Cookies help us run our site more efficiently.

By clicking “Accept”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. View our Privacy Policy for more information or to customize your cookie preferences.

Maxine Dexter, to be sworn in as member of Congress today, aims to improve air quality, access to health care

News Feed
Friday, January 3, 2025

Maxine Dexter could have spent the last few weeks of the year relaxing with loved ones while preparing to represent the congressional district that spans Portland, Hood River and Mount Hood.Instead, after sealing her victory in Oregon’s 3rd Congressional District in November, she continued to do what she’s done for nearly two decades: pull 10-hour shifts for six days straight in intensive care and tended to patients with lung disease.Dexter, a former state representative, has been a critical care doctor and pulmonologist at Kaiser Permanente for nearly two decades. She chose to work pretty much to the end of the year to support her patients and colleagues.“Health care systems aren’t doing very well right now, so they’re not necessarily able to replace me,” Dexter told the Capital Chronicle. “And I felt like I needed to get my team or my partners through the holidays.”Dexter, who just turned 52, will be sworn into Congress on Friday along with other newly elected members, including Janelle Bynum, who won Oregon’s 5th Congressional District seat. Both women, Democrats who have served in the majority in Oregon’s House, enter the partisan fray in Washington D.C. in the minority, with Republicans in control of the House, Senate and White House.Republicans also controlled the House over the past two years, a time that’s been marked by political brawls but scant action. Though they continue to hold the power in the House, they hold a majority of only five seats, and that could mean more chaos, analysts say.Dexter, a progressive who backs easing access to abortions, enacting gun control and moving toward a single-payer health care system, said she will not prejudge any of her congressional colleagues. She said she will work with anyone with whom she can find common ground on an issue. But when pressed about the agenda of the incoming Trump administration and his pledge to deport illegal immigrants and expand fossil fuel drilling, she acknowledged a potentially tough road ahead for a progressive like herself.“I’m deeply concerned,” she said. “We are not headed in the right direction.”Her two children, both in college, agree, and they don’t have much faith in government, she said. That’s one reason she decided to run.In preparing for her new life, she leased an apartment within walking distance to the Capitol, attended orientation sessions with other freshmen and combed through policies and procedures. She also reached out to other physicians in Congress, including Minnesota’s Rep. Kelly Morrison, a obstetrician, and consulted the other Democratic representatives in Oregon: Reps. Suzanne Bonamici, Val Hoyle, Andrea Salinas and retiring Rep. Earl Blumenauer, who’s 76 and represented Oregon’s 3rd District for nearly three decades.He and his staff worked closely with Dexter to ease her transition.“She’s a very quick study,” Blumenauer told the Capital Chronicle. “I don’t know that I’ve seen a new member of Congress get engaged as quickly and as thoroughly as Maxine. I could not be more impressed.”Maxine Dexter, center in blue hat, poses with wet, cold supporters in the early days of her first campaign for the Oregon House in 2020.Modest backgroundDexter was not destined for Congress. She grew up with a brother in a working class family in Bothell, Washington, about 20 miles northeast of Seattle. Her father sold car parts, barely making enough to get by. Their home life was tumultuous and her parents got divorced.She had no role models to pursue medicine or politics. Her home had no books, and no one in her family had earned a college degree. But Dexter’s family life prepared her for becoming a physician. She learned about mental illness from her mother, who struggled with profound issues, Dexter said, and she learned to care for patients from her grandmother, who had diabetes and suffered a series of amputations. Dexter embraced the role of being a nurse and tending to her grandmother’s wound care.At school, she impressed her teachers and was assigned to classes for gifted students. One of her favorite teachers introduced her to the idea of college and asked what she’d like to be.She decided she wanted to care for people, as she cared for her grandmother, and become a doctor.At 16, she got a job at Albertsons, first working in the bakery, then as a checker and finally as a manager. She also joined the United Food and Commercial Workers International Union, which represents grocery store workers.Her earnings helped pay for her college education in Seattle at the University of Washington. Though a pre-med student, she studied journalism and political science as an undergrad because she knew that in med school, she’d have little time for liberal arts. She worked as a sportswriter at the school newspaper and even freelanced some stories for the Seattle Times. She also read the New York Times voraciously, helped by the fact that she could buy it for $1 a week as a student.Her college years, as for many, were a time of discovery.“It was like the whole world was open to me at the University of Washington,” Dexter said. “There were so many really interesting things to study.”She was interested in the political system, constitutional law and health policy and did a Ford Foundation internship on the subject that laid a foundation for her future path.“I knew I was going to work on health policy someday,” Dexter said.Dexter also found love at university.She and her husband both earned their medical degrees from the University of Washington. He became a primary care physician and now works at Kaiser Permanente in Portland. She pursued a postgraduate fellowship in pulmonary and critical care at the University of Colorado in Denver because she enjoys responding to an emergency.“I have always been someone who likes thinking on their feet and being the person who helps in a crisis,” Dexter said.As a physician, she’s seen people at their worst, and she’s cared for many patients who’ve struggled in their lives. Some have had to decide between buying their medications or paying for child care.