be honest with you I wish I wasn’t here this afternoon to talk about what I’m
this afternoon to talk about what I’m
this afternoon to talk about what I’m going to talk about let’s examine how
going to talk about let’s examine how
going to talk about let’s examine how our national in Texas health status
our national in Texas health status
our national in Texas health status compares other nations and states and
compares other nations and states and
compares other nations and states and some indicated revival so-called third
some indicated revival so-called third
some indicated revival so-called third world countries and compare poorly with
world countries and compare poorly with
world countries and compare poorly with others
others
others I’m answering your health and requesting
I’m answering your health and requesting
I’m answering your health and requesting then facts of man named that are state
then facts of man named that are state
then facts of man named that are state officials do better so let’s begin
officials do better so let’s begin
officials do better so let’s begin these are pictures from ProPublica and
these are pictures from ProPublica and
these are pictures from ProPublica and NBC News of women who are no longer
NBC News of women who are no longer
NBC News of women who are no longer alive who died of maternal mortality
alive who died of maternal mortality
alive who died of maternal mortality leaving children spouses and other
leaving children spouses and other
leaving children spouses and other family members morning and behind one
family members morning and behind one
family members morning and behind one example this is Michelle’s of Olivet
example this is Michelle’s of Olivet
example this is Michelle’s of Olivet and a newborn and her husband Chris he
and a newborn and her husband Chris he
and a newborn and her husband Chris he took her in his newborn daughter to a
took her in his newborn daughter to a
took her in his newborn daughter to a Texas urgent care clinic to try to save
Texas urgent care clinic to try to save
Texas urgent care clinic to try to save Michelle it was July 26th of this year
Michelle it was July 26th of this year
Michelle it was July 26th of this year just eight days after she gave birth
just eight days after she gave birth
just eight days after she gave birth they had rushed her in after Michelle
they had rushed her in after Michelle
they had rushed her in after Michelle complained of tunnel vision a feeling
complained of tunnel vision a feeling
complained of tunnel vision a feeling like she was going to say her eyelids
like she was going to say her eyelids
like she was going to say her eyelids were drooping and their expression it
were drooping and their expression it
were drooping and their expression it turned listless and she wasn’t saying
turned listless and she wasn’t saying
turned listless and she wasn’t saying anything under and yelled her assistance
anything under and yelled her assistance
anything under and yelled her assistance chest compressions were performed and
chest compressions were performed and
chest compressions were performed and she was intubated but it was too late
she was intubated but it was too late
she was intubated but it was too late mr. Harbach after she welcomed their
mr. Harbach after she welcomed their
mr. Harbach after she welcomed their daughter Clara in a routine labor
daughter Clara in a routine labor
daughter Clara in a routine labor delivery Michelle died of a pulmonary
delivery Michelle died of a pulmonary
delivery Michelle died of a pulmonary embolism at the age of 35 let’s look at
embolism at the age of 35 let’s look at
embolism at the age of 35 let’s look at some of the conditions that make these
some of the conditions that make these
some of the conditions that make these tragic that’s possible and let’s see how
tragic that’s possible and let’s see how
tragic that’s possible and let’s see how bad they were doing how poorly we
bad they were doing how poorly we
bad they were doing how poorly we compared we are frequently in world and
compared we are frequently in world and
compared we are frequently in world and national cellar
national cellar
national cellar what we find is the mortality cascading
what we find is the mortality cascading
what we find is the mortality cascading where a lack of health insurance becomes
where a lack of health insurance becomes
where a lack of health insurance becomes a lack of access which means not getting
a lack of access which means not getting
a lack of access which means not getting necessary care and people die of
necessary care and people die of
necessary care and people die of treatable illness resulting demonstrably
treatable illness resulting demonstrably
treatable illness resulting demonstrably in Texas in increased maternal deaths
in Texas in increased maternal deaths
in Texas in increased maternal deaths here’s the key indicator health
here’s the key indicator health
here’s the key indicator health insurance coverage that dictates whether
insurance coverage that dictates whether
insurance coverage that dictates whether or not people can access health care
or not people can access health care
or not people can access health care including prevention we are 34th out of
including prevention we are 34th out of
including prevention we are 34th out of 35 nations in the organization of
35 nations in the organization of
35 nations in the organization of Economic Cooperation and Development the
Economic Cooperation and Development the
Economic Cooperation and Development the OECD for having health insurance
