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Gov. DeSantis gives new Isaias recovery update as crews clear roads, businesses get aid
Florida officials are expanding Hurricane Isaias recovery efforts across the Panhandle, with crews clearing debris from rural roads, businesses gaining access t
Candidate's View: I'm running to stand up for our neighbors, health, future
From the column: "People are working hard, carrying heavy burdens, and feeling entirely left behind by a political system that treats rural life as an afterthought."
Rural MAHA followers say health of communities hasn't improved
A poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think it has benefited them.
How rural Utah became the front line of America’s AI data center backlash
Officials who approved permits are losing seats. Hundreds of projects are stalled. Researchers say water and transparency are the breaking point
Dr. Oz, Trump Medicaid director, in Nebraska to root for state rural health program, Big Red
Dr. Mehmed Oz, Trump Medicaid director, was in Nebraska Saturday to root for state rural health grant progress and Big Red.
Dr. Oz congratulates Pillen on healthcare spending, decreasing Medicaid enrollment
Dr. Mehmet Oz joined Gov. Jim Pillen over the weekend to congratulate his team on distributing Nebraska’s first cut of the Rural Health Transformation Program. Oz also praised Nebraska for being the first state to implement new Medicaid work requirements.
In Blair, Dr. Oz talks rural health funding in Nebraska
Dr. Mehmet Oz met with U.S. Rep. Adrian Smith at Memorial Community Hospital in Blair to discuss Nebraska’s $218 million allocation through the Rural Health Transformation Program.
Santiam Hospital CEO to retire two months after Salem Health merger
Santiam Hospital CEO Maggie Hudson is retiring Nov. 1, after 6 years leading the rural hospital. Her decision comes after the hospital’s merger with Salem Health.
Watch KCCI's one-on-one interview with Dr. Oz
Dr. Mehmet Oz discussed a $209 million federal investment to improve rural healthcare in Iowa during a one-on-one interview on Friday.
Dr. Oz defends rural health care spending amid Medicaid cut questions
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, sat down with reporter Molly Martinez, and the conversation grew heated over spending cuts.
Dr. Oz defends rural health care spending amid Medicaid cut questions
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, sat down with reporter Molly Martinez, and the conversation grew heated over spending cuts.
Dr. Oz defends rural health care spending amid Medicaid cut questions
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, sat down with reporter Molly Martinez, and the conversation grew heated over spending cuts.
Dr. Oz defends rural health care spending amid Medicaid cut questions
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, sat down with reporter Molly Martinez, and the conversation grew heated over spending cuts.
Silver Bay residents voice concerns during Defend Northland Healthcare Tour
Concerned residents of Silver Bay had the opportunity to address their worries about rural health care challenges ahead of Medicaid cuts, clinic closures and its impact.
Gov. Janet Mills agrees to fund Penobscot Community Health Care
Gov. Janet Mills announced Thursday that she would make $2.8 million available from Rural Health Transformation Funds for Penobscot Community Health Care
States bet big on rural health startups, with a Silicon Valley twist
A handful of states set aside money from their share of the $50 billion federal Rural Health Transformation Program to quickly invest in new technologies.
Penobscot Community Health Care avoids bankruptcy with $2.8 million from rural health program
PCHC says the funding will help with a transition to a new electronic medical records system and alternative payment models.
A $50 Billion Health Fund and Rural America’s Internet Gaps
Awards from a $50 billion federal rural health fund included in the One Big Beautiful Bill Act from July 2025 are now paying for digital health care records and home monitoring devices. But whether
Health comissioner in Utica, talks measles: 'This is not normal'
New York State Health Commissioner Dr. James McDonald came to Utica to talk about rural health initiatives, but addressed the measles outbreak, too.
A rural Northwest Oklahoma hospital is bringing back maternity care. Can it survive healthcare cuts?
Newman Memorial hopes the model it’s building can sustain access despite looming reductions to federal Medicaid spending signed into law last year alongside the dollars fueling its project.
No on I-638: 'Witch hunt' of trans kids is a threat to all girls who play sports
Having grown up in rural Missouri, I’m all too familiar with the way some people exclude, bully and discriminate against people of different backgrounds, re ...
