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KFF Health News covers the health issues facing people who live in America’s rural reaches.
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In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.
The U.S. faces a crucial shortage of medical providers, especially in rural areas. The problem has been building for a while, experts say, but the pandemic accelerated it by pushing many doctors over the edge into early retirement or other fields.
A KFF Health News analysis underscores how the terminations have spared no part of the country, politically or geographically. Of the organizations that had grants cut in the first month, about 40% are in states President Donald Trump won in November.
A stressed primary care system has led many doctors to start practices that charge membership fees in exchange for shorter waits and longer appointments. Observers say the doctor shortage needs a more systemic fix.
The Latino communities who make up significant proportions of year-round populations in Colorado’s mountain towns already experience heightened mental health concerns. Now, deportation fears are increasing their stress.
Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.
Colorado was long considered a haven for gender-affirming care. But under this Trump administration, hospitals in the state have limited the treatments available for people under 19. Some services have been restored, but trans youth and their families say the state isn’t the rock they thought it was.
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Amid a youth mental health crisis and a shortage of inpatient psychiatric beds, residents of a St. Louis suburb opposed a plan to build a 77-bed pediatric mental health hospital. Resistance to such facilities has occurred in other communities as misconceptions about mental health spur fear.
Preventing and detecting bird flu infections among farmworkers is a key defense against a potential pandemic. Immigration raids and threats have undermined these efforts, researchers say.
Amid the Los Angeles wildfires, California's U.S. senators cosponsored legislation that would provide support to first responders who develop or die from service-related cancers. But those involved with similar efforts say the road to implementation is rough and paved with long waits, restrictive eligibility requirements, and funding issues.
Technological gaps handicap rural hospitals as billions in federal funding to modernize infrastructure lags. The reliance on outdated technology and piecemeal systems challenge staffs and erode patient care.
Some rural hospitals have canceled — or are considering ending — contracts with insurance companies that offer Medicare Advantage plans, saying the private policies jeopardize their finances and impede patient care.
The GOP-controlled Congress is weighing cuts to Medicaid, the government health program that covers millions of Americans — including nearly 40% of Louisianans represented in the House by Speaker Mike Johnson.
As House Republicans mull a massive $880 billion cut from federal programs likely including Medicaid, constituents, disability advocates, and health care providers are joining forces to lobby GOP members in California — including those who represent rural, deeply conservative pockets that stand to lose the most.
A bill designed to force PBMs to pay higher fees to independent drugstores sailed through the state House, but lobbyists are marshaling their forces to kill the measure in the Senate.
The anti-fluoride movement has more momentum than ever. In rural counties with few dentists, tooth decay could surge to levels that have not been seen in decades, experts warn.
Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.
As politicians demand that more Medicaid recipients work, many people with disabilities say their state programs’ income and asset caps force them to limit their work hours or turn down promotions.
Union Health has made a new bid to buy its only rival hospital in Terre Haute, Indiana. The system passed one hurdle after lawmakers watered down a bill that threatened the proposed deal. That means the merger will now face a likely showdown with Indiana’s new governor.
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