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Health care solutions for rural Americans

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(Family Features) Heart disease, cancer, unintentional injuries, chronic lower respiratory disease and stroke. These top five causes of death in the United States all have a higher incidence of death among rural residents and research points to lack of access to health care as a culprit.
Today, rural hospitals are closing at a rapid pace, expanding an already vast health care desert (defined as inhabited areas more than 60 minutes away from an acute care hospital) across the country.

According to the University of North Carolina’s Rural Health Research Program, since 2010, more than 105 of America’s 1,700 rural hospitals have closed. Additionally, a Navigant report found that 21% of rural hospitals are at high risk of closing unless their financial situations improve.

Every day, rural Americans find themselves farther from medical care.

Practical challenges facing patients

Fatal injuries and illnesses aside, rural residents face other practical concerns related to the health care in their communities.

  • Doctors are more concentrated in urban areas, while there are shortages in rural communities. A shortage of doctors can mean less availability for appointments, difficulty capturing enough attention from a busy provider, longer distances to reach a physician and limited access to specialists.
  • Statistically, rural residents tend to be older and need more frequent visits to their primary doctors and other specialists.
  • Pregnant women have to travel even farther to deliver a baby, leading to an increased risk of complications at birth. Similarly, pre-natal and post-natal care are harder to access.
  • Rural residents often enjoy more outdoor activities (such as hunting, hiking and riding ATVs) than urban residents and therefore are at a greater risk of injury that requires treatment at a trauma center.

Airborne answer

One solution to fill the gap in rural health care is air medical services, which transport patients to critical care facilities in minutes. With nearly 90% of patients transported living in rural areas, air ambulance services are an essential part of health care access in these communities.

However, just like rural hospitals, air ambulances are threatened as well. Medicare and Medicaid reimbursement rates have remained steady for decades, while operational costs required for air medical services have increased, creating a financially unsustainable situation. Some private insurers also refuse to cover air medical services or pay minimal costs, requiring patients to assume the balance.

How to take action

The challenges facing rural health care access may be significant, but rural residents can take individual actions to make a difference for themselves, their families and even their communities.

  • Express support to elected officials. Rural residents can call or write letters to their senators and representatives and demand they keep local hospitals open and protect access to air medical services. Reaching members of Congress at their local offices may be more effective than contacting their federal offices.
  • Support efforts to secure grants. Some universities have been given grants from the Health Resources & Services Administration, an agency of the U.S. Department of Health and Human Services, to create or expand community health initiatives and facilities in rural areas.
  • Explore alternative sources of care. Many rural areas have community health workers who complete home visits to assist people with chronic diseases like diabetes and high blood pressure. Although their training is limited compared to that of a doctor or nurse, their service increases health care access and they’re able to spend more time with patients.
  • Get educated about your care. One role of community health workers is teaching patients about how to manage their own medical needs. This education helps residents be proactive and preventative in their health care, which can reduce the need for hospitalizations in certain cases, such as learning how to properly manage diabetes.
  • Make an emergency plan. For families who reside in a rural community, it’s a smart idea to have a plan in place for how to respond in the event a medical emergency. The plan should include information about the location of the closest hospital, emergency contact information in the community and other details necessary to gain emergency care.
  • Consider remote access care. Another option for both rural and urban residents alike is telemedicine, which allows patients to connect with a doctor or nurse virtually using technology and without having to travel. The two-way communication can facilitate evaluation and treatment for minor conditions. The service is offered as a cost-saving incentive through some insurance plans, as well as private providers.

Protecting Patients Against the Unexpected

With increasing frequency, insurance companies are not covering the full cost of medical emergencies, leaving families with out-of-pocket expenses they didn’t expect.

If you need medical transport and a physician or first responder determines air evacuation is the best – or only – option to get you to care, you shouldn’t have to worry about the bill you’ll receive afterward. Many emergency service providers have support efforts in place to help you focus on recovery, not finances.

For example, many air medical companies provide patients access to their patient advocates, who work with the patient’s insurance provider to properly cover air medical transport, taking the patient out of the middle. This process can result in significantly lower costs for the patient, often amounting to just the usual copay and deductible.

Visit globalmedicalresponse.com/protect-patients to learn more about these services in your area.

Photos courtesy of Getty Images (doctor and man, woman speaking with doctor on computer)

SOURCE:
Global Medical Response

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HEALTHY LIVING

The power of sharing a table: Americans reviving ‘IRL’ experiences with drinks, dinner and beyond

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(Feature Impact) Real-world connection has become increasingly rare and if you’ve felt the effects, you’re not alone. After years of digital-first habits becoming the new norm, many people are looking to rediscover face-to-face social interaction – “IRL,” in real life, not from behind a screen.

With many Americans now spending less time together than ever before as in-person contact continues to decline, according to data from the Organization for Economic Co-operation and Development, Teremana Tequila is inviting people back to something simple: the table. Rooted in the philosophy of Mana – the brand’s guiding core philosophy and belief that good energy is contagious and the best moments in life happen when people come together – its “Share the Table, Share the Mana” initiative and partnership with Timeleft, a global app that matches strangers into small groups for real-life meetups, is a call for real-world connection.

