Aug 16, 2019

The dire state of rural mental health care

Photo: John Fedele/Getty Images

There is one psychiatrist in eastern Montana, the state with the highest suicide rate in the country, reports Bloomberg.

Why it matters: That's reflective of the availability of mental health care throughout the country, especially in rural areas. There's plenty of need, but not enough providers; in fact, the number of mental health providers has been falling for decades.

  • More psychiatrists are quitting than starting, and about 60% are older than 55.

Between the lines: Psychiatrists are often paid less than other doctors, they struggle with insurance reimbursement, and the job can be incredibly stressful.

  • As the contrast between rural and urban places becomes more stark, it's also hard to convince doctors to live in increasingly strained, isolated communities.

The big picture: Suicide rates are spiking, especially in rural areas, which have a seen a 52% increase in suicides since 1999 compared to urban areas' 15% increase. And rural life isn't getting any easier.

Go deeper: The rural America death spiral

Go deeper

A closer look at how colleges can reopen

The campus of Brown University. Photo: Lane Turner/The Boston Globe via Getty Images

Masks in class, sports on hold, dorm life without roommates and summer 2021 classes for some: Brown University President Christina Paxson tells "Axios on HBO" it's all in play as colleges consider whether and how to safely reopen campuses in the fall.

Why it matters: An extended shutdown of U.S. colleges and universities would leave nearly 20 million students and 3 million employees with an uncertain future, but premature reopenings without proper coronavirus safeguards could jeopardize lives and force more closings.

How Disney World could host the NBA

Illustration: Sarah Grillo/Axios

After weeks of speculation, the NBA announced Saturday that it is in early discussions to resume its season in late July at Disney's ESPN Wide World of Sports Complex in Orlando.

What they're saying: The NBA's most well-sourced reporter, Adrian Wojnarowski, says "everything is pointing toward" this happening, and that teams could start recalling players as soon as next week for a two-week quarantine period and formal training camp before heading to Florida.

U.S.-China trade tensions are escalating again

Illustration: Sarah Grillo/Axios

As the coronavirus pandemic appears to be subsiding in China, it's becoming clear that its targets for the phase one trade deal with the U.S. are unrealistic and there is so far no sign of a plan for renegotiation.

What's happening: White House National Economic Council director Larry Kudlow said Thursday the trade deal was "intact, and China has every intent of implementing it."