Southern Iowa healthcare workers trying to unionize  Radio Iowa
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I remember my first Pride March. It was the last weekend in June, 1990. I was 20 and I had only come out a few months before. We were all there, my troupe of queer university friends, and me. We met at Mile End tube station at 11AM and I was bouncing around on the balls of my feet and shrieking. Happy Pride! It felt like Christmas. We hadn’t intentionally coordinated our outfits, but we looked pretty much the same. Regardless of gender, we wore Doc Martens and rolled up our jeans. And we pinned enamel triangles – pink and black – to our rucksacks: a reference to the Nazi persecution of homosexuals and a popular choice of badge at the time. I was wearing my ‘love is not a crime’ t-shirt and I’d gelled my hair accordingly.    
Central London was an explosion of colour and sound that day. It was raining men. Really. Drag queens, seven feet tall in towering heels and lacquered wigs strode confidently forward. Leather men in peaky caps with fat moustaches marched unabashedly, bare bums on display. Lesbian marching bands banged out rhythms on drums and tambourines. Others waved placards and sang. Sisters were doing it for themselves. And trade unionists carried banners high, their voices rising in unison. Sing if you’re glad to be gay. Every beat, every shout, every flash of colour was a declaration of identity – a promise that our existence, in all its boldness, would not be silenced.  
Each step that day was a celebration and a confrontation. And it changed me forever. I realised that being visible was not merely an act of pride and resistance, it was an act of self-care. Being on that march took me to a place where I realised that activism was as much about embracing who I wanted to be as it was about fighting for justice for us all.  
Our little troupe found strength in each other that year. We founded the Lesbian and Gay Soc – a space created out of need and hope. It was more than a weekly meeting; it was a sanctuary where we could make friends, celebrate who we were, confront the weight of societal disdain, and – unbeknownst to us at the time – forge lifelong bonds. It wasn’t always easy. We were oftentimes chided by religious fundamentalists and boozed-up boys on army scholarships. It was sometimes scary and taxing, but the solidarity we found got us through. And yet, amid the anger and the fear, there was dancing, so much dancing, and lots of laughter.
Later that year we proposed the inclusion of bisexuals in the NUS London campaign. Up until then it was just lesbians and gay men – almost unthinkable nowadays. This act of advocacy was an effort to widen our community. Standing up for the different facets of our collective identity revealed the dual nature of our struggle; we stand up for ourselves and we amplify the voices of others. Like today, the actions of powerful and noisy nay-sayers took their toll, and our intermittent victories were overshadowed by the exhaustion of continuous opposition. But all that on one side, the clarity of who we were, and what we believed, got ever stronger.   
The scariest context – worse even than Section 28, media hate and campus heckling – was that created by AIDS. My journey led me to ActUp – the AIDS Coalition to Unleash Power – where raw grief met fierce determination. In those gatherings, the fear of the unknown and the pain of loss were paralleled only by the urgency for change. Every tear and emotional plea underscored the heavy cost of our fight, reminding us that the struggle is nourishing but can also leave us physically and emotionally spent, as well as mentally scarred.  
Today, during Pride Month 2025, feels like a good time to reflect on how our struggles nowadays are so very different from what they were 40 years ago, and yet they are remarkably similar. We have come a long way, for sure. But with suicide rates high amongst queer people, hate crime against us rising, the legal system turning its back on trans people in the UK, and the creeping criminalisation of queer lives across the globe, the need to fight is still with us.   
For my friends and me in the troupe, the struggle for social and health justice has been personally transformative but exhausting, fraught with setbacks that could have worn us out if we allowed them to. It has also given us valuable insights and enduring friendships. My activism since my days at university has shown me many things, not least that our shared humanity is our great hope. We must huddle together, resist the anti-queer onslaught and care for ourselves and one another, seeking the threads of connection that unite us rather than allowing ourselves to be weakened by forces that wish to polarise us.   
By nurturing our bonds and the love we have for one another, by tending to our own mental wellbeing, as well as that of our queer communities, and by leaning hard into old fashioned notions of solidarity, we can transform the heavy costs of activism into a shared strength. After all, the truth remains: caring for one another is as urgent, and as important, as the fight itself.    

