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Rural Dispatch: November 2023

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Monday, Nov 27 2023

A Guide to Long-Term Care Insurance

Jordan Rau

Deciding when, or whether, to buy long-term care insurance can be complex. Here’s what to know.

Why Long-Term Care Insurance Falls Short for So Many 

Jordan Rau and JoNel Aleccia

The private insurance market has proved wildly inadequate in providing financial security for millions of older Americans, in part by underestimating how many policyholders would use their coverage.

What Long-Term Care Looks Like Around the World

Jordan Rau

Most countries spend more than the United States on care, but middle-class and affluent people still bear a substantial portion of the costs.

Adult Children Discuss the Trials of Caring for Their Aging Parents

Reed Abelson, The New York Times and Jordan Rau

The financial and emotional toll of providing and paying for long-term care is wreaking havoc on the lives of millions of Americans. Read about how a few families are navigating the challenges, in their own words.

Facing Financial Ruin as Costs Soar for Elder Care

Reed Abelson, The New York Times and Jordan Rau

The United States has no coherent system of long-term care, leading many to struggle to stay independent or rely on a patchwork of solutions.

Evolving Overdose Crisis Shakes Previously Effective Treatments

Taylor Sisk

The prevalence of synthetic drugs is undercutting a previously effective and widely embraced opioid use disorder treatment tactic. Now, the model pioneered in Vermont a decade ago and adopted at sites nationwide, especially in hard-to-reach rural areas, is being forced to evolve.

Extra Fees Drive Assisted Living Profits

Jordan Rau

The add-ons pile up: $93 for medications, $50 for cable TV. Prices soar as the industry leaves no service unbilled, out of reach for many families.

Most States Ban Shackling Pregnant Women in Custody, Yet Many Report Being Restrained

Renuka Rayasam and Oona Zenda

Advocates for pregnant people in police custody say repeated incidents show prohibitions on handcuffs and other restraints are little more than lip service.

As Transgender ‘Refugees’ Flock to New Mexico, Waitlists Grow

Cecilia Nowell

As many states have moved to restrict or ban gender-affirming care for trans people, a few states, including New Mexico, have codified protections. But those laws don’t always mean accessing care is simple or quick, as a surge in new patients in the state collides with limited doctors and clinics.

Medical School on Cherokee Reservation Will Soon Send Doctors to Tribal, Rural Areas

Arielle Zionts

Native Americans and rural residents are underrepresented in medical schools. But in this new program, 25% of students are Indigenous and half are from rural areas.

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