OECD for having health insurance
OECD for having health insurance coverage and Texas uninsured is the
coverage and Texas uninsured is the
coverage and Texas uninsured is the worst in the United States Texas by the
worst in the United States Texas by the
worst in the United States Texas by the way was one of a minority of states to
way was one of a minority of states to
way was one of a minority of states to reject the Affordable Care Act’s
reject the Affordable Care Act’s
reject the Affordable Care Act’s expanded federal Medicaid dollars which
expanded federal Medicaid dollars which
expanded federal Medicaid dollars which would have given us 10 billion dollars
would have given us 10 billion dollars
would have given us 10 billion dollars over 10 years to help insure people if
over 10 years to help insure people if
over 10 years to help insure people if you can’t afford or get health insurance
you can’t afford or get health insurance
you can’t afford or get health insurance you usually can’t get or afford health
you usually can’t get or afford health
you usually can’t get or afford health care unless you are in active labor or
care unless you are in active labor or
care unless you are in active labor or have a medical emergency you have to
have a medical emergency you have to
have a medical emergency you have to forego necessary medical care if you
forego necessary medical care if you
forego necessary medical care if you needed due to its costs over a third of
needed due to its costs over a third of
needed due to its costs over a third of our national population is foregoing
our national population is foregoing
our national population is foregoing needed medical care due to costs and
needed medical care due to costs and
needed medical care due to costs and Texas once again is almost the worst
Texas once again is almost the worst
Texas once again is almost the worst state in the nation thank God for
state in the nation thank God for
state in the nation thank God for Mississippi when you’re forced to forego
Mississippi when you’re forced to forego
Mississippi when you’re forced to forego necessary care you have death yes people
necessary care you have death yes people
necessary care you have death yes people actually do die when you forego
actually do die when you forego
actually do die when you forego necessary medical care from conditions
necessary medical care from conditions
necessary medical care from conditions that could have been treated and their
that could have been treated and their
that could have been treated and their lives saved this is called mortality
lives saved this is called mortality
lives saved this is called mortality amenable to health care once again our
amenable to health care once again our
amenable to health care once again our country fares poorly ranking 26th among
country fares poorly ranking 26th among
country fares poorly ranking 26th among the OECD nations and Texas is one of the
the OECD nations and Texas is one of the
the OECD nations and Texas is one of the worst states in the nation at 38th and
worst states in the nation at 38th and
worst states in the nation at 38th and deaths
deaths
deaths that could have been prevented by
that could have been prevented by
that could have been prevented by receiving health care services the lack
receiving health care services the lack
receiving health care services the lack of basic health care can have deadly
of basic health care can have deadly
of basic health care can have deadly consequences for women throughout the US
consequences for women throughout the US
consequences for women throughout the US and especially for Texas women
and especially for Texas women
and especially for Texas women the US is tied with Iran yes Iran in the
the US is tied with Iran yes Iran in the
the US is tied with Iran yes Iran in the world and is one of the few countries
world and is one of the few countries
world and is one of the few countries including Chad Afghanistan Botswana and
including Chad Afghanistan Botswana and
including Chad Afghanistan Botswana and others where maternal mortality is
others where maternal mortality is
others where maternal mortality is actually increasing and the only
actually increasing and the only
actually increasing and the only developed nation where it’s increasing
developed nation where it’s increasing
developed nation where it’s increasing in Texas
in Texas
in Texas a recent maternal mortality is shameful
a recent maternal mortality is shameful
a recent maternal mortality is shameful and scandalous you can see from the map
and scandalous you can see from the map
and scandalous you can see from the map the dark blue that we are among the
the dark blue that we are among the
the dark blue that we are among the worst states in the US and Texas
worst states in the US and Texas
worst states in the US and Texas maternal mortality has doubled in two
maternal mortality has doubled in two
maternal mortality has doubled in two years from 18.6 to almost 40 in 2012 and
years from 18.6 to almost 40 in 2012 and
years from 18.6 to almost 40 in 2012 and by the way this coincides with Texas
by the way this coincides with Texas
by the way this coincides with Texas slashing funding for low-income women’s
slashing funding for low-income women’s
slashing funding for low-income women’s health services by two-thirds
health services by two-thirds
health services by two-thirds 66% denying many pregnant Texas women
66% denying many pregnant Texas women
66% denying many pregnant Texas women access to wellness preventive and
