Newspaper reporting contest for rural health coverage; deadline June 24

Journalists who have reported about rural health in the past year should start sifting through their clippings. The Kentucky Rural Health Association is awarding four writers $100 each for their efforts.

Entries will be judged on their relevance to rural health; the quality of the reporting; impact on health-care policy; and new insights that might have been generated by the reporting.

The contest features two divisions, daily and non-daily, with two categories in each division: series and single story. The contest period ranges from July 1, 2011 to June 15, 2012. Entries must be received by June 24. Winners will be announced during KRHA's annual conference in Aug. 16-17 in Bowling Green.

Entries can be submitted to David A. Gross, 222 Medical Circle, Morehead KY 40351. For more information, contract Gross at 606-783-6468 or e-mail at dagross@st-claire.org. (Read more)

Couple loses combined 347 pounds in 2 years, pretty simply; similar success stories are always compelling

"When Art and Betty Halcomb look at each other, they still have a hard time believing how much weight they have lost," reports Nola Sizemore for the Harlan Daily Enterprise. Together, the couple has lost 347 pounds, a journey that started in April 2010.

Art weighed 384 pounds and Betty was 308. "We decided we were going to do everything we could do in a three-month period to see how much weight we could actually lose," Betty said. That included counting calories and daily exercise, which at first comprised for a half-mile of walking. Within two weeks, they were able to walk one mile.

"We did portion control with our meals, actually measuring out serving sizes," Betty said. "I was eating 1,200 calories per day and Art was eating 1,500 calories per day. We didn't limit ourselves to any certain foods. We wanted it to be a lifestyle change, not just another diet."

One of their major motivations was their daughter, Kristen Swanner, a two-time cancer survivor who has endured chemotherapy, radiation and a stem-cell transplant. To watch her "literally fight for her life and we were just throwing ours away, we felt so guilty," Betty said.

When they discovered Swanner was pregnant, after being told by doctors that she couldn't conceive, the couple had even more drive to shed the weight, knowing they were soon to be grandparents.

"Jesus says he wants us to have an abundant life," Betty said. "If we can do this, anyone can do it. Make that decision today to lose weight and live a more happier life. Don't give up — keep trying." (Read more)

Rural newspapers don't write a lot of health stories — but they should, expert says

“If a newspaper can’t stand for better health and better health care, then what in the world can it stand for?” This was the galvanizing statement of a talk today by Al Cross, director of the Institute for Rural Journalism and Community Issues, who keynoted the third annual Kentucky Health Literacy Summit. Cross discussed ways newspapers are — and aren’t — publishing health-related stories on their pages.

A research paper Cross presented with University of Kentucky graduate student Sarah Vos yesterday showed that with a few exceptions, rural newspapers in the state are not publishing many articles about health care and health. The vast majority of articles — 71 percent — run on the inside of the paper rather than on the front page. In large part, stories are institutionally oriented, Cross said, often pertaining to promoting the local hospital or reporting on problems with it.

Interviews with rural publishers and editors in Kentucky and Mississippi showed “while many of them believe health coverage is important, they are reluctant to be seen as crusading in the news columns for a cause, even if it is one that usually has no countervailing interest,” Cross said. He said Kentucky editors are specifically reluctant to point out health disparities comparing their community to neighbors, the state or nation, because they want to build up the community “rather than going out of their way to point out local problems that have no easy solutions.”

Another issue is that most of Kentucky’s 150 newspapers serve very small markets, which “mean less revenue, small staffs and low pay, so most of these newspapers lack the resources to do what we journalists call enterprise reporting,” Cross said. And with all but two Kentucky dailies owned by corporate chains, that can mean “less news space, fewer staff members, more focus on number of stories rather than quality, less focus on community service, more on bottom line,” he said.

However, rural newspapers continue to have considerable influence over their readership, with 60 percent of adults saying their local paper is their primary source of news. Their content is almost entirely local. Thus, Cross said, there are opportunities — and ones that don’t require a lot of legwork. A story about someone's life being saved because she got a cancer screening can make a big impact, he said, and sometimes an article written by an outside source, such as a local extension agent, “doesn’t need to be put on page 12.” Cross said. Newspapers can use social media, such as Facebook, to promote their stories and find local people willing to talk about a health issue.

