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Fewer doctors-in-training are applying to Kentucky programs, according to a new study

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Fewer doctors-in-training are applying to Kentucky programs, according to a new study


The study found that U.S. medical students were less likely to put in an application in states with abortion bans in place, including in Kentucky. The Commonwealth’s near-total abortion ban only allows exceptions if the mother is in imminent risk of death or permanent injury.

Dr. Atul Grover is the executive director for the Association of American Medical Schools Research and Action Institute. Through his research, Grover found that 15% fewer U.S. medical students applied to residency programs in Kentucky during the last academic year compared to the 2022-23 school year — that’s 1,050 fewer applicants across specialties.

In programs for obstetricians and gynecologists, there was an even sharper 23% decline, Grover said.

“We do see these trends across specialties though,” Grover said. “People get a little jittery around the idea that the state government is going to come in and tell you what is not appropriate care for a patient when you know otherwise.”

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Grover noted that medical students overall applied to fewer schools, meaning students got pickier in where they applied. That accounts for some of the decrease in applications across states, but the remaining deficit, he said, is cause for concern — particularly to states with abortion bans.

“Health care shortages, across specialties, across a lot of states, are already being felt by patients,” Grover said. “If I think about Kentucky, Alabama, Mississippi, these are states that already have trouble attracting and recruiting, retaining physicians.”

Kentucky hospitals are already dealing with an “acute shortage” of health care workers, with nearly 13,000 job vacancies in hospitals at the end of 2022, according to the The Kentucky Hospital Association.

Grover said medical residency application numbers are one of the fastest ways to measure where doctors are moving or interested in moving. Other metrics are harder and take longer to track. Residents, the researcher said, have a tendency to stay in the state where they train.

Grover said lawmakers should understand the full implications of abortion bans, especially in a state that already suffers from several physician shortages, including in women and reproductive health fields. According to data from the U.S. Health Resources and Services Administration, more than half of Kentucky’s 120 counties don’t have a single OB/GYN specialist — whether an MD or an OD — in 2022-23.

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Louisville Pediatrician Dr. Michelle Elisburg said she suspected the abortion ban would keep young doctors from training in or choosing to practice in Kentucky. Elisburg was part of a group of doctors called Kentucky Physicians for Reproductive Freedom who urged Frankfort lawmakers to end the state’s abortion bans earlier this year.

Elisburg said the bans keep students from receiving all the training they need to provide abortion care or require them travel out of state to get it.

“If there’s such a ban, that restricts the kind of training that people are able to do,” Elisburg said. “They’re not going to want to come to a state where they can’t be completely trained in all the techniques in their field.”

She also noted that many doctors entering residency are in their mid to late 20s, and may be considering having children themselves. The bans may keep those women or their partners from considering moving to the state either.

“You wouldn’t come if you’re a young woman and know that if something happens to you, you might die because they aren’t gonna let you get the health care you need,” Elisburg said. “That’s where you are going to lose the doctors.”

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Blair Wooten, who attended University of Louisville medical school, said the state’s abortion ban was one of the reasons she decided to leave the state. She ended up going to a program in Ohio for the last year.

“[Abortion medical training] is paramount to me,” Wooten said. “It’s something I want to be in my practice.”

Wooten is now in the process of moving to Indiana for a different residency program, a state which has its own abortion ban. She said she’s apprehensive about returning to a place where she won’t be able to give or potentially receive medical care that she believes to be appropriate.

But her program gives students the opportunity to receive abortion training in a Detroit-based program, which eased some of her fears — and clinics in Ohio are just a few hours drive away.

“Even though I’ll be in a hostile place, I’ll be near places that have more open access to abortion so that people with fewer resources can still access that,” Wooten said.

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Wooten said she’s not sure if she’d consider setting up a practice in a state without abortion access. She said the inability to immediately provide the care she believes is necessary would be painful, but she also wants to provide services in health care deserts.

“Family planning is something I want to be a big part of my practice, so I usually say, ‘No,’” Wooten said. “But I’m also keenly aware that people need resources in every place, especially places that are maybe a little more hostile. And they need providers who care and can help them even with limited resources.”

