Ohio
How JD Vance's Ohio hometown defied his expectations
By Nicholas P. Brown
MIDDLETOWN, Ohio (Reuters) – In his bestselling 2016 memoir, Republican vice presidential hopeful JD Vance questioned whether rural, white Americans, like those in his native Middletown, Ohio, had the drive to reverse their economic decline. But as Vance was writing, his hometown was in the thick of the grassroots revitalization he envisioned.
Vance’s “Hillbilly Elegy: A Memoir of a Family and Culture in Crisis” tried to explain the mindset of white Appalachian voters at a time when many Americans were baffled by the popularity of Donald Trump, who would win the presidential election later that year.
The Yale-educated Ohio senator, who was tapped earlier this month to be Trump’s running mate in the Nov. 5 election, urged this struggling cohort to take more responsibility for its problems, stop looking to government or big companies for solutions, and work harder to improve its lot.
Chunks of Middletown still encapsulate the hackneyed images of the disenfranchised industrial hubs Vance wrote about: shabby strip malls sit along sprawling, potholed thoroughfares in a city where Trump flags fly from pickup trucks.
But there’s a different vibe in the southwestern Ohio city’s downtown. A brewery, wine bar, art collective, and even an opera house surround intersections bridged by sleek brick crosswalks and walls brightened by murals. Rainbow flags, left over from last month’s LGBTQ Pride celebrations, hang in several windows.
It’s part of a revitalization that, while far from complete, conflicts with the 2016 book’s portrayal of a community that is a “hub of misery,” and whose people react “to bad circumstances in the worst way possible,” according to some 20 locals interviewed by Reuters.
“We’ve been through this before, where we’ve had to reinvent ourselves. That’s what I think people lose sight of,” said Sam Ashworth, trustee and former executive director of the city’s historical society.
Ashworth noted that the city’s population, which is about 78% white, experienced industrial shifts throughout the 20th century that saw the loss of jobs in the tobacco and paper industries. “JD’s time in Middletown was very short,” said Ashworth, 83.
The Middletown of Vance’s youth was reeling from contraction and labor disputes at its AK Steel plant, which in 2003 – the year Vance graduated from high school – employed around 4,000 people, sharply down from its heyday in the 1970s.
The 2007-2009 recession compounded the strain, triggering a decline in city property tax revenue. AK Steel continued to downsize, employing about 2,300 people in 2012, municipal financial records show. The plant is owned today by Cleveland-Cliffs Inc.
Vance’s memoir referred to disenfranchised white communities as “a pessimistic bunch,” asking rhetorically if they were “tough enough” to hold themselves accountable for their plight and reverse their fortunes. “We created the (problems), and only we can fix them,” the future U.S. senator wrote.
Middletown, part of a staunchly conservative congressional district that voted overwhelmingly for Trump in the 2016 and 2020 presidential elections, is trying to do just that.
Between 2012 and 2022, the city’s income tax revenue spiked from $19.7 million to $33.6 million, according to official records. Optimism has been further fueled by Cleveland-Cliffs’ announcement this year of a $2 billion investment in its Middletown Works steel plant, and the city has approved a new, $200 million commercial development on 50 acres of municipal land.
The city, with a population of about 51,000, still grapples with high poverty and low median income, and the 75-bed Hope House Mission, a local homeless shelter, remains consistently full, said Tim Williams, the shelter’s vice president of homeless services.
But the situation is improving, and locals credit that to the kind of bootstraps-style initiative whose prospects Vance had questioned. “He makes it sound like this place sucks you in and that you’re destined to fail,” said Rochelle Zecher, a 42-year-old shop owner. “But this community builds itself up.”
Vance’s press secretary had no immediate comment on Reuters’ reporting.
FEDERAL FUNDS
In 2011, the city government and the Middletown Community Foundation created Downtown Middletown Inc, a nonprofit organization that helps market the city’s commercial district. With capital limited after the recession, city leaders got creative in finding money, including by using funds left over from a previous redevelopment loan.