Topic: Equality in mental health
Tag: LGBTQ+
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Dozens of workers at six southern Iowa healthcare clinics are asking their employer to respect their right to form a union. The employees work at River Hills Community Health Centers in Ottumwa, Oskaloosa, Keokuk, Centerville, Sigourney and Richland. They’re seeking safer working conditions, better wages and affordable health care. Cassie Dunlavy, a nurse practitioner at […]
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Proposed cuts to Medicaid being debated in Congress would trickle down to the nation’s smallest communities that rely on that funding

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CT News Junkie
Connecticut News from your locally owned & operated news source at the state Capitol since 2005.
If the current US House budget proposal passes into law, experts estimate that 140,000 more Connecticut residents will lose health coverage. They will join the 195,000 currently uninsured state residents and Connecticut’s uninsured numbers will rise to the highest level in 20 years.
Losing coverage is not good for the uninsured, both their physical and financial health. But it is also a massive burden on their families, on hospitals and other care providers, on our communities, on our state’s economy, and on our public health. It doesn’t make sense.
The One Big Beautiful Bill Act makes drastic cuts to the Medicaid program that now covers about a million Connecticut residents. The bill cuts funding to Connecticut because we cover immigrant children, even though we only use state funds for their care. (I’m not sure why it is any of Congress’s business how Connecticut spends our own money.) The bill creates more senseless red tape for both Medicaid members and for state agencies. The bill imposes work requirements for the 340,000 low-income Connecticut residents covered under the Affordable Care Act (ACA) expansion. These are people with annual household incomes below $20,815 for a single person. We’ll also have to charge those low-income patients up to $35 for each service if the bill becomes law. 
Healthcare coverage saves money, lives, and benefits communities. There is strong evidence that ACA coverage expansions both saved money and reduced deaths. Rising costs of care for the uninsured will hit healthcare providers, communities, and raise public health risks for all of us. Care for people who couldn’t pay their bills cost Connecticut hospitals $250 million in 2023; this will only add to that number. Providers who don’t get paid will have to raise prices for the rest of us – and we can’t afford that. Studies link rising healthcare prices to higher unemployment, lower wages for people who still have jobs, and reduced tax revenue.
Being uninsured increases debt and makes it harder to afford housing, invest in education, and pay for necessities like food and transportation. It also strains state and local budgets as social needs increase. This increases taxes and diverts resources from other priorities including education, public safety, and infrastructure. We don’t want the people making our food and caring for our children to be sick. We want to know that the last person to push the elevator button can get care if they need it. We all have an interest in keeping people covered.
People are uninsured because healthcare is expensive in Connecticut. Insurance premiums are rising far faster than household incomes. Between 2008 and 2022, median Connecticut incomes rose 2.7% annually while single and family plan premiums rose 4.1% and 4.5%, respectively. Employer-sponsored coverage in Connecticut has been eroding for years, long before passage of the ACA. Connecticut workers are less likely to be offered employer coverage at work than the average American worker, and if they have an offer, they pay significantly more in premiums and deductibles. In a recent survey, almost half of Connecticut residents report delaying or missing necessary care due to cost. When they do get care, one in three report difficulty paying the bills, including tapping savings, borrowing money, increasing medical debt, and cutting back on necessities such as food, heat, or housing. Nearly four in five are worried about affording care in the future. 
The House bill requires adults on Medicaid to work if they can. This sounds very reasonable on its face, but in practice it’s a boondoggle that does nothing to increase employment or hours worked. 
Only a small sliver of working age adults on Medicaid are “able-bodied” but not working. Twenty nine percent are either disabled, in school, or caregiving. About two thirds of working age adults on Medicaid are already working but many of them will lose coverage because of the bureaucratic challenges. Working two or more jobs, unstable childcare, and transportation challenges are only some of the barriers to verifying employment to the state. Many who are actually working will lose coverage just because of administrative delays and confusion. 
A large number of nonworking adults on Medicaid are middle-aged women who left low wage paid jobs to care for elderly or disabled family members. If they are forced to return to those low-paid jobs, their fragile family members could end up in facilities that will cost taxpayers far more. 
Only two states have attempted to implement work requirements. Arkansas implemented a Medicaid work requirement during the first Trump administration. Studies found that 18,000 Arkansas residents lost Medicaid coverage, as intended, but there was no change in employment or hours worked. People who lost coverage struggled with medical debt, delayed needed care, and didn’t get necessary medications. Georgia is now implementing a Medicaid work requirement – it has cost the state $86 million in administrative costs so far and they are finding it difficult to verify employment.
There are some exemptions to the work requirements in the bill, but they are burdensome and difficult to verify. This will be excruciating for both Medicaid members and state-eligibility workers. This policy only serves to dump people off Medicaid by causing bureaucratic chaos.
I am proud that Connecticut has taken full advantage of all the coverage options under the ACA and then went further. We were the first state to expand Medicaid coverage under the ACA for adults. For people just above HUSKY income levels, Connecticut created Covered CT insurance coverage. We went even further by covering low-income undocumented immigrant children to age 15 under HUSKY. Those enhanced insurance subsidies during COVID helped make coverage more affordable. But without Congressional action, those subsidies expire in December. Extending the subsidies is not in the House bill.
The bill narrowly passed the House on May 22 by just one vote. All of Connecticut’s five Congressional Representatives voted against the measure. The bill now goes to the Senate, where it is expected to change. I am hoping that policymakers come to their senses, as they did on efforts to Repeal and Replace the ACA, and no version of this misguided bill passes. It will only punish the needy, burden state workers, raise taxes, and put all of us at risk. This is just another impulsive, senseless policy change that defies reality.

