fbpx
Connect with us

Kaiser Health News

End of Pandemic Internet Subsidies Threatens a Health Care Lifeline for Rural America

Published

on

Sarah Jane Tribble, KFF Health
Wed, 05 Jun 2024 09:00:00 +0000

FORT HALL RESERVATION, Idaho — Myrna Broncho realized just how necessary an internet connection can be after she broke her leg.

In fall 2021, the 69-year-old climbed a ladder to the top of a shed in her pasture. The roof that protects her horses and cows needed to be fixed. So, drill in hand, she pushed down.

That’s when she slipped.

Broncho said her leg snapped between a pair of ladder rungs as she fell, “and my bone was sticking out, and the only thing was holding it was my sock.”

Broncho arm-crawled back to her house to reach her phone. She hadn’t thought to take it with her because, she said, “I never really dealt with phones.”

Broncho needed nine surgeries and rehabilitation that took months. Her hospital was more than two hours away in Salt Lake and her home internet connection was vital for her to keep track of and appointments, as well as communicate with her medical staff.

During the pandemic, federal lawmakers launched the Affordable Connectivity Program with the goal of connecting more people to their jobs, schools, and doctors. More than 23 million low-income households, including Broncho’s, eventually signed on. The program provided $30 monthly subsidies for internet bills, or $75 discounts in tribal or high-cost areas like Broncho’s.

Now, the ACP is out of money.

In early May, Sen. John Thune (R-S.D.) challenged an effort to continue funding the program, saying during a commerce committee hearing that the program needed to be revamped.

“As is currently designed, ACP does a poor job of directing to those who truly need it,” Thune said, adding that too many people who already had internet access used the subsidies.

There has been a flurry of activity on Capitol Hill, with lawmakers first attempting and failing to attach funding to the must-pass Federal Aviation Administration reauthorization. Afterward, Sen. Peter Welch (D-Vt.) traveled to his home to tell constituents in tiny White River Junction that was still working toward a solution.

As the program funding dwindled, both Democrats and Republicans pushed for new legislative action with proposals trying to address concerns like the ones Thune raised.

On May 31, as the program ended, President Joe Biden’s administration continued to call on Congress to take action. Meanwhile, the administration announced that more than a dozen companies — including AT&T, Verizon, and Comcast — would offer low-cost plans to ACP enrollees, and the administration said those plans could affect as many as 10 million households.

According to a survey of participants released by the Federal Communications Commission, more than two-thirds of households had inconsistent or no internet connection before enrolling in the program.

Broncho had an internet connection before the subsidy, but on this reservation in rural southeastern Idaho, where she lives, about 40% of the 200 households enrolled in the program had no internet before the subsidy.

Nationwide, about 67% of nonurban residents reported having a broadband connection at home, compared with nearly 80% of urban residents, said John Horrigan, a national expert on technology adoption and senior fellow at the Benton Institute for Broadband & Society. Horrigan reviewed the data collected by a 2022 Census survey.

The FCC said on May 31 that ending the program will affect about 3.4 million rural and more than 300,000 households in tribal areas.

The end of federal subsidies for internet bills will mean “a lot of families who will have to make the tough choice not to have internet anymore,” said Amber Hastings, an AmeriCorps member serving the Shoshone-Bannock Tribes on the reservation. Some of the families Hastings enrolled had to agree to a plan to pay off past-due bills before joining the program. “So they were already in a tough spot,” Hastings said.

Matthew Rantanen, director of technology for the Southern California Tribal Chairmen’s Association, said the ACP was “extremely valuable.”

“Society has converted everything online. You cannot be in this society, as a societal member, and operate without a connection to broadband,” Rantanen said. Not being connected, he said, keeps Indigenous communities and someone like “Myrna at a disadvantage.”

Rantanen, who advises tribes nationwide about building broadband on their , said benefits from the ACP’s subsidies were twofold: They helped individuals get connected and encouraged providers to build infrastructure.