Gov. Stein and NCDHHS announces $17 million for rural mental health services
North Carolina will invest more than $17 million to expand rural mental health and substance use services in multiple ENC counties, including crisis-response te
Texas' 35th district tests GOP redistricting, Hispanic voters
The new boundaries encompass more Republican and rural communities, including southeast San Antonio and Wilson, Guadalupe and Karnes counties.
NY-21 Democratic candidate Blake Gendebien talks debates, rural healthcare
Sonia Ossorio spoke about the issue.
On the front lines: How rural clinics are confronting measles challenge
There were 108 reported cases of measles in the state as of Oct. 3, according to Gov. Kathy Hochul.
USDA Rural Development Supports Rural Businesses Across Eleven Parishes with Grant to University of Louisiana at Lafayette
(Alexandria, La., Oct. 7, 2026) — U.S.
Community Clinic awarded $3 million federal grant
Springdale-based healthcare provider Community Clinic will receive $3 million from the Health Resources and Services Administration to expand rural substance use disorder prevention, treatment and recovery services in rural areas...
Rural Health Transformation Program Technical Assistance Hub
Get free technical assistance from KHI and partners to navigate Kansas Rural Health Transformation Program applications, requirements, budgets and grant management.
Purchase District Health Department selected to lead diabetes, obesity initiatives
Purchase District Health Department was recently selected to lead the Rural Community Hub for the Purchase region as part of the Rural Community Hubs for Chronic Care Innovation Program, constituting
State AG sees rural care in action at Sanford Bemidji
Attorney General Keith Ellison toured Sanford Health in Bemidji to learn about efforts to expand healthcare access across northern Minnesota.
SAS helps illuminate the health impact of solar power in rural Uganda
/PRNewswire/ -- Global data and AI leader SAS helped Let There Be Light International better understand how solar electrification affects health care and daily...
The same union supporting a billionaire tax wants voters to limit clinic spending. Here’s what to know about Prop. 44
Prop. 44 would require clinics to spend more money on patient care, but clinics say the measure will bankrupt them.
‘A tsunami and an earthquake’: Rural health care braces for Medicaid cuts
North Shore Health and other health care providers are bracing for the effects of H.R. 1, also known as the One Big Beautiful Bill Act. Changes to Medicaid from the new law are being phased in over several years, with some provisions extending into 2028. In Minnesota, however, some eligibility restrictions took effect Oct. 1....
Amendment 87 will devastate Main Street, communities
Amendment 87’s supporters say a graduated income-tax system would impact only a small number of “wealthy” Coloradans. But that claim ignores the broader economic consequences for local employers, family businesses, farms, ranches and the communities that depend on them. Colorado’s small businesses sustain Main Street and rural economies across the state. If small businesses can […]
ANF Investigates: Allegiance Health plans to sell 2 struggling Acadiana hospitals
Allegiance Health Management plans to sell four financially struggling rural hospitals in Louisiana, including two in Acadiana, at the directive of the Louisiana Department of Health. The two Acadiana hospitals involved are Mercy Regional Medical Center in Ville Platte and Acadian Medical Center in Eunice. Both facilities have dealt with a number of problems, including unpaid payroll taxes, broken equipment, overdue bills, the loss of doctors and staff, and a shortage of critical supplies.
ANF Investigates: Allegiance Health plans to sell 2 struggling Acadiana hospitals
Allegiance Health Management plans to sell four financially struggling rural hospitals in Louisiana, including two in Acadiana, at the directive of the Louisiana Department of Health. The two Acadiana hospitals involved are Mercy Regional Medical Center in Ville Platte and Acadian Medical Center in Eunice. Both facilities have dealt with a number of problems, including unpaid payroll taxes, broken equipment, overdue bills, the loss of doctors and staff, and a shortage of critical supplies.
ANF Investigates: Allegiance Health plans to sell 2 struggling Acadiana hospitals
Allegiance Health Management plans to sell four financially struggling rural hospitals in Louisiana, including two in Acadiana, at the directive of the Louisiana Department of Health. The two Acadiana hospitals involved are Mercy Regional Medical Center in Ville Platte and Acadian Medical Center in Eunice. Both facilities have dealt with a number of problems, including unpaid payroll taxes, broken equipment, overdue bills, the loss of doctors and staff, and a shortage of critical supplies.
