh mayor.

A Luzerne County restaurant owner is rewarding patrons for getting vaccinated, the Citizens’ Voice reports.

The York Daily Record runs down masking requirements and other pandemic precautions local school districts are taking as classes resume (paywall).

Fayette County has moved back to a substantial level of virus spread, the Observer-Reporter reports.

GoErie goes deep on the debate over critical race theory in area schools (paywall).

City & State PA. is taking nominations for its 50 Over 50 honors.

Counties in southeastern Pennsylvania are taking the lead in a ‘maddening’ lapse in eviction protectionsWHYY-FM reports.

Democrats in the U.S. Senate pushed through a sweeping, $3.5 trillion budget resolution. The Washington Post has the details.

NYMag’s Intelligencer profiles new New York Gov. Kathy Hochul, who is the first woman in Empire State history to hold that office.

Here’s your #Pittsburgh Instagram of the Day:

What Goes On
The House and Senate Agriculture & Rural Affairs committees meet in joint session at 10 a.m. at the Red Barn Annex at the Russell E. Larson Agricultural Research Center, in Pennsylvania Furnace, Pa.

WolfWatch
Gov. Tom Wolf holds an 11 a.m. newser in Aliquippa, Pa., where he’ll visit an ‘economic development site.’

You Say It’s Your Birthday Dept
Best wishes go out this morning to Dickinson College journalism prof and veteran reporter, Amy Worden, who celebrates today. Congrats and enjoy the day.

Heavy Rotation
Here’s a classic from The XX to get your Wednesday morning rolling. It’s ‘On Hold.’

Wednesday’s Gratuitous Soccer Link
With the start of a new Premier League campaign almost upon us, The Guardian is doing its annual preview of each club. This morning, it’s newly promoted Norwich City – and the big question: Will the Canaries survive the season?

And now you’re up to date.

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John L. Micek
John L. Micek

A 3-decade veteran of the news business, John L. Micek is the Pennsylvania Capital-Star's Editor-in-Chief. An award-winning political reporter, Micek’s career has taken him from small town meetings and Chicago City Hall to Congress and the Pennsylvania Capitol. His weekly column on U.S. politics is syndicated to 800 newspapers nationwide by Cagle Syndicate. He also contributes commentary and analysis to broadcast outlets in the U.S., Canada and the U.K. Micek’s first novel, “Ordinary Angels,” was released in 2019 by Sunbury Press.

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