Thousands Travel Outside W.Va. For Abortion Care After Roe

More than 2,200 West Virginia residents traveled out of state to receive an abortion in 2023. Among them, 820 went to Maryland, 600 went to Pennsylvania and 590 went to Virginia.

At least 2,240 West Virginia residents traveled out of state to receive an abortion in 2023, primarily to neighboring states with less strict abortion laws.

Among them, 820 residents traveled to Maryland, 600 traveled to Pennsylvania, 590 traveled to Virginia and 230 traveled to Ohio, according to the Guttmacher Institute, an organization that researches reproductive and sexual health.

This coincides with a growing percentage of abortions provided to out-of-state residents in Maryland, Ohio and Virginia.

Two years ago today, the United States Supreme Court overturned Roe v. Wade, a 1973 ruling that protected abortion access nationally for decades. The decision allowed states to set their own policies on abortion.

In September 2022, Gov. Jim Justice signed a near-total abortion ban into law, prohibiting abortions outside of medical emergencies or instances when a fetus has no chance of survival.

The law makes some exceptions for some pregnancies conceived through rape or incest, but only until eight weeks of gestation for adults, and 14 weeks of gestation for minors.

New restrictions on abortion in West Virginia led some health care providers to bolster out-of-state reproductive health resources.

Located in Charleston, the Women’s Health Center of West Virginia — previously the state’s only abortion clinic — moved its abortion services from Charleston to Cumberland, Maryland, just two miles away from the state border.

Katie Quiñonez serves as executive director of the Women’s Health Center of Maryland, where the West Virginia facility’s abortion services were transferred.

“We did a market analysis and looked at what health care was available in those counties in mountain Maryland,” Quiñonez told the West Virginia Public Broadcasting podcast Us & Them earlier this year.

“We found that, not only was there not an abortion provider, [but] the nearest abortion providers for people living in mountain Maryland were at least 100 miles away,” she said. “We met directly with folks on the ground … in those communities to determine that, yes, there is a need here.”

The 2023 figures for out-of-state travel for abortion also omit residents who received reproductive health care remotely.

This may include residents who took mifepristone, a drug capable of terminating a pregnancy authorized for mail distribution by the U.S. Food and Drug Administration.

Despite increased restrictions on abortion access in many states, the total number of abortions provided nationally has been on the rise.

Between 2020 and 2023, abortions provided across the U.S. increased by 11 percent, reaching their highest number in more than a decade.

Reporter Roundtable Talks Rolling Coal, Reproductive Rights, Jails, Health And More

On this episode of The Legislature Today, we have our weekly reporter roundtable. Randy Yohe is joined by WVPB reporter Briana Heaney and Ogden Newspapers’ State Government Reporter Steven Allen Adams to recap the week’s action.

On this episode of The Legislature Today, we have our weekly reporter roundtable. Randy Yohe is joined by WVPB reporter Briana Heaney and Ogden Newspapers’ State Government Reporter Steven Allen Adams to recap the week’s action.

In the House, there was a lengthy, heated and partisan debate over border security in a resolution to support the state of Texas. On the flipside, there was full bipartisan support for the House Speaker’s bill to help with groundbreaking, disease curing medical efforts at West Virginia University (WVU).

In the Senate, the chamber passed two rules bills – one is headed to the House for consideration, and the other is off to the governor’s desk. Another bill was held over for a day that deals with air quality. Briana Heaney has more.

Also, community and environmental groups testified Friday morning in a public hearing against House Bill 5018. The bill would limit how community air monitoring data could be used in court cases or to affect regulations. West Virginia’s industrial and mining trade groups support the bill, but most people spoke in opposition.

It was also Homeschool Day at the Capitol. With Hope Scholarship funding and a legislature and administration advocating more school choice, homeschooling is a growing endeavor – but not without some basic education and safety concerns.

Finally, for our weekly report from our high school journalists, they look at a couple bills that were of particular interest to them and to other high school and college-aged students around the state.

Having trouble viewing the video below? Click here to watch it on YouTube.

