States Opting Out of a Federal Program That Tracks Teen Behavior as Youth Mental Health Worsens

Colorado, Florida, and Idaho are the latest states to opt out of a survey that tracks concerning behaviors in high school students. Officials cite low participation and state laws that require parental permission. But some advocates say dwindling state participation is an “enormous loss” that will make it harder to track signs of poor mental health — like drug and alcohol misuse and suicidal ideation — among teens.

Hospitals Said They Lost Money on Medicare Patients. Some Made Millions, a State Report Finds.

A North Carolina state treasurer’s report found hospitals give conflicting information about whether they profit from Medicare patients. Experts said the findings are significant because they suggest the federal government has failed to closely watch the billions of dollars in tax breaks that nonprofit hospitals have received.

For the Houma People, Displacement Looms With Every Storm

The Houma, an Indigenous tribe, has seen much of its Gulf Coast community washed away by rising sea levels and dangerous storms. Its leaders say the tribe’s lack of federal recognition makes it harder to keep rebuilding.

Texas Revamps ‘Active-Shooter’ Drills at K-12 Schools to Minimize Trauma

School lockdown drills are designed to prepare students for violent threats. But for some students, especially those with special needs, the drills can trigger or exacerbate mental health problems. Texas is taking a step toward balancing safety and mental health with new regulations around how the drills are conducted. “If some kids are coming away traumatized or we’re magnifying existing trauma, we’re not moving in the right direction,” one expert says.

As Giant Hospitals Get Bigger, an Independent Doctor Feels the Pinch

Independent medical practices keep closing as doctors join behemoth hospital groups or leave the field. Research suggests that’s bad news for patients. Studies repeatedly conclude that consolidation in the health care industry is driving up costs while showing no clear evidence of improved care.

Abortion Bans Skirt a Medical Reality: For Many Teens, Childbirth Is a Dangerous Undertaking

The laws criminalizing abortion in many conservative U.S. states are expected to boost birth rates among teens, whose bodies often aren’t built for safe childbirth. For adolescents, the emotional and physical challenges of carrying a pregnancy to term can be daunting.

Medical Debt Sunk Her Credit. New Changes From the Credit Reporting Agencies Won’t Help.

New policies to prevent unpaid medical bills from harming people’s credit scores are on the way. But the concessions made by top credit reporting companies may fall short for those with the largest debt — especially Black Americans in the South.

Listen: Medical Bills Upended Her Life and Her Credit Score

Penny Wingard, 58, of Charlotte, North Carolina, worries she won’t ever get out from under her medical debt despite new policies that are supposed to prevent medical debt from harming people’s credit scores.

Turned Away From Urgent Care — And Toward a Big ER Bill

Russell Cook was expecting a quick and inexpensive visit to an urgent care center for his daughter, Frankie, after she had a car wreck. Instead, they were advised to go to an emergency room and got a much larger bill.

‘American Diagnosis’: When Indigenous People Move to Cities, Health Care Funding Doesn’t Follow

When Indigenous people started moving to cities in large numbers after World War II, many found hardship and discrimination there … but not the health care they were entitled to. Episode 12, the season finale, explores the efforts of urban Indian health providers to close those gaps by providing affordable, culturally competent care.

At This Recovery Center, Police Cope With the Mental Health Costs of the Job

Burnout, PTSD, depression, and substance misuse are rampant among first responders, partly fueled by the anti-police sentiments after the killing of George Floyd. Combined with low morale, the poor state of officers’ mental health has pushed many out of the profession, leaving those who remain exhausted. A handful of specialized treatment facilities are trying to meet demand, but more resiliency training is needed, experts said.

In Jackson, the Water Is Back, but the Crisis Remains

Unsafe water and all that comes with it — constant vigilance, extra expenses, and hassle — complicate every aspect of daily life for residents of Jackson, Mississippi. Health advocates say stress exacerbates underlying health problems. That is why a free clinic in one of Jackson’s poorest neighborhoods has been organizing water giveaways for the past year and a half.