“At the end of the day, we have got to create a society where people can live dignified, stable lives when they’re working full time,” Dexter said.State Rep. Maxine Dexter won the May 2024 Democratic primary for Oregon's 3rd Congressional District, making her a shoo-in in the fall election.Maxine Dexter campaignTwo initiativesAfter caring for patients for more than a decade, Dexter ran in 2020 for a northwest Portland seat in the Oregon House that had been held nearly two decades by then-retiring Democratic Rep. Mitch Greenlick, a former Kaiser Permanente research director and professor at Oregon Health & Science University. Dexter won the primary and was sworn into office that June after Greenlick died in office.Dexter served nearly two terms in the state House and supported a range of Democratic issues, from safe gun storage and a ban on undetectable ghost guns to reform in the pharmaceutical industry and an expansion of Medicaid benefits to all low-income immigrants.She also worked on bipartisan packages, including a $100 million drought and water security package in 2023 and a right to repair law which took effect Wednesday and is expected to make it easier and cheaper for consumers to fix their devices.But she’s most proud of two initiatives. One stems from a patient in 2022. A young woman who took what she thought was a pain pill overdosed on what turned out to be fentanyl. Dexter said on her website that she worked all night trying to save the woman’s life.“I was the one who had to give their mother, friends and extended family the heart-breaking news,” she said. “I realized this was a tragedy that could happen to anyone’s children, even my own. I had to take action.”The following year she championed the passage of a package aimed at saving people from overdoses by making the opioid reversal drug, naloxone, more available in restaurants, stores, police departments and schools and other public buildings.The other accomplishment she cites was also in 2023, when Dexter chaired the housing committee. Dexter played a central role in putting together a $200 million housing and homelessness package pushed by Gov. Tina Kotek that included rent assistance and money for shelter beds and to get 1,200 homeless people into housing.A fellow Democrat, state Sen. Kate Lieber, remembered being impressed watching Dexter tackle a new issue, delve into the complexities and shepherd it through.“She did a really great job, especially digging into something that she did not have any familiarity with,” Lieber said.Dexter also helped pass last year’s $376 million housing package with money for shelters, renters and housing.In Congress, she said she’ll support many of the same issues, but she hopes to move the needle on lowering emissions and expanding use of clean energy to improve air quality, something that affects people with lung disease in particular, and she wants to improve the country’s health care system by working toward an affordable, single-payer system that includes comprehensive behavioral health, vision, dental and prescription drug coverage.Maxine Dexter takes part in a TV interview at the Democratic Party of Oregon election night party in Portland on Tuesday, Nov. 5, 2024. Dexter, a longtime doctor at Kaiser Permanente and former Democratic state lawmaker, replaced Earl Blumenauer as the U.S. representative for Oregon’s 3rd Congressional District.Sean Meagher/The OregonianAs a physician, she’s experienced the impact of the high-cost U.S. system on patients, who have motivated her as a lawmaker. She said being a physician also has helped train her to work with other politicians.“(As physicians), we take care of people. We don’t take care of Democrats and Republicans,” she said. “We care for them no matter who they are.”In the Legislature, she said she developed close working relationships with Rep. Jeff Helfrich, a Hood River Republican who was on the housing committee, and former Rep. Daniel Bonham, who now represents The Dalles in the Senate. Both are in the 3rd District and supported her candidacy — as did others.“There’s a really long list of Republican colleagues who really encouraged me to run because I have developed trust with my colleagues,” she said. “We don’t talk about abortion. We don’t talk about guns. Like there are certain things that you’re just never going to agree on.”Dexter doesn’t always agree with fellow Democrats, either. Rep. Dacia Grayber, D-Beaverton, said she sometimes disagreed with Dexter and the two talked it out.“She’s not afraid to have the hard conversations,” Grayber said. “I think that’s one of the most special things about Maxine.”Dexter said being a physician gives lawmakers a “superpower” because they have stories of patients to tell about a range of social issues, bringing a face and humanity to the issue.Eventually, she’d like to tell those stories on the powerful Energy and Commerce committee, which has jurisdiction over health care, the environment and energy issues. But for her first term, she’s asked for Veterans Affairs and Natural Resources. The former is relatively bipartisan, she said, and includes oversight of veterans health care, while the latter, though partisan, has jurisdiction over federal lands, tribal affairs and the Environmental Protection Agency.She said it’s relevant to the environmental goals she hopes to achieve over time, and time could be on her side. Blumenauer served the Democratic district for 14 terms and likely would have won reelection if he had run again.Blumenauer is optimistic about Dexter’s future — and so are Democrats in the state Legislature.“I think she’s perfect for Congress,” Lieber said. “She’s sort of dogged in her pursuit of the issues, which, I think especially for Congress, you need somebody who is just going to be just really pointed in one direction and continues to walk down the path even with obstacles. I would say Maxine is really good at that.”-- Lynne Terry, Oregon Capital ChronicleOregon Capital Chronicle is part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

A progressive who backs easing access to abortions, enacting gun control and moving toward a single-payer health care system, Dexter said she will not prejudge any of her congressional colleagues.

