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North Carolina ranks 33rd in new national scorecard on women’s health, reproductive care • NC Newsline

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North Carolina ranks 33rd in new national scorecard on women’s health, reproductive care • NC Newsline


A new state-by-state scorecard of women’s health released this week by the Commonwealth Fund raises concerns over the care women receive and the ripple effects of the Supreme Court’s 2022 decision to overturn Roe v. Wade.

Photo: Commonwealth Fund video feed

The “2024 State Scorecard on Women’s Health and Reproductive Care” is based on 32 measures of state health systems and examines how state policy actions are changing the way women can access and use health care.

“Based on the evidence and data, one thing is absolutely clear, women’s health is in a very fragile state,” said Dr. Joseph Betancourt, president of the Commonwealth Fund, during a briefing with reporters on Wednesday. “There are stark disparities in women’s access to quality health care among states across racial, ethnic, and socioeconomic lines. Those inequities are longstanding, no doubt, but recent policy choices and judicial decisions restricting access to reproductive care have and may continue to exacerbate them.”

Rates of maternal deaths were highest in the Mississippi Delta region, which includes Arkansas, Louisiana, Mississippi, and Tennessee. North Carolina’s rates for maternal deaths while pregnant and for infant mortality were both above the national average.

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Eighteen percent of North Carolina women aged 18-64 reported being in fair or poor health based on the data from 2022.

More than 1 in 5 women in our state (21%) reported having 14 of more poor mental health days in the past month.

Map of the US
Source: The Commonwealth Fund’s 2024 State Scorecard on Women’s Health and Reproductive Care

North Carolina performed best on women who were up to date on colon cancer screenings.

Such screenings are critically important as deaths from breast and cervical cancer are considered preventable and treatable for women who receive timely screening and follow-up health care.

Researchers found that Black women experienced higher breast cancer mortality than white women due to a variety of factors, including poorer quality of care after an abnormal test, or a diagnosis made at a more advanced stage.

The scorecard also found deaths among women of reproductive age are highest in southeastern states. Causes of death included pregnancy related complications and other preventable causes such as substance use, COVID-19, and treatable chronic conditions.

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A color-coded map of the U.S.
Source: The Commonwealth Fund’s 2024 State Scorecard on Women’s Health and Reproductive Care

The uninsured rates among women in the U.S. ranged from 2.5% to over 20% with the highest uninsured rates in states that have not expanded their Medicaid programs.

North Carolina expanded its Medicaid coverage on December 1, 2023. Just last week the NC Department of Health and Human Services announced the enrollment of more than 500,000 North Carolinians in the seven months since the program was launched.

“Each of those 500,000 who now have the peace of mind to be able to face some of the greatest challenges that they ever thought they could face and know that they are not alone,” said North Carolina Department of Health and Human Services Secretary Kody Kinsley in marking the milestone.

But while North Carolina has made progress in expanding health care access, 10 states have yet to expand eligibility for Medicaid. That leaves nearly 800,000 women uninsured.

A maternity care desert made worse by Dobbs ruling

The Commonwealth Fund experts said access to care isn’t just about having coverage, it’s also about being able to get to a service provider when care is needed.

“It’s estimated that over five million women (nationwide) already live in a county that’s considered a maternity care desert, meaning there’s no hospital or birth center offering obstetric care and there are no obstetric providers,” explained David Radley, Ph.D., a senior scientist for the Commonwealth Fund.

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Twenty percent of women in North Carolina age 18-44 said they did not have a person who was their personal or primary health care provider.

Abortion bans are also having an impact on the care that women receive, said Sara Collins, the Commonwealth Fund’s vice president for health care coverage and tracking health system performance.

Sara Collins
Photo: Commonwealth Fund video feed

“A clear pattern in the study is states that have had abortion restrictions prior to Dobbs rank lower and a lot of our measures, including having adequate numbers of maternal health care providers,” Collins shared. “We’re seeing post-Dobbs the effect that decision is having on states delivery systems. We’re seeing lower residency applications in states with abortion bans from new medical students.”

