Arielle Zionts

Author's posts

Just two doctors serve this small Alabama town. What’s next when they want to retire?

Like much of rural America, LaFayette, Alabama, has no hospital or urgent care clinic. As the town’s two primary care doctors approach retirement, some experiments are bubbling up to care for people.

The DEA Relaxed Online Prescribing Rules During Covid. Now It Wants to Rein Them In.

Supporters say the proposed rules would balance the goals of increasing access to health care and helping prevent medication misuse. Opponents say the rules would make it difficult for some patients — especially those in rural areas — to get care.

Thousands Face Medicaid Whiplash in South Dakota and North Carolina

Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina.

Community Paramedics Don’t Wait for an Emergency to Visit Rural Patients at Home

Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.

Truly Random Drug Testing: ADHD Patients Face Uneven Urine Screens and, Sometimes, Stigma

Doctors have no national standards on when to order urine tests to check whether adult ADHD patients are properly taking their prescription stimulants. Some patients are subjected to much more frequent testing than others.

It Takes a Village: Foster Program Is a New Model of Care for Indigenous Children

A foster care program on the Cheyenne River Reservation in South Dakota is attracting attention from officials elsewhere as they search for ways to reduce trauma inflicted on Indigenous families, who’ve faced generations of high rates of family separation.

Telehealth Brings Expert Sexual Assault Exams to Rural Patients

Some rural residents must travel hours for a sexual assault exam. Specialized telehealth services are expanding so they can obtain care closer to home.

South Dakota Voters Approved Medicaid Expansion, but Implementation May Not Be Easy

South Dakotans voted to expand the state’s Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.

Campaigning Ramps Up as South Dakota Voters Decide on Medicaid Expansion

A broad coalition of Medicaid expansion supporters faces off against a smaller group of opponents as early voting begins on a constitutional amendment that would increase coverage under South Dakota’s program.

Tribe Embraces Recreational Marijuana Sales on Reservation Where Alcohol Is Banned

The Pine Ridge Indian Reservation in South Dakota allows people to buy and use recreational marijuana but not alcohol. Some tribal citizens say cannabis is safer than alcohol, meth, and opioids — which have wreaked havoc on the state’s Indigenous communities.