HEALTHY LIVING
Understanding barriers to mental health care for rural Americans
(Family Features) Rural America is experiencing a mental health emergency. For residents of rural communities, there is evidence of higher rates of mental illness compared to those in urban communities. For example, the suicide rate is 49% higher among rural residents compared to urban residents, according to the Centers for Disease Control and Prevention. Yet people living in rural areas are less likely to have access to mental health services.
A survey of people in rural areas conducted by Russell Research on behalf of nonprofit mental health advocacy organization Rural Minds, found most (94%) respondents believe it’s important for policymakers to prioritize greater access to medicines for mental illness.
Compounding the mental health challenges rural Americans face, 82% of respondents have one or more barriers to accessing health care and mental health treatments. Largely due to distance and availability, 85% would rather get medicines from a local pharmacy than travel to a doctor’s office.
This is why legislation like the Ensuring Pathways to Innovative Cures (EPIC) Act, being considered in Congress, is essential for many people in rural areas. This legislation supports research and development for “small molecule” medicines – basically pills – which are easier to produce and access in rural areas with limited health care services. “Small molecule” medicines can reach the brain easier, which is beneficial in treating mental illness.
Consider some of the common barriers to mental health care in rural communities.
Costs and Other Lifestyle Barriers
The survey found factors like out-of-pocket costs such as copays, deductibles and health insurance premiums affect rural residents’ ability to access health care and medical treatments. Some people lack medical insurance altogether while others are hesitant to ask for help.
“Many rural residents have a strong sense of self-reliance and won’t seek help for mental health issues,” said Matt Espenshade, president of the Pennsylvania State Grange. “Programs like Rural Minds are working to normalize conversations around mental health in rural communities. Developing more effective and accessible treatments is critical for rural populations, which is why the EPIC Act, which will encourage such development, is so important for people struggling with mental illness.”
Lack of Awareness of Patient Assistance Programs
Many rural residents are unaware of programs that exist to help pay for medicine, including the Medicine Assistance Tool, a searchable database of patient assistance programs offered by pharmaceutical companies. Less than 3 in 5 rural residents know about programs that improve access and affordability of medications and only half are aware of the Medication Prescription Payment Plan.
Long Distances from Medical Care
Physical distance also plays a factor with approximately 25% of rural residents indicating the distance to medical specialists is a barrier to accessing health care and treatments.
Limited Access to Physicians
There are 20% fewer primary care physicians in rural areas and a shortage of mental health providers – approximately 65% of rural counties lack psychiatrists. It’s estimated there are 68 physicians per 100,000 people in rural communities while urban areas have closer to 84 physicians to serve the same number of residents.
Poor Internet Service
Telehealth for mental services can help bridge the lack of access to physicians, yet internet service in rural areas is often poor to nonexistent. While the percentage of rural residents with internet access is growing, the Federal Communications Commission estimates about 30% do not have broadband internet.
Learn more about efforts to increase access to mental health services in rural areas, such as the EPIC Act currently introduced in the U.S. House and Senate, by visiting ruralminds.org/rural-policy-legislation.
How You Can Inspire Legislative Action
Make your voice heard by your elected officials. Contact your U.S. senators and representatives through letters and phone calls to co-sponsor and pass the EPIC Act. You can find your elected representatives and their contact information by visiting Senate.gov and House.gov.
Once you’ve contacted your senator or representative, share details on the issue or specific legislation you’re requesting action on and provide details or a personal experience to support the need.
Talk with your family, friends and neighbors to encourage them to get involved and contact their elected officials, as well.
Photos courtesy of Shutterstock
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HEALTHY LIVING
The power of sharing a table: Americans reviving ‘IRL’ experiences with drinks, dinner and beyond
(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
- 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.
- 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
- 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.

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HEALTHY LIVING
War on sunscreen: Misinformation may be undermining cancer prevention
(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
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HEALTHY LIVING
Steps for a lifetime of heart-healthy eating
(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
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