Maxine Dexter could have spent the last few weeks of the year relaxing with loved ones while preparing to represent the congressional district that spans Portland, Hood River and Mount Hood.

Instead, after sealing her victory in Oregon’s 3rd Congressional District in November, she continued to do what she’s done for nearly two decades: pull 10-hour shifts for six days straight in intensive care and tended to patients with lung disease.

Dexter, a former state representative, has been a critical care doctor and pulmonologist at Kaiser Permanente for nearly two decades. She chose to work pretty much to the end of the year to support her patients and colleagues.

“Health care systems aren’t doing very well right now, so they’re not necessarily able to replace me,” Dexter told the Capital Chronicle. “And I felt like I needed to get my team or my partners through the holidays.”

Dexter, who just turned 52, will be sworn into Congress on Friday along with other newly elected members, including Janelle Bynum, who won Oregon’s 5th Congressional District seat. Both women, Democrats who have served in the majority in Oregon’s House, enter the partisan fray in Washington D.C. in the minority, with Republicans in control of the House, Senate and White House.

Republicans also controlled the House over the past two years, a time that’s been marked by political brawls but scant action. Though they continue to hold the power in the House, they hold a majority of only five seats, and that could mean more chaos, analysts say.

Dexter, a progressive who backs easing access to abortions, enacting gun control and moving toward a single-payer health care system, said she will not prejudge any of her congressional colleagues. She said she will work with anyone with whom she can find common ground on an issue. But when pressed about the agenda of the incoming Trump administration and his pledge to deport illegal immigrants and expand fossil fuel drilling, she acknowledged a potentially tough road ahead for a progressive like herself.

“I’m deeply concerned,” she said. “We are not headed in the right direction.”

Her two children, both in college, agree, and they don’t have much faith in government, she said. That’s one reason she decided to run.

In preparing for her new life, she leased an apartment within walking distance to the Capitol, attended orientation sessions with other freshmen and combed through policies and procedures. She also reached out to other physicians in Congress, including Minnesota’s Rep. Kelly Morrison, a obstetrician, and consulted the other Democratic representatives in Oregon: Reps. Suzanne Bonamici, Val Hoyle, Andrea Salinas and retiring Rep. Earl Blumenauer, who’s 76 and represented Oregon’s 3rd District for nearly three decades.

He and his staff worked closely with Dexter to ease her transition.

“She’s a very quick study,” Blumenauer told the Capital Chronicle. “I don’t know that I’ve seen a new member of Congress get engaged as quickly and as thoroughly as Maxine. I could not be more impressed.”

House candidate Maxine Dexter

Maxine Dexter, center in blue hat, poses with wet, cold supporters in the early days of her first campaign for the Oregon House in 2020.

Modest background

Dexter was not destined for Congress. She grew up with a brother in a working class family in Bothell, Washington, about 20 miles northeast of Seattle. Her father sold car parts, barely making enough to get by. Their home life was tumultuous and her parents got divorced.

She had no role models to pursue medicine or politics. Her home had no books, and no one in her family had earned a college degree. But Dexter’s family life prepared her for becoming a physician. She learned about mental illness from her mother, who struggled with profound issues, Dexter said, and she learned to care for patients from her grandmother, who had diabetes and suffered a series of amputations. Dexter embraced the role of being a nurse and tending to her grandmother’s wound care.

At school, she impressed her teachers and was assigned to classes for gifted students. One of her favorite teachers introduced her to the idea of college and asked what she’d like to be.

She decided she wanted to care for people, as she cared for her grandmother, and become a doctor.

At 16, she got a job at Albertsons, first working in the bakery, then as a checker and finally as a manager. She also joined the United Food and Commercial Workers International Union, which represents grocery store workers.

Her earnings helped pay for her college education in Seattle at the University of Washington. Though a pre-med student, she studied journalism and political science as an undergrad because she knew that in med school, she’d have little time for liberal arts. She worked as a sportswriter at the school newspaper and even freelanced some stories for the Seattle Times. She also read the New York Times voraciously, helped by the fact that she could buy it for $1 a week as a student.

Her college years, as for many, were a time of discovery.

“It was like the whole world was open to me at the University of Washington,” Dexter said. “There were so many really interesting things to study.”

She was interested in the political system, constitutional law and health policy and did a Ford Foundation internship on the subject that laid a foundation for her future path.

“I knew I was going to work on health policy someday,” Dexter said.

Dexter also found love at university.

