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.
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.
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.
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.
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.
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.
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.
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.
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.
‘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.
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.
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.
‘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.
With Sexually Transmitted Infections Off the Charts, California Pushes At-Home Tests
A new law makes California the first state to require that health insurance plans, including Medicaid, cover home STI tests. But some details still need to be worked out.
Rural Communities Left Hurting Without a Hospital, Ambulance or Doctors Nearby
Rural areas such as Echols County, Georgia, have high levels of uninsured people and profound physician shortages that compound the lack of health care options, especially in the 12 states that have not expanded Medicaid.
Local Pharmacists Fill Rx Void as Big Brands Pull Out of Rural Areas
Stores like Walmart and Shopko opened pharmacies in small towns, either buying out the local pharmacy or driving it out of business. What happens when those chains later withdraw, leaving communities with no pharmacy?
As Hospitals Fill Up, Paramedics Spend More Time Moving Patients, Less on Emergencies
Gunnison paramedics cover the largest response zone in Colorado. Because of covid and the lack of nearby hospital beds, patients increasingly are transported long distances, leaving few ambulances to respond to emergencies.
Seeking Refills: Aging Pharmacists Leave Drugstores Vacant in Rural America
Independent pharmacists who want to retire often have trouble attracting new pharmacists to take over their practices, particularly in rural areas. That can cause smaller towns to lose their pharmacies. With many pharmacists near retirement, the problem may only get worse.
Covid Shots for Kids Are Scarce — And Demand Is Mixed — In Rural Montana
Although covid vaccines have been available to children as young as 5 for more than a month, they’re not being offered in some rural Montana counties, and parents don’t know where to find them in others.
A Rural Georgia Community Reels After Its Hospital Closes
A record number of hospitals closed in rural America last year. For the residents of Cuthbert, Georgia, the loss has meant many problems, including delayed care for emergencies that can turn deadly.
