Tracking State Rural Health Transformation Plans
Ñî¹óåú´«Ã½Ò•îl Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
Ñî¹óåú´«Ã½Ò•îl Health News covers the health issues facing people who live in America’s rural reaches.
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For Kids With Kidney Disease, Pediatric Expertise Is Key — But Not Always Close By
A study published in JAMA leads to questions about the uneven distribution of pediatric nephrologists nationwide. Children with end-stage kidney disease feel the impact.
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Some Rural Hospitals Are in Such Bad Shape, Local Governments Are Practically Giving Them Away
Coming out of the pandemic, many rural hospitals are in even rougher shape than before. So rough that some are now practically being handed to investors for little more than a pledge to keep them open.
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Public Health Agencies Adapt Covid Lessons to Curb Overdoses, STDs, and Gun Violence
Know-how gained through the covid pandemic is seeping into other public health areas. But in a nation that has chronically underfunded its public health system, it’s hard to know which changes will stick.
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Buy and Bust: Collapse of Private Equity-Backed Rural Hospitals Mired Employees in Medical Bills
The U.S. Labor Department investigates Noble Health after former employees of its shuttered Missouri hospitals say the private equity-backed owner took money from their paychecks and then failed to fund their insurance coverage.
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Community Health Centers’ Big Profits Raise Questions About Federal Oversight
Nonprofit federally funded health centers are a linchpin in the nation’s health care safety net because they treat the medically underserved. The average profit margin is 5%, but some have recorded margins of 20% or more in three of the past four years.
By Phil Galewitz and Bram Sable-Smith -
For Medically Vulnerable Families, Inflation’s Squeeze Is Inescapable
Inflation hasn’t hit Americans like this in decades. And families living with chronic diseases have little choice but to pay more for the medicine, supplies, and food they need to stay healthy.
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‘Still a Lot of Pain’: Four Years After Mass Shooting, Texas Community Grapples With Fallout
Santa Fe, Texas, was a mental health care desert until a 17-year-old gunman killed 10 people at the local high school in 2018. Now the city, which sits in a rural stretch between Houston and Galveston, has a resiliency center, where anyone affected by the shooting can get free counseling. But even with an influx of mental health care, the community struggles with the aftermath.
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Abortion Is Just the Latest Dividing Line Between the Twin Cities of Bristol and Bristol
The community of Bristol straddles the border between two states with very different abortion laws. Tennessee prohibits most abortions at about six weeks and will soon ban them nearly outright. Virginia allows them at least through the second trimester. To maintain abortion access in the area, staff at a clinic on the Tennessee side of the state line are helping open a clinic about a mile down the road on the Virginia side.
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EPA Action Boosts Grassroots Momentum to Reduce Toxic ‘Forever Chemicals’
Experts say the EPA’s recent declaration that some PFAS chemicals are unsafe at detectable levels in drinking water signals acceleration in efforts to curb exposure to compounds found in nearly every American’s blood.
By Andy Miller -
Tribe Embraces Recreational Marijuana Sales on Reservation Where Alcohol Is Banned
The Pine Ridge Indian Reservation in South Dakota allows people to buy and use recreational marijuana but not alcohol. Some tribal citizens say cannabis is safer than alcohol, meth, and opioids — which have wreaked havoc on the state’s Indigenous communities.
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The US Mental Health Hotline Network Is Expanding, but Rural Areas Still Face Care Shortages
On July 16, a three-digit number, 988, became the centerpiece of a nationwide effort to unify responses to Americans experiencing mental health crises. But many people, especially those in rural areas, will continue to find themselves far from help if they need more support than call operators can offer.
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‘American Diagnosis’ Episode 9: Two Indigenous Students Share Their Path to Medicine
A lack of Native physicians means many tribal communities rely on doctors who don’t share their lived experience, culture, or spiritual beliefs. In Episode 9, meet two medical students working to join the ranks of Indigenous physicians.
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Nurse Midwives Step Up to Provide Prenatal Care After Two Rural Hospitals Shutter Birthing Centers
Dozens of Iowa hospitals have closed their birthing units. A team of University of Iowa nurse midwives can’t reopen them, but they’ve found a way to provide prenatal checkups and other crucial services in two towns.
By Tony Leys -
Rural Hospital Rescue Program Is Met With Skepticism From Administrators
A new federal rescue program that pays rural hospitals to shutter underused inpatient units and focus solely on emergency rooms and outpatient care hasn’t generated much interest yet.
By Sarah Jane Tribble and Tony Leys -
The Search for Scarce Formula Is Worse for Rural Families on WIC
Constraints imposed by the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children, known as WIC, that prevent recipients from using benefits to buy formula across state lines weigh on families as the nationwide formula shortage drags on.
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Montana Clinics That Provide Abortions Preemptively Restrict Pill Access for Out-of-State Patients
Montana is an island of legal abortion, but three of the state’s five clinics are limiting access to abortion pills for out-of-state patients in an effort to protect themselves and patients from legal attacks.
By Katheryn Houghton and Arielle Zionts -
Montana’s Blackfeet Tribe to Use Dogs to Sniff Out Disease and Contaminants
The Blackfeet Nation is experimenting with a new way to detect chronic wasting disease in animals used by tribal members for food and cultural practices.
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Sheriffs Who Denounced Colorado’s Red Flag Law Are Now Using It
Petitions for protective orders under Colorado’s red flag law have been filed in more than half the counties that opposed it and declared themselves “Second Amendment sanctuaries.â€
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‘It’s Not a Haven’: With Limited Capacity for Abortion Care, Minnesota Clinics Brace for Influx
In Minnesota, where abortion rights are protected by the state’s constitution, legal doesn't necessarily mean accessible. The state has just eight clinics that provide abortions, and both providers and advocates say resources available aren’t enough to meet demand as nearby states reduce abortion access.
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Tribes Show Little Interest in Offering Abortions on Reservations Despite Speculation They Could
The notion that Native American nations could use tribal sovereignty to bypass state restrictions on abortion if Roe v. Wade falls is an idea largely proposed by non-Native groups.