That same year the city persuaded Cincinnati entrepreneur Jim Verdin to refurbish a building that now houses the Pendleton Art Center, creating space for 30 art vendors at little cost to Middletown.
Triple Moon Coffee Company, across the street from the art center, was launched in 2015 by lifelong Middletown resident Heather Gibson, who opened it with funds from her partner’s long-forgotten AK Steel retirement account.
The cafe is one of at least five LGBTQ-owned businesses in Middletown, said Duane Gordon, spokesman for the Middletown Pride Committee, who added that the city’s outreach to a wider array of communities helped spur its economic revitalization.
Middletown navigated the coronavirus pandemic with help from the federal government, receiving $19 million from Democratic President Joe Biden’s American Rescue Plan of 2021. City businesses got a combined $75 million from the Paycheck Protection Program – a business loan initiative signed by Trump and later extended by Biden – according to the federal government’s pandemic spending database.
The Republican Party’s 2024 platform promises to “rein in wasteful federal spending” as a way of “promoting economic growth,” and Vance has voiced skepticism about how much federal policymakers can do for local communities.
But Gibson, who used her PPP loan to open a drive-through behind her cafe, said federal money saved her business.
“It was a sink-or-swim moment,” she said.
(Reporting by Nicholas P. Brown; Editing by Paul Simao)
Ohio
Warren man sentenced for Niles police chase
WARREN, Ohio (WKBN) — A Warren man who led police on a chase received his sentence on Wednesday.
Michael Greene, 32, was sentenced to three years of probation and ordered to make restitution.
Greene pleaded guilty in February to failure to comply with the order or signal of a police officer and failure to stop after an accident.
Greene was charged following a November 2025 police chase in Niles.
Prosecutors say that the chase involved speeds of about 103 miles per hour.
It was discovered that the car Greene was driving was reported stolen by a family member.
Patty Coller contributed to this report.
Ohio
A unique project asks Ohioans to map Revolutionary War graves
Experience history through augmented reality in Middletown
The Sandy Hook Foundation and Monmouth County Historical Association have unveiled an augmented reality experience that tells the story of Colonel Tye, a slave turned Revolutionary War raider for the Loyalists. Video provided by The Sandy Hook Foundation.
Ohioans have until May 25 to help document the final resting places of Revolutionary War veterans buried across the state.
The effort is part of the Revolutionary War Veterans Graves Identification Project, a first-of-its-kind initiative led by America 250-Ohio, the commission organizing the state’s celebration of the nation’s 250th anniversary. The project aims to create a publicly accessible database of veterans’ graves, complete with photographs, inscriptions and GPS coordinates, according to a community announcement.
The public can submit information through the Grave Marker and Cemetery Collection Portal until May 25. Submissions will be reviewed and finalized before the database is released July 4, the 250th anniversary of the signing of the Declaration of Independence.
Thousands of graves documented by volunteers
Launched on Memorial Day 2025, the project has mobilized about 350 volunteers who have documented more than 4,000 grave markers across Ohio. The database is expected to include information on up to 7,000 veterans believed to be buried in the state.
Clusters of graves have been found in areas such as Clermont County and regions corresponding to the original Virginia Military and United States Military Districts. The first documented entry was the grave of Nathaniel Massie, a Virginia Militia private who founded the city of Chillicothe.
A window into Ohio’s early history
Ohio is home to a large number of Revolutionary War veterans’ graves, despite not being one of the original 13 colonies. After the war, portions of Ohio’s land were granted to veterans as payment for their service, drawing many to settle and build communities in the region.
Previously, records from organizations like the Sons of the American Revolution and Daughters of the American Revolution identified about 6,800 veterans buried in Ohio, but lacked precise locations and current photographs.
How to participate before the deadline
Anyone with a smartphone can contribute to the project. No historical expertise is required. Here’s how to participate:
- Visit ohiohistory.org/revwargraves to review instructions and explore the map of cemeteries already identified as likely grave sites.
- Download the free Survey123 app on your smartphone.