She and her husband both earned their medical degrees from the University of Washington. He became a primary care physician and now works at Kaiser Permanente in Portland. She pursued a postgraduate fellowship in pulmonary and critical care at the University of Colorado in Denver because she enjoys responding to an emergency.

“I have always been someone who likes thinking on their feet and being the person who helps in a crisis,” Dexter said.

As a physician, she’s seen people at their worst, and she’s cared for many patients who’ve struggled in their lives. Some have had to decide between buying their medications or paying for child care.

“At the end of the day, we have got to create a society where people can live dignified, stable lives when they’re working full time,” Dexter said.

Maxine Dexter

State Rep. Maxine Dexter won the May 2024 Democratic primary for Oregon's 3rd Congressional District, making her a shoo-in in the fall election.Maxine Dexter campaign

Two initiatives

After caring for patients for more than a decade, Dexter ran in 2020 for a northwest Portland seat in the Oregon House that had been held nearly two decades by then-retiring Democratic Rep. Mitch Greenlick, a former Kaiser Permanente research director and professor at Oregon Health & Science University. Dexter won the primary and was sworn into office that June after Greenlick died in office.

Dexter served nearly two terms in the state House and supported a range of Democratic issues, from safe gun storage and a ban on undetectable ghost guns to reform in the pharmaceutical industry and an expansion of Medicaid benefits to all low-income immigrants.

She also worked on bipartisan packages, including a $100 million drought and water security package in 2023 and a right to repair law which took effect Wednesday and is expected to make it easier and cheaper for consumers to fix their devices.

But she’s most proud of two initiatives. One stems from a patient in 2022. A young woman who took what she thought was a pain pill overdosed on what turned out to be fentanyl. Dexter said on her website that she worked all night trying to save the woman’s life.

“I was the one who had to give their mother, friends and extended family the heart-breaking news,” she said. “I realized this was a tragedy that could happen to anyone’s children, even my own. I had to take action.”

The following year she championed the passage of a package aimed at saving people from overdoses by making the opioid reversal drug, naloxone, more available in restaurants, stores, police departments and schools and other public buildings.

The other accomplishment she cites was also in 2023, when Dexter chaired the housing committee. Dexter played a central role in putting together a $200 million housing and homelessness package pushed by Gov. Tina Kotek that included rent assistance and money for shelter beds and to get 1,200 homeless people into housing.

A fellow Democrat, state Sen. Kate Lieber, remembered being impressed watching Dexter tackle a new issue, delve into the complexities and shepherd it through.

“She did a really great job, especially digging into something that she did not have any familiarity with,” Lieber said.

Dexter also helped pass last year’s $376 million housing package with money for shelters, renters and housing.

In Congress, she said she’ll support many of the same issues, but she hopes to move the needle on lowering emissions and expanding use of clean energy to improve air quality, something that affects people with lung disease in particular, and she wants to improve the country’s health care system by working toward an affordable, single-payer system that includes comprehensive behavioral health, vision, dental and prescription drug coverage.

Maxine Dexter

Maxine Dexter takes part in a TV interview at the Democratic Party of Oregon election night party in Portland on Tuesday, Nov. 5, 2024. Dexter, a longtime doctor at Kaiser Permanente and former Democratic state lawmaker, replaced Earl Blumenauer as the U.S. representative for Oregon’s 3rd Congressional District.Sean Meagher/The Oregonian

As a physician, she’s experienced the impact of the high-cost U.S. system on patients, who have motivated her as a lawmaker. She said being a physician also has helped train her to work with other politicians.

“(As physicians), we take care of people. We don’t take care of Democrats and Republicans,” she said. “We care for them no matter who they are.”

In the Legislature, she said she developed close working relationships with Rep. Jeff Helfrich, a Hood River Republican who was on the housing committee, and former Rep. Daniel Bonham, who now represents The Dalles in the Senate. Both are in the 3rd District and supported her candidacy — as did others.

“There’s a really long list of Republican colleagues who really encouraged me to run because I have developed trust with my colleagues,” she said. “We don’t talk about abortion. We don’t talk about guns. Like there are certain things that you’re just never going to agree on.”

Dexter doesn’t always agree with fellow Democrats, either. Rep. Dacia Grayber, D-Beaverton, said she sometimes disagreed with Dexter and the two talked it out.

“She’s not afraid to have the hard conversations,” Grayber said. “I think that’s one of the most special things about Maxine.”

Dexter said being a physician gives lawmakers a “superpower” because they have stories of patients to tell about a range of social issues, bringing a face and humanity to the issue.

Eventually, she’d like to tell those stories on the powerful Energy and Commerce committee, which has jurisdiction over health care, the environment and energy issues. But for her first term, she’s asked for Veterans Affairs and Natural Resources. The former is relatively bipartisan, she said, and includes oversight of veterans health care, while the latter, though partisan, has jurisdiction over federal lands, tribal affairs and the Environmental Protection Agency.

