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
Life insurance is on the to-do list right after cleaning out the garage!
(Sheeka Sanahori) Being an adult comes with a never-ending list of responsibilities: Cook dinner. Scrub the bathroom. File taxes. The tasks grow even longer when sharing a household with a partner, building a family, or taking care of others. No matter how you define “adulting,” getting life insurance tends to be one part of the to-do list that keeps getting set on a procrastination loop.
New survey data backs that up: there are plenty of other tasks adults would rather focus on first.
The Adulting Task Americans Keep Avoiding
According to the 2026 Life Happens Life Insurance Survey, a financial literacy nonprofit organization, 39% of U.S. adults would rather clean out their email inbox than figure out their life insurance needs. Another 31% would rather clean out the garage or basement. One in five U.S. adults would be willing to sit on hold with customer service for three hours before life insurance planning. Even though many adults have it somewhere on their list, nearly half (46%) say they’ll either deal with it later or not at all.

They Know It Matters
Nearly a third of adults have already figured out a life insurance plan, and they feel good about their decision. Others are feeling more conflicted: 14% have a policy, but they’re not sure if they have enough. Another 12% say they either don’t know where to start or they think it’ll be too expensive.
It’s no wonder people are putting it off: Navigating a new-to-them form of financial planning can come with a lot of complicated emotions. Four in 10 feel either overwhelmed, anxious, or some combination of both. Sixteen percent of U.S. adults feel guilty for putting it off, but when the outcome is more procrastination, that feeling lingers.

Why Later Keeps Winning
If you’ve ever faced an important decision without having enough information to make an informed choice, you know how stressful it can be. While the generations have different takes on making major decisions with a gut feeling or “pure vibes,” most of the time, people want to feel like they’re making an informed choice. Forty-five percent of U.S. adults say cost concerns, confusion or procrastination are the main reasons they have delayed or would delay looking into life insurance. For more than one in five, the plan is to seriously look at it when they feel more financially stable. For 12%, they say they’ll do it when they’re older.

Men tend to feel more confident about their life insurance decisions to date; 53% of men vs. 41% of women feel confident their family would be financially protected.
The First Step Feels Bigger Than It Is
Learning more about life insurance, how it’s priced and how it works could help get many consumers out of their procrastination loop. A quarter of people say they’d make a decision if they learned it was easier to get than they previously thought. Thirty percent would make the purchase if they learned it was more affordable than they believed it to be. Others need an experienced professional to talk to or an online calculator tool to give them guidance.
Methodology: Life Happens commissioned Atomik Research to conduct an online survey of 2,000 adults, including 700 Gen Z respondents, 700 millennials, and 600 Gen X respondents throughout the United States. The margin of error for the overall sample is +/- 2 percentage points and +/- 4 percentage points for each generational sample, with a confidence level of 95 percent. Fieldwork took place between July 14 and July 20, 2026. Atomik Research, part of 4media group, is a creative market research agency.
Photo courtesy of Shutterstock (couple using computer)
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HEALTHY LIVING
Steps to support mental health for rural youth
(Feature Impact) Young people face a growing number of pressures, including academic expectations, social responsibilities, complex family situations and uncertainty about their own futures. Mental health support is important for all – but in many rural areas, those pressures are even greater.
According to the Centers for Disease Control and Prevention, the suicide rate for rural youth ages 15-19 is 74% higher than their urban counterparts. Barriers like limited insurance coverage, unreliable internet for telehealth, scarce providers, long drive times and lack of public transportation make it harder to get mental healthcare when it’s needed. Plus, asking for help can feel like opening oneself up to judgment and stigmatization.
That’s why Rural Minds, the only nonprofit focused on mental health for rural communities, created the Rural Youth Mental Wellness pilot program supported by Boehringer Ingelheim. It was developed by an advisory committee made up of rural youth to provide their peers with practical, free, accessible mental health resources. Incorporating feedback on the pilot, the updated program sponsored by the Sompo Foundation is now launching its national rollout.
“A young person’s ZIP code should never determine whether they can access meaningful mental health support where and when they need it,” said Jessica L. Schleider, Ph.D., director, Lab for Scalable Mental Health, Northwestern University. “Our lab is thrilled to partner with Rural Minds as they champion evidence-based, anonymous, freely available support tools designed to overcome barriers to help-seeking faced by rural youth across the country.”
If the rural mental health crisis affects you or a loved one, consider these ways to help.
Break the Stigma Surrounding Mental Health
In communities where self-reliance is valued, asking for help can sometimes be viewed as a sign of weakness. Young people who feel unheard and unsupported often struggle with being vulnerable, so they continue carrying their increasingly heavy burdens alone.
Parents, educators, healthcare providers, community leaders and peers can work to change that culture by normalizing mental health conversations. This includes helping teenagers feel seen and accepted by educating them on mental health issues and coping strategies, listening to their experiences without judgment, sharing your own stories and reminding them it’s courageous to seek support.
Consider Single-Session Interventions
The first step is always the hardest when it comes to seeking mental health support, and not every struggling young person is ready or able to see a therapist. With access to free, confidential, self-guided materials to begin building mental wellness skills, the first step may be less scary.
Single-Session Interventions (SSIs) are brief, structured online courses designed to teach youth practical skills for handling stress, low mood, self-image and more. The Rural Youth Mental Wellness Program offers SSIs in partnership with Project YES (Youth Empowerment and Support), a free digital resource developed with Northwestern University’s Lab for Scalable Mental Health at the Feinberg School of Medicine.
Anonymous access to SSIs through the partnership provides strategies for:
- Improving mood
- Rethinking body image
- Reframing negative thoughts
- Knowing your power to change
- Taking steps toward goals
- Protecting LGBTQ+ pride
- Handling self-harm urges
- Staying safe amid dark thoughts
Each SSI typically takes 5-10 minutes. Although SSIs are not a replacement for therapy, they provide a research-backed source of support for young people experiencing bouts of stress or low-to-moderate distress.
Know When to Seek Professional Help
Self-guided resources and supportive conversations are a valuable starting point, but sometimes young people need qualified professional help. Look for symptoms like worsening mood or behavior, substance use, self-harm or difficulty managing everyday tasks, and take teens seriously when they express dark feelings.
Doctors and counselors can provide personalized support for youth in crisis, and the 988 Suicide and Crisis Lifeline offers free, confidential 24/7 support for mental health by dialing 9-8-8.
“I grew up in a small town where mental health was almost taboo,” said committee member Asheton Medlin. “Being part of the committee that built this program let me help make sure rural youth today have the support I didn’t. I’m excited to help bring these resources to them because this generation deserves the chance to grow up and change the world.”
Find more information at RuralMinds.org.
Photos courtesy of Shutterstock
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HEALTHY LIVING
8 daily habits to support metabolic health
(Feature Impact) When it comes to protecting your heart, supporting your kidney function and improving your metabolic health, you’ll find the advice for each one looks similar. That’s because your body’s systems are deeply interconnected: what affects one will have ripple effects across the others.
Cardiovascular-kidney-metabolic health, or CKM health, is a perfect example. When any one of these systems is compromised, it can lead to problems with the others. Therefore, it’s not uncommon for health problems like heart disease, stroke, diabetes and kidney disease to develop or worsen simultaneously – a condition collectively known as CKM syndrome.
The reverse is also true, so habits that are healthy for your heart will have a positive effect on your kidneys and metabolic system and vice versa. Consider these simple strategies that align with the American Heart Association’s Life’s Essential 8, a list of healthy steps that can improve overall health. Learn more about how these habits and health measures affect your CKM health at Heart.org.

