Maine
Maine’s health care policy must be informed by people on the front lines | Opinion
Roger Poitras is CEO of InterMed.
Most of us learn early in life: don’t make medical decisions without consulting a health care professional. When it comes to shaping health care policy, we don’t always follow the same advice, but we should. And in Maine, we’re beginning to.
Our health care system is under real strain. Across the state, hospitals and medical practices are operating with thin margins, struggling to recruit and retain staff and making difficult decisions about which services they can sustainably offer.
Workforce shortages and rising costs are colliding with an aging population and growing demand for care. These pressures create uncertainty both for organizations trying to plan ahead, and for patients who worry about access, continuity and how far they’ll have to travel to receive care.
Against that backdrop, Maine convened a commission to examine how the state reviews major changes in health care. I had the honor of serving on that commission, and the experience was enlightening.
The process was thoughtful and grounded in a genuine commitment to ensuring patients and communities have access to care. Nonetheless, the experience also reinforced an important lesson: effective reform requires more than convening a group and hearing testimony; it requires expertise and the willingness to listen to those who live these realities every day. It also demands a sustained, two-way dialogue and a willingness to wrestle openly with perspectives that challenge initial assumptions.
There were times throughout the course of the commission that the discussion felt oriented toward validating specific solutions rather than fully examining the underlying problems they were meant to address. Given the commission’s scope and timeline, that structure is understandable. But it also points to a broader risk in health care policymaking: when discussions begin with conclusions rather than questions, the range of viable solutions can narrow before the work truly begins.
Health care does not operate in silos. Clinical decisions affect staffing. Staffing affects access. Access affects finances. Regulation touches all of it. When policy is developed without engaging in that full context, it can be well-intentioned but incomplete, or responsive in theory but difficult to implement in practice.
Meaningful reform depends on processes that invite not just agreement, but challenge, nuance and the lived realities of delivering care. This commission showed that Maine is willing to invite frontline voices into the conversation. That matters. But if we want policies that truly strengthen our health care system, the state must continue to invite health care professionals into the conversation earlier and more consistently.
At the same time, those of us who work in health care have a responsibility to join the conversation. This commission was my first experience serving in this type of role, and to be candid, it was not always comfortable. At times, the process felt constrained.
The outcomes are not guaranteed. But participation matters. If we choose not to engage because the process is imperfect, we leave critical decisions to those farther removed from day-to-day care.
The future of health care in Maine will be shaped by who shows up, who stays engaged and who is willing to offer practical, experience-based insight, even when it complicates the conversation.
It’s time to deepen the dialogue, broaden participation and create an ongoing partnership between policymakers and the people who deliver care. That is how we move from conversation to action, and how we ensure Maine’s health care system remains accessible, sustainable and centered on the patients and communities it serves.
Maine
Cooling centers to open in Maine as heat, air quality advisories take effect Wednesday
Many Maine municipalities will open cooling centers this week with the National Weather Service issuing a variety of heat advisories covering the next few days.
The Maine DEP also issued an air quality alert for Wednesday with ground-level ozone expected to reach levels that are unhealthy for sensitive groups.
All of York County, interior Cumberland and Androscoggin counties, and the southern half of Oxford County will fall under an extreme heat warning from 11 a.m. Wednesday to 8 p.m. Friday.
The warning calls for “dangerously hot conditions” that could feature heat index values of up to 110 degrees, with overnight lows only expected to fall into the 70s, according to the weather service’s office in Gray.
The rest of the state — save northern Aroostook, Piscataquis and Somerset counties — falls under a heat advisory from 11 a.m. to 8 p.m. on Wednesday. However, the weather service has also placed much of the state under an extreme heat watch for Thursday.
Heat index values, which measure how hot it feels to the human body when relative humidity is combined with the air temperature, are expected to reach up to 104 degrees during the heat advisory period, the weather service warns. They could reach 110 degrees Thursday, when the extreme heat watch is in effect.
Northern Oxford and Franklin counties, and central Somerset County, can expect a heat index value of up to 99 degrees Wednesday, according to the weather service.
The weather service advises people to drink plenty of fluids, stay in air-conditioned rooms when possible, avoid extended periods in the sun and check up on relatives and neighbors. It also warns not to leave young children and pets in unattended vehicles, as “car interiors will reach lethal temperatures in a matter of minutes.”
