More than a third of America's incarcerated population has a mental illness

Fueled in part by America's deinstitutionalization movement and gaps in mental health support, an estimated 44% of those in jail and 37% of those in prison have a mental illness, according to figures from 2012, the latest available. Population-wide, only 18% of the general population is estimated to have a mental illness.

People in certain states can now work remotely from prison.

Government watchdog says nursing homes are inappropriately diagnosing schizophrenia

The Department of Health and Human Services Office of Inspector General said in a March 2026 report that nursing homes are incorrectly diagnosing their residents with schizophrenia to mask the facilities' misuse of antipsychotic medications. The drugs, the report states, are being widely used to make staff members' jobs easier and to keep nursing home quality measures high—since antipsychotic use for schizophrenia wouldn't be counted against the facility. (PDF)

Deinstitutionalization in the 20th century unintentionally led to the incarceration of schizophrenia patients

Activism to shut down problematic asylums in the mid-20th century led to the community release of many patients with severe mental illnesses, including schizophrenia, but without adequate support, this deinstitutionalization in the 1960s and 1970s led to a significant increase in patients with schizophrenia ending up in prisons and homeless shelters.

Hawaii is the most expensive state for funding a 40-year retirement

If someone wanted to retire by the time they were 40 years old in Hawaii, they would need to save an estimated $4,557,767. See how other states meaasure up in this article.

Prison money diaries: the thriving underground economy behind bars

How people in prison earn money, how much they spend, and the lengths to which they go to secure basic needs and comforts.

Concierge services are one of the top medical costs retirees fail to factor into their planning

One of the unexpected medical costs retirees are facing is thousands of dollars a year for concierge care membership fees. A typical annual fee can average $3,500. Concierge care is an option that's particularly popular among older adults with more complex health needs and in some areas of the country doctors are increasingly turning away Medicare patients and only accepting new patients willing to pay annual fees for concierge medicine. (Some users may experience a paywall.)

One Connecticut prison is using pickleball for rehabilitation

The Pickleball for Incarcerated Communities League started in 2023 at the MacDougall-Walker Correctional Institution in Hartford, Connecticut, but has already expanded to other facilities across the state. Inmates say it's been transformative. The program has plans to expand to other states.

Medicare vs. Medicaid explained in 60 seconds

Medicare and Medicaid both provide government-funded healthcare but serve different groups. Medicare, launched in 1965, covers those 65 and over and has three parts: hospital stays (A), outpatient care (B), and prescriptions (D). Medicaid, funded by federal and state governments, supports low-income individuals, with eligibility varying by state.

Read excerpted accounts from some of the 8,000 residents with leprosy on Moloka'i

Accounts preserved by the Kalaupapa National Historical Park describe how residents felt about being sent to live in this remote location and knowing they would never be allowed to leave. In 2012, 20 residents with the disease continued to voluntarily live in the area.

In 1865, Hawaii's king authorized forcible removal, quarantining of those with leprosy

King Kamehameha V authorized the removal of anyone with leprosy symptoms and for them to be placed in a medical facility later maintained by the Catholic Church on Moloka'i, Hawaii's fifth largest island. Patients weren't allowed to transfer to other medical facilities until 1969.

Why Hawaiians live longer

Hawaii has the longest life expectancy at birth out of all 50 states, according to the US Centers for Disease Control and Prevention. Key factors include strong healthcare, lots of sunlight, and active lifestyles.

Hospitals are required to care for emergency patients, even if they can't pay

A federal law called the Emergency Medical Treatment and Labor Act, which was passed in 1986, requires any Medicare-participating hospital with an emergency room to provide emergency medical care—including if the patient is in labor—until the patient is stable. That requirement applies regardless of the patient's ability to pay, insurance status, or, in some cases, immigration status.

The nebulous nature of parole

When Jacob Wideman was 16 years old, he fatally stabbed his summer camp roommate and briefly fled authorities before turning himself in and confessing. After spending 30 years in prison, he was released on parole. Nine months later, Wideman was back in prison, accused of violating parole for not booking a therapy appointment fast enough. This is the first episode in a seven-part series exploring Wideman's case and parole.

Many 'cheap' retirement destinations contain hidden costs

Considering factors outside of housing and state income tax is crucial when thinking of an inexpensive place to retire. High energy bills, grocery tax, and insurance premiums are just a few things to look out for when picking where to live.

Hear firsthand stories of prison life from those living it

"Ear Hustle"—produced inside San Quentin Rehabilitation Center (formerly known as San Quentin State Prison)—shares personal and often surprising stories of incarceration and reentry—providing listeners with an unfiltered human perspective on the US justice system.

HSAs are frequently criticized for exacerbating inequality in healthcare access

Health savings accounts offer large tax advantages, but require personal contributions. Some argue that the tax advantages benefit wealthy individuals more than anyone else and that HSAs don't do much to help people who can't afford to regularly contribute to one. As a result, HSAs only decrease costs for those who can comfortably invest in them, and health inequalities between high-income and low-income individuals are exacerbated.