Cross also recommended Kentucky Health News as a service editors can rely on for stories that can be used verbatim or be easily localized. Cross noted newspapers are using the service, and “We think we are moving the needle.”

Rural newspapers have power to influence people's health, but few health articles are being published in Kentucky, study finds

By Tara Kaprowy

Kentucky Health News

Though studies suggest that newspapers can influence people's decisions about their health and can even lead to public-policy changes, for the most part Kentucky's rural newspaper editors are publishing very few health-related stories, a report compiled at the University of Kentucky concluded.

The six-month study found more than 1,200 articles  primarily about health were published in 131 rural Kentucky newspapers, including opinion pieces, reprints, press releases, briefs and letters to the editor. That averaged to nine stories per newspaper in six months, though daily papers tended to run far more articles than non-dailies (52 percent of dailies ran health articles 1 to 2 times per week while 68 percent of non-dailies ran health articles less than once a month).

Speaking at the third-annual Kentucky Health Literacy Summit, study co-author Al Cross said he wasn't surprised by the findings, sensing "there wasn't a great deal of coverage out there to help people live healthier lives." But Cross said his goal as director of UK's Institute for Rural Journalism and Community Issues "is to help rural newspapers help define the public agenda."

"In Kentucky," he said, "that needs to be about health."

The topic of health-care funding and policy accounted for 35 percent of the articles published, though co-author Sarah Vos said that number is likely skewed because the time period analyzed included a legislative session during which there was extensive discussion about Medicaid.

Stories on drugs and alcohol accounted for 12 percent of the total, followed by tobacco/smoking (9.5 percent) and exercise, food, diet or obesity (8.6 percent). Vos also found stories that did run were often incomplete, with 40 percent failing to contextualize the problem for the reader. Only 20 percent mentioned health disparities, the differences in health between geographic areas and demographic sectors.

While there is a dearth of health reporting in rural newspapers — all newspapers but those that serve the Lexington, Louisville and Cincinnati areas were included in the study — they could have considerable pull in the health decisions people make. Vos cited one study showing media coverage can influence individual health decisions and preventive behaviors, and one that showed coverage of health issues can lead to both changes in public policy and public perception.

Rural newspapers are well read by their readership, with the average reader spending about 39 minutes reading their local paper. Sixty percent of adults say their rural paper is their main source of news, Vos said. "Rural newspapers have a special relationship with readers," she said. "It's intimate. One researcher even called them an extended member of the family."

For a copy of the paper, click here.

Campbellsville pharmacists have mixed views about meds-for-meth bill; a good example of localizing a statewide issue

Pharmacists have mixed opinions about a bill that would require a prescription to purchase pseudoephedrine after a monthly or yearly limit has been reached, reports Calen McKinney for the Central Kentucky News Journal in Campbellsville. (Photo by McKinney)

The drug is the key ingredient used to make methamphetamine. Last week the Senate approved a bill that would limit non-prescription individuals' purchases to 7.2 grams per month and 24 grams per year.

Tresa Phillips at Nation's Medicines in Campbellsville told McKinney she feels the system in place now — an instant computer tracking system called MethCheck — is working. "I'm not sure that a new law is going to make a big difference," she said, adding that a person who is buying the drug already has to show state-issued identification.

However, Jay Eastridge at Eastridge-Phelps Pharmacy applauded the move. "It sort of restricts pseudoephedrine getting into the wrong hands," he said. "I wholeheartedly support the bill." Eastridge said pharmacists have become "gatekeepers" in the face of the meth epidemic and "it's just painful to watch" people coming in "from one drug store to the next seeing what they can get."

Ed Baise of the Medicine Centre agreed that pharmacists have "become the police" when it comes to limiting pseudoephedrine. But he said the drug should be put in a class of its own and pharmacists should be responsible for controlling purchases. Baise pointed out allergy sufferers could be inconvenienced by the bill. "This may help some," he said, "but it's not gonna solve the problem." (Read more)

Extensive series focuses on the many faces of mental illness

Mental illness in Rowan County is the subject of an eight-part series of stories written by Noelle Hunter for The Morehead News.

