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

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Updated 6 mins ago - World

At least 100 killed, much of Beirut destroyed in massive explosion

Photo: Anwar Amro/AFP via Getty Images

A major explosion Beirut, Lebanon has killed at least 100 people and injured over 4,000, according to the Lebanese Red Cross.

Driving the news: Prime Minister Hassan Diab said the explosions occurred at a warehouse that had been storing 2,750 tons of ammonium nitrate for over six years.

Biden confidants see VP choices narrowing to Harris and Rice

Photos: Tom Williams/CQ-Roll Call, Inc via Getty Images; Win McNamee/Getty Images

Confidants of Joe Biden believe his choices for vice president have narrowed to Sen. Kamala Harris and Susan Rice — and would be surprised if he picks anyone else.

The state of play: This is a snapshot of the nearly unanimous read that we get from more than a dozen people close to him.

An election like no other

Illustration: Eniola Odetunde/Axios

The coronavirus will make the 2020 presidential election different from any in modern history: Voting that begins earlier, results that take longer, mail carriers as virtual poll workers and October Surprises that pop in September.

The big picture: Perhaps 80 million Americans will vote early, by mail or in person, Tom Bonier, CEO of TargetSmart, a Democratic political data firm, tells Axios. That's going to set up more of an Election Season than an Election Day — and increase the odds of national turmoil over the vote count.