Dental care is vital to overall health, but finding and affording services is a challenge in many states - including New Mexico.

Dental therapists, trained in local colleges and working under the supervision of dentists, have been shown to fill the gap in oral health needs.

That led New Mexico lawmakers to pass legislation in 2019, establishing the profession of Dental Therapist.

But Barbara Webber - executive director of Health Access New Mexico - said implementation has been slow, and too many rural, tribal and underserved urban New Mexicans go without care.

"We have parents talking about, 'I will get oral health care for my children, but I can't afford it for myself,'" said Webber. "So, they'll have all kinds of issues in their mouth that lead to infection and lead to lots of problems."

The results of poor oral health in adults puts them at risk for other complications, including heart disease.

Health Access New Mexico says hundreds of thousands of state residents live in areas without enough dentists and more than a quarter of elementary school children have untreated tooth decay.

Frank Catalanotto, a board member with the National Coalition of Dentists for Health Equity, said geography is a big factor in whether folks can access services.

"We've got lots of people in rural areas of this country," said Catalanotto, "where there are not enough dentists."

Webber said nearly half the population of New Mexico is on Medicaid, which many dentists don't accept. So even when folks know they have gum disease, some don't seek treatment.

"We did a poll two years ago," said Webber. "Forty-four percent of people reported that in the last year they did not fill a prescription or they were skipping medications due to cost, and that's twice the national average."

Southeastern and southwestern states have higher levels of periodontal disease, including New Mexico.

Sudden cardiac arrest claims the lives of about 250 Michigan children and young adults each year. Legislation signed into law over the weekend aims to reduce that number. The new state law will require all public high school coaches to become CPR and AED certified.

Alexander Bowerson, now a freshman at the University of Michigan, is excited about it. During his senior year at Memphis High School, he says he would have died during wrestling practice had it not been for the quick thinking of a cheerleading coach who was also a nurse, and the defibrillator or AED that was available onsite.

"She knew exactly what to do," he said. "She realized it was cardiac right away, got an AED on me, took one shock and within 15 minutes after my first symptoms, was when I remember regaining full consciousness."

House Bills 5527 and 5528 will also require K-through-12 schools to establish a cardiac emergency response team, and do annual reviews of their emergency plan. The cost for CPR and AED certification is between $15 and $100 - and school districts will not be required to pay for the training.

Under the new law, the mandatory AED and CPR certifications must be obtained through the American Red Cross, American Heart Association, or an organization approved by the Michigan Department of Education. Bowerson said all it takes is a simple online search to see that there are a few kids in the Detroit area this year, who experienced cardiac emergencies.

"So now that it's required, I hope school boards take it seriously - and there's going to be a kid alive today, or whenever it happens, that wasn't going to be alive before, because of these bills," he said.

The new cardiac emergency response law goes into effect starting in the 2025-2026 school year.


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A new report reveals that investing in rural areas can improve essential resources for the people living there. Despite a significant rural population of 46 million in the United States, these regions receive only a minimal amount of grant funding. Back in 2012, the Kate B. Reynolds Charitable Trust launched the Healthy Places North Carolina initiative and allocated $1-hundred million to 10 rural counties. The aim was to improve resource accessibility, and after a decade, their impact report reveals significant progress in areas such as healthy food, recreation and health-care resources.

Adam Linker, vice president for programs with the Reynolds trust, said the key to empowering these communities hinges on close collaboration with the residents themselves.

"The people who know the problems the best are the people who are closest to the issues in the community, and so you have to invest in those leaders, in those organizations so that they can lead the change efforts themselves," he said.

Linker emphasized the power of community-driven solutions for real, lasting change. The report echoes this sentiment, highlighting nearly 600 grants distributed to 61 local organizations across eastern and central North Carolina. Their efforts are making a difference, from setting up addiction recovery centers to improving health-care access.

One community reaping the benefits firsthand is West Marion in McDowell County. Linker pointed to the significance of the West Marion Community Forum, the sole Black-led nonprofit in the county. Historically underserved, Linker notes its pivotal role in creating initiatives such as free public transportation, establishing a thriving community garden and expanding access to vital resources.

"Their community, West Marion, that's predominantly African-American, was at one time they talked about the last that gets snow removal, and through their work of getting to know the city leaders, they're now the first to get snow removal. The city has started paying a lot of attention to what the community has to say," Linker said.

Kristen Burwell Naney, director of learning and impact with the Reynolds trust, believes the last decade has shown that it's not only important for funders to build up community organizations but to also change the way they think about success. She says this work requires a long-term strategy.

"So rather than expecting to see quick changes in population health outcomes, we found that you need to focus on things like detection of changes in networks, relationships, power and problem solving within a community, " she explained.

The report highlights key lessons for funders who want to shift conditions that produce inequality to drive change. Naney explained one important take-away to understand is that differences in organizations' abilities are often due to unequal access to financial and capacity building resources. The report suggests that funders have an opportunity to address these imbalances by offering more targeted support to groups that have historically been underfunded or excluded.

Birth doulas assist new moms with the stress, uncertainty and anxiety of childbirth. Another type of doula offers similar support - to those who are dying. Death doulas, or end-of-life specialists, give spiritual and emotional support to people nearing death in a non-medical setting, and to their families after the transition. The word 'doula' comes from the Greek word doule', meaning 'female helper.'

Joy Kahn Harter, a mental health counselor for Anchored Passages in Bloomington, specializes in grief and loss. She encourages open dialogue about what is often an uneasy subject to discuss.

"It is truly educating, advocating and connecting people to either present or future resources that will serve them, and underscoring the choices that people do, in fact, have - that many people don't realize that they have," she said.

Harter added one request she has received is with planning an advance directive - instructions a person can leave behind about their funeral service or cremation, what to do with a pet, or help writing a loving message to family and friends. In 2021, there were about 1,000 per 100,000 residents, with the average mortality at age 76.

Death, or what is sometimes called 'the other side,' can produce feelings of fear, or a sense of denial - especially if a terminal illness has been diagnosed.

Abby Vincent, a death doula with Joy's House in Indianapolis, said some people really 'lean into' the conversation - and others shy away from it.

"And I think it takes somebody who is comfortable with the topic themselves; takes somebody who's a good listener - that is so much a part of it - and is able to hold compassion and space for some of those hard conversations that need to happen. Because there are some beautiful moments that happen during the dying process," she explained.

Training to become a death doula happens in workshops, with required reading and work-study assignments. Since it is not a federally recognized field, insurance companies don't cover these services. Vincent said she relies on word of mouth and invitations from churches and community groups hosting end-of-life meetings as educational opportunities about the death doula industry.