A Regional Approach to Rural Health Challenges

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

In a pilot program in a Canadian city, the working poor were given monthly cash supplements to their income. The recipients did not stop working and were able to access opportunities to make a better living long term.

An ambitious plan for the 69-acre Regent Park neighborhood is disrupting entrenched notions of class, race and religion, at a time when concerns over income inequality and immigration are growing.

Barbers in Niagara are using the casual intimacy of their client relationships to offer needed healthcare. They now recommend clients to clinics and provide educational materials.

Almost a quarter of rural Americans surveyed by NPR had used a telehealth service in the past few years. While new technologies are allowing remote patients to gain new access to healthcare, lack of broadband service and outdated insurance policies are making it hard for more widespread adoption.

A community organization in Indiana called Cultivate "rescues" food from local caterers, hospitals, casinos, and businesses to then be packaged into take-home meals for students at Woodland Elementary School that come from food-insecure homes. Cultivate is in its second year of existence, has three staff and 400 volunteers, and hopes to expand beyond their pilot program to reach all 21 schools in the district.

From North Carolina to California, states and cities are taking a new approach to fines and fees – people are having their charges dismissed, warrants for minor offenses cleared, and many municipalities are actually saving money by spending less on collections. With a system that was built because it provided cities and states with revenue, there has been a realization that it disproportionately targets communities of color and often keeps people stuck in cycles of debt. With this national awakening, resources and networks are being created so other places can implement the same change.

The Child Tax Credit included in the coronavirus relief package provides a guaranteed income for families with children. The merits of guaranteed income have been established in multiple countries as well as local programs in the United States. Results have shown that cash payments allow people to focus on whatever their basic needs are. Poverty rates in places like Alaska have dropped drastically due to cash payments from the government.

Milan’s tampone sospeso or “suspended test” initiative provides rapid COVID-19 tests to stop the spread of the virus. The initiative sets up in highly visible public areas of Milan and is based on a model of mutual support where everyone pays what they can. It is run with the help of over 50 volunteers and Medicina Solidale, a group of medical professionals who provide free medical advice to those who can’t afford to access care. The project has raised 24,000 euros from 436 donors, which has enabled them to administer rapid antigenic swabs to more than 3000 people.

El Recovery Institute of Southwest Michigan, Inc., usa un método que se llama apoyo entre pares (emparejando personas con experiencias similares) para ayudar el proceso de recuperación. El Recovery Institute ofrece grupos, clases, reuniones individuales y reuniones sociales, y su también participan en actividades de divulgación en la comunidad. En los últimos años, el Recovery Institute ha atendido a miles de personas.