The Arizona Department of Transportation wants to hear from people across the state as it looks to set priorities for the state's 2050 Long-Range Transportation Plan.

The Arizona Public Interest Research Group Education Fund said the state plan should reflect the needs of all Arizonans, no matter where they live.

Diane Brown, executive director of the group, said there has been a clear need to increase features like bike lanes and walking paths, and also to improve public transit options. Brown thinks the goal should be to have transportation choices to help Arizonans save money, improve air quality and take public health impacts into account.

"The transportation system needs to significantly incorporate active transportation such as walking and biking along with public transit to provide Arizonans options," Brown asserted.

Brown added while Arizonans have expressed a desire for more public transit and alternate modes of transportation, it is unclear what the department is doing to help achieve such goals. According to the agency, 85% of people in the state travel by car, and fewer than 2% use public transit. The schedule includes a virtual meeting on March 9 at 6 p.m.

The 2050 Long-Range Transportation Plan is not project-specific, but sets goals to guide the agency's transportation investments for years to come. The current plan focuses primarily on preserving and maintaining the state's current highway system.

Brown countered policymakers should invest in a transportation infrastructure which looks ahead to future needs, especially as the state faces continued water, climate and social equity challenges.

"ADOT recognizes Arizona's population is projected to increase and with it, Arizonans can expect further strain on our water resources and impacts to our climate," Brown pointed out.

Brown's group said the state's willingness to expand highways to alleviate congestion will help in the initial years, but not over time. According to the department, Pinal County is expected to see a big population jump by 2025, and together, Maricopa, Pima and Pinal counties will hold nearly 85% of the state's population.

A California group formed after the firestorm that leveled the town of Paradise is stepping up to help Maui recover from its own disaster last month. Leaders from the Medspire nonprofit mobile clinic in Paradise donated money and expertise to medical staff on Maui.

Elisabeth Gundersen, Medspire co-founder, said a mentor program is being formed to pair survivors from Maui with people from Paradise who can help people deal with insurance companies, aid programs and post-traumatic stress.

"When something like this - it's unprecedented, two groups of people who've experienced something so similar, I think it's really helpful and healing on both sides to have that connection," she explained. "Be able to ask questions and talk through really unique and traumatic experiences."

Medspire donated $7,500 immediately after the fire to help with medicines, durable medical equipment, and flights to bring in extra medical personnel. The group also put the team on Maui in touch with the organization Direct Relief, which provided more than $200,000 in grants and sent planeloads of medications and personal protective equipment.

Dr. Trina Chakravarty, an OB-GYN physician who practices at Malama I Ke Ola Health Center in Lahaina, and at Maui Memorial Hospital, said this type of care is critical.

"Medspire set our expectations that it takes a while to have an organized assessment and control," Chakravarty explained. So, they gave us the resources that we needed to be able to actually offer some type of organized care."

Medspire also connected the Maui team with the International Technology Disaster Resource Center, which provides no-cost emergency communications and technical resources that help communities begin recovery after catastrophic events.


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A shortage of volunteers is taking its toll on food banks in Washington state.

Joe Gruber, executive director of the University District Food Bank in Seattle, said they have about 300 weekly volunteers who make their operations possible. But with COVID-19 worries subsiding this summer, their usual volunteer base has been getting out and traveling more than past years.

Gruber pointed out the shortage comes at an unfortunate time because they are busier than at any point during the pandemic, seeing 50% more people in 2023 than 2022. He acknowledged the increased need stems from a confluence of issues.

"The inflation that folks have experienced over the last few years, and then we've also seen an erosion of some of the enhanced benefits like SNAP had received some extra dollars," Gruber outlined.

An increase in funds for the Supplemental Nutrition Assistance Program during the pandemic ended in March. A recent study found SNAP recipients experienced a 21% increase in food insufficiency after the increase ended.

Gruber emphasized the lack of volunteers is hurting not just inside the food bank but in other operations, such as their home delivery program. He added they have also seen a 10% to 15% decline in food donations, which means they have to buy more food.

"We're needing to fundraise more money to make sure that we've got those resources available, and that's another way that volunteers have helped us in the past," Gruber stressed. "We have an annual fundraising auction where we'll hope to raise $250,000 or $300,000, and it happens because volunteers commit."

Gruber noted fortunately for his food bank, students at the nearby University of Washington campus lend their assistance.

"They've engaged deeply in our work and supported it," Gruber observed. "Hopefully for us, we'll have a resource that not every food bank will have available to them; an abundant pool of interested and engaged students starting back in the fall."


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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.