Bram Sable-Smith / KBIA/Side Effects Public Media

When the hospital closed in rural Ellington, Missouri, a town of about 1,000, the community lost its only emergency room, too. 

That was 2016. That same year, a local farmer had a heart attack.

$5 Per Tooth Extractions Draw Those Without Affordable Dental Care

Oct 3, 2017
Marissanne Lewis-Thompson/KRCU

After 20 years of selling and using meth, 38-year-old Andy Moss turned his life around. He got off drugs and got a good job. Next step: he wanted to fix his teeth, which had disintegrated, leaving nerves exposed.

Bram Sable-Smith / KBIA/Side Effects Public Media

For five years now, the Missouri legislature has considered legislation to create a prescription drug monitoring database that would allow pharmacists and physicians to look at their patient's prescription history for signs of misuse of narcotics. And for five years, Missouri pharmacists like Erica Hopkins have watched those efforts fail with disappointment.

Blue Cross Blue Shield of Kansas City announced on Wednesday that it will not offer individual plans on the Affordable Care Act insurance exchanges next year The move will affect about 67,000 people across 30 counties in Missouri and two counties in Kansas

“Through 2016 we have lost more than  $100 million [on ACA plans],” the company’s CEO Danette Wilson said in a release. “This is unsustainable for our company.”

Durrie Bouscaren / St. Louis Public Radio

This week, Missouri transferred the state-run health coverage of about 240,000 low-income adults and children to managed care plans run by three companies: WellCare, Centene Corporation and United Health Group.

GOP Health Care Bill Could Hit Rural America Hard

Mar 21, 2017
Screenshot/Department of Health and Human Services

Darvin Bentlage says his health insurance plan used to be the same as all the other cattle farmers in Barton County, Mo.: stay healthy until he turned 65, then get on Medicare. But when he turned 50, things did not go according to plan.

“Well, I had a couple issues,” he says.

He’s putting it mildly.

Bram Sable-Smith / KBIA/Side Effects Public Media

Deana Kilpatrick smoked crack for the first time when she was 13 years old. “From there,” she says, “I really just spiraled down hill.”

For the next 30 years, drugs and alcohol were part of her life. Then last November, at the age of 43, she moved to Branson, Missouri looking for a new start. It was going pretty well until loneliness drove her to relapse a few months ago. She got a fourth DWI and faced up to four years in jail.

...j e r e m y... / flickr

On a rainy Tuesday morning in May, social worker Meghan Bragers drove up to Ferguson, Mo. to visit a 23-year-old expectant mother named Marie Anderson.

Anderson, who was 33 weeks pregnant at the time, was having a particularly difficult pregnancy.

“She’s been in a car accident, her car has been totaled, she’s having back issues, she’s having increased depressive symptoms,” Bragers said en route to the visit. “Things have gotten pretty difficult.”

Difficult, or as Anderson herself called it, “a tornado.”

Bram Sable-Smith / KBIA/Side Effects Public Media

Earlier this year, 69-year-old Aneita McCloskey needed her two front teeth filed down and capped.

“They were kind of worn down and they were also getting little tears and cavities,” she recalls.

Without dental insurance, McCloskey is on the hook for the full $2,400 cost of the procedure. She was given 18 months to pay it before she gets charged interest. That’ll be hard to do on her fixed income.

In years past she would have had to wait to see the dentist again until she could afford it.

Audio Pending...

When cracking down on opioids means tougher access for sickle cell patients

Apr 20, 2016

Growing up, as the searing pain of a sickle cell crisis would spread through her veins, Tanjila Bolden-Myers would ask her mother if this time, it would kill her.  

“I ask her now to this day, ‘Mom, how did you look me in my face and not break? Every time I asked you that?’” said Bolden-Myers, now 38. “And she was like, ‘No, baby, you’re not going to die this time. You’re not going to die.’”