Southern University launches rural business growth center
Southern University and A&M College has received a $1.275 million, three-year cooperative agreement from the Minority Business Development Agency to establish the Louisiana Innovation for Thriving Rural Business, or LIFT, Center aimed at strengthening rural businesses and expanding their access to financing, government contracts and advanced manufacturing opportunities. Housed in Southern’s College of Business, the […]
An ambitious financial experiment tried to support struggling rural hospitals in Pa. for years. Did it work?
The Pennsylvania Rural Health Model ran from 2019 through 2024 at 18 hospitals across the commonwealth.
‘Let Troy be Troy’: How Maine Democrats’ hope to beat Sen. Susan Collins is working to quiet doubters
As Democrats enter the homestretch of their longtime quest to defeat Maine GOP Sen. Susan Collins, they are placing their hope in a fifth-generation logger from the state’s rural north who speaks with a distinct Allagash accent, displays an apparent penchant for boba tea and has never been this close to the national spotlight before.
Rightlessness after reform? Agrarian conflict and the politics of land in Indonesia
A review of Berenschot et al 2026
Southern University to lead new hub for rural La. businesses with $1.27M federal award
Southern University will use a $1.275M federal award to launch the LIFT center to support rural Louisiana businesses.
Ohio Democrats’ path to governor’s office runs through rural areas that have turned against party
Democrats say their nominee for governor in Ohio, Dr. Amy Acton, represents the party’s best chance in years to win that office.
Rural and Urban Health Center Patients and Financing
This brief reports on rural and urban health center patients and financing in 2025 using national data from the Uniform Data System (UDS) and examines potential impacts of recent federal policy changes.
Davids Fights Washington Healthcare Cuts with Plan to Lower Costs, Protect Kansas Hospitals
WASHINGTON, D.C. — Today, U.S. Representative Sharice Davids (KS-03) introduced a comprehensive package of healthcare legislation that directly counters Washington’s recent healthcare rollbacks, which are increasing monthly costs and closing rural hospitals. Davids’ efforts would protect Kansas families from rising medical costs, block new federal red tape, and keep local hospitals and health clinics open.
Senate Unanimously Passes the Health Care Cybersecurity and Resiliency Act
A bipartisan bill that seeks to improve healthcare cybersecurity and resilience has been unanimously passed by the U.S. Senate. The bill - The Health Care The U.S. Senate has voted unanimously to advance the Health Care Cybersecurity and Resiliency Act, which requires more robust cybersecurity measures for healthcare organizations and authorizes grants to help rural and under-resourced providers improve cybersecurity.
Who will rural voters blame for harmful healthcare changes, policies this election?
Inflation and affordability, immigration and international conflicts may be dominating much of the news—and voters' attention—but healthcare, as always, still matters at the ballot box—perhaps even more so for rural voters.
Ohio Democrats’ path to the governor’s office runs through rural areas that had turned against them
Democrats say their nominee for governor in Ohio, Dr. Amy Acton, represents the party’s best chance in years to win that office.
Ohio Democrats’ path to the governor’s office runs through rural areas that had turned against them
Democrats say their nominee for governor in Ohio, Dr. Amy Acton, represents the party’s best chance in years to win that office.
Delta Health Center Receives Funding
Delta Health Center, Inc. has received four awards totaling $4,660,331.59 through the Mississippi Rural Health Transformation Program, a state initiative funded by the Centers for Medicare & Medicaid Services. Governor Tate Reeves announced the four RHTP awards on September 14, as part of 167 awards totaling more than $104 million statewide. The awards announced will […]
Delta Health Center Receives Funding
Delta Health Center, Inc. has received four awards totaling $4,660,331.59 through the Mississippi Rural Health Transformation Program, a state initiative funded by the Centers for Medicare & Medicaid Services. Governor Tate Reeves announced the four RHTP awards on September 14, as part of 167 awards totaling more than $104 million statewide. The awards announced will […]
Providence Opens New Rural Health Clinic in Polson
Just over a year after breaking ground on a rural health clinic in Polson, community members, donors and hospital staff gathered Sept. 30 in front of the new building just behind Providence St. Joseph Medical Center. “Over the years we’ve heard about this need over and over again,” Chief Executive for Providence Montana Krissy Petersen […]
In rural Wisconsin, politics is still about meeting voters. Online, it’s getting weird.