The Legislature Today is West Virginia’s only television/radio simulcast devoted to covering the state’s 60-day regular legislative session.

Watch or listen to new episodes Monday through Friday at 6 p.m. on West Virginia Public Broadcasting.

The Rise Of Advanced Black Lung, Inside Appalachia

This week on Inside Appalachia, black lung disease is back. In fact, it never went away. Now, younger and younger miners are living with a particularly nasty form of black lung disease. Regulators and the coal industry have known about the problem for decades — but they’ve been slow to respond. One reporter asks, “What would happen if thousands of workers in any other industry got sick and died just because of where they worked?”

Updated on Oct. 10, 2023 at 11:30 a.m.

Black lung disease is back. In fact, it never went away. Now, younger and younger miners are living with a particularly nasty form of black lung disease. 

Regulators and the coal industry have known about the problem for decades — but they’ve been slow to respond. 

One reporter asks, “What would happen if thousands of workers in any other industry got sick and died just because of where they worked?” 

This week, we’re talking about the black lung epidemic, Inside Appalachia.

In This Episode:


Advanced Black Lung Cases Rising

The blackened lungs of a coal miner who received a transplant at age 60.

Credit: Mine Safety and Health Administration

Advanced black lung is rampant across the coal-producing regions of central Appalachia, in West Virginia, eastern Kentucky and southwestern Virginia. 

This is different from simple black lung, which is debilitating, but advanced black lung is known as progressive massive fibrosis. It’s the result of miners digging at increasingly thin coal seams. To get at the coal, they cut into quartz, which creates silica dust. 

Breathing the mix of silica and coal dust is much more destructive, and like simple black lung, there is no cure. 

Advanced black lung has been documented for decades, but it’s getting new attention from federal officials. 

As part of our special program, we aired a 2018 NPR segment with Howard Berkes, where he met with dozens of Appalachian miners with advanced black lung disease.

Federal Regulators Are Crafting New Rules

Most coal production has been declining for years, but the metallurgical coal industry has been ramping up production to meet global demand. With increased demand, experts predict more cases of black lung. After years of inaction though, federal officials are addressing the issue.

Over the summer, the Mine Safety and Health Administration proposed a rule intended to protect coal miners from exposure to silica dust.

By the time the comment period closed in September, the draft rule had attracted 157 comments.

WVPB’s Emily Rice reported.

Recent Investigations Into Black Lung

Howard Berkes has continued to report on advanced black lung, even after retiring from NPR. Recently, he helped lead a new investigation into advanced black lung cases, co-published by Public Health Watch, Louisville Public Media and Mountain State Spotlight.

Mason Adams spoke with Berkes about what they found. 

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Our theme music is by Matt Jackfert. Other music this week was provided by John Hurlbut and Jorma Kaukonen, Tim Bing, June Carter Cash and Steve Earle.

Bill Lynch is our producer. Zander Aloi is our associate producer. Our executive producer is Eric Douglas. Kelley Libby is our editor. Our audio mixer is Patrick Stephens.

You can send us an email: InsideAppalachia@wvpublic.org.

You can find us on Instagram, Threads and Twitter @InAppalachia. Or here on Facebook.

Sign-up for the Inside Appalachia Newsletter!

Inside Appalachia is a production of West Virginia Public Broadcasting.

***Editor’s note: The U.S. Mine Safety and Health Administration collected 157 comments on its proposed silica dust rule. A previous version of this story misstated the number of comments the agency received.

Old School Fly Fishing Rods And Minor League Baseball Lore, Inside Appalachia

This week on Inside Appalachia, we meet a craftsman who builds exquisite, handmade fly rods and shares his love of fishing with others. We also talk about Appalachia’s nurse shortage, and we hear stories about Appalachian baseball.

This week, we meet a craftsman who builds exquisite, handmade fly rods and shares his love of fishing with others.

We also talk about Appalachia’s nurse shortage. Experts say tackling racism could help attract and keep more nurses.

We also hear stories about Appalachian baseball and listen to the story of how a minor league team in Tennessee traded its shortstop — for a turkey.