Cooling Centers
The Maine Department of Environmental Protection has also issued an air quality alert from 10 a.m. to 11 p.m. on Wednesday along the coast from Kittery to Acadia National Park. The agency warns that ground-level ozone concentrations are expected to reach levels that are unhealthy for sensitive groups.
Ozone levels may reach “moderate levels” further inland, according to the Maine DEP, including in all of Androscoggin and Kennebec counties, as well as parts of Cumberland, Knox, Lincoln, Penobscot, Sagadahoc, Waldo, Washington and York counties.
Elevated ozone levels can pose a risk to children, older adults and people suffering from respiratory or heart diseases, according to the Maine DEP. Anyone exerting themselves outdoors may also experience health effects, which could include coughing, shortness of breath, throat irritation and mild chest pain.
Ozone levels were already climbing in southern New England on Tuesday, according to the Maine DEP, and winds are expected to bring those conditions to Maine on Wednesday.
The Maine DEP recommends that vulnerable populations avoid strenuous outdoor activities, keep windows closed, and circulate indoor air with fans or air conditioners. Those with asthma are also advised to keep quick-relief medication handy.
Particle pollution levels are also expected to be moderate across the state on Wednesday due to wildfire smoke, the Maine DEP said in its announcement Tuesday. Wildfires in Colorado, which have claimed the lives of three firefighters, had burned nearly 90,000 acres as of Tuesday, according to the Denver Post.
Maine
Maine could face $50M in penalties from federal food assistance policy changes
Maine could face up to $50 million in penalties next year due to errors in its payments for federal food benefits under the Supplemental Nutrition Assistance Program.
Newly released data from the U.S. Department of Agriculture find that Maine’s error rate last year was nearly 11%, the bulk of which were overpayments. That’s in line with the U.S. average. But starting in October of next year, states with error rates above 6% must cover a portion of the SNAP benefits.
Anna Korsen, executive director of Full Plates, Full Potential, said the overpayments aren’t fraud — they’re human error. She said this new cost-shifting policy enacted last year under the Trump administration further complicates the SNAP application process.
“Instead, we could make this program more accessible and more efficient,” Korsen said. “And that would reduce the number of errors and also ensure that Mainers who are eligible for SNAP have access to it.”
She’s urging Congress to delay or reverse the policy under the farm bill that’s currently under consideration.
Maine’s Department of Health and Human Services said it’s taking steps to reduce the error rate, including modernizing its systems and hiring an additional 40 eligibility specialists.
This story appears through a media partnership with Maine Public.
Maine
Maine driver to honor friend Kyle Busch during Celebration of America 300
PORTLAND (WGME) — The third annual Celebration of America 300 is set for Thursday night at Oxford Plains Speedway.
This race was a favorite of NASCAR star Kyle Busch, who tragically passed away back in May. He was just 41.
Now, a Maine-born driver who worked on Busch’s team is ready to take the 8 car into victory lane.
For the past five years, Windham native Derek Kneeland was Busch’s eye in the sky, working as a spotter for the cup star. Kneeland says his relationship with Busch was like a brotherhood.
“I was fortunate enough where I got to have a personal relationship with him,” Kneeland said. “He came up, and he ran several races with me in late models and stuff at Oxford and Lee Speedway, and we got to do a lot of cool things together.”
Kneeland says dealing with the sudden loss has been both painful and difficult.
“It’s still hard,” Kneeland said. “I’m having a hard time with it. The weekdays are the hardest. At the track is where I’m most comfortable.”
Kneeland will be at the track and behind the wheel Thursday night, competing in the Celebration of America 300, driving the number 8 car.
“You know, a few days after everything went down, his dad called me, and his dad is a man of very few words, and I said, ‘You know, I’m thinking about running the 8 or 51 as long as I have your guys’ blessing, I would like to do that.’ And he said, ‘Short track world knows him as 51, but the world knows him as 8,’” Kneeland said.
Kneeland says it will be an emotional race, but he’s confident he’ll have a special co-pilot leading the way.
“Hoping he’s going to be on my shoulder and give me the guiding way and but to win it for Kyle, I think that would put the stamp on it,” Kneeland said.
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