- Choose Healthy Foods – Food is your body’s fuel, so fill your tank wisely. Certain types of foods can help your blood pressure, cholesterol, blood glucose and triglycerides stay within healthy ranges, while poor nutrition can push those numbers into more dangerous territory. Focus on vegetables, fruits, whole grains, plant-based proteins (e.g. beans, legumes and nuts) and lean animal proteins (e.g. seafood, skinless poultry and low-fat dairy). Drink plenty of water throughout the day and limit added sugar and salty or fatty foods.

- Stay Physically Active – Exercise doesn’t have to feel like a chore – in fact, some of your favorite hobbies may already count. The American Heart Association recommends aiming for 150 minutes per week of moderate physical activity like dancing, gardening or walking, moving quickly enough to elevate your heart rate and break a light sweat. Alternatively, choose 75 weekly minutes of vigorous exercise that gets you breathing hard and fast; think running, swimming, playing tennis or riding your bike on hilly terrain.

- Avoid Nicotine – Tobacco and other nicotine products can raise your blood pressure, damage blood vessels and increase your risk of heart attack and stroke, which are all bad news for your CKM health. If you’re currently trying to quit, you aren’t alone, so don’t be afraid to seek out support groups and resources to help.

- Prioritize Healthy Sleep – Sleep gives your body a chance to rest and recover from the day, but it’s often one of the first things people sacrifice when life gets busy. Poor sleep can increase your risk for heart disease, weight gain and other issues. Aim for a solid 7-9 hours a night. Keep your bedroom cool, dark and comfortable, and do your best to limit distractions like late-night smartphone scrolling.

- Watch Your Blood Pressure – When your blood pressure is high, it forces your heart to work harder to pump blood through the body, which can weaken it over time. It can also damage the delicate arteries in and around the kidneys, putting CKM health further at risk. Information is power, so check your blood pressure frequently to know whether further action is needed to keep it under control.

- Manage Your Blood Sugar – High blood sugar can damage the kidneys, eyes, blood vessels and more, thereby increasing your chance of developing harmful CKM conditions. Controlling blood sugar is particularly important for people with diabetes. If you don’t have diabetes and still experience frequent blood sugar spikes and crashes, talk to your doctor.

- Control Your Cholesterol – Cholesterol comes in both “bad” (LDL) and “good” (HDL) forms, requiring a balancing act to keep your levels within a healthy range. If LDL is high and HDL is low, your risk of clogged blood vessels, heart attack and stroke are higher. Healthy levels keep blood flowing to your heart and kidneys, supporting your metabolic health in the process. See your doctor for regular bloodwork so you can monitor cholesterol changes.

- Maintain a Healthy Weight – Since excess body weight puts pressure on the heart, kidneys and other organs, a healthy body weight helps lower your risk of CKM syndrome. Whether you’re hoping to maintain or reduce your weight, regular exercise, healthy eating and quality sleep are all great ways to achieve your goals.
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