I trekked to Washington, D.C. last week in what was truly a full circle moment, to advocate and educate on the impact of Healthy Start in Kansas City and nationally as we face a perilous funding future. Accompanied by our Healthy Start Director, Shannon Williams, and five other Healthy Starts from across the country, the awe and inspiration that I felt decades ago as a college intern hasn’t faded over time, despite changing administrations and successive congresses that bear little resemblance to 1990 Washington.
While I have made this trip for various worthwhile causes over the decades, this one feels more essential and urgent as we face a reckoning on how we treat our most vulnerable Americans. Moving through the legislative process is a bill that would cut Medicaid and SNAP funding. Nearly 40 percent of births in the United States are paid for by Medicaid and reductions to the program would recalibrate access to this critical service. These proposed cuts come against a backdrop of state laws greatly restricting and practically prohibiting reproductive choice.
Running parallel to these policies is an appropriations process that must identify further discretionary spending cuts to close some of the debt gap. Healthy Start, a program designed to reduce infant and maternal mortality has been recommended for elimination although Congress has yet to weigh in. Established by former President George W. Bush, the program has enjoyed strong bipartisan support over the last 30 years as a model that combines direct service, case management relationship-building and data collection to drive real outcomes. In Kansas City, Healthy Start families have experienced fewer pre-term births and more early and consistent entry to prenatal care than our cachement area overall.
Nurture KC has not been a passive participant in this effort to shine a light on Healthy Start. We coordinated the trip to Washington and were thrilled to be joined by other Healthy Start Directors who recognize the moment. The access to congressional staff and the support for this program reassures me as we move through an uncertain time. When we departed, I still felt as I did at 22, that democracy is not a spectator sport. The mission to improve maternal and infant health demands our engagement.
Tracy Russell
Chief Executive Officer, Nurture KC
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