You’ll hear these stories and more this week, Inside Appalachia.

In This Episode:


The Tao Of Fly Fishing Rods

The path from making the fly fishing rod to using it is long, but still ends in the river.

Credit: Zack Harold/West Virginia Public Broadcasting

Fly fishermen are a different breed. There’s plenty of newfangled fishing gear out there, but some folks prefer to fish with hand-made rods made with traditional materials.

Folkways Reporter Zack Harold takes us along on a trip to the Elk River to learn more.

Nursing Crisis In Kentucky

Health care access is still a major problem in our region. Along with a lack of facilities, there’s a growing need for more nurses — especially nurses who are people of color.

WFPL’s Morgan Watkins reports. 

Reviewing The Story Of West Virginia’s Statehood

Mason Adams hears more about West Virginia’s split from Virginia, which was more complex than choosing to stay with the union.

Courtesy

If you live in and around West Virginia, you’ve probably heard the history of how the state split off from Virginia. But if your history classes didn’t get into it, or if you don’t remember the finer points, West Virginia University (WVU) history professor Hal Gorby explains what people get wrong about the creation of West Virginia.

Inside Appalachia Host Mason Adams spoke with Gorby.

Baseball Lore In Appalachia

“Tales from the Dugout: 1001 Humorous, Inspirational & Wild Anecdotes from Minor League Baseball” explores some of the stories of the minor leagues.

Courtesy

Minor league baseball is back. Through early fall, there’s almost always a game happening somewhere. Veteran minor league baseball announcer Tim Hagerty is the author of “Tales from the Dugout: 1,001 Humorous, Inspirational & Wild Anecdotes from Minor League Baseball.”

Bill Lynch spoke with Hagerty about minor league ball and some of Appalachia’s best baseball lore.  

——

Our theme music is by Matt Jackfert. Other music this week was provided by Tyler Childers, Erik Vincent Huey, Jeff Ellis, and Alabama.

Bill Lynch is our producer. Zander Aloi is our associate producer. Our executive producer is Eric Douglas. Kelley Libby is our editor. Our audio mixer is Patrick Stephens.

You can send us an email: InsideAppalachia@wvpublic.org.

You can find us on Instagram and Twitter @InAppalachia. Or here on Facebook.

Sign-up for the Inside Appalachia Newsletter!

Inside Appalachia is a production of West Virginia Public Broadcasting.

Nurse’s Assistant Combines Passions For Horses, Medicine

Sarah Dorsey knows the importance of making a connection.

“I was diagnosed at the age of 10 with cardiomyopathy,” she said. “I’ve had to go through open heart surgeries. I have a pacemaker and a defibrillator so I’ve really been dealing with a disability from a young age.

While her classmates ran and played or joined sports teams, Dorsey watched from the sidelines.

But though she said missing out on the relationships her classmates formed was difficult, she found her own happiness on the back of a horse.

“I guess I really did use horses as therapy,” she said, explaining she began riding when she was 8. “When you can’t fit in and participate in the activities the other kids are doing, you realize you can ride a horse, you can bond with a horse and you can find coping skills.

“Horses can become kind of your best friend when you have challenges like that.”

Dorsey knew how much comfort she found among horses back then, but she didn’t fully realize they were serving as her therapy.

And when she entered the medical world, she didn’t realize she would one day help others find their own peace in the barns.

But that’s exactly what happened.

In 2015, Dorsey, a Certified Nursing Assistant and phlebotomist who also has an applied science degree from New River Community and Technical College, took a part-time job at the equestrian center at Glade Springs Resort.

That’s when she and a co-worker decided to take the PATH (Professional Association of Therapeutic Horsemanship) International certification course through Healing Strides in Boones Mill, Va.

“It allowed me to kind of combine my passions with horses and (the) medical (field),” Dorsey said of the certification, which allows her to provide equine assisted activities and therapies. “It’s very, very hard to find extracurricular activities for individuals with disabilities, so I know how important this is.”