access to wellness preventive and
access to wellness preventive and prenatal and published natal care
prenatal and published natal care
prenatal and published natal care meanwhile the California maternal
meanwhile the California maternal
meanwhile the California maternal mortality rate that’s in the blue
mortality rate that’s in the blue
mortality rate that’s in the blue dropped by almost 1/2 or 50% from 14
dropped by almost 1/2 or 50% from 14
dropped by almost 1/2 or 50% from 14 down to 7.3 so what has been done or is
down to 7.3 so what has been done or is
down to 7.3 so what has been done or is being done about this by Texas in
being done about this by Texas in
being done about this by Texas in California well in Texas our elected
California well in Texas our elected
California well in Texas our elected officials gutted the funding for
officials gutted the funding for
officials gutted the funding for low-income women’s health clinics
low-income women’s health clinics
low-income women’s health clinics closing 80 clinics causing the closure I
closing 80 clinics causing the closure I
closing 80 clinics causing the closure I should say our politicians again refused
should say our politicians again refused
should say our politicians again refused 10 billion dollars from the federal
10 billion dollars from the federal
10 billion dollars from the federal government to expand Medicaid health
government to expand Medicaid health
government to expand Medicaid health insurance for our low-income residents
insurance for our low-income residents
insurance for our low-income residents our legislature decided that the
our legislature decided that the
our legislature decided that the maternal mortality problem needed to be
maternal mortality problem needed to be
maternal mortality problem needed to be what fixed no studied by a task force as
what fixed no studied by a task force as
what fixed no studied by a task force as demonstrated by the title of the
demonstrated by the title of the
demonstrated by the title of the legislation the bill title is relating
legislation the bill title is relating
legislation the bill title is relating to the creation of a task force to study
to the creation of a task force to study
to the creation of a task force to study maternal mortality and severe maternal
maternal mortality and severe maternal
maternal mortality and severe maternal morbidity and Texas continues to study
morbidity and Texas continues to study
morbidity and Texas continues to study the problem here for example are the
the problem here for example are the
the problem here for example are the recommendations of the most recent Texas
recommendations of the most recent Texas
recommendations of the most recent Texas Task Force Joint biannual report
Task Force Joint biannual report
Task Force Joint biannual report increase access to health services the
increase access to health services the
increase access to health services the after delivery I’m not sure how that’s
after delivery I’m not sure how that’s
after delivery I’m not sure how that’s supposed to prevent maternal mortality
supposed to prevent maternal mortality
supposed to prevent maternal mortality and morbidity increase awareness of
and morbidity increase awareness of
and morbidity increase awareness of health disparities and start programs
health disparities and start programs
health disparities and start programs and increase the ability of women to
and increase the ability of women to
and increase the ability of women to self-advocate what I’m not sure who to
self-advocate what I’m not sure who to
self-advocate what I’m not sure who to who with etc I’m not sure increased
who with etc I’m not sure increased
who with etc I’m not sure increased screening for and referral the
screening for and referral the
screening for and referral the behavioral health services that’s great
behavioral health services that’s great
behavioral health services that’s great but we don’t have the clinics and the
but we don’t have the clinics and the
but we don’t have the clinics and the professionals to actually provide
professionals to actually provide
professionals to actually provide behavioral health services increased
behavioral health services increased
behavioral health services increased staffing resources now that sounds good
staffing resources now that sounds good
staffing resources now that sounds good but it’s for the task force five and six
but it’s for the task force five and six
but it’s for the task force five and six really are concerning improve the
really are concerning improve the
really are concerning improve the quality of death reporting and
quality of death reporting and
quality of death reporting and investigation and improve the quality of
investigation and improve the quality of
investigation and improve the quality of death certificate data what the hell let
death certificate data what the hell let
death certificate data what the hell let me get this straight
me get this straight
me get this straight Texas women are dying and the appointed
Texas women are dying and the appointed
Texas women are dying and the appointed task force is focused on improving
task force is focused on improving
task force is focused on improving reporting and data the CDC and the World
reporting and data the CDC and the World
reporting and data the CDC and the World Health Organization can already tell us
Health Organization can already tell us
Health Organization can already tell us why women are dying of pregnancy related
