Tracking State Rural Health Transformation Plans
ϳԹ News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
ϳԹ News covers the health issues facing people who live in America’s rural reaches.
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As ‘Trigger Law’ Looms, New Clinic Preps to Provide Abortions in Conservative Bastion
A Wyoming clinic slated to open this summer would be the only one in the state to provide procedural abortions and the closest option for some people in surrounding states. But its fate is uncertain now that the Supreme Court looks poised to strike down Roe v. Wade.
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This Rural, Red Southern County Was a Vaccine Success Story. Not Anymore.
Meigs County in Tennessee reported one of the highest covid-19 vaccination rates in the South for much of the past year. But those reports were wrong because of a data error that has surfaced in other states, such as West Virginia and Montana, as well.
By Brett Kelman -
As Red Cross Moves to Pricey Blood Treatment Method, Hospitals Call for More Choice
The nation’s largest supplier of platelets is moving to a method it says is easier for hospitals, but one that sharply raises costs, leading some centers to demand more options.
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States Have Yet to Spend Hundreds of Millions of Federal Dollars to Tackle Covid Health Disparities
A year ago, the Centers for Disease Control and Prevention awarded states and local health departments $2.25 billion to help people of color and other populations at higher risk from covid. But a KHN review shows public health agencies across the country have been slow to spend it.
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Census Undercount Threatens Federal Food and Health Programs on Reservations
The 2020 census undercounted people living on Native American reservations. The money for many needed federal aid programs is tied to those population numbers.
By Carly Graf -
Rural California Hatches Plan for Engineered Mosquitoes to Battle Stealthy Predator
Tulare County officials hope the region will soon be a testing ground for a new generation of technology in a centuries-old war: Human vs. Mosquito.
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As Eating Disorders Spike During Pandemic, Rural Treatment Options Lag
More people have visited emergency departments for eating disorders during the pandemic. Those living in rural areas have limited pathways to treatment.
By Carly Graf -
How the Test-to-Treat Pillar of the US Covid Strategy Is Failing Patients
The federal “test-to-treat” program was designed to be a one-stop shop for people to get tested for covid and to receive treatment. But as covid cases rise again, many communities have no participating locations, and website bugs make it difficult to book an appointment at the biggest participant.
By Hannah Recht -
Biden Administration Announces Boost for Rural Health Care in Midterm Election Push
President Joe Biden’s Cabinet members are fanning out across the country to promote benefits coming to rural America from covid relief and infrastructure legislation.
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The Pandemic Exacerbates the ‘Paramedic Paradox’ in Rural America
Emergency medical services are a lifeline in regions with scarce medical care. But paramedics, trained to respond to patients with life-threatening injuries, are in short supply where they’re needed most.
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As US Nears 1 Million Covid Deaths, One Hard-Hit County Grapples With Unthinkable Loss
The United States is nearing 1 million deaths from covid — an almost incomprehensible number of lives lost that few thought possible when the pandemic began. Pennsylvania’s Mifflin County offers a snapshot into how one hard-hit community, with over 300 dead, is coping.
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Tennessee Offers to Expand Dental Schools as Medicaid Coverage Stretches Need
As states expand Medicaid’s dental benefits, they’re running up against a shortage of dentists willing to work on those patients, especially in rural communities. So Tennessee is helping dental schools expand and offering to pay off student loans for those who work in high-need areas.
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Delays for Autism Diagnosis and Treatment Grew Even Longer During the Pandemic
Despite increased public awareness, research advances, and wider insurance coverage for autism therapies, children often wait months — in some cases more than a year — to get an autism diagnosis and begin intervention services. The waits can be longer for Black and Latino children, and families in rural areas are also disadvantaged, without access to providers.
By Andy Miller and Jenny Gold -
At a Tennessee Crossroads, Two Pharmacies, a Monkey, and Millions of Pills
Prosecutors say opioid-seeking patients drove hours to get their prescriptions filled in Celina, Tennessee, where pharmacies ignored signs of substance misuse and paid cash — or “monkey bucks” — to keep customers coming back.
By Brett Kelman -
Missouri Tried to Fix Its Doctor Shortage. Now the Fix May Need Fixing.
Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.
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Two Years In, Covid Leaves Montana Public Health Officials Feeling ‘Watched’
Montanans engage in plenty of spirited political disagreements. But debates about covid-19, public health, and personal liberties have reached a fever pitch, tugging at tightknit towns and making some residents wonder how their communities will survive.
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‘I Just Want to Stay in One Spot’: From Homeless to Housed in Rugged Del Norte
California’s homeless crisis is often understood through cities like Los Angeles and San Francisco, where the sheer number of people living unsheltered can quickly capsize the programs designed to help them. But in remote counties like Del Norte, California’s Project Homekey is having a tangible impact.
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Montana Mice May Hold the Secret to Virus Spillover
Researchers in Montana are working to figure out how climate change and biodiversity affect viruses’ jump from animals to people.
By Jim Robbins -
Bounties and Bonuses Leave Small Hospitals Behind in Staffing Wars
A hospital in Wisconsin sued to keep seven employees from taking jobs with a competitor. A health system in South Dakota is offering nurses $40,000 signing bonuses. Facilities with fewer resources are finding it difficult or impossible to compete for health care workers.
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‘Heart’ of Little Shell: Newest Federally Recognized Tribe to Open First Clinic
The Little Shell Tribe of Chippewa Indians of Montana plans to open the nation’s newest Indian Health Service clinic in Great Falls on Jan. 31 — marking the first time the tribe will have its culture reflected in health care offerings.