So, is there going to be a growing divide across the states between those that have left abortion legal and those that have enacted the tightest restrictions?

“I think that time will tell,” Collins said.

North Carolina’s legislature enacted a 12-week abortion ban in 2023 and could move toward a six-week ban in 2025.

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What researchers do know now is that states in which a large share of residents are living in rural areas, there tend to be the fewest obstetric providers.

Fewer providers means that patients face barriers in receiving the full continuum of prenatal and postnatal care.

Elections will shape future health access

How women’s health fares in the future could very well depend on the outcome of the 2024 presidential election.

The Affordable Care Act (ACA) not only expanded Medicaid and provided subsidies the help lower-income families, but it also banned insurers in the individual market from charging young women higher premiums than young men. The ACA also required insurers to cover maternity care –something that was not guaranteed prior to the law.

After more than 60 failed Republican-led votes to repeal Obamacare, experts believe a scenario could emerge if the GOP takes control of Congress and the White House in 2025 that would involve passage of legislation requiring slimmed down plans and fewer guaranteed benefits. It remains unclear if insurers would be allowed to deny coverage to those with pre-existing conditions.

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“While some states undoubtedly are championing women’s continued access to vital health and reproductive services, many others are failing to ensure that women can get and afford the health care they need. The failure is having a disproportionate impact on women of color and women with low incomes,” said Betancourt.

Click here to read the 2024 State Scorecard on Women’s Health and Reproductive Care for North Carolina.

a graph shows the ranking of all U.S. states for women's' health outcomes
Source: Commonwealth Fund “2024 State Scorecard on Women’s Health and Reproductive Care”



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Current State of North Carolina’s Quarterback Room

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Current State of North Carolina’s Quarterback Room


This offseason has been a complete quarterback carousel for the North Carolina Tar Heels. Following the debacle of last season, it was obvious that North Carolina needed to make significant changes at quarterback.

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In Bill Belichick’s first year as the head coach, the Tar Heels compiled a 4-8 record and failed to qualify for bowl eligibility for the first time since 2018. There were several factors that led to the lackluster season, but the production and effectiveness from the quarterback position may take the cake, in terms of who should be blamed the most for North Carolina’s failure of a season.

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In 11 games, Gio Lopez threw for only 1,747 yards, 10 touchdowns, and five interceptions while attempting 6.7 yards per pass. If you don’t possess a quarterback who can operate at a competent level, it is virtually impossible to compete with that player leading the offense.

Nov 22, 2025; Chapel Hill, North Carolina, USA; North Carolina Tar Heels quarterback Gio Lopez (7) is hit after a pass by Duke Blue Devils defensive back Caleb Weaver (3) during the first half at Kenan Stadium. Mandatory Credit: William Howard-Imagn Images | William Howard-Imagn Images
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As mentioned, it was apparent that the front office had to venture out in the transfer portal to potentially find their next quarterback. The Tar Heels did land 2026 four-star quarterback recruit Travis Burgess, but it was not yet known that both Max Johnson and Bryce Baker would enter the transfer portal this offseason.

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Not to mention, after recently announcing that he will return to Chapel Hill in 2026, Lopez became the latest quarterback to leave the program, making his intentions of entering the portal known on Monday. On Wednesday, Lopez officially signed with Wake Forest.

Here is what general manager Michael Lombardi and North Carolina’s front office orchestrated to add depth to the quarterback room, and how those moves affect that position.

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Assessing the Tar Heels’ Quarterback Situation

Sep 20, 2025; Madison, Wisconsin, USA; Wisconsin Badgers quarterback Billy Edwards Jr. (9) looks to throw a pass during the first quarter against the Maryland Terrapins at Camp Randall Stadium. Mandatory Credit: Jeff Hanisch-Imagn Images | Jeff Hanisch-Imagn Images

With three total quarterbacks leaving the program, North Carolina needed to orchestrate multiple moves to improve the depth at the position. While the Tar Heels landed Billy Edwards Jr. and Miles O’Neill, those two additions do not instill a ton of confidence in a room lacking experience and proven production.