She said it’s relevant to the environmental goals she hopes to achieve over time, and time could be on her side. Blumenauer served the Democratic district for 14 terms and likely would have won reelection if he had run again.

Blumenauer is optimistic about Dexter’s future — and so are Democrats in the state Legislature.

“I think she’s perfect for Congress,” Lieber said. “She’s sort of dogged in her pursuit of the issues, which, I think especially for Congress, you need somebody who is just going to be just really pointed in one direction and continues to walk down the path even with obstacles. I would say Maxine is really good at that.”

-- Lynne Terry, Oregon Capital Chronicle

Oregon Capital Chronicle is part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

Read the full story here.
Photos courtesy of

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds

The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution Lillian Ali - Staff Contributor April 25, 2025 12:50 p.m. For 25 of the 26 years the American Lung Association has reported State of the Air, Los Angeles—pictured here in smog—has been declared the city with the worst ozone pollution in the United States. David Iliff via Wikimedia Commons under CC BY-SA 3.0 Since 2000, the American Lung Association has released an annual State of the Air report analyzing air quality data across the United States. This year’s report, released on Wednesday, found the highest number of people exposed to unhealthy levels of air pollution in a decade. According to the findings, 156 million Americans—or 46 percent of the U.S. population—live with levels of particle or ozone pollution that received a failing grade. “Both these types of pollution cause people to die,” Mary Rice, a pulmonologist at Harvard University, tells NPR’s Alejandra Borunda. “They shorten life expectancy and drive increases in asthma rates.” Particle pollution, also called soot pollution, is made up of minuscule solid and liquid particles that hang in the air. They’re often emitted by fuel combustion, like diesel- and gasoline-powered cars or the burning of wood. Ozone pollution occurs when polluting gases are hit by sunlight, leading to a reaction that forms ozone smog. Breathing in ozone can irritate your lungs, causing shortness of breath, coughing or asthma attacks. The 2025 State of the Air report, which analyzed air quality data from 2021 to 2023, found 25 million more people breathing polluted air compared to the 2024 report. The authors link this rise to climate change. “There’s definitely a worsening trend that’s driven largely by climate change,” Katherine Pruitt, the lead author of the report and national senior director for policy at the American Lung Association, tells USA Today’s Ignacio Calderon. “Every year seems to be a bit hotter globally, resulting in more extreme weather events, more droughts, more extreme heat and more wildfires.” Those wildfires produce the sooty particles that contribute to particulate pollution, while extreme heat creates more favorable conditions for ozone formation, producing smog. While climate change is contributing to heavy air pollution, it used to be much worse. Smog has covered cities like Los Angeles since the early 20th century. At one point, these “hellish clouds” of smog were so thick that, in the middle of World War II, residents thought the city was under attack. The Optimist Club of Highland Park, a neighborhood in northeast Los Angleles, wore gas masks at a 1954 banquet to highlight air pollution in the city. Los Angeles Daily News via Wikimedia Commons under CC-BY 4.0 The passage of the Clean Air Act and the creation of the federal Environmental Protection Agency (EPA) in 1970 marked a turning point in air quality, empowering the government to regulate pollution and promote public health. Now, six key air pollutants have dropped by about 80 percent since the law’s passage, according to this year’s report. But some researchers see climate change as halting—or even reversing—this improvement. “Since the act passed, the air pollution has gone down overall,” Laura Kate Bender, an assistant vice president at the American Lung Association, tells CBS News’ Kiki Intarasuwan. “The challenge is that over the last few years, we’re starting to see it tick back up again, and that’s because of climate change, in part.” At the same time, federal action against climate change appears to be slowing. On March 12, EPA administrator Lee Zeldin announced significant rollbacks and re-evaluations, declaring it “the greatest day of deregulation our nation has seen.” Zeldin argued that his deregulation will drive “a dagger straight into the heart of the climate change religion.” Included in Zeldin’s push for deregulation is a re-evaluation of Biden-era air quality standards, including those for particulate pollution and greenhouse gases. The EPA provided a list of 31 regulations it plans to scale back or eliminate, including limits on air pollution, mercury emissions and vehicles. This week, the EPA sent termination notices to nearly 200 employees at the Office of Environmental Justice and External Civil Rights. “Unfortunately, we see that everything that makes our air quality better is at risk,” Kate Bender tells CBS News, citing the regulation rollbacks and cuts to staff and funding at the EPA. “If we see all those cuts become reality, it’s gonna have a real impact on people’s health by making the air they breathe dirtier.” Get the latest stories in your inbox every weekday.

Nearly Half of Americans Breathe Unhealthy Air, New Report Finds

By I. Edwards HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting...