why women are dying of pregnancy related
why women are dying of pregnancy related illnesses these recommendations are very
illnesses these recommendations are very
illnesses these recommendations are very discouraging discouraging because the
discouraging discouraging because the
discouraging discouraging because the recommendations are to be charitable
recommendations are to be charitable
recommendations are to be charitable very soft it’s hard to see them having
very soft it’s hard to see them having
very soft it’s hard to see them having any tangible concrete impact preventing
any tangible concrete impact preventing
any tangible concrete impact preventing Texas maternal mortality and morbidity
Texas maternal mortality and morbidity
Texas maternal mortality and morbidity in the foreseeable future now let’s look
in the foreseeable future now let’s look
in the foreseeable future now let’s look at what California has done first thing
at what California has done first thing
at what California has done first thing is to understand that California health
is to understand that California health
is to understand that California health officials California officials in
officials California officials in
officials California officials in general decided that health of their
general decided that health of their
general decided that health of their population and pregnant moms was
population and pregnant moms was
population and pregnant moms was important they were the first state to
important they were the first state to
important they were the first state to establish you know Obama care
establish you know Obama care
establish you know Obama care marketplace or exchange they did not
marketplace or exchange they did not
marketplace or exchange they did not slash women’s health services funding
slash women’s health services funding
slash women’s health services funding they did accept federal dollars and
they did accept federal dollars and
they did accept federal dollars and expand Medicaid and they formed the
expand Medicaid and they formed the
expand Medicaid and they formed the California maternal quality care
California maternal quality care
California maternal quality care collaborative and concretely effectively
collaborative and concretely effectively
collaborative and concretely effectively addressed some of the causes of maternal
addressed some of the causes of maternal
addressed some of the causes of maternal mortality this collaborative created
mortality this collaborative created
mortality this collaborative created maternal toolkits to improve health care
maternal toolkits to improve health care
maternal toolkits to improve health care for leading causes of preventable or
for leading causes of preventable or
for leading causes of preventable or preventable mortality among pregnant and
preventable mortality among pregnant and
preventable mortality among pregnant and postpartum women I urge you in fact
postpartum women I urge you in fact
postpartum women I urge you in fact to get on your computer and look up the
to get on your computer and look up the
to get on your computer and look up the California motor quality care
California motor quality care
California motor quality care collaborative these toolkits include
collaborative these toolkits include
collaborative these toolkits include ones for prevention and care for OB
ones for prevention and care for OB
ones for prevention and care for OB hemorrhage the largest killer until
hemorrhage the largest killer until
hemorrhage the largest killer until recently of maternal death preeclampsia
recently of maternal death preeclampsia
recently of maternal death preeclampsia recognition and response they also have
recognition and response they also have
recognition and response they also have other important prevention toolkits and
other important prevention toolkits and
other important prevention toolkits and process such as cardiovascular disease
process such as cardiovascular disease
process such as cardiovascular disease and maternal deep vein thrombosis such
and maternal deep vein thrombosis such
and maternal deep vein thrombosis such as the pulmonary embolus that killed
as the pulmonary embolus that killed
as the pulmonary embolus that killed Michelle Zavala all prevention tool kits
Michelle Zavala all prevention tool kits
Michelle Zavala all prevention tool kits include detailed best practice tools and
include detailed best practice tools and
include detailed best practice tools and articles care guidelines and checklist
articles care guidelines and checklist
articles care guidelines and checklist OB crash carts inventory lists
OB crash carts inventory lists
OB crash carts inventory lists implementation guides and flow charts
implementation guides and flow charts
implementation guides and flow charts and professional education slide sets
and professional education slide sets
and professional education slide sets it’s very concrete very detailed as we
it’s very concrete very detailed as we
it’s very concrete very detailed as we saw since the collaboratives inception
saw since the collaboratives inception
saw since the collaboratives inception and the other actions the state has
and the other actions the state has
and the other actions the state has taken California has seen its maternal
taken California has seen its maternal
taken California has seen its maternal mortality dramatically declined by
mortality dramatically declined by
mortality dramatically declined by almost 1/2 let’s go back to where we
almost 1/2 let’s go back to where we
