Trey Kay

Us & Them: Substance Use Disorder — Can You Recover Without A Place To Call Home?

For many grappling with substance use disorder, homelessness, and the justice system, the struggle has never been more intense. New tough-on-crime laws—like Kentucky’s “Safer Kentucky Act”—are ramping up penalties on many crime categories that include a banon public camping, deepening the crisis. On this episode of Us & Them, host Trey Kay returns to Kentucky to explore the real-world consequences: urban areas face severe housing shortages and persistent substance use challenges, while small-town Appalachia remains even more isolated from essential support networks.

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Us & Them: We The People [But Not So Much] Women

Many assume the U.S. Constitution guarantees equal rights for all, but its authors didn’t seem to envision women as part of "We the people." On the next episode of Us & Them, host Trey Kay speaks with law professor Jill Hasday, whose new book We the Men argues that women are systematically forgotten in America’s founding stories—and that exclusion has powerful symbolic and emotional consequences.

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Us & Them: Black West Virginians With Substance Use Disorder Face Unique Challenges

The Trump administration’s proposed spending cuts could jeopardize Medicaid funding—a lifeline for many West Virginians who face the nation’s highest overdose rate. On this episode of Us & Them, host Trey Kay explores how Medicaid dollars support recovery organizations and the unique challenges confronting Black West Virginians with substance use disorder.

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Us & Them: Housing Options Are Few & Far Between In Appalachia

In West Virginia, homeownership is a paradox. While the state boasts the nation’s highest homeownership rate, low incomes mean many homes are aging and in disrepair. In one county, 67% of houses are over 80 years old. Across Appalachia by one measure, there are 500,000 people living in substandard conditions. This is the hidden crisis at the heart of Appalachia's housing landscape.

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