FRIDAY, April 25, 2025 (HealthDay News) —Breathing the air in nearly half of the United States could be putting your health at risk.A new American Lung Association report shows that 156 million people live in areas with unhealthy air.The group’s annual "State of the Air" report found that smog and soot pollution are getting worse, not better. The report looked at air quality data from 2021 to 2023. It found that 25 million more people than in the group's last report were breathing "unhealthy levels of air pollution." That's more than in any other "State of the Air" report in the last decade, the association said.Since the Clean Air Act became law in 1970, air pollution has gone down overall, said Laura Kate Bender, an assistant vice president at the lung association, told CBS News."The challenge is that over the last few years, we're starting to see it tick back up again and that's because of climate change, in part," she said. "Climate change is making some of those conditions for wildfires and extreme heat that drive ozone pollution worse for a lot of the country."The city with the worst year-round and short-term particle pollution? Bakersfield, California, for the sixth year in a row.What's more, it was ranked third worst for high ozone days. In contrast, Casper, Wyoming, was listed as the cleanest city for year-round particle pollution, CBS News said.Here are the top 10 cities with the worst year-round particle pollution, according to the association:Bakersfield-Delano, Calif. Visalia, Calif. Fresno-Hanford-Corcoran, Calif. Eugene-Springfield, Ore. Los Angeles-Long Beach, Calif. Detroit-Warren-Ann Arbor, Mich. San Jose-San Francisco-Oakland, Calif. Houston-Pasadena, Texas Cleveland-Akron-Canton, Ohio Fairbanks-College, Ark. The report warned that pollution isn't just an issue in the west. Extreme heat and wildfires are spreading pollution across the country.In fact, smoke from Canada's wildfires in 2023 caused unhealthy air quality even in the eastern parts of the U.S., the report pointed out.Some of the findings came as a surprise, according to Kevin Stewart, the association’s environmental health director."I think we knew that the wildfire smoke would have an impact on air quality in the United States," he told CBS News. "I think we were surprised at the Lung Association by how strong the effect was, especially in the northeastern quadrant of the continental United States." Last month, the U.S. Environmental Protection Agency (EPA) announced it will roll back 31 environmental rules, including ones pertaining to vehicle emissions, CBS News reported.Bender said that puts decades of progress at risk."Unfortunately, we see that everything that makes our air quality better is at risk," she said. "The EPA is at risk — the agency that is protecting our health — through staff cuts, funding cuts. The regulations that have cleaned up our air over time are at risk of being cut. If we see all those cuts become reality, it's gonna have a real impact on people's health by making the air they breathe dirtier."Lee Zeldin, the EPA administrator, argued that, instead, the deregulation will drive "a dagger straight into the heart of the climate change religion to drive down cost of living for American families, unleash American energy, bring auto jobs back to the U.S. and more," according to CBS News."This air pollution is causing kids to have asthma attacks, making people who work outdoors sick and unable to work, and leading to low birth weight in babies," Kezia Ofosu Atta, the Lung Association’s advocacy director, told CBS News.The report also found that Black Americans are more likely to suffer serious health problems from air pollution.SOURCE: CBS News, April 23, 2025Copyright © 2025 HealthDay. All rights reserved.

Umbilical Cord Could Contain Clues For Child's Future Health

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health...

By Dennis Thompson HealthDay ReporterFRIDAY, April 25, 2025 (HealthDay News) -- Doctors might be able to predict a newborn's long-term health outlook, by analyzing their umbilical cord blood, a new study says.Genetic clues found in cord blood can offer early insight into which infants are at higher risk for health problems like diabetes, stroke and liver disease later in life, researchers will report at the upcoming Digestive Disease Week meeting in San Diego.“We’re seeing kids develop metabolic problems earlier and earlier, which puts them at higher risk for serious complications as adults,” lead researcher Dr. Ashley Jowell, a resident physician in internal medicine at Duke University Health System in Durham, N.C., said in a news release. “If we can identify that risk at birth, we may be able to prevent it.”For the study, researchers performed genetic analysis on the umbilical cord blood of 38 children enrolled in a long-term study based in North Carolina.The analysis looked for chemical patterns in infants’ DNA that switch genes on or off. When these switches occur in critical parts of DNA, their health effects can persist through fetal development and into later life.The research team compared these DNA changes to the kids’ health at ages 7 to 12, and identified multiple areas where genes in cord blood predicted health problems in childhood.For example, changes in a gene called TNS3 were linked to fatty liver, liver inflammation or damage, and excess belly fat as measured by waist-to-hip ratio, results show.Changes in other genes were connected to blood pressure, waist-to-hip ratio, and liver inflammation or damage, researchers said.“These epigenetic signals are laid down during embryonic development, potentially influenced by environmental factors such as nutrition or maternal health during pregnancy,” co-researcher Dr. Cynthia Moylan, an associate professor in the division of gastroenterology at Duke University Health System, said in a news release.Researchers noted that the sample size was small, but the links so powerful that these findings warrant further investigation. A larger follow-up study funded by the National Institutes of Health is underway.“If validated in larger studies, this could open the door to new screening tools and early interventions for at-risk children,” Moylan added.Jowell said disease may be preventable even with these markers."Just because you're born with these markers doesn't mean disease is inevitable," she said. "But knowing your risk earlier in life could help families and clinicians take proactive steps to support a child’s long-term health."Researchers are scheduled to present their findings May 4. Findings presented at medical meetings are considered preliminary until published in a peer-reviewed journal.SOURCE: American Gastroenterological Association, news release, April 25, 2025Copyright © 2025 HealthDay. All rights reserved.

