rural

Once considered the heart and soul of the country, rural America is facing very difficult times. People are moving away, and towns are disappearing.

The lack of economic opportunities exacerbates the health problems that plague rural America. Poverty and despair play a role in drug addiction, which has manifested in recent years as an opioid epidemic. The death rate from overdoses of all drugs is highest in West Virginia: At 41.5 deaths per 100,000 people, the rate is more than 2.5 times the national average. It's probably no coincidence that West Virginia is one of the poorest states in the country.

Likewise, it is probably no coincidence that the...

Rural America is facing an existential crisis. As cities continue to grow and prosper, small towns are shrinking. That fundamental divide played itself out in the recent presidential election.

Consider this shocking chart produced by the Brookings Institution. It shows that, in 2000, George W. Bush won 2,397 counties (compared to Al Gore's 659), and those counties represented 46% of America's GDP. Fast forward to 2016. Donald Trump won an even larger share: 2,584 counties (compared to Hillary Clinton's 472). Yet, counties that voted for Trump accounted for only 36% of the nation's GDP. Since most Bush counties also voted for...

Babies inside the womb, as they exit and once out into the world —especially if breastfed—are influenced to varying degrees by their mother’s exposures, albeit illicit or prescription drug intake, food ingestion or smoking, to name a few.  

If a pregnant mother is chronically using opioids, for example, then birth with subsequent severing of the umbilical cord enacts an abrupt cessation of the substance to the baby.  The result is a newborn in withdrawal.  This is called neonatal abstinence syndrome (NAS).  It can be mild or happen upon a wide array leading to severe.

A new research letter in JAMA Pediatrics...