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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

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — Fauci says U.S. may not return to normal until 2022
  2. Politics: Top HHS spokesperson pitched coronavirus ad campaign as "helping the president" — Space Force's No. 2 general tests positive for coronavirus
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases — Europe faces "stronger and deadlier" wave France imposes lockdown Germany to close bars and restaurants for a month.
  4. Sports: Boston Marathon delayed MLB to investigate Dodgers player who joined celebration after positive COVID test.
Dan Primack, author of Pro Rata
2 hours ago - Economy & Business

Leon Black says he "made a terrible mistake" doing business with Jeffrey Epstein

Photo illustration: Sarah Grillo/Axios. Photo: Rick Friedman/Corbis/Getty Images

Apollo Global Management CEO Leon Black on Thursday said during an earnings call that he made a "terrible mistake" by employing Jeffrey Epstein to work on personal financial and philanthropic services.

Why it matters: Apollo is one of the world's largest private equity firms, and already has lost at least one major client over Black's involvement with Epstein.

3 hours ago - World

Jeremy Corbyn suspended by U.K. Labour Party over anti-Semitism report

Photo: Christopher Furlong/Getty Images

The U.K. Labour Party has suspended its former leader, Jeremy Corbyn, after a watchdog report found that the party failed to properly take action against allegations of anti-Semitism during his time in charge.

Why it matters: It represents a strong break by Keir Starmer, Labour's current leader, from the Corbyn era and one of the party's most persistent scandals.