Biden let California get creative with Medicaid spending. Trump is signaling that may end

California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs.

In summary California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs. In 2022, California made sweeping changes to its Medi-Cal program that reimagined what health care could look like for some of the state’s poorest and sickest residents by covering services from housing to healthy food. But the future of that program, known as CalAIM, could be at risk under the Trump administration.  In recent weeks, federal officials have signaled that support for creative uses of Medi-Cal funding is waning, particularly uses that California has invested in such as rent assistance and medically tailored meals. Medi-Cal is California’s name for Medicaid. The moves align with a narrower vision of Medicaid espoused by newly confirmed Centers for Medicare and Medicaid Services head Dr. Mehmet Oz, who said during his swearing-in ceremony that Medicaid spending was crowding out spending on education and other services in states with the federal government “paying most of the bill.” “This one really bothers me. There are states who are using Medicaid — Medicaid dollars for people who are vulnerable — for services that are not medical,” Oz said. It also fits with broader GOP calls to slim down the federal government. Medicaid is under scrutiny as part of a GOP-led budget process in the House of Representatives that calls for $880 billion in cuts over 10 years to programs including Medicaid. “The messaging that we want to go back to the basics of Medicaid puts all of these waiver programs in jeopardy,” said John Baackes, former chief executive of L.A. Care, the state’s largest Medi-Cal health insurer. CalAIM is authorized under a federal waiver that allows states to experiment with their Medicaid programs to try to save money and improve health outcomes. Under the waiver, California added extra benefits for high-cost users to help with food insecurity, housing instability,  substance use and behavioral health challenges. Roughly half of all Medi-Cal spending can be attributed to 5% of high-cost users, according to state documents. But in March, the federal government rescinded guidelines supporting Medi-Cal spending for social services. It also sent states a letter in April indicating that the Centers for Medicare and Medicaid Services would no longer approve a funding mechanism that helps support CalAIM, although that money will continue until 2026. Together, these moves should worry states that operate programs like CalAIM, said Kathy Hempstead, senior policy officer at the Robert Wood Johnson Foundation. “Under the Biden administration states were encouraged to experiment with things like that: To prescribe people prescriptions to get healthy food, to refer people to community-based services,” Hempstead said. “This administration is not receptive at all to … that vision of the Medicaid program.” In a press release, CMS said it is putting an end to spending that isn’t “directly tied to health care services.” “Mounting expenditures, such as covering housekeeping for individuals who are not eligible for Medicaid or high-speed internet for rural healthcare providers, distracts from the core mission of Medicaid, and in some instances, serves as an overly-creative financing mechanism to skirt state budget responsibilities,” the press release states. These signals from the federal government apply to future applications for Medicaid changes, and do not change California’s current programs or funding. The state’s CalAIM waiver expires at the end of 2026, and another similar waiver that supports California’s efforts to improve behavioral health care expires in 2029. According to a statement from the Department of Health Care Services, the agency that oversees Medi-Cal, all programs “remain federally approved and operational.” “We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes,” the department said. Physician assistant Brett Feldman checks his patient, Carla Bolen’s, blood pressure while in her encampment at the Figueroa St. Viaduct above Highway 110 in Elysian Valley Park in Los Angeles on Nov. 18, 2022. Photo by Larry Valenzuela, CalMatters/CatchLight Local Paul Shafer, co-director of the Boston University Medicaid Policy Lab, said decades of public health research show that people have worse health outcomes that require more expensive treatment when their social needs aren’t met. “We’ve spent the last few decades in public health and health policy, arguing that so much of health and medical costs is driven by environmental factors — people’s living conditions, income, etc.” Shafer said. But, Shafer said, programs like CalAIM are relatively recent and the research hasn’t had enough time to show whether paying for non-traditional services saves money. For example, California’s street medicine doctors who take care of people who are homeless say that their patients often cycle in and out of the emergency room — the most expensive point of service in the health care system. They have no place to recover from medical procedures, no address to deliver medications, and the constant exposure to the elements takes years off of their lives, doctors say.  CalAIM gives them options to help their clients find housing.  The federal government’s decision not to fund programs like this in the future is a “step backward,” Shafer said.  “I think we can all read the tea leaves and say that that means they’re sort of unlikely to be renewed,” he said. Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more. more on california health care They live in California’s Republican districts. They feel betrayed by looming health care cuts March 11, 2025March 12, 2025 California has big plans for improving mental health. Medicaid cuts could upend them April 7, 2025April 7, 2025