A gradual rebalancing is underway, according to Teremana. In a world where people are more digitally connected yet more personally disconnected, sometimes all it takes is one small gesture, like pulling up a chair and sharing a table to unlock something transformative.

Activity-Based Communities

According to the American Psychiatric Association, 1 in 3 American adults went at least a week in 2024 without feeling genuinely connected. In response, many people are shifting toward connection rooted in shared activities rather than conversation alone. Consider Eventbrite’s 2026 Social Trends Report, which found 58% of people now prefer events where socializing isn’t the primary focus, signaling a growing appetite for in-person gatherings built around common interests and experiences.

Recurring events – such as weekly trivia nights or monthly potlucks – reflect this shift toward activity-based connection. With a built-in rhythm and shared interest, they reduce the pressure of constant planning and allow relationships to develop more naturally over time. Whether it’s a standing “taco Tuesday” or “trivia Thursday,” these gatherings create structure that makes it easier for people to simply show up and enjoy the moment together.

This shift is also extending beyond traditional community spaces into experiences that transform everyday environments into opportunities for connection.

Third Spaces, Reimagined

Building on its spirit of good energy and shared moments, Teremana Tequila’s “Share the Table, Share the Mana” campaign kicked off with a series of out-of-home billboards across the country, but took a surprising turn when what appeared to be a standard billboard concealed a hidden bartender, drinks and an open invitation to share the table – turning a street corner into an unplanned gathering space for strangers. More experiential moments like this are on the way.

While digital tools remain central to how people connect, they’re increasingly being used to facilitate in-person moments – helping organize meetups, dinners, and shared experiences in the real world.

For example, by partnering withTimeleft, a global app that matches strangers into small groups for real-life meetups, Teremana’s idea is becoming a nationwide movement. Every Thursday from now through August, the Share the Table series will bring curated groups of people together at bars and restaurants across 13 U.S. cities, creating a consistent space for the kind of unscripted human connection no screen can replicate.

The nationwide initiative offers a key to unlocking something much bigger than one-off moments as an investment in infrastructure for connection, providing strangers opportunities to match with groups of people with similar interests and compatibilities.

Neighborhoods as a Nexus for Connection

By meeting and greeting neighbors and attending local events, the reliance on digital tools can be reversed. Proximity lowers barriers like time and distance, increasing the likelihood of repeated encounters for after-work drinks or dinner parties that allow for relaxed, low-pressure socializing.

For an easy way to break the ice with those near you, sharing a drink, or the mana, lets you open up your home in a low-stress setting without the pressure of cooking for a crowd. These simple at-home cocktail recipes for a Cucumber Serrano Margarita or Mana Paloma make hosting a breeze – and will leave neighbors thinking you’re a natural bartender.

To discover more ways the philosophy of Mana can revitalize human connection, visit Timeleft.com.

Cucumber Serrano Margarita

  • 2          ounces Teremana Blanco or Reposado
  • 1          ounce fresh cucumber juice
  • 3/4       ounce fresh lime juice
  • 1/2       ounce agave nectar
  • 3          thin slices serrano pepper, divided
  •             ice
  •             cucumber slice, for garnish
  •             salt, for rim
  •             tajin, for rim
  1. In cocktail shaker, combine tequila, cucumber juice, lime juice, agave nectar and two slices serrano pepper; shake with ice. Strain over fresh ice into rocks glass.
  2. Garnish with cucumber slice and remaining serrano pepper slice. Rim half of glass with salt and tajin.

Mana Paloma

  •             Ice
  • 2          ounces Teremana Blanco
  • 1          ounce grapefruit juice
  • 3/4       ounce lime juice
  • 1/2       ounce simple syrup
  • club soda
  • 1          pinch salt
  •             lime wheel or grapefruit peel, for garnish
  1. In highball glass over ice, combine tequila, grapefruit juice, lime juice, simple syrup, club soda and salt. Gently stir, garnish with lime wheel or grapefruit peel and serve.

SOURCE:

Teremana Tequila

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HEALTHY LIVING

War on sunscreen: Misinformation may be undermining cancer prevention

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(Feature Impact) Despite its wide recognition as an effective tool for skin cancer prevention, many Americans still say they aren’t sure how sunscreen works. In fact, confusion about its use and misinformation persist, especially on social media.

According to a national survey conducted by Atomik Research on behalf of the nonprofit Melanoma Research Alliance (MRA), 53% of the 2,000 adult respondents said they’ve seen claims that sunscreen ingredients may be harmful while 59% reported they’re concerned about what’s in sunscreen and 38% don’t believe sunscreen is safe and effective.

This sunscreen confusion highlights a central challenge in preventing skin cancer, which is the most common form of cancer in the United States, according to the U.S. Centers for Disease Control and Prevention.