Rebecca Cooke is taking her campaign directly to rural Wisconsin communities, all while an AI-fueled online fight with her Republican opponent adds a distinctly 2026 twist to the race.
A surgeon shortage creates challenges in rural communities
Over a third of counties in the U.S. reportedly have no general surgeons
Mobile area health systems receive grants from state rural health program
34 grants total nearly $55 million
Health department hears concerns over access to medical psilocybin
Advocates warn rules could restrict access to veterans, rural residents and end-of-life care patients who seek medical psilocybin for a range of health problems.
South Dakota to receive $7.2M in federal funding to modernize rural emergency services
South Dakota will receive $7.2 million through the Rural Health Transformation Program to modernize EMS with 25 projects improving response and telemedicine.
Michigan got $173M to transform rural health. Where is it going?
Rural hospital leaders in Michigan say the federal program is unable to augment day-to-day operations to support frontline medical care, and is instead flowing to programs on the periphery of where the system is experiencing the most strain.
Michigan got $173M to transform rural health. Where is it going?
Rural hospital leaders in Michigan say the federal program is unable to augment day-to-day operations to support frontline medical care, and is instead flowing to programs on the periphery of where the system is experiencing the most strain.
ECU Health joins effort to explore electric flight in rural health care
ECU Health is joining an initiative to use electric aircraft to bolster rural health care.
Rural MAHA followers say Trump health policies haven’t reached their communities
About half of rural voters identify with Make America Healthy Again, a sprawling political movement championed by the Trump administration.
GVH awarded $4.5 million through Rural Health Transformation Program
Gunnison Valley Health (GVH) has been awarded $4.5 million through Colorado's Rural Health Transformation Program (RHTP), a federal initiative designed to strengthen rural healthcare systems, expand …
Nebraska Medical Association honors Sen. Mike Jacobson for rural health care advocacy
State Senator Mike Jacobson has received the Nebraska Medical Association’s 2026 Friend of Medicine Award, the association’s highest honor presented to a non-medical provider.
With the Expansion of Tampa General to DeSoto County, Florida’s Premier Academic Health System Strengthens Access to Exceptional Care in Rural Communities
DeSoto Memorial Hospital is Now TGH DeSoto OCTOBER 2, 2026 – Tampa General Hospital (TGH) today welcomes patients in Florida’s Heartland to TGH DeSoto, formerly DeSoto Memorial Hospital. As Florida’s premier academic health system, TGH continues to expand its reach across the state, bringing greater access to exceptional care and specialized services to rural communities. […]
Rural America May Be Ground Zero for Health System Reform
AFT Health Care has posted an article by senior fellow and director of healthcare reform Jeanne Lambrew on health reform through the lens of rural
Rural MAHA followers say Trump health policies haven't reached their communities
About half of rural voters identify with Make America Healthy Again, a sprawling political movement championed by the Trump administration, but most said President Donald Trump’s healthcare policies have not benefited their communities, according to a new poll from The Associated Press in partnership with KFF.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new poll from The Associated Press and KFF reveals that while approximately half of rural voters identify with the Make America Healthy Again movement, eight in ten believe the Trump administration's healthcare policies have failed to benefit their communities.
Congressional District 4
Republican Lauren Boebert and Democrat Eileen Laubacher are competing in Colorado's 4th Congressional District. Read where the candidates stand on healthcare, immigration, affordability and rural communities.
$500M rural health funding moves forward in WV, but hospital closures still feared
Rural Health Transformation Fund: RX or Placebo?
NORC Walsh Center for Rural Health Analysis Director Alana Knudson and Virginia's Director of Rural Health Transformation Heidi Hertz briefed NPF fellows about the obstacles and opportunities in federal rural health policy.
Nearly $55 million awarded to boost healthcare access across rural Alabama
Gov. Kay Ivey announced that 34 grants totaling nearly $55 million are being awarded to healthcare providers and institutions throughout Alabama as part of the second round of the Alabama Rural Health Transformation Program (ARHTP) funding for 2026.
Arkansas, Kentucky each awarded $10M grants for maternal health efforts
A nonprofit founded by philanthropist Olivia Walton announced Thursday it is awarding $10 million grants to Arkansas and Kentucky to improve maternal health in rural communities.