- Visit a cemetery, photograph the grave marker, record inscriptions, and log GPS coordinates.
- Submit your entry through the portal before May 25.
Volunteers who do not wish to remain anonymous will be acknowledged by name for their contributions. The completed database will remain publicly accessible beyond the America 250 celebration and will be maintained by the Ohio State Historic Preservation Office and the Ohio History Connection.
A lasting legacy for future generations
The project is led by the Ohio History Connection and its State Historic Preservation Office, with support from Terracon Consultants, Inc. Submissions appear on a live, publicly viewable dashboard at ohpo.maps.arcgis.com.
“These are the very first veterans of the United States of America,” Krista Horrocks, historian, cemetery preservationist, and project manager with the Ohio History Connection said in the announcement. “Documentation is the part that will outlive all of us. Gravestones won’t survive forever, but if we can record their location and story today, that information will be here for generations to come.”
To learn more, view the live dashboard, or submit information on a grave site, visit ohiohistory.org/revwargraves.
This story was created with the assistance of Artificial Intelligence (AI). Journalists were involved in every step of the information gathering, review, editing and publishing process. Learn more at cm.usatoday.com/ethical-conduct.
Ohio
Ohio governor announces new Medicaid fraud prevention initiatives
COLUMBUS — Ohio Governor Mike DeWine announced Wednesday that he is implementing several new fraud prevention initiatives to strengthen and build-upon long-standing efforts to fight fraud, waste, and abuse in the Ohio Medicaid system.
“Ohio has long been a national leader in fighting Medicaid fraud. Ohio has one of the best Medicaid Fraud Control units in the country, and, in 2018, Ohio became the first state to implement Electronic Visit Verification in home health care,” DeWine said.
“Today, we are ready to begin several new initiatives long in development that will enhance this nation-leading work and further protect taxpayer funds from those trying to defraud the State.
“I thank the Trump Administration for their partnership and collaboration that is allowing us to proceed with these reforms much faster than previously possible.”
New initiatives
DeWine said he is directing the Ohio Department of Medicaid to implement the following:
- Statewide New Provider Moratorium. The Ohio Department of Medicaid will today ask the Center for Medicare and Medicaid Services (CMS) so Ohio may implement a six-month moratorium on new home-healthcare and hospice businesses being able to become Medicaid providers. This will allow Ohio Medicaid to stop enrollment of new providers and assess existing providers to help remove those at high risk for having committed fraud.
- Immediate Payment Suspension to High-Risk Providers. Ohio Medicaid will today begin a policy of immediately removing and suspending payment to providers whose billing practices show “red flags” that indicate a high probability of fraud. Ohio Medicaid already has a robust payment suspension protocol that is currently used to stop payments to questionable providers. In January, Ohio Medicaid began the process of implementing new data analytics tools to help identify billing data anomalies that could better identify fraud. To date, this process has identified 87 providers who will be subject to further review and potential payment suspension.
- Executive Order for Emergency Rules. The Governor will be issuing an Executive Order that will allow the Ohio Department of Medicaid to implement emergency rules to require more frequent revalidation of providers being identified as higher-risk for committing fraud. Governor DeWine sent a letter to CMS on May 1 committing Ohio to partnering with the Trump Administration and using a more stringent revalidation process to better prevent fraud.
- Mandatory GPS Requirement for Electronic Visit Verification. Ohio Medicaid will file rules to require GPS for all providers using Electronic Visit Verification (EVV). Since March 2025, Ohio Medicaid has begun phasing in EVV as a mandatory requirement for home healthcare provider payment. In December, DeWine authorized Ohio Medicaid to begin the information technology investments needed to make GPS mandatory for EVV. Ohio Medicaid now ready to make this rule change to implement the requirement. Ohio Medicaid has worked collaboratively with Ohio Auditor Keith Faber on identifying solutions to issues identified in the Auditor’s audits of Ohio Medicaid, and this new rule will implement a key recommendation of the audits.
