The burden of medical debt is not so heavy anymore for some lucky North Carolina residents.

The Coastal Credit Union Foundation partnered with the nonprofit RIP Medical Debt to wipe away some medical bills for about 1,200 people in central North Carolina. A grant of $17,000 was used to settle nearly $2.2 million in debt.

Joe Mecca, vice president of communications for the Coastal Credit Union Foundation, said the ripple effect of medical bills can take a toll on individuals' financial and emotional well-being, so the credit union was happy to help provide a pathway to a fresh start.

"Once they're able to get back on their feet from an occupational standpoint, they still have that medical debt looming over them," Mecca observed. "Clearing that out might be enough to get them back on the path to stability."

The problem of unpaid medical debt is a pressing issue in North Carolina, which ranks among the states with the highest percentages of medical debt in the country, according to a 2022 study by The Urban Institute.

The impact of medical debt is not limited to financial strain. The stress and anxiety associated as the bills mount can affect mental health as well. Adults facing medical debt are three times more likely to experience mental health concerns, according to a University of South Florida study.

Mecca emphasized helping to clear these balances is a small investment that can make a big difference.

"For us, it's just an extension of our mission and helping people achieve overall financial wellness," Mecca added. "This is the first time we've worked with this organization, and we're just really pleased with the overall impact that they were able to achieve with a relatively small grant from Coastal."

A study by the American Economic Association, found medical debt relief not only improves a person's overall well-being, but also improves their access to health care.

Concerns about potential voter intimidation have spurred several states to consider banning firearms at polling sites but so far, New Hampshire is not among them.

Only a dozen states and Washington, D.C., prohibit both open and concealed-carry weapons at voting locations.

Emma Brown, executive director of the Giffords Law Center to Prevent Gun Violence, said most of the bans were enacted after the 2020 election, when unfounded claims of widespread voter fraud took hold.

"The risk of gun violence at the polls is heightened," Brown contended. "Which means that legislation at the state level is even more critical than it ever has been."

Brown argued America's elections are free and fair, and prohibiting guns at polling sites and government locations is constitutional. Opponents countered the bans unfairly disarm law-abiding gun owners.

Recent surveys reveal election workers have faced increased threats and harassment since the 2020 election with one in three reporting some form of abuse. And nearly half of election workers said they are concerned for their colleagues' safety.

Brown pointed out armed intimidation tactics disproportionately target people of color and add to the growing exodus of election workers.

"This is a threat that we can't ignore," Brown stressed. "These attacks have also served as a deterrent to Black and brown election workers, who've historically been a really key part of ensuring that our democracy endures on Election Day."

As state legislatures consider banning guns at voting sites, legislation in Congress known as the "Vote Without Fear Act" would place a nationwide ban on weapons within 100 feet of a federal election facility, with exceptions for on-duty law enforcement and security personnel. It has been languishing in a House committee for a year.

Support for this reporting was provided by The Carnegie Corporation of New York.

Nassau County's executive wants to deputize residents who hold gun permits.

County Executive Bruce Blakemen's plan involves training 100 residents for "the protection of human life and property during an emergency." Little else has been made public about the plan but it has been met with widespread opposition and concern.

Delia DeRiggi-Whitton, minority leader of the Nassau County Legislature, said there are many ways it can go wrong.

"Emergencies are very chaotic situations by nature and all of a sudden, someone shows up that a police officer might not recognize or isn't identified correctly," DeRiggi-Whitton pointed out. "We're just waiting for a disaster to happen."

She added some Nassau County police officers are against the plan and, like many others, feel it's unnecessary. Blakeman said he is relying on New York State County Law 655, which grants sheriffs authority to deputize added personnel for emergencies.

DeRiggi-Whitton noted legal options are being pursued to stop the plan from being enacted.

The lack of information has made residents anxious about what the plan would do. Some have said the effort, along with Blakeman's ban on female trans athletes in county athletic facilities, are solutions without problems.

Susan Gotthrer, director of the Nassau Regional Chapter of the New York Civil Liberties Union, said more pressing issues need to be addressed.

"We have real problems in Nassau County," Gotthrer argued. "We have housing shortages, we have lack of opportunities, we have education issues, high taxes. We would really like to see Mr. Blakeman putting his energies towards real governing issues and not imaginary ones like this."

Blakeman is not alone in pushing to deputize gun owners. Support for militias is growing among conservative politicians. Some residents are worried the armed people will be used to intimidate voters at or after the 2024 election. Nassau County is considered one of the safest counties, not just in the state but in the nation.


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April is National Volunteer Month, and Nebraskans rank high nationwide for their willingness to volunteer.

In the most recent Census Bureau/AmeriCorps report, Nebraska ranked seventh in the nation for formal volunteering and second for informal volunteering.

However, many nonprofits still need more help.

Central Nebraska Community Action Partnership in Loup City serves 21 counties with programs in housing, early childhood, family outreach and community health. It serves 72 counties with its veterans programs.

Executive Director Cheryl Holcomb said it would struggle to offer these services without volunteers.

"Throughout our agency, it is vital - vital that we have volunteers that provide services as well," she said. "We always have a need for more."

Holcomb explained that for their Head Start programs, volunteers do more than help the teachers and children. Their hours also contribute to the 25% match the program's grant funding requires. Volunteer time is valued at nearly $32 an hour, and most grants count volunteer hours as an "in-kind" match. Nationally, women volunteer at a slightly higher rate than men, and Gen-Xers have the highest percentage by age group.

Like other nonprofits providing food assistance, Holcomb said they've seen an increase in need without an accompanying increase in volunteers. She added that the funding for its Commodity Supplemental Food Program, which serves people 60 and older, isn't sufficient to support the program.

"So, relying on volunteers to help offset that program is crucial," she said. "They rely on volunteers to come in and package the food; they rely on volunteers to make deliveries in the specific community."

Central Nebraska Community Action Partnership also relies on volunteers at its two food pantries, a quarterly mobile food pantry and four food warehouses.

There are nine Community Action agencies across the state. Although their programs vary, Holcomb said, all rely on volunteers.