Chattanooga Just Became North America's First National Park City. Here's What That Means

The designation was awarded by a London-based charity that aims to make cities more like national parks: "greener, healthier and wilder"

Chattanooga Just Became North America’s First National Park City. Here’s What That Means The designation was awarded by a London-based charity that aims to make cities more like national parks: “greener, healthier and wilder” Sarah Kuta - Daily Correspondent April 23, 2025 4:20 p.m. Chattanooga was once one of the most polluted cities in the country. Now, it's North America's first National Park City. larrybraunphotography.com via Getty Images Chattanooga has been named North America’s first National Park City, a designation that acknowledges the city’s abundant green spaces and commitment to environmental stewardship. The city in southeast Tennessee, home to roughly 190,000 residents, is now the third National Park City in the world, following behind London and Adelaide, Australia. The title comes from the National Park City Foundation, a London-based charity that envisions a better future by thinking of cities more like national parks. The movement is not connected to the National Park Service, the federal agency that manages America’s national parks, monuments, historic sites and other protected lands. “[National parks] are special places where we have a better relationship with nature, culture and heritage and can enjoy and develop ourselves,” according to the foundation. “Combining the long-term and large-scale vision of national parks with cities has the potential to shift our collective understanding of what and who a city is for.” In Chattanooga, city leaders have used the initiative to encourage residents to “think about Chattanooga as a city in a park, rather than a city with some parks in it,” says Tim Kelly, the mayor of Chattanooga, in a video announcing the designation. “The outdoors is our competitive advantage,” he adds. “It’s at the heart of our story of revitalization, and it’s at the core of our identity as Chattanoogans. We’ve always known how special Chattanooga’s connection to the outdoors is, and now it’s going to be recognized around the world.” Chattanooga has been working toward the designation for nearly two years, per a statement from the city. In late 2023, officials collected more than 5,600 signatures of support and created a National Park City charter. Then, they filed an application describing how Chattanooga met the nonprofit’s criteria—such as being “a place, vision and community that aims to be greener, healthier and wilder.” Last month, delegates from the foundation visited Chattanooga to experience it first-hand. They toured an urban farm, explored several parks and met with various community leaders, per NOOGAtoday’s Haley Bartlett. The foundation’s experts were impressed by Chattanooga’s “culture of outdoor activity,” its “unrivaled access to nature,” its commitment to “inclusive and sustainable development” and its food and agriculture scene, among other factors. “We saw first-hand the extraordinary breadth and depth of engagement with the Chattanooga National Park City vision informed by outstanding experts in design, ecology, culture and arts,” says Alison Barnes, a trustee of the foundation, in a statement. “National Park City status introduces a new chapter for a city with a long history of revitalization and renewal through connecting its unique landscape and the history of its people.” Chattanooga has come a long way since 1969, when the federal government declared it the worst city in the nation for particulate air pollution. Hazy skies were the norm back then, as factories and railroads spewed unregulated emissions into the air, according to the Chattanooga/Hamilton County Air Pollution Control Bureau. Air pollution was so bad that residents sometimes had to drive with their headlights on in the middle of the day. But the pollution was more than just an eyesore. It was also causing the city’s residents to become sick—and sometimes die—from diseases like tuberculosis. Eventually, voters approved aggressive new rules to reduce emissions. By 1989, Chattanooga’s air quality had improved so much that it met all federal health standards. Today, it’s a vibrant, outdoorsy city with more than 100 parks and more than 35 miles of trails—plus many more within a short drive. The once-neglected riverfront downtown has been revitalized, and Chattanooga has experienced steady population growth in recent years. What does the National Park City designation mean for the city’s future? That remains to be seen. But officials hope it will help guide policy decisions and “help city government and community partners prioritize connecting more people to the outdoors that have long defined our identity,” according to a statement from the Chattanooga Area Chamber. It will also encourage citizens and leaders to embrace “all aspects of outdoor life,” from forests and lakes to native plants, according to the chamber. Mark McKnight, who serves as the president and CEO of Chattanooga’s Reflection Riding Arboretum and Nature Center, hopes that the new status will “yield some really cool stuff that we can’t even imagine today.” “Hopefully, we’re having this conversation in ten years, and it’s like, ‘Oh, wow, we never knew we would get to there,’” he tells the Chattanooga Times Free Press’ Sam Still. Get the latest stories in your inbox every weekday.

Suggested Viewing

Join us to forge
a sustainable future

Our team is always growing.
Become a partner, volunteer, sponsor, or intern today.
Let us know how you would like to get involved!

CONTACT US

sign up for our mailing list to stay informed on the latest films and environmental headlines.

Subscribers receive a free day pass for streaming Cinema Verde.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.