State government and politics reporting is supported in part by the Corporation for Public Broadcasting.





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Kentucky outlasts Wisconsin 3-2 in five-set thriller

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Kentucky outlasts Wisconsin 3-2 in five-set thriller


No. 1 Kentucky outlasted No. 3 Wisconsin 3-2 in the five-set thriller to earn a trip the the NCAA national championship. The Wildcats clinch their first national final appearance since winning the title in the Spring of 2021 and second in program history. 

In front of a sold-out T-Mobile Center in Kansas City, MO., Big Blue rallied in a dramatic fashion after a devastating 25-12 loss in Set 1. Kentucky was able to punch back in Set 2, earning the 25-22 victory before dropping the next set 25-21 to the Badgers. 

With their backs against the wall, the Cats fought off a rallying Wisconsin team for the 26-24 Set 4 victory to push the match to five. 

With momentum on their side, Kentucky took back what it lost in the first and fired on all cylinders in the fifth. The Cats raced out to a 6-1 lead early in the fifth before clinching the 15-13 win, hitting a match-best .409. 

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Outside Eva Hudson powered 29 kills on .455 hitting with seven digs, two blocks and a service ace to power the Kentucky winm while Brooklyn DeLeye tallied 15. The Big Blue defense made the difference, registering eight big-time blocks against a career-night by Wisconsin’s Mimi Colyer. 

With the Wildcat win, Kentucky clinches a spot in the national championship to face No. 3 Texas A&M for the first ever all-SEC final in NCAA women’s volleyball history. 

Final stats here. 





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Kentucky Supreme Court reverses course, strikes down law limiting JCPS board power

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Kentucky Supreme Court reverses course, strikes down law limiting JCPS board power


Last December, the Kentucky Supreme Court upheld a law by a slim 4-3 majority that limited the power of the Jefferson County Board of Education and delegated more authority to the district’s superintendent.

Almost exactly one year later, the state’s high court has just done the opposite.

In a 4-3 ruling Thursday, the justices struck down the 2022 law, saying it violated the constitution by targeting one specific school district.

The court’s new opinion on the law is because of its change in membership since last December, as newly elected Justice Pamela Goodwine was sworn in a month later, and then joined three other justices in granting the school board’s request to rehear the case in April.

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Replacing a chief justice who had voted to uphold the law last year, Goodwine sided with the majority in the opinion written by Justice Angela McCormick Bisig on Thursday to strike it down.

Bisig wrote that treating the Jefferson County district differently from all other public school districts in the state violated Sections 59 and 60 of the Kentucky Constitution. She noted that while the court “should and does give great deference to the propriety of duly enacted statutes,” they are also “duty bound to ensure that legislative decisions stay within the important mandates” of the constitution.

“When, as here, that legislative aim is focused on one and only one county without any articulable reasonable basis, the enactment violates Sections 59 and 60 of our Constitution,” Bisig wrote. “Reformulating the balance of power between one county’s school board and superintendent to the exclusion of all others without any reasonable basis fails the very tests established in our constitutional jurisprudence to discern constitutional infirmity.”

The at-times blistering dissenting opinion of Justice Shea Nickell — who wrote the majority opinion last year — argued the petition for a rehearing was improvidently granted in April, as it “failed to satisfy our Court’s historic legal standard for granting such requests, and nothing changed other than the Court’s composition.”

Nickell wrote that the court disregarded procedural rules and standards, “thereby reasonably damaging perceptions of judicial independence and diminishing public trust in the court system’s fair and impartial administration of justice.”

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“I am profoundly disturbed by the damage and mischief such a brazen manipulation of the rehearing standard will inflict on the stability and integrity of our judicial decision-making process in the future.”

He added that some may excuse the majority’s decision by saying that “elections have consequences,” but that unlike legislators and executive officers being accountable to voters, “judges and justices are ultimately accountable to the law.”

“Courts must be free of political machinations and any fortuitous change in the composition of an appellate court’s justices should have no impact upon previously rendered fair and impartial judicial pronouncements,” Nickell wrote.