Alabama Awards Nearly $55 Million in Additional Rural Health Grants
Alabama Awards Nearly $55 Million in Additional Rural Health GrantsMONTGOMERY, Ala. — Alabama Gov. Kay Ivey announced Thursday that 34 grants totaling nearly $5
Governor Ivey Announces Additional Alabama Rural Health Transformation Program Grants Totaling Nearly $55 Million -
MONTGOMERY – Governor Kay Ivey on Thursday announced the awarding of 34 grants totaling nearly $55 million to healthcare providers and institutions throughout the state as part of the second round of Alabama Rural Health Transformation Program (ARHTP) funding for 2026. … Continued
Access to cancer care in rural Wisconsin makes a difference
After breast cancer was found during Katie Weinberger's routine mammogram, her community and care team stepped up.
Gov. Stein announces $20M fund to increase health care access in rural North Carolina
A new fund will increase access to health care in rural parts of North Carolina.
Business Aircraft Accident Reports: October 2026
Preliminary and final accident reports, October 2026
Talarico Talks Personal History, Policy at U.S. Hispanic Business Council Event
The Democratic U.S. Senate discussed the oil and gas industry, healthcare, and rural Texas.
Morrisey announces more than $8 million in Rural Health Transformation grants for WV
The state will allocate $1.1 million of its federal Rural Health Transformation program funds to Community Care of West Virginia.
New mobile health unit, upgrades to telehealth to expand rural healthcare access
“This is very exciting,” one employee said.
North Dakota to use ‘anchor partners’ to manage Rural Health grants
North Dakota’s Health and Human Services Department is turning to outside “anchor partners” to manage a federal grant program for millions of dollars meant to boost rural health care initiatives.
Talarico courts rural Texas voters in Senate race against Paxton
The Democratic Senate candidate said Republicans have hurt farmers and small towns as he touted positions on energy, data centers and healthcare.
State leaders tout Oklahoma's Rural Health Transformation Program
Gov. Kevin Stitt was joined by State Health Commissioner Keith Reed at Southwestern University in Weatherford to announce the latest update on Oklahoma’s Rural Health Transformation Program.
Where Michigan is spending $173M to transform rural health
Michigan is doling out the first in a pool of federal funds meant to innovate and strengthen rural healthcare systems.
Governor Stein announces $20 million fund to increase access to healthcare in rural North Carolina
$20 million fund aims to expand healthcare in rural North Carolina
Chris Koza album release concert Oct. 24
Lanesboro Arts is thrilled to celebrate the release of Chris Koza’s latest album, “Millsmoke on the Skyline,” with a concert at the St. Mane Theatre at 7 p.m. on October 24. Chris Koza is a composer and performer based in Denver and Minneapolis. In his writing, Koza both honors and builds on the vast genre of Americana music. For every song that sounds like it could be strummed from a boxcar clacking slowly across a grassy midwestern plain, there’s a tune sailing from a city rooftop, echoing across a valley of streets and traffic, or a melody twisting and shimmering like a dim frequency deep into the starry night.Both as a solo artist and with his band Rogue Valley, Koza has supported and shared the stage with artists such as Brandi Carlile, Gordon Lightfoot, Ingrid Michaelson, The Jayhawks, Neko Case, Kathleen Edwards, Dan Wilson, and many more. His music regularly appears on ABC’s “General Hospital,” “60 Minutes,” and “Good Morning America.” Koza’s song, “Be Wild,” was also featured in a state of Minnesota tourism campaign.#placement_932485_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid932485 = window.pid932485 || rnd;var plc932485 = window.plc932485 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=932485;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid932485+';place='+(plc932485++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');Koza’s latest offering, “Millsmoke on the Skyline,” grants the newfound outsider perspective of the rich life and golden fleeting days throughout the rural Midwest. Weaving melody and lyrics into vignettes and narratives set in places where love is powerful, dreams are vast, and life is beautiful.The St. Mane Theatre box office will open at 6 p.m. on the day of the concert. Tickets will be sold in person at the door or can be purchased online at lanesboroarts.org. Seating at the St. Mane theatre is first come, first served. Tickets are on sale now for $25 for general admission or $22 for Lanesboro Arts members.The 2026 performing arts season at Lanesboro Arts is made possible by our season sponsor, Poet Refinery, as well as our concert level sponsors, High Court Pub, Krage Insurance Agency & Preble Farmers Mutual, Stone Mill Clothing & Gifts, E2 Boutique/Amish Experience, and The Cottage House Inn, and community sponsors, VIS Plumbing, Granny’s Liquor, Kingsley Mercantile, Batstone CPA, Clara’s Eatery, IGA, Niagara Cave, and Huntington Electric. This event is made possible by the voters of Minnesota through a Minnesota State Arts Board grant, thanks to a legislative appropriation from the Arts and Cultural Heritage Fund. #placement_932489_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid932489 = window.pid932489 || rnd;var plc932489 = window.plc932489 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=932489;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid932489+';place='+(plc932489++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');
Oklahoma officials highlight rural health program’s first-year progress
Oklahoma is expanding rural healthcare access through new funding for workforce development, technology and medical services.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
The findings signal an apparent disconnect between the Trump administration’s MAHA-branded policy priorities and rural America’s perception of their reach and effectiveness.