“You can guarantee a return on investment,” he said, explaining that the subsidies ensured customers could pay for internet service.

Since Broncho signed up for the program last year, her internet bill had been fully paid by the discount.

Broncho used the money she had previously budgeted for her internet bill to pay down credit card debt and a loan she took out to pay for the headstones of her mother and brother.

As the ACP’s funds ran low, the program distributed only partial subsidies. So, in May, Broncho received a bill for $46.70. In June, she expected to pay the full cost.

When asked if she would keep her internet connection without the subsidy, Broncho said, “I’m going to try.” Then she added, “I’m going to have to” even if it means taking a lesser service.

Broncho said she uses the internet for shopping, watching shows, banking, and .

The internet, Broncho said, is “a necessity.”

——————————
By: Sarah Jane Tribble, KFF Health News
Title: End of Pandemic Internet Subsidies Threatens a Health Care Lifeline for Rural America
Sourced From: kffhealthnews.org/news/article/acp-federal-internet-discount-program-ends-tribes/
Published Date: Wed, 05 Jun 2024 09:00:00 +0000

Kaiser Health News

Patients Are Relying on Lyft, Uber To Travel Far Distances to Medical Care

Published

on

kffhealthnews.org – Michael Scaturro – 2024-10-17 04:00:00

SUMMARY: Lyft drivers, like Tramaine Carr, play a vital role in Georgia’s medical transportation system, transporting seniors and to essential medical appointments. With rural hospital closures increasing the distance to care, ride-hailing services like Lyft and Uber have become crucial for patients across Georgia, especially those in rural . A significant percentage of Lyft trips are over 50 miles each way, highlighting the reliance on these services. While insurance and programs often costs, many still face transportation barriers. Some experts advocate for subsidizing these rides for low-income , while others call for expanded to improve local access.

Read the full article

The post Patients Are Relying on Lyft, Uber To Travel Far Distances to Medical Care appeared first on kffhealthnews.org

Continue Reading

Kaiser Health News

Super Bowl Rally Shooting Victims Pick Up Pieces, but Gun Violence Haunts Their Lives

Published

on

kffhealthnews.org – Peggy Lowe, KCUR and Bram Sable-Smith – 2024-10-17 04:00:00

SUMMARY: The February 14 mass shooting at the Kansas Chiefs Super Bowl parade left one dead and 24 , affecting survivors like 20-year-old Jenipher Cabrera, who was shot in the leg. Survivors long-lasting trauma, anxiety, and altered perceptions of safety in their community. Many are seeking new gun regulations in Missouri, where gun laws are notably lax. Local , legislator Manny Abarca, are attempting to address gun violence despite legal hurdles. Survivors like Cabrera are now involved in advocacy work, striving to transform their trauma into a push for change while grappling with the ongoing threat of gun violence.

Read the full article

The post Super Bowl Rally Shooting Victims Pick Up Pieces, but Gun Violence Haunts Their Lives appeared first on kffhealthnews.org

Continue Reading

Kaiser Health News

Harris Backs Slashing Medical Debt. Trump’s ‘Concepts’ Worry Advocates.

Published

on

kffhealthnews.org – Noam N. Levey – 2024-10-16 04:00:00

SUMMARY: Patient advocates are urging Vice President Kamala Harris to enhance federal efforts to combat medical debt if she wins the upcoming presidential election. They view Harris as vital for maintaining insurance access, highlighting the Biden administration’s strides, protections against medical debt and the Reduction Act’s out-of-pocket cost limits for Medicare. Advocates stress the need for more robust action, as 100 million Americans grapple with medical debt. They fear that a Trump victory could reverse protective measures. Harris supports expanding efforts to manage medical debt and calls it crucial for the financial health of Americans.

Read the full article

The post Harris Backs Slashing Medical Debt. Trump’s ‘Concepts’ Worry Advocates. appeared first on kffhealthnews.org

Continue Reading

Trending