Kentucky Attorney General Russell Coleman, whose office defended the law before the court, criticized the new ruling voiding the law.

“I am stunned that our Supreme Court reversed itself based only on a new justice joining the Court,” Coleman said. “This decision is devastating for JCPS students and leaves them trapped in a failing system while sabotaging the General Assembly’s rescue mission.”

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Corrie Shull, chair of the Jefferson County Board of Education, said in a statement he is grateful for the court’s new ruling affirming “that JCPS voters and taxpayers should have the same voice in their local operations that other Kentuckians do, through their elected school board members.”

Spokespersons for the Republican majority leadership of the Kentucky House and Senate did not immediately respond to a request for comment on Thursday’s ruling.

Republican House Speaker David Osborne criticized the move to rehear the case in April, calling it “troubling.”

“Unfortunately, judicial outcomes seem increasingly driven by partisan politics,” Osborne stated. “Kentuckians would be better served to keep politics out of the court, and the court out of politics.”

In August, GOP state Rep. Jason Nemes of Middletown penned an op-ed warning that any ruling overturning the 2022 law could draw a lawsuit challenging the Louisville-Jefferson County merger of 2003 as a violation of the same sections of Kentucky Constitution. That same day, Louisville real estate developer and major GOP donor David Nicklies filed a lawsuit seeking just that.

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Some Republicans have also criticized Goodwine for not recusing herself from the case, alleging she had a conflict of interest due to an independent political action committee heavily funded by the teachers’ union in Louisville spending hundreds of thousands of dollars on ads to help elect her last year.

Louisville attorney and GOP official Jack Richardson filed a petition with the clerk of the Kentucky House in October to impeach Goodwine for not recusing herself. Goodwine said through a spokesperson at the time that it would not be appropriate for her to comment about the impeachment petition.





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Trump considers marijuana rescheduling executive order, Ky. advocates weigh in

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Trump considers marijuana rescheduling executive order, Ky. advocates weigh in


DANVILLE, Ky. (WKYT) – President Donald Trump says he is strongly considering signing an executive order rescheduling marijuana to a lower classification.

The move would loosen federal restrictions but not fully legalize the drug.

Robert Matheny, a CBD shop owner and cannabis advocate in Kentucky for over a decade, said the proposal sounds like a positive step for the cannabis industry but doesn’t think it goes far enough.

“Initial reaction is this is a great thing and a positive step for cannabis rights — and that’s what it was made to sound like to be able to get people to laugh and cheer for it,” Matheny said.

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Matheny said the president’s looming marijuana reclassification could spell bad news for Kentuckians and the industry as a whole. He said the move would put marijuana products under pharmaceutical control and potentially drive-up prices.

“This puts a big profit margin in for the pharmaceutical industry, and this is a giant gift to from our legislators and our president right now to the pharmaceutical industry,” Matheny said.

Matheny advocates for full marijuana decriminalization, a stance that goes a step further than the one publicly supported by Governor Andy Beshear.

In a July letter to President Trump, Beshear advocated in favor of rescheduling marijuana. In the letter, he said making the rules less restrictive would provide access to cannabis for treatment and allow more research.

The federal government currently classifies marijuana as a Schedule I drug. That classification places it alongside other drugs such as heroin and LSD.

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If classified as Schedule III, it would be placed alongside drugs the DEA says have a moderate-to-low potential for physical and psychological dependence such as ketamine and testosterone.

Matheny said even if someone is caught with a Schedule III drug, someone could still be in trouble.

“It’s still a drug. It’s still a pharmacy. If you get caught with over-the-counter pain pills it is still the same as getting caught with fentanyl you got a drug,” Matheny said.

Matthew Bratcher of Kentucky NORML is another marijuana advocate who agrees with Matheny and says legislators should go a step further.

Bratcher said while a meaningful step forward, people would not see full clarity or fairness until cannabis is fully declassified. The longtime cannabis advocate said he will watch to see what is done in Washington.

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It’s unclear when Trump will sign the executive order.



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