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Hospitals feel effects of an aging NC population

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Hospitals feel effects of an aging NC population


North Carolina is among the fastest growing areas in the country. The latest data from the U.S. Census Bureau shows Wake County specifically is seeing tremendous growth, especially among older populations.

Wake County reports it is growing by an average of 51 people a day.

NCDHHS Division of Aging said it is already preparing for the long-lasting effects of the recent rapid growth.

“In 2022 1 in 6 people was 65+, by 2025 – which is just next year – that number will change to 1 in 5 people,” explained Rebecca Freeman.

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Freeman overseas NCDHHS’ Division of Aging. She said the state expects to see a 48% increase in population by 2042.

“It’s really the whole of government that all areas are preparing for the aging of our state. Not just health and human services, but commerce, transportation, cultural and natural resources,” Freeman said. “As our entire state ages, everybody has to be thinking about that.”

The division is expected to release its new All Ages, All States NC plan this September after Gov. Roy Cooper issued Executive Order 280 in May 2023.

The impact of an aging Triangle is something Dr. Christine Khandelwal sees both at work and within her own family.

“My consults when I used to work in the hospital side has changed dramatically from more younger, chronically ill (people) to now just more older, aged people who need a geriatrician,” she said. “I also personally have parents that moved down here to retire, so they also, as they age, are going to need providers.”

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Khandelwal has been practicing with the WakeMed system for over 10 years. She currently works as a geriatric palliative care physician and is the vice chair of medicine with WakeMed Raleigh.

“Everywhere we are seeing a great need for geriatric workforce. Not just physicians, but any of us that care for patients in general in the community: nurse practitioners, PAs (physician’s assistants), our social workers, physical therapists and rehab teams,” said Khandelwal. “All of us need to be more knowledgeable in how to care for the older population.”

The geriatrician is also a member of the Campbell University School of Medicine, helping train the next generation of physicians.

“We’re fortunate that we have some great geriatric fellowship training in the state,” Khandelwal said. “I trained at UNC, and I have some dear colleagues still that I reach out to as I develop my program here at WakeMed, but certainly not enough to be able to handle the growing population need.”

Khandelwal said she hopes to see more students graduate and pursue careers in geriatric care to help meet demand.

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“We have to grow and develop a workforce that’s going to be ready to take on the needs of the aging population. In North Carolina I believe we have about 282 boarded geriatricians like myself,” the doctor added.

Cary is one of the areas seeing the largest growth in Wake County with 15.5% of people aged 65 and older. The county average is 13%.

WakeMed Cary recently became the latest hospital to take a big step toward becoming more age friendly. In February, the hospital became the second in the state to receive the highest Geriatric Emergency Department Accreditation.

“It acknowledges that we want to do better care. It takes great leadership and support to get to that recognition,” Khandelwal said.

In 2023, geriatric patients accounted for 30% of all emergency room visits to WakeMed Cary.

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Across the WakeMed system, about 33% of the patient population is now aged 65 and older.

Other hospital systems in the Triangle also tell WRAL News that aging patient populations are growing there too.

Duke Health reports 24% of its patient population is aged 65+, while UNC Health reports it is at 38%.



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North Carolina

NC Made: Durham’s Old Hillside Bourbon toasts Black heritage one bottle at a time

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NC Made: Durham’s Old Hillside Bourbon toasts Black heritage one bottle at a time


DURHAM, N.C. (WTVD) — Bourbon is more than a business for Jesse Carpenter — it’s a tribute to the city that shaped him.

“This is Durham. This is where I’m from. This is where I grew up,” said Carpenter, Chief Product Officer of Old Hillside Bourbon.

The company he co-founded with childhood friends takes its name and identity from one of Durham’s most iconic institutions-Hillside High School, one of the oldest historically Black high schools in the nation.

“We graduated Class of 1993 from Hillside High School,” Carpenter said. “Concord and Lawson Street. It’s the old Hillside.”

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The idea took root during the pandemic when Carpenter proposed starting a bourbon company to those same friends.

