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.
Journalists Explore Health Care Disparities and Policy Pitfalls
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
The ER Charged Him $6,500 for Six Stitches. No Wonder His Critically Ill Wife Avoided the ER.
With few options for health care in their rural community, a Tennessee couple’s experience with one outrageous bill could have led to a deadly decision the next time they needed help.
Fabricantes de medicamentos se niegan a ofrecer descuentos a miles de farmacias contratadas por los hospitales, diciendo que el programa ha crecido más allá de su uso previsto.
As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits
The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars — and cutting back services to patients — as a result.
Cómo las comunidades rurales están perdiendo sus farmacias
Las farmacias de las esquinas, que alguna vez estuvieron tanto en las grandes ciudades como en los pueblos rurales, están desapareciendo de muchas áreas del país, dejando a unos 41 millones de estadounidenses en lo que se conoce como “desiertos de farmacias”, sin fácil acceso a las farmacias.
How Rural Communities Are Losing Their Pharmacies
More than 1,000 independent rural pharmacies have closed since 2003, leaving 630 communities with no retail drugstore. As 41 million people stuck in pharmacy deserts make do, the remaining drugstores struggle to survive.