almost 1/2 let’s go back to where we started pregnant women are dying there
started pregnant women are dying there
started pregnant women are dying there is a mortality cascade where a lack of
is a mortality cascade where a lack of
is a mortality cascade where a lack of health insurance leads to a lack of
health insurance leads to a lack of
health insurance leads to a lack of access which leads to not getting
access which leads to not getting
access which leads to not getting necessary care and this causes people to
necessary care and this causes people to
necessary care and this causes people to die of treatable illnesses and increases
die of treatable illnesses and increases
die of treatable illnesses and increases maternal deaths by the way this is on us
maternal deaths by the way this is on us
maternal deaths by the way this is on us we’re getting what we tolerate and
we’re getting what we tolerate and
we’re getting what we tolerate and allowed to happen in Austin the laws the
allowed to happen in Austin the laws the
allowed to happen in Austin the laws the regulations and the mortality that we
regulations and the mortality that we
regulations and the mortality that we accept lives are at stake
accept lives are at stake
accept lives are at stake literally when are we going to demand
literally when are we going to demand
literally when are we going to demand better we be have the power and now is
better we be have the power and now is
better we be have the power and now is the time to educate our elected
the time to educate our elected
the time to educate our elected officials to call and visit our state
officials to call and visit our state
officials to call and visit our state representatives and Senators the
representatives and Senators the
representatives and Senators the governor and lieutenant governor’s
governor and lieutenant governor’s
governor and lieutenant governor’s office to demand and advocate for
office to demand and advocate for
office to demand and advocate for Medicaid expansion and the resurrection
Medicaid expansion and the resurrection
Medicaid expansion and the resurrection and refunding of all those low-income
and refunding of all those low-income
and refunding of all those low-income women’s health clinics that were open
women’s health clinics that were open
women’s health clinics that were open before defunding shuttered them if they
before defunding shuttered them if they
before defunding shuttered them if they don’t do that if they refuse throw them
don’t do that if they refuse throw them
don’t do that if they refuse throw them out of office
out of office
out of office [Music]
[Music]
[Music] [Applause]
[Applause]
[Applause] the time is now to attend the Texas
the time is now to attend the Texas
the time is now to attend the Texas mortality and morbidity task force
mortality and morbidity task force
mortality and morbidity task force meetings and demand that the task force
meetings and demand that the task force
meetings and demand that the task force partner with the California
partner with the California
partner with the California collaborative to institute those
collaborative to institute those
collaborative to institute those concrete actions much as Oregon and
concrete actions much as Oregon and
concrete actions much as Oregon and Washington have done with California as
Washington have done with California as
Washington have done with California as well also now is the time to urge women
well also now is the time to urge women
well also now is the time to urge women to ask their OB if the hospital he or
to ask their OB if the hospital he or
to ask their OB if the hospital he or she delivers that has the California
she delivers that has the California
she delivers that has the California protocols and toolkits in place if it
protocols and toolkits in place if it
protocols and toolkits in place if it doesn’t hurt ask her doctor to find such
doesn’t hurt ask her doctor to find such
doesn’t hurt ask her doctor to find such a hospital or see if she can change her
a hospital or see if she can change her
a hospital or see if she can change her OB to one that does deliver it such a
OB to one that does deliver it such a
OB to one that does deliver it such a hospital again
hospital again
hospital again the time is now if we don’t educate in
the time is now if we don’t educate in
the time is now if we don’t educate in demand better from the politicians and
demand better from the politicians and
demand better from the politicians and the task force Texas women will continue
the task force Texas women will continue
the task force Texas women will continue to suffer deadly results in our Texas
to suffer deadly results in our Texas
to suffer deadly results in our Texas wives mothers daughters sisters and
wives mothers daughters sisters and
wives mothers daughters sisters and other women are at risk of dying of
other women are at risk of dying of
other women are at risk of dying of childbirth and they deserve better if as
childbirth and they deserve better if as
childbirth and they deserve better if as Texas singer-songwriter Willis Allen
Texas singer-songwriter Willis Allen
Texas singer-songwriter Willis Allen Ramsey sang in 1972 then Texas women is
Ramsey sang in 1972 then Texas women is
Ramsey sang in 1972 then Texas women is Texas gold why are they being treated
Texas gold why are they being treated
Texas gold why are they being treated like tinfoil please help
like tinfoil please help
like tinfoil please help [Applause]
”
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