“I had an idea to start a bourbon company, and they were on board,” he said. “Friends from 30 years ago, and now we’re doing this business together. It’s awesome.”

From 300 Cases to 10,000

What began as a pandemic-era idea has evolved into a rapidly growing business.

In its inaugural year, Old Hillside distributed 300 cases; this year, the company anticipates 10,000. The bourbon also earned Best in Show at the 2023 TAG Global Spirits Awards, impressing even the most discerning craft bourbon critics.

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“Let me focus on the aroma — layers of oak, vanilla,” one reviewer commented on the Bourbon Banter YouTube channel, concluding with, “I think it’s a great taste.”

SEE MORE NC MADE STORIES

A Bottle Full of Stories

Beyond its flavor, Old Hillside stands out for the history embedded in its label. Each vintage pays homage to a chapter of Black American history that might otherwise remain overlooked.

The inaugural bottle features a photo of the old Hillside High building, symbolizing the school’s deep community ties. A second flavor pays tribute to the African American jockeys who dominated the Kentucky Derby before the Jim Crow era effectively pushed them out of the sport. The company’s latest release honors the Harlem Hellfighters, the renowned all-Black military unit that served with distinction in World War I.

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It’s a storytelling approach that Carpenter and his team are actively working to spread across North Carolina. Brand ambassadors Corey Carpenter and Amire Schealey are on the front lines of that effort.

“More bars and restaurants — tackling different markets,” said Corey Carpenter. Schealey added that the team is “setting up tastings at different ABC boards to build up our brand and presence around the state of North Carolina.”

Like many acclaimed bourbons, Old Hillside is distilled and bottled in Kentucky. But its founders are quick to point out where its true spirit comes from.

“Old Hillside is a lifestyle,” Jesse Carpenter said. “Not just a school-friendship and camaraderie. That’s what we do.”

SEE ALSO | NC Made: Raleigh jewelry brand AnnaBanana grows from UNC dorm room to statewide success

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State and local leaders discuss ‘child-care crisis’ in NC

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State and local leaders discuss ‘child-care crisis’ in NC


DURHAM, N.C. (WTVD) — State and local leaders gathered in Durham on Thursday to discuss how they say North Carolina’s ‘child-care crisis’ is taking a toll on our communities.

“We’re demanding recognition,” former childcare provider DeeDee Fields said. “We want fair compensation. We want health protections and a retirement pathway for the workforce that makes all the work possible.”

Childcare is one of the biggest expenses North Carolinians face, with infant care more costly than in-state college tuition per year, according to data. Childcare for a four-year-old costs nearly $8,000 a year.

Since 2020, North Carolina has seen a record loss of licensed childcare programs. Durham County, for example, experienced a 14% drop.

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“I think a lot of people are making these tough choices about what makes the most sense for their family,” Nylah Jimerson said.

Jimerson used to work as a nanny before she became a parent. She’s one of more than a quarter of parents in North Carolina who left the workforce to stay home to care for children.

As North Carolina is the only state without a new budget, childcare is top of mind for State Sen. Sophia Chitlik, who co-authored a package of bills that aims to better support the industry, including making childcare more affordable.

“The ‘Child Care Omnibus’ is part of a series of bills that have budget requirements and budget asks in them,” Chitlik said. “But we’re not going to know until we get a state budget. The most urgent and important thing, in addition to those subsidies, is raising the subsidy floor … so I hope that there is bipartisan consensus that would be worked out in a state budget.”

North Carolina could remain without a budget until the legislature is back in session in April.

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“We have got to do something about childcare,” Sen. Natalie Murdock said. “We shouldn’t be in this position … we have to have a sustainable model and program because it’s about our children.”

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Copyright © 2026 WTVD-TV. All Rights Reserved.



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Lawmakers discuss solutions to solving a 'child care crisis' in NC

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Lawmakers discuss solutions to solving a 'child care crisis' in NC


State and local leaders are meeting in Durham to talk about solutions to what lawmakers call a “child care crisis” in North Carolina. There will also be local leaders discussing other solutions to improve child care services and make them more affordable.



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