- Mandatory EVV for Live-In Caregivers. Ohio Medicaid will begin the rulemaking process to require live-in caregivers to use EVV during home healthcare and as a requirement for payment. Currently, family and live-in caregivers are exempt from this requirement.
Ohio’s work in prosecuting Medicaid fraud
Ohio has been a national leader in catching and prosecuting Medicaid fraud thanks to a strong partnership between Ohio Medicaid and the Ohio Attorney General’s Office and its Medicaid Fraud Control Unit, the governor said.
Since the beginning of 2023, Ohio has secured 444 Medicaid fraud indictments, 481 convictions, and 146 civil settlements and judgments resulting in $78.4 million in recovered taxpayer fund.
Under Ohio Attorney General Dave Yost, the unit received a U.S. Office of the Inspector General’s Award for Excellence in Fighting Fraud, Waste, and Abuse in 2022, and it ranked #1 in the nation for number of convictions secured in 2015 under then-Attorney General Mike DeWine.
Utilizing home healthcare to protect taxpayer dollars
Home and community-based care programs have been a core component of Medicaid services for decades since they were initiated under Ronald Reagan’s Administration.
Ohio is one of 47 states and the District of Columbia that provides such care under a waiver granted by CMS.
Ohio’s home and community-based care programs are grounded in data showing that legitimate in-home care is typically safer for individuals and significantly more affordable for taxpayers.
In 2024, Ohio saved more than $600 million in taxpayer funds that would have been expended had patients receiving home healthcare been diverted to skilled nursing or other residential care services, saving several billion dollars over the course of the DeWine Administration.
On average, home health care costs half as much as placement in a nursing facility.
Ensuring access to appropriate home-based care is both a responsible use of public resources and a critical part of meeting the needs of our most vulnerable Ohioans who otherwise would require placement in higher-cost nursing facilities.
Additional efforts to fight fraud, waste & abuse
Providing care in a home setting requires a robust set of controls to detect and prevent fraud.
Ohio Medicaid has been proactively evaluating all program integrity initiatives to ensure taxpayer dollars are well spent and that quality care is being provided.
The governor’s office said the department has been engaged in a thorough review of programs and policies to evaluate any risks to the integrity of the program, identify potential gaps that could be exploited, and explore opportunities to leverage new and emerging AI and data analytic tools to stay one step ahead of anyone looking to exploit the system.
As part of that work, since the start of 2026, the Department has initiated new prior authorization requirements for high-risk services to ensure medical necessity.
Ohio Medicaid launched efforts to build new data analytic capabilities to identify unique outliers in billing patterns, better assess vulnerable business ownership structures, and improve coordination of fraud fighting efforts.
These efforts are designed to improve the early detection of potential fraud and identify future areas of inherent program risk.
To confirm that billed services are actually rendered, Ohio Medicaid relies on an extensive set of safeguards, including:
- Comprehensive provider screening and continuous compliance monitoring.
- Mandatory electronic visit verification capturing date, time, and service location.
- Advanced analytics that flag unusual billing patterns or service trends.
- Routine and targeted audits performed by program integrity staff.
- Coordination with state and federal partners when concerns arise.
-
New Jersey53 seconds agoNew Jersey swim team left without pool after Wayne Community Center abruptly ends agreement
-
New Mexico7 minutes agoThe most popular baby names in New Mexico for 2025
-
North Carolina13 minutes agoBusinesses worry of potential impacts as Marion tightens water restrictions amid drought
-
North Dakota19 minutes agoHighway Patrol: Blowing dirt cuts visibility in northwest North Dakota
-
Ohio25 minutes agoWarren man sentenced for Niles police chase
-
Oklahoma31 minutes agoOklahoma judge allows former death row prisoner to be released on bond while awaiting retrial
-
Oregon37 minutes agoPeaceHealth says Oregon CEO Jim McGovern out, Heather Wall to continue as interim leader
-
Pennsylvania43 minutes agoMan arrested for allegedly posting hit list, threatening more than a dozen Pennsylvania lawmakers