With Part 1 largely an introduction to the project, Part 2 gets into the facts and figures of the disorders that fall under the mental-illness umbrella. According to the Substance Abuse & Mental Health Services Administration, 45.9 million American adults — one in five — experienced some mental illness in the past year. In Kentucky, 180,000 people live with a serious mental illness, which includes schizophrenia, bipolar disorder, major depression, obsessive compulsive disorder, panic disorder and post-traumatic stress disorder.

Dr. Thomas Insell, director of the National Institute of Mental Health, described mental illnesses as "real brain disorders that result from complex genetic risks plus environmental factors." Neither prevalence nor mortality rates associated with mental illness have decreased over time. And though there have been advancements in treatments these disorders, most in the way of medication and therapy, there is still much that is unknown, Hunter reports.

That comes with larger cultural ramifications. In 2008, about 5,100 adults who have a mental illness were incarcerated in Kentucky prisons and almost 700 adults committed suicide, "almost always a result of untreated mental illness," Hunter reports.

The series is running on Tuesdays in the twice-a-week paper. Part 3 profiles a woman living with bipolar disorder; Part 4 will report on the views of clinicians and therapists; Part 5 will profile a man living with bipolar disorder; Part 6 will profile a person living with schizophrenia; Part 7 will focus on the effects on families; and Part 8 will look at treatment options and recovery. The website of the newspaper, part of Community Newspaper Holdings Inc., is here.

Columnist likens pain docs to drug pushers and loan sharks

Doctors at some pain management clinics are the equivalent to modern-day drug pushers, writes Richmond business columnist Don McNay in a piece entitled, "Making money in businesses that are supposed to (and should) be illegal."

"People spend a few minutes and lots of money to get a 'physical'," he writes. "They skip insurance and pay the clinic with cash or a credit card. The 'medical staff' will then arrange for you to get a large order of the highly addictive pain medicines prescribed by the clinic doc. You can often get the prescription filled right at the clinic."

McNay points out such clinics are "perfectly legal" in Kentucky and owners do not have to have a medical background. (A bill in the legislature would change that.) "I'm not a lawyer, but would love to own a law firm," he writes. "I'd like to own a plumbing contracting firm but not be a licensed plumber. . . . None of those options are available to me. But owning a pain management clinic is."

He likens the clinics to payday lenders, which he likens to "legalized loan sharking." He also takes issue with the "Super PAC" concept, which allows corporations to make unlimited contributions to political campaigns. "With super PACs allowing corporations to give unlimited amounts to fund campaigns," he writes, "the big corporations control the political process."

McNay concludes, "As a society, it would seem logical that we would want drug pushing, loan sharking and corporate influence peddling to stop. At the very least, we could go back to making it against the law." (Read more)

In front-page editorial, rural weekly in Adair County demands that board members of county-owned hospital resign

In our experience, most weekly newspapers don't have editorial pages, much less editorials, so when one puts an editorial on the front page and also runs an editorial about the decision, and the work is well-written and well-argued, it's worth noting.

The Adair County Community Voice in Columbia, Ky., noted county government's bailout of the "collapsing" county-owned hospital; elected officials' request that they have "a say in any final decision to sell the hospital" and that "the hospital administration will try just as hard to keep the hospital independent as they will to sell it;" and some appointed board members' dislike of the requests.

"It seems like little to ask of someone who is $13 million in debt and asking you for $1.7 million," the editorial said, noting that one member said the board had been "a rubber stamp" for agents who secured the bonded debt. That admission "saves us the trouble of trying to prove that board members acted irresponsibly in overseeing the hospital’s business," the editorial said. "Now the question has to be, 'Why are they still on the board?'" It said the board not only "ran the hospital into the ground" but is "in control of a document that will show if any criminal activity took place," a forensic audit that gives board members "a personal stake in any damaging evidence that may come out."