Rural MAHA followers say Trump hasn’t improved health of their communities, poll finds
Rural voters have been an important voting bloc for Trump and Republicans in recent elections.
Biokineticists fight disease using exercise science: how to bring their skills to rural patients
Biokineticists can help identify NCD risk in rural communities, but gaps in referral pathways and public healthcare integration may limit access to follow-up care.
Oklahoma officials cite early milestones in first year of Rural Health Transformation Prog
State and health leaders say they are making progress as they work to improve rural health in Oklahoma.In the first year of the Rural Health Transformation Prog
Rural MAHA followers say Trump hasn’t improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA Followers Say Trump Health Policies Haven’t Reached Their Communities
President Donald Trump has championed sprawling health policy changes under the Make America Healthy Again movement, but a KFF-Associated Press survey of rural voters found people aren’t seeing the initiatives reach their communities.
When “DEI” research is cut, what happens to community health?
“I’m just going to run to the grocery store!” How many times have we said this without thinking about it? For most of us, it's usually an easy walk or a short drive to get the cheese we forgot. In reality, though, 13% of the U.S. population (about 39 million people) live in “food deserts,” which means living more than a mile from a grocery store in urban areas and more than 10 miles in rural areas. This was the case for people in Pittsburgh’s Hill District, where a quick run to buy food wasn’t an option. In the 1930s, federal maps marked the Hill as "hazardous" for lending, a practice known as redlining that steered investment away from Black neighborhoods. Decades of disinvestment followed, and residents went about 30 years without a nearby grocery store. This made it hard to keep healthy eating habits and contributed to chronic disease. When a grocery store finally opened in the area in 2013, researchers saw the opportunity and launched the PHRESH study, which initially compared the health of participants from the Hill district to those in the Homewood district. Over time, the study expanded to other factors such as brain health and Alzheimer's risk. Residents like Roderick Blair overcame initial hesitation to share their health data, trusting it would benefit their neighborhood. Then, in August 2026, the NIH abruptly canceled the study’s grant, citing that it was “subjective” and fell outside their scientific scope—an effect of the administration’s interpretation of diversity, equity and inclusion (DEI). Research like PHRESH can help determine what changes in a neighborhood actually improve health, so cutting it has left that question unanswered. Other canceled studies have examined health issues like maternal health, preterm birth rates, or sickle cell disease. Courts have reversed some of these grant cancellations, but not all of them. If we really want America to be healthier, research into why some communities get sicker than others is absolutely critical. The law that created the federal minority health research institute passed with bipartisan support in 2000. But these days, as evidenced by grant cancellations, the political shift in attitudes toward DEI means we often lose access to the health information we need to help all communities thrive. DEI vs. health equity vs. equality and the overlap (or lack thereof) The letters “DEI” evoke very different reactions depending on who you are in the U.S. DEI programs can address gender, disability, age, and other factors, but the fiercest debate centers on race. For some people, hearing DEI brings to mind policies that may have cost them a job or a college seat because they are white. Others see DEI as a matter of justice: a way to expand representation and opportunity for groups that have been historically marginalized. Both perspectives are rooted in lived experience, and both center on the same question: whether hiring and admissions practices are fair. Hiring and admission practices, though related, are not the same as health equity. Health equity is “the attainment of the highest level of health for all people.” It’s the recognition that some groups of people consistently experience worse health outcomes than others. For instance, black mothers die from pregnancy-related complications at three times the rate of white mothers, and rural Americans are more likely to die from issues such as heart disease and cancer. Equity is also often conflated with “equality,” which leads to misunderstanding of how to actually best support communities. Equality ignores the fact that we aren’t all starting life with the same resources or circumstances, whereas equity is about helping people get what they specifically need based on their situation so they have the chance to achieve the same outcome as anyone else. For example, if every