A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It’s Still a Dirt Field.

Regulations meant to prevent unfettered health care expansion are withholding needed hospital beds in a rural part of North Carolina. Here, as in communities around the country, some officials and health care providers are contesting such “certificate of need” laws.

Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.

The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.

She Had a Broken Arm, No Insurance — And a $97,000 Bill

Deborah Buttgereit knew piecing together the broken bone in her elbow would be expensive. But complications the doctor deemed a surprise, midsurgery, drove the total bill tens of thousands of dollars above the original estimate.

Ticks Are Migrating, Raising Disease Risks if They Can’t Be Tracked Quickly Enough

Doctors need to know when to screen for tick-borne diseases in their communities. But it’s getting harder for local health departments to get funding for tick surveys as federal public health grants from agencies like the Centers for Disease Control and Prevention dry up.

Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom

As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.

Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors

Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.