In her explanatory editorial, Editor-Publisher Sharon Burton said she put the editorial out front because "We believe this is a critical time for our community, and we believe bad decisions will continue if the board is left as it is. We believe it’s our job to bring the issue to the forefront, and there is no better place to do that than on the front page of the Community Voice." The explanatory editorial also included useful background and perspective, including: "At small newspapers we don’t have the luxury of separating the people who cover the news from the people who write opinion pieces. Instead, we work hard to provide fair and unbiased coverage of local news. Then, we look at how that news impacts the people in our community and take a stand as needed on our editorial page."

Burton told us in an email that the editorial generated responses by phone, emails, Facebook messages "and of course being stopped at church and the grocery store," all of them positive except a letter from the daughter of a board member, which is running this week. The Community Voice doesn't put editorials or most news online, but PDFs of the pages with the editorials are available on the Institute for Rural Journalism and Community Issues website. The front page, with color, is 3.5 MB; the inside page is 682 KB.

Evidence grows of links between oral health and overall health

"The eyes may be the window to the soul, but the mouth provides an even better view of the body as a whole," The Wall Street Journal's Melinda Beck writes in her Health Journal column. "Some of the earliest signs of diabetes, cancer, pregnancy, immune disorders, hormone imbalances and drug issues show up in the gums, teeth and tongue—sometimes long before a patient knows anything is wrong. There's also growing evidence that oral health problems, particularly gum disease, can harm a patient's general health as well, raising the risk of diabetes, heart disease, stroke, pneumonia and pregnancy complications." (WSJ graphic; click on it for larger version)

Beck adds, "Such findings are fueling a push for dentists to play a greater role in patients' overall health. Some 20 million Americans — including 6 percent of children and 9 percent of adults — saw a dentist but not a doctor in 2008, according to a study in the American Journal of Public Health this month."

Beck urges her readers not to be fooled by shiny white teeth. "In fact, many dentists worry that people who whiten their teeth may have a false sense of complacency, since their teeth can still be harboring tooth decay and serious gum disease," she writs. "Even people who have no cavities can still have inflamed and infected gums." She quotes Mark Wolff, an associate dean at the New York University College of Dentistry: "Whiteness and the health of your teeth are totally unrelated." (Read more)

Pure hydrocodone pain pill in testing; critics worry about abuse

A new pain pill, one more powerful than OxyContin and 10 times stronger than Vicodin, is being tested on patients by four drug companies and could be out as early as 2013. The new medicine, which is a pure form of hydrocodone, has law enforcement in Eastern Kentucky worried, reports Ralph B. Davis of the Floyd County Times.

"In my personal opinion, a drug like that shouldn't be a prescription medication," Floyd County Coroner Greg Nelson told the Times. "It should strictly be an in-house medication."

Drug maker Zogenix of San Diego plans to apply early next year to begin marketing Zohydro, a time-released drug intended to manage moderate to severe pain, reports Chris Hawley of The Associated Press. The drug has completed three rounds of testing.

Critics worry abusers will simply crush the pill to get an intense, immediate high. "I have a big concern that this could be the next OxyContin," said April Rovero, president of the National Coalition Against Prescription Drug Abuse.

The companies defend the drug by saying pure hydrocodone "would avoid liver problems linked to high doses of acetaminophen, an ingredient in products like Vicodin," Hawley reports. "They also say patients will be more closely supervised because, by law, they will have to return to their doctors each time they need more pills."

But critics remain unconvinced and are worried about the larger ramifications of the pills being on the market. "Hydrocodone abuse is already a tremendous problem in Southern and Eastern Kentucky," Karen Kelly, executive director of the government-funded anti-drug program UNITE, told Davis. "When used properly, these medications help many who are experiencing moderate to severe pain. Unfortunately, we have seen how easily the system can be abused."

Davis expressed his own views in an editorial that ran earlier this week. "The pharmaceutical companies developing Zohydro and other copycat drugs clearly must know that their products will kill people," he wrote. "They see it happening every single day. And they have been warned that the problem is growing worse."