In 2018, life took Dorsey and her husband out west for couple of years, where she completed her certification in Casper Wyo., before she briefly operated her own therapeutic horse farm in Rock Springs, Wyo.

But in late 2020, they decided to move back to West Virginia – Beaver, specifically – where Dorsey is giving it another go.

She opened A Broken Spur Riding Academy in October and quickly recruited Amanda Griffith, her co-worker from Glade Springs, to serve as a second instructor.

“We have 25 students right now, but we’re working on growing our clientele,” she said of the 501c3 non-profit.

At the moment, Dorsey said the majority of the students in the program are able-bodied, but she’s hoping to quickly grow the number of students with disabilities as well as the number of veterans participating.

“We can serve a wide range of disabilities,” she said. “It can be anybody on the autism spectrum, someone with Down syndrome, someone who is paralyzed, individuals with amputations, hearing impairments, individuals who don’t have verbal communications, veterans with PTSD.

“Equine-assisted therapy can help people with a lot of things,” she said, adding addiction to the list. “Just being around the horse is therapeutic in itself.”

Dorsey works with four horses – Reno, Warrior, Wimpy and Whiskey – and takes care to match the horse to the student.

“Horses have different personalities,” she said. “If you have higher anxiety, you would find calming relief in a horse that’s more relaxed. If you’re depressed and want to be more energized, a horse that’s more energized can kind of cheer you up.”

Beckley resident Rucshelle Khanna recently took her niece 6-year-old Grazia Rose Prosser for an hour-long lesson.

“She had a lot of fun,” she said of her “healthy rider” niece, who spent her lesson atop 22-year-old Reno. “She practiced balancing on a horse.”

Khanna, a clinical psychotherapist who volunteered with equine therapy when she lived in Manhattan, had visited A Broken Spur twice before the lesson and said she hopes to volunteer.

“They’re great,” she said. “She’s (Dorsey) really a teacher and I learned a lot about horses. I learned more the first day than I did at the other place where I volunteered for months.

“They’re great teachers.”

Dorsey said volunteers are something she’s always looking for, as she and Gilbert teach all aspects of horsemanship, from cleaning stalls and grooming to riding.

“We definitely need volunteers to help with lessons,” she said, adding experience is not needed.

Dorsey said she believes in the benefits of the program and what can be accomplished in the barns and in the horse rink.

“It can help with so much,” she said. “I think people would find great things here. It’s just a happy place to be.”

Folk Medicines Examined In New Book

Appalachian lore often includes medicines made from plants and herbs to cure ailments. A new book by Rebecca Linger and Dennis K. Flaherty examines the components of some of those traditional herbs to see just what effect they have and determine how best to use them.

Rebecca Linger and Dennis Flaherty were both on the faculty of the University of Charleston School of Pharmacy. Both have an interest in medicinal plants but from different perspectives. Dr. Linger teaches graduate courses in ethnobotany and was interested in the chemistry and pharmacology of medicinal plants. Dr. Flaherty, who is now retired, taught graduate toxicology courses and approached the book project from a human toxicology perspective.

The book is titled “A Guide to the Toxicology of Select Medicinal Plants and Herbs of Eastern North America.” Eric Douglas spoke with Linger to understand the history behind these medicines.

This interview has been lightly edited for clarity.

Douglas: Explain to me the interest in herbal medicine and the medicinal properties. Where did that come from?

Linger: I was born in southern Ohio, and my mother’s people come from Adams County, Ohio. My grandmother was someone who pretty much doctored the family and herself and she had some very interesting remedies that she would use on her children. When I was little, I was always getting canker sores, which now that I’m older, I recognize that it’s because I had a thiamin deficiency. My grandma had this little tin of yellow root powder. And she would always give me a little bit of that in a plastic bag and say “Take this home, lick your finger, tap it on the powder and put it on your sores whenever you get a canker sore.” And when I used that stuff, it’s bitter. Being a four- or five-year-old kid, doctoring yourself with an herbal medicine was really, really tough. But I did it because the canker sore would be gone in a day. And if you’ve ever had any kind of mouth sores you know it’s really, really painful. So I trusted it, and it worked great.