Older, medically complex patients are a high proportion of concierge practices, a membership-based model which is sometimes referred to as retainer medicine or VIP medicine.

Special needs trusts help financially care for dependents with disabilities.

Most Americans are now dying at home, reversing 20th century trends

For most of the 21st and 20th centuries most Americans died in hospital settings. But in 2016, home-based deaths overtook hospitals; most Americans are now dying at home, likely fueled by individual preferences to die at home or to receive at-home palliative care.

Insurance denials prevent lifesaving care for patients with eating disorders

A patient living with anorexia nervosa was told by her insurance company that she wasn't sick enough to receive needed care. Her experience highlights how some insurers across Washington state focus on less useful metrics like body mass index and weight to gauge sickness instead of psychiatric symptoms that may better illustrate the urgency of receiving care.

‘Hamlet’ is a widely produced show, including a famous performance at one prison

Rehabilitation of convicted violent criminals in Missouri’s Eastern Correctional Center included performances of “Hamlet,” one of Shakespeare’s greatest plays.

Hawaiian households spent 33% more on groceries than the US average in 2025

At $157 per week, Hawaiians had the highest average weekly grocery bill out of all the US states in 2025. Arkansas residents spent the least on groceries at $111 per week.

13 things Medicare gives you for free

Even people on Medicare, the US government health insurance program for people 65 and older, have to pay for their own co-pays and prescription drug costs. But other services, like alcohol counseling and colorectal screenings, may be free for Medicare recipients. To learn about 11 more things that are free with Medicare, scroll through this list.

America's financial burden from dementia in 2025 was $781 billion

That figure, calculated by researchers at the University of Southern California, includes medical and long-term care costs, unpaid family and friend caretaking, lost productivity for patients and their families, and the economic loss in quality of life for patients and their families. In 2025, they estimate there were 5.6 million people living with dementia.

Mental illness in the US costs roughly $282B annually nationwide.

In 2023, Native Americans had the lowest life expectancy at birth among all racial and ethnic groups

Native Americans and Alaska Natives face significant health disparities linked to chronic underinvestment in reservation health infrastructure, poverty, and multigenerational psychological harm—often called historical or inherited trauma.

California has the highest median rent in the US at $2,104

Hawaii has the second-highest median rent in the US at roughly $1,942 per month, including utilities. That's as of 2024, based on data from the US Census Bureau.

Congress didn't renew temporary enhanced Affordable Care Act federal subsidies that expired at the end of 2025, a move that substantially raised ACA health insurance premiums.

Dozens of US women in labor turned away from hospital between 2022 and 2024

An Associated Press analysis of federal hospital investigation data concluded that more than 100 pregnant women in medical distress were turned away from emergency rooms or treated negligently since 2022.

Read an account of what life was like in America's national leprosarium—its leper colony

José Ramirez Jr. shares an account of his eight years at the 300-acre national leprosarium in Carville, Louisiana, from 1968 through the mid-1970s. Mostly staffed by nuns with nursing degrees, this facility was home to hundreds of people at a time, and it's also the site where they were required to be buried.

Critics of concierge medicine argue it's worsening physician shortages and expanding inequity

Some research suggests that the average wait time for a primary care visit in major US cities can be 21 days. Subscription-based medical practices offer faster in-person and virtual appointment options, but the price barrier to this type of service may worsen inequity in healthcare access. (Some users may experience a paywall.)

The Bureau of Prisons manages 122 federal prisons and over 150,000 inmates

The Federal Bureau of Prisons, part of the DOJ, runs 122 facilities across the United States, holding over 150,000 inmates. It manages custody, security, rehabilitation, and reentry programs within the federal correctional system.

Private equity's expansion into healthcare has been criticized for raising patient medical costs

Between 2000 and 2018, PE's total investment in healthcare ballooned from $5B to $100B. While healthcare systems originally began consolidating as a solution to navigating complex regulations (and to make working with insurance companies easier), research suggests that private equity has both increased patient costs and decreased the quality of care in hospitals and doctors' offices.

America had a national leprosarium—a leper colony—in Louisiana until 1999

Public health officials forcibly sent those diagnosed with leprosy to the Louisiana Leper Home in Carville, first founded in 1894. Listen to an interview about this site, its evolution, and how its residents advocated for themselves—including regaining the right to vote.

States are creating legislation to try to better protect their healthcare workers

State lawmakers and hospitals are scrambling to protect the nurses, doctors, and other healthcare workers that are increasingly experiencing workplace violence. Dozens of states have passed laws or are working on bills that aim to curb hospital and clinic violence by requiring detailed violence prevention plans from employers, increasing legal penalties for those who attack healthcare workers, or taking steps like requiring hospitals to have a law enforcement officer—not just a security officer—on-site.

Healthcare fraud may cost the US more than $100B annually—see this dashboard tracking healthcare fraud cases nationwide.