Davis referred to a report by the Centers for Disease Control and Prevention, which found that in 2008, an average of 40 people a day in the United States died as a result of prescription painkiller overdoses, a 400 percent increase over 10 years. "Meanwhile, the pharmaceutical companies raked in billions in profits, and financial speculators are taking note," Davis writes. "Since stories about concerns over Zohydro first began appearing over the weekend, Zogenix's stock has skyrocketing nearly 70 percent ... To put it bluntly, this is horrifying." (Read more)

Writer weighs in on morning-after pill decision in provocative way, looking at both sides but ultimately saying it protects girls

Freelancer Mariam Williams writes a provocative piece in The Courier-Journal about a federal official's recent rejection of a proposal to allow girls 16 and under to obtain the morning-after pill without a prescription.

Williams speaks to girls who fall in this age group and highlights the advantages and disadvantages of the decision, which was made last week by Health and Human Services Secretary Kathleen Sebelius, despite a recommendation to the contrary by the U.S. Food and Drug Administration.

"Her decision will come at a cost to me and every other adult woman of child-bearing age," Williams writes. "It will set a precedent for every time someone wants to ignore science and embrace an ideology that not everyone else believes. Her actions will tell them that's OK, and when a pharmacist denies a grown woman's request for the morning-after pill, or when people who believe a fertilized egg is a person can't give any scientific reason for the laws they want to pass, they'll point to Kathleen Sebelius.

"But I believe you and girls younger than you are worth the danger her decision put all of us in. She did this to protect you where the adults in your life have failed you, to push you to talk to an adult if you're having sex or if you've been sexually assaulted so that you can get the information you need to be as safe as possible. So I hope you take your behavior seriously. We women do." (Read more)

County data paint specific pictures of health; Ashland paper is one of first to pick up on it and do a story

More progress is needed to make sure children from low-income families are going to the dentist is just one of the findings of the 2011 Kentucky Kids Count County Data, released by Kentucky Youth Advocates.

The data paint a detailed portrait of each county's health for Kentucky's children, showing results of prenatal care, the percentage of mothers smoking during pregnancy, rates of preterm birth and low birthweight, breastfeeding, the number of children enrolled in Kentucky Children's Health Insurance Program and Medicaid, early-childhood obesity rates, asthma hospitalizations, and access to recreational facilities.

Statewide, the numbers show nearly one of every four children lived in poverty between 2005 and 2009, a 10 percent increase from 2000. The rates of preterm births and low-birthweight babies also increased. Overall, however, the numbers show improvement, particularly when it comes to children being covered by state or federal insurance. The number of children enrolled in KCHIP increased by 45 percent and in Medicaid more than 50 percent.

That data is supported by a reported released Tuesday by Georgetown University, which found the number of children without health insurance has dropped by 1 million nationwide in the past three years, Kelli Kennedy of The Associated Press reports. (Read more)

For an example of how to localize the data, click here. Mike James of The Independent in Ashland used it to assess the health status of children in Greenup, Carter and Boyd counties. He also spoke to a local school district and found officials will use the findings to bolster "requests for competitive grants that fund ... programs and ... identify gaps in services," he reports.

Rosalynn Carter Fellowships help journalists report about mental health; applications due April 16

The Carter Center Mental Health Program is providing six Rosalynn Carter Fellowships for journalists to report on a selected mental-health or mental-illness topic for one year. The center overseen by former president Jimmy Carter says its intention is to increase accuracy in reporting about these issues and decrease the prevalence of incorrect and stereotypical information.

Applicants must have at least three years of professional experience in print or electronic journalism. If selected, they will be required to attend orientation and presentation meetings at the beginning and end of the fellowship year. They will also be awarded a $10,000 stipend, but will not be required to leave their current job.

Those wishing to participate must submit a completed application by April 16, 2012. Awards will be announced July 13, 2012. For more information and the application packet, click here.

The Courier-Journal, continuing to explore Louisville hospital merger, says many more questions still need answering

The proposed merger of the University of Louisville hospital with Jewish Hospital & St. Mary’s Healthcare and with St. Joseph Health System of Lexington, which follows the teachings of the Roman Catholic Church, continues to draw heavy attention from The Courier-Journal. Sunday's newspaper had a long column by editorial writer Pam Platt, and an editorial that online was packaged with a video discussion among the editorial board and U of L President James Ramsey, David Laird of Jewish and St. Mary’s, Dr. Daniel Varga of St. Joseph and James Taylor, CEO of University Hospital.