In four years, Edwards Jr. has one year of starting, while O’Neill has eight appearances over the last two seasons. The Texas A&M transfer possesses more potential than Edwards Jr., as he still has three years of eligibility remaining. There is more room to grow for O’Neill. We already know what Edwards Jr is: a backup quarterback who could play here and there as a starter.

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Nov 22, 2025; College Station, Texas, USA; Texas A&M Aggies quarterback Miles O’Neill (16) hands the ball off Texas A&M Aggies running back AJ DiNota (41) before a game against the Samford Bulldogs at Kyle Field. Mandatory Credit: Joseph Buvid-Imagn Images | Joseph Buvid-Imagn Images

Meanwhile, Au’Tori Newkirk played sparingly during his freshman season in 2025, and Burgess will be a true freshman in 2026. None of these quarterbacks provide both high potential and experience. They possess one or the other, which could become problematic if no one establishes themselves as the clear-cut starter.

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NC health officials urge vaccines amid measles and respiratory illness surge

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NC health officials urge vaccines amid measles and respiratory illness surge


The North Carolina Department of Health and Human Services (NCDHHS) is responding to the most recent measles cases and a spike in respiratory illnesses in North Carolina.

In a meeting hosted by NCDHHS, health officials stressed the importance of staying up to date on vaccines.

Those officials were also asked about the vaccination status of the three kids who tested positive for measles in Buncombe County.

“The three cases in Buncombe County, all three of them, had at least one dose of MMR vaccine,” said Dr. Erica Wilson with NCDHHS.

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News 13 reported on Tuesday that the three siblings contracted measles after visiting Spartanburg County, South Carolina, where there’s currently a large measles outbreak.

3 BUNCOMBE COUNTY CHILDREN CONTRACT MEASLES AFTER SOUTH CAROLINA VISIT, NCDHHS REPORTS

The Mission Hospital Emergency Department waiting room in Asheville was listed as a possible measles exposure location on Sunday, Jan. 4, between 2 a.m. and 6:30 a.m.

Mission Health sent News 13 a statement, saying in part, “Our hospitals work with state and federal health officials on proactive preparedness, and we are following guidance provided by the CDC.”

The hospital provided state health officials with a list of 26 people who may have been exposed to measles on Jan. 4, according to Mission Health.

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It’s not just Buncombe County that has reported measles in North Carolina recently.

JAN. 6, 2026 – A flyer in Buncombe County warning of illness symptoms amid three confirmed measles cases in the county. (Photo credit: WLOS Staff)

“One in Polk County and three in Buncombe County. Additionally, there was a measles exposure alert we released in Gaston County. All are connected to an ongoing measles outbreak in Spartanburg County, South Carolina,” said Dr. Kelly Kimple with NCDHHS. “About 90% of unvaccinated individuals who are exposed will become infected.”

POLK COUNTY CHILD CONTRACTS MEASLES AFTER SOUTH CAROLINA VISIT, NCDHHS REPORTS

In the meeting, health officials also addressed the increase in respiratory illnesses like respiratory syncytial virus (RSV), COVID-19, and influenza.

“Whether it’s the childhood immunizations for things like measles, mumps, and rubella, or even the seasonal immunizations for things like RSV, COVID, and flu, vaccines are a critical and important part of remaining healthy and having healthy communities,” said NCDHHS secretary Dr. Devdutta Sangvai.

Additionally, as News 13 previously reported, there was a chickenpox outbreak in Buncombe County, with four cases confirmed at Fairview Elementary as of Jan. 6.

Health officials are reminding people that it’s not too late to get their seasonal vaccines. There are also additional preventative actions to protect oneself against respiratory viruses.

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FLU CASES SURGE IN NC, STRAINING HOSPITALS AND INCREASING DEATH TOLL

“This includes regularly washing your hands with soap and water,” said Kimple.

Kimple suggests avoiding touching your eyes, nose and mouth. She also said to clean and disinfect frequently touched surfaces that may be contaminated.

“Cover those coughs and sneezes with a tissue and then discard the tissue promptly. Stay home when sick, except to seek medical care or testing, and take steps to avoid spreading infection to others in your home