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Healthcare analyst Ellen Andrews, Ph.D, offers some advice for the next commissioner of the Office of Health Strategy following the retirement of Dr. Deidre Gifford.

Healthcare analyst Ellen Andrews, Ph.D, says Connecticut’s Person-Centered Medical Home (PCMH) Plus program has been troubled from its start in 2017, and it’s time to go in a new direction.
Healthcare analyst Ellen Andrews, Ph.D, says we are lucky to live in a time when creative scientists are developing life-changing new treatments such as gene therapies offering cures for debilitating genetic diseases, like sickle cell disease. Hopefully that work won’t be set back or ended by the Trump administration’s orders.

Healthcare analyst Ellen Andrews, Ph.D., says that despite the undisclosed settlement between St. Francis Hospital and Hartford HealthCare, we should remain concerned about the large health system driving up prices that are making healthcare unaffordable.

Healthcare analyst Ellen Andrews, Ph.D., says the murder of a United Healthcare executive has intensified very strong reactions to America’s broken healthcare system. Unfortunately, too many opportunists are using this tragedy to push a tired, failed agenda.
Healthcare analyst Ellen Andrews, Ph.D, says the state released a consultants’ report last week exploring the Governor’s controversial plan to bring private insurers back to run Medicaid in Connecticut. The report’s authors conclude that there is no evidence that managed care organizations control costs or improve quality or access to care.

Healthcare analyst Ellen Andrews, Ph.D, says Donald Trump’s re-election poses potentially significant problems for healthcare in Connecticut – including Medicaid, which covers over 934K people.

Healthcare analyst Ellen Andrews says that since passage of the ACA there seems to be this sense that we are past the problem of people being uninsured. But the latest Census numbers say there were still 205,000 state residents without health insurance last year. That is more than the population of any Connecticut city or…

Healthcare analyst Ellen Andrews said that if Connecticut is going to make progress toward affordable healthcare that works for everyone, we have to look farther and deeper.

Healthcare analyst Ellen Andrews celebrates a seismic event in health policy: For the first time, Medicare has negotiated prices with pharmaceutical companies. Prescription drug costs are a main driver of rising healthcare costs in Connecticut, growing 7.7% from 2021 to 2022, more than any other category.

Healthcare analyst Ellen Andrews, Ph.D., says yet another lawsuit against Hartford Healthcare may seem obscure and limited to healthcare, but it goes much further. There is overwhelming evidence that prices for care at huge health systems like HHC are driving up healthcare prices for private health plans in Connecticut and it’s getting worse.

Ellen Andrews, Ph.D., is the executive director of the CT Health Policy Project. Follow her on Twitter@CTHealthNotes.
The views, opinions, positions, or strategies expressed by the author are theirs alone, and do not necessarily reflect the views, opinions, or positions of CTNewsJunkie.com or any of the author’s other employers.