Douglas: How did people learn this stuff? Where did that knowledge come from in the first place?

Linger: The answer is that if you look back in recorded history, there have been many medical texts that have been written in all cultures. So the Chinese had the Yellow Emperor’s book of medicine. That actually encompasses many, many different fields. But if you think all the way back to primitive man before recorded history, you’d have to figure that there were observational things. “Is this plant edible? Well, let me eat a little bit of it. Oh, it’s edible. It’s bitter. But it didn’t really make me sick. And it actually helped with something.” The other thing is that the observation of what plants animals ate helped early man to recognize what was there.

But in terms of what plants have medicinal properties, it really was kind of a trial and error that you would have this idea that “Well, let me try this and see if this helps with this problem.”

I do want to point out that there was a Neanderthal grave that was discovered in Germany. And when they excavated it, they noticed that the body covered with a lot of medicinal plants. They thought it was a Neanderthal burial practice. But when they really looked at the flowers in the grave, every single one of them had strong medicinal properties. And so maybe the Neanderthals recognized medicinal properties.

Douglas: For the book, you’ve taken these oral traditions of medicines, but then you break down the chemical properties. As a scientist, what was your thought about this? Were you skeptical? Or were you? “Hey, I know from personal experience this stuff works?”

Linger: There are herbal books that have been written that basically will talk about all the plants that have been historically used as medicine. I did have a certain level of skepticism. It’s like, “Is that really true?” One of the plants out there that has an ascribed medicinal property to it, but there’s nothing in science to support is maidenhair fern. It’s supposed to help you grow a thick head of hair. There’s nothing in it.

After World War II, the United States government shifted its focus from implements of war to implements of health. The National Cancer Institute was founded from that. And one of the processes that scientists there advocated to academics across the country was to find new cures for cancer. The academics went back to the herbals. From that process, we got the mayapple, which is a beautiful spring flower. The fruit is edible, the rest of the plant is incredibly toxic, because it stops your cells from dividing. And so from that we got two chemotherapies that are still in use today. And they’re very, very effective.

The book will allow you to learn how to dose yourself with medicinal plants. But it will also give you the caution that don’t use too much of it, this is the recommended dose, don’t go over this. And this is how it will interact with the organ systems in your body. If you take too much of it, it could harm your liver or your kidneys. Some of them are going to cause your heart to have issues.

Douglas: Were there any big surprises when you jumped into this research?

Linger: I talked about the horse chestnut. I was born in southern Ohio so the buckeye tree is, of course, near and dear to my heart. I was always raised that buckeyes were poisonous, but I would see half-eaten buckeyes in the field. My uncle always teased me that only the squirrel knows which half of the buckeye is not poisonous.

You can use the buckeye as medicine, you can make a tincture out of it, or a tea out of it, and use very, very small amounts of it. And it will actually help with stomach complaints and so forth. It’ll help with inflammation. So it will help a little bit with your arthritis. One of the folktales that I’d always heard was to carry a buckeye in your pocket and you’d never have joint pain.

Douglas: Today, you hear a lot about essential oils and that sort of thing. Is that an extension today of this kind of medicine?

Linger: Definitely. A lot of medicinal properties of plants are in the oils of the plant itself. I’ll give the example of pine oil. It can disrupt some of the pain signaling in your body so that it will alleviate pain and inflammation. There is some truth to that. Smelling lavender oil is relaxing. Cedar wood and sage oil can be very relaxing, too.

But you have to be careful with essential oils because they’re so strong. There are some that are really, really toxic.

One thing about it that needs to be said is that if you are infusing essential oils in your household, be aware of the pets that you have because especially cats aren’t able to metabolize the essential oils and they’ll build up in the system. Essential oils can be toxic to your pets.

“A Guide to the Toxicology of Select Medicinal Plants and Herbs of Eastern North America” is available in Charleston at Taylor Books, the Capitol Market and the gift shop at Kanawha State Forest. It is also available on Amazon.

This story is part of a series of interviews with authors from, or writing about, Appalachia.

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