household in Pittsburgh got a $30 grocery gift card, that would be equal. But during the decades the Hill District went without a grocery store, that card wouldn’t have helped much. Equity means making sure everyone can actually access a store in the first place. DEI policies can overlap with health equity in many ways. For example, they may help expand access to quality education and stable, well-paying jobs, which in turn can provide health insurance, safer housing, and improved finances—all of which can reduce health disparities. But to make that happen, we first need data to identify disparities in communities and to develop solutions that effectively address them. What we lose when the research stops Community data is important to health equity because: You can’t fix what you don’t see: Data show which communities are most affected by health factors such as infection, heart disease, and cancer. If we don’t know what is happening and where, then we can’t develop interventions to help. Poor health costs everyone: Chronic disease is expensive—both to the individual person and to the overall economy. Understanding what groups of people are most at risk allows us to develop interventions that can save everyone money. Disparities exist for many communities: Health equity includes disparities that exist due to a whole host of factors, such as family background, race and ethnicity, rural vs. suburban residence, gender and sexual orientation, veteran status, disability, and lower income. This means many Americans can benefit from research into differences in health outcomes and how to improve them. Trust is easy to lose: Some participants in the PHRESH study were initially vocal about their concerns about participating. But that trust was earned because the researchers kept their promises and centered their work on the community. When projects are canceled mid-cycle, researchers have no choice but to leave behind communities they had promised to help. This hurts trust in the long run. It’s also a very inefficient use of resources, and it will take significant time and effort to redo the work when the government realizes this work is important again. How should we talk about health equity? This is hard because the words “equity” and “DEI” are currently very politically charged. So whether you’re a public health professional, teacher, or friend, how we talk about this topic matters. The right framing can help people who might otherwise be skeptical see why health equity research is important and deserves funding. Here are some suggestions to help your conversations: Choose your words strategically: Who are you trying to reach with your message? Are they likely to be resistant to terms like “diversity” and “equity”? If so, find alternative words to use to still get the message across. It is frustrating to be in that position, but the goal of improving health is too important not to try to make inroads. Sometimes simply reframing can help the message reach those who need to hear it. Focus on the problem: The terms “health equity” and “DEI” are abstract. Make it more specific. For example, discuss differences in maternal death or ways to improve health outcomes in rural communities. These still have equity at their core but will likely be better understood by those you’re talking with. Focus on systems: Disparities exist, but if they are communicated poorly, people can mistakenly think the issue is the individual’s fault. Disparities are largely driven by failures of the system—such as lack of access to health care and a long legacy of racism. When discussing the disparities, frame them around these systemic issues to ensure blame isn’t placed on the individuals impacted. Tell stories: Personalize these policies by using stories from those impacted that connect to the data you’re trying to convey. This helps make the policies and outcomes more concrete and meaningful. Bottom line Some communities end up sicker than others. That’s just the facts. We can argue about the best way to do that research, but canceling it simply because it may be linked to DEI doesn’t make anyone healthier. It just leaves communities like the Hill district behind. And in the end, it causes us all to move backward in our efforts to improve health in this country. Love, EM Big thanks to MacKenzie Isaac & Legairre Radden, who reviewed this piece and generously shared their expertise and lived experience to help improve it. Dr. Liz Marnik, PhD, is Executive Director of The Evidence Collective and a science communicator and immunologist working at the intersection of public trust, science, and public health. To discuss communication training on topics like health equity and storytelling, email Liz at liz@yle.health or learn more on our website. Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. To support the effort, subscribe or upgrade below: Your Local Epidemiologist is a reader-supported publication. 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