"On many levels, the merger . . . is appealing," the editorial began, saying the new system would be broader and more efficient and secure the three Louisville hospitals as they compete with Baptist Hospital-East and Norton Healthcare, which recently announced an affiliation arrangement with the University of Kentucky" hospital. "Two significant issues continue to make the merger problematic, however." In addition to the issues of reproductive care, the editorial wonders whether advances in medical science that conflict with Catholic teaching could cause the merger to "unwind," as hospital officials put it, and what the ramifications of that would be. (Read more)

In her column, Platt, right, focused on the merger's impact on women, saying it remains unclear. For example, "The partners say transportation will be provided for pregnant women wanting tubal ligations, as well as for their infants. But what will be the process for them accessing that? What are the details? . . . Many of us need more answers to additional questions . . . before we know if this merger is the answer not only for the business end of things, but for all the people who depend on the hospitals for their care." The merger needs state approval to proceed. (Read more)

Weekly newspaper in Adair County does a special section on health and sends it to everyone in the county

Special sections on health are good for community newspapers and their readers. Health-care providers have money for advertising in such sections, and a section focused on health can have more impact on readers than individual, occasional stories.

Based on a pilot project it oversaw in 2007, the Institute for Rural Journalism and Community Issues began recommending to rural newspapers that they schedule health sections as part of editions that are mailed to every postal customer in a paper's home county, a standard circulation-building technique. If a newspaper wants to help improve the health of its community, why not reach everyone in the community?

Last week, one Kentucky newspaper did that. The Adair County Community Voice of Columbia included a 10-page broadsheet section on health in an edition that was mailed to everyone in the county. And though it got no advertising from the local public hospital, with which it has been embroiled in an open-meetings dispute, it did get ads from hospitals in other counties.

Newspapers can mail up to 10 percent of their annual circulation to non-subscribers in their home county at subscriber rates, and can sell "sponsored circulation" to pay the extra cost of printing and postage for the extra copies. The 2007 pilot project with another Kentucky weekly, The Berea Citizen, found that non-subscribers said they were more likely to subscribe if the paper regularly included health information. For a copy of the report on the project, click here. The health section is not online, but PDFs of its pages are posted on the Institute website in a 4.4 MB file, here.

Kentucky Rural Health Assn. gives first newspaper writing awards; Kentucky Health News writer wins for previous work

Tara Kaprowy, the chief writer for Kentucky Health News, won one of the first awards given by the Kentucky Rural Health Association for newspaper writing.

Kaprowy won the prise for best series in a non-daily newspaper for her five-part series in The Sentinel-Echo of London titled “How Healthy Are We?” The August 2010 series examined how Laurel County compared to state and national averages for tobacco use, obesity, access to health care, and so on.

Ivy Brashear, formerly of The Hazard Herald, won prize for best story in a non-daily paper for her April 6, 2011, article, “Health study has Perry near the bottom,” about a Population Health Institute study that ranked Perry’s health status as 115^th among the state's 120 counties. There were no daily entries; each winner received a plaque and $100 prize.

These types of reports can be done by any news outlet in Kentucky, because plenty of data are available on sites such as http://www.kyhealthfacts.org/. For a look at Kaprowy's series, go here.

Planned merger of Louisville hospitals grows more controversial; C-J devotes considerable space to it and Beshear steps in

UPDATE, July 27, 3:43 p.m.: Gov. Steve Beshear issued a statement saying "It is clear there are growing concerns within the community about issues related to the hospital’s future level of access to medical services, and those concerns need to be fully vetted before the Commonwealth takes the legal steps required to approve this merger," such as changes in leases of public property and agreements on operation of the hospital. Just as important as the legal issues, Beshear said, is "the public policy of how the University of Louisville Hospital will continue to honor its mission as a public teaching hospital that provides access and care to citizens, especially those who are indigent." The governor said his administration "will hold a series of conversations with the principals in the proposed merger and other interested parties," starting with a meeting among four of his cabinet secretaries, Mayor Greg Fischer, state Auditor Crit Luallen and Attorney General Jack Conway.

