Show Notes
It’s a story that’s unfolding across America, from Texas to Tennessee, Kansas to the Rust Belt — rural hospitals are struggling or closing, leaving residents, towns, and entire regions without access to important healthcare services, from cancer screenings to maternity care. For some people, it can even mean a several-hour drive to the nearest emergency room — and in life-or-death situations, those extra miles can make a big difference.
On this episode, we explore the rural healthcare crisis, and emerging solutions aimed at increasing — or at least preserving — access to care. We visit communities in rural Pennsylvania where residents are fighting to save their hospitals. We find out how other systemic pressures, like prior authorization, are squeezing rural healthcare systems. And we hear about potential solutions, ranging from state-funded reimbursement programs, to sophisticated “hospitals on wheels” aimed at bringing healthcare to the people.
SHOW NOTES:
Reporters Nicole Leonard and Alan Yu take us on a journey to two towns in rural Pennsylvania facing similar pressures — Bradford, a once-booming oil town now in decline, and Honesdale, a former railway hub nestled in the Pocono Mountains. For years, both locales have dealt with shrinking populations and a loss of businesses. We hear about the residents’ efforts and struggles to save their hospitals.
Many states, including Pennsylvania, have been working to prevent hospital closures in rural areas through experimental initiatives aimed at shoring up their finances. The Pulse's Alan Yu explains how one such initiative — the Pennsylvania Rural Health Model — aimed to combat these financial pressures by replacing the traditional fee-for-service model with a value-based model, which shifts the focus to preventative care in exchange for fixed, predictable funding. We explore how the five-year experiment played out — and why economists say it didn’t ultimately work for some hospitals.
We talk with Miranda Yaver, an assistant professor of health policy at the University of Pittsburgh, about another challenge squeezing rural hospitals — prior authorization. Her new book is “Coverage Denied: How Health Insurers Drive Inequality in the United States.”
In some parts of rural America, patients have to travel hours in order to access care — but what if medical care could come to them? That's the idea behind a new, federally funded program called PARADIGM, which deploys AI-enabled mobile health units to patients who don’t have access to healthcare. We talk with PARADIGM’s director, emergency medicine physician Bon Ku, about how these mobile clinics work, and hear from reporter Grant Hill about one of the program's latest creations — MARCUS, a futuristic hospital on wheels that contains an exam room, scanning machines, and even a laboratory.
More from The Pulse
Most Americans say that spending time with loved ones is one of the most important things in their lives — and yet, amid the hustle and bustle of our day-to-day, relationships often take a backseat to other commitments. We find ourselves canceling date nights to finish work, rescheduling family calls to catch up on chores — maybe even choosing to scroll on our phones over a night out with friends. It can be hard making time for friends and family — and easy to tell ourselves they’ll still be there tomorrow — but there’s a cost to neglecting our personal connections. New research is revealing just how important those ties are, and why nurturing them is an investment not only in our relationships, but in our own health and well-being. On this encore episode, we explore the science of human connection, from why it matters to how we can make it a priority in our lives.
Peptides are having a moment – but how much do we actually know about them? On this episode, we explore the potential benefits and risks. We investigate the science behind peptides, find out what lagging research and regulation could mean for regular users, and learn about how — and whether – to use peptides in a responsible way.
On this episode, we explore ADHD in adults — how to spot it, how to treat it, and how to function with it. We talk with a leading psychologist about what’s behind ADHD’s often frustrating symptoms, hear about what it’s like receiving a diagnosis late in life, and find out why people with ADHD are often very sensitive.
On this encore episode, we explore the world of color — from how we perceive it, to our efforts to describe and differentiate its many shades. We talk with a lexicographer about efforts to standardize synthetic colors, and how we describe them, and investigate how we know that the colors we see are the same as the ones everyone else sees.
Cereal was born as a health food — but quickly, sweet, crunchy flavor, bright colors, and fun shapes became more important than the nutritional value. That didn’t stop cereal companies from leaning into health claims, though. From Cheerios to Frosted Flakes and Wheaties, brands made bold promises to lower cholesterol, promote weight loss, boost fiber and even help prevent cancer. These healthy messages were also paired with eye-catching designs and beloved mascots. It was all a powerful marketing formula, one that sold a dream to buyers — that indulging in sugary cereal could also be a healthy choice. But, over the years, the healthy veneer has chipped off the cereal box.