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Posted June 2, 2025 | Reviewed by Jessica Schrader
I met Dr. Elizabeth Haase via the Group for the Advancement of Psychiatry, with her leadership on the Climate Committee overlapping with my committee on Disasters, Trauma, and Global Health. Struck by her deep love of nature, humanity, healing, and psychiatric excellence, I was overjoyed when she offered me her new book, the Handbook of Climate Psychiatry and Psychotherapy: A Manual for Clinicians, during the annual American Psychiatric Association meeting in Los Angeles. Amidst a strange world of self-driving cars and robot delivery bots holding up traffic, sprawling miles of low-lying cityscape, the mighty waves of the Pacific, and heated air, while touring areas stricken by wildfires and alternatively chilling with colleagues in Venice Beach and Beverly Hills, I couldn’t help but be struck by the tension between nature and civilization.
Autographed copy in hand, I devoured the book on the flight back from LA. While sections are impressive in their depth of medical and psychiatric knowledge, much is relatable to a broader audience. There is an array of soulful and profound observations, pragmatic suggestions, and the incontrovertible mark of someone who has spent a lifetime in contemplation of what most truly connects us with who and what we are. I hope you enjoy our brief interview, and take some time to explore Dr. Haase’s impressive contributions.
GHB: What topics are part of climate psychotherapy and psychiatry?
EH: You can think of climate psychiatry and psychology as all the factors associated with mental health and well-being that are influenced by climate change. We often break these down into a few large categories. This includes neurobiological effects, like the changes in brain function with high temperature or new or increased neuroinfectious diseases, psychological effects, like grief for losses in the natural world, and ways that climate change is a “threat multiplier” for other unequal social conditions that negatively affect health such as air pollution and urban heat island effects. I also think it is critical to include cognitive science about how people change behaviors and why autocratic and reactionary thinking increases with climate change in order to effect the best response.
GHB: How do you think about the environment and nature? What is important about the environment and nature for our mental health?
EH: Nature for me is everything—awe, solace, inspiration, nurturance. I am not alone, though. Many people will tell you their most powerful experiences of stillness, beauty, and wonder occurred in nature. Scientific studies show that time in nature is really good for our immune system, diabetes, hypertension, pulmonary disease, attention and emotional health, among many other benefits. Time in nature decreases loneliness and rumination and improves joy, self esteem, and social connectedness. Interactions with animals help people with anxiety disorders, autism, and health problems. I have a lot of patients who have reduced or eliminated medications after getting an animal.
GHB: What impacts does climate change have on well-being?
EH: Climate change impacts all of the lifestyle pillars of good mental health. Haze and heat elicit negative emotions. Good quality food is harder to come by with drought and flooding. Heat, disasters, and changes like sea level rise will increase all kinds of social stress: forced migration, increased civic violence, more exposure to toxins, poor sleep, and so on. Some argue that there will be gains from tourism, outdoor activity, and less cold-related illness from more warm weather, but studies show that these gains are more than offset by negative health and economic effects.
GHB: How can psychotherapy help folks affected by climate change?
EH: Most people working in this area feel that group therapy approaches are most empowering for people who are distressed about climate change. It takes a village to tackle these problems. Climate cafes are an easily organized way of gathering people together for a structured conversation about the climate concerns people have and the hurdles they face in themselves and their communities to get to a sustainable way of living. For people who want to go deeper, I recommend the Work that Reconnects and Deep Adaptation Forum, which offer processes for deep value-based reflection, your relationship with the more-than-human world, and what you can connect to and let go of so that your lifestyle comes into better alignment with your climate response. Fossil fuels have given us such an amazing power to live as we wish. But it can feel good to disconnect from constant marketing pulls to do, have, and be more, and we have all the tools to continue our lifestyle through clean energy sources.
In terms of individual therapy, anyone can benefit from a deeper dive into their own relationship with nature and the existential planetary emergency we are in. In the book, I offer a comprehensive assessment therapists and individuals can do to examine all of the aspects of personal psychology that are relevant to climate change. I also give therapy techniques for experimenting with new kinds of hope, future imagining, and shaking off the disavowal and dialectic extremes that can lead to climate despair.
It’s also important to remember, though, that almost everyone is concerned about climate change—70-plus percent of the United States population—and so really any conversation about environmental changes and reducing fossil fuel use is going to be helpful. For a lot of people, change feels overwhelming, and just talking with your neighbor can help them and you get over the hurdle, rather than everyone needing formal psychotherapy. I find a 50 percent rule helps my anxiety. You only need to make a 30 to 50 percent change: fly about half as often, or connect up your work and vacation trips. Throw away half as much food and eat half as much meat. Have two children instead of four—that kind of thing.
GHB: What are some key resources for people who want to learn more about how they can make a difference?
EH: Al Gore’s Climate Reality Project offers a wonderful free training so anyone can get knowledgeable and figure out how they can use their own unique abilities and interests to make a difference. I also like Bioneers, and for health care professionals, Climate Psychiatry Alliance, Climate Psychology Alliance, and the Medical Societies Consortium for Climate and Health.
Dr. Beth Haase is the author of Handbook for Climate Psychiatry and Psychology: A Manual for Clinicians, and editor of Climate Change and Youth Mental Health. She is a clinical professor of psychiatry at the University of Nevada School of Medicine and medical director of psychiatry at Carson Tahoe Regional Medical Center.
Grant Hilary Brenner, M.D., a psychiatrist and psychoanalyst, helps adults with mood and anxiety conditions, and works on many levels to help unleash their full capacities and live and love well.
Get the help you need from a therapist near you–a FREE service from Psychology Today.
Psychology Today © 2025 Sussex Publishers, LLC
The brightest way to shine is by being fully, imperfectly yourself.
Self Tests are all about you. Are you outgoing or introverted? Are you a narcissist? Does perfectionism hold you back? Find out the answers to these questions and more with Psychology Today.

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