The merger that would put a Catholic health group in charge of the University of Louisville's hospital is growing ever more controversial, as demonstrated by today's edition of The Courier-Journal. The top story was about U of L President Jim Ramsey's uncertain response to a request by state legislators to answer questions of a legislative committee, accompanied online by a photograph of a somewhat sheepish-looking Ramsey, left. UPDATE, July 28: Ramsey says he will appear before the panel Aug. 17.

The paper's editorial page was mainly about the issue. The top editorial was headlined "Ramsey's silence," and it referred to the second 'editorial' on the page, actually a recitation of email correspondence between Ramsey and one of his Fern Creek High School classmates and her husband, who oppose the merger and questioned Ramsey's charcterization of an earlier C-J editorial as "not based on complete and factual information."

Next to that piece was a letter from the lawmakers: Rep. Tom Burch, chairman of the House Health and Welfare Committee and a Catholic who opposes the merger because of its implications for reproductive and end-of-life procedures; and Reps. Mary Lou Marzian and Joni Jenkins of Louisville. It was illustrated by a photo of Ramsey looking thoughtful. Above it was a letter, illustrated by a photo of Pope Benedict XVI, from Eugenia K. Potter, former executive director of the Kentucky Commission on Women, headined "Is it dogma or discrimination?" Conservative commentator Martin Cothran has a contrary view on his blog.

UPDATE, July 27, 8 a.m.: The C-J editorial page is again mainly about the issue, with an editorial urging the state auditor, governor and attorney general "to thoroughly scour and bring transparency to the negotiations with Catholic Health Initiatives;" an article by former University Hospital nurse Beverly Glasscock saying that the hospital wouldn't be able to perform emergcy abortions needed to save a woman's life; and a letter from former university trustee Bill Stone defending Ramsey from what he calls an "over the top" attack by the paper's editorial board.

Access to healthy food: A local angle is available on a national event tomorrow, and here's a Kentucky example

Update, July 21: First Lady Michelle Obama announced Wal-Mart and other retailers plan to open or expand 1,500 stores in the next five years in areas that do not have access to fresh fruit, vegetables and other healthy foods. "Make no mistake about it. This is a big deal. It is a really big deal," Obama said. Nearly 24 million people, including 6.5 million children, live in these areas, which have been coined food deserts. Wal-Mart plans to open 275 to 300 stores in urban and rural areas by 2016 and expand "food options in more than 700 food deserts," The Huffington Post reports.

The White House says First Lady Michelle Obama will make a major announcement tomorrow afternoon about her Task Force on Childhood Obesity's recommendations to make healthy, affordable food more accessible to all Americans. Using the U.S. Department of Agriculture's Food Desert Locator, community journalists can localize this story.

A food desert is a low-income census tract where a substantial number or share of residents have low access to a supermarket or large grocery store. Many rural areas are considered food deserts, and the USDA locator not only has data that can inform a story, but maps that can illustrate it. Reporter Tonya S. Grace of the Todd County Standard used it to localize the Healthy Food Initiative, a partnership between the U.S. Treasury, the USDA and the U.S. Department of Health and Human Services. To read her article, click here.

Webinar next week will spotlight county-by-county health data

How can you find by-county health statistics and other other key health resources? That will be the focus of a July 13 webinar, hosted by the Foundation for a Healthy Kentucky.

The free webinar, which starts at 3 p.m. EST next Wednesday, will teach listeners how to navigate the Kentucky Health Facts website and point listeners to other resources like the Kentucky Cancer Registry.

It will be hosted by Sarah Walsh, the senior program officer at the foundation's Local Data for Local Action Initiative. The goal of the intiative is to provide access to key state and local health data to help decision making at the local level. "At the foundation, we take a lot of inspiration from the words of Arthur Ashe, 'Start where you are. Use what you have. Do what you can'," Walsh said. "I love that the data on our Kentucky Health Facts website can help local health advocates understand where they are starting from, so they can really do something to make their community a healthier place to live."

Under the moniker "Health for a Change: Ignite — Unite — Act," this is the first in a series of webinars hosted by the foundation. On July 27, Walsh will discuss how to plan a community health needs assessment. For more information about future webinars, click here.

To register for the webinar, click here.