Among the various types of skin cancer, 9 out of 10, including melanoma, are linked to exposure to ultraviolet (UV) radiation, according to the MRA. The survey found most Americans have a basic understanding of the risks of sun exposure, including the more than 8 in 10 who recognize spending long hours in the sun contributes to melanoma risk. However, roughly one-quarter said they rarely or never use sunscreen when outdoors.

Reducing exposure to UV radiation lowers the risk of skin cancer, making sunscreen a key part of prevention, even during those everyday moments you may not immediately recognize as “risky,” like a short walk through a parking lot or an hour sitting in the bleachers at a sporting event.

To combat the confusion, it’s important to first understand how sunscreen works. It absorbs or blocks UV radiation from reaching the skin, preventing DNA damage that can cause cancer.

“Conflicting or incomplete information can make people less likely to wear sunscreen consistently,” said Dr. Joan Levy, chief science officer at the MRA, “but the science on sun protection is clear, and sunscreen is one of the most effective tools to prevent melanoma.”

Active ingredients in sunscreen in the U.S. undergo rigorous review by the Food and Drug Administration (FDA), which evaluates them as over-the-counter drugs – a standard which requires extensive testing and contributes to a more limited set of approved UV filters compared to Europe, where sunscreens are regulated as cosmetics.

The FDA is evaluating additional methodologies for assessing sunscreen ingredients, a process that could, according to Levy, expand the number of approved UV filters available in the U.S.

While melanoma remains the deadliest form of skin cancer, real progress is being made in melanoma research. Recent advances are improving outcomes for many patients with the disease, though approximately 50% of patients do not respond to current treatments, according to the MRA, underscoring why prevention and early detection are critical.

“Treatments such as immunotherapy have significantly improved outcomes for many melanoma patients, but we should never need to treat what we could have prevented,” Levy said.

To learn more and find strategies to protect your skin, visit CureMelanoma.org.

Photo courtesy of Shutterstock

    

SOURCE:

Melanoma Research Alliance

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Steps for a lifetime of heart-healthy eating

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(Feature Impact) More than half of adults and about 60% of children in the United States have unhealthy diets, which can contribute to higher rates of health factors such as high blood pressure and obesity, and lead directly to poor health outcomes including death from chronic conditions such as cardiovascular disease.

These findings come from the American Heart Association, a global force changing the future of health for all, which published its “2026 Dietary Guidance to Improve Cardiovascular Health” in its peer-reviewed, flagship journal “Circulation” recommending Americans follow a lifelong healthy eating pattern that may reduce cardiovascular disease risk and improve quality of life based on the latest in evidence-based science.

The statement outlines nine key features of a heart-healthy dietary pattern:

  • Adjust energy intake and expenditure to achieve and maintain a healthy body weight: Try to balance how much you eat with how active you are to reach and maintain a healthy body weight.
  • Eat a variety of vegetables and fruits: Include different colors, textures and types of produce. Remember, even canned and frozen can be nutritious and affordable.
  • Choose foods made mostly with whole grains: Foods such as whole‑wheat bread, brown rice and oatmeal are typically better choices than refined grains including white bread or rice.
  • Choose healthy sources of protein: Shift from meat to plant-based sources such as legumes, including beans, peas and lentils, along with nuts and seeds; regularly consume fish and seafood; select low-fat or fat-free dairy products; and, if red meat is desired, choose lean cuts, avoid processed forms and limit portion size.
  • Choose sources of unsaturated fats: Replace saturated fats with healthy unsaturated fats, including those from nuts, seeds, avocados and nontropical plant oils.
  • Choose minimally processed foods: Go with foods close to their natural state, with minimal added commercial ingredients, rather than those that are highly processed with additives.
  • Minimize intake of added sugars: Limit the sugar-sweetened beverages you drink and the foods with added sugar you eat.
  • Choose foods low in sodium and prepare foods with minimal or no salt: Be aware of hidden sources of sodium in prepared and packaged foods, and season food with healthier options such as herbs, spices or lemon instead of salt.
  • If alcohol is not consumed, do not start; if alcohol is consumed, limit intake: Alcohol can increase your risk for high blood pressure and other health conditions, so if you don’t drink, don’t start.

“For healthy eating to be more attainable and sustainable, we recommend people focus on their overall eating pattern rather than specific nutrients or foods,” said Alice H. Lichtenstein, D.Sc., FAHA, volunteer chair of the scientific statement writing committee and senior scientist and leader of the Diet and Chronic Disease Prevention Directive at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University. “Every time you choose to make a swap for a healthier alternative, you’re making a step toward a healthier life.”

While the updated guidance is specifically designed to improve cardiovascular health, it’s generally consistent with dietary recommendations for other conditions like Type 2 diabetes, kidney disease, some cancers and brain health as well due to shared risk factors, including high blood pressure, high cholesterol, high blood sugar, excess weight and reduced kidney function.

“A healthy dietary pattern can support lifelong health and well-being beyond cardiovascular health,” Lichtenstein said.

To learn more about eating for heart and brain health, visit heart.org/healthydietand talk to your health care provider about what will work best for you.

Photo courtesy of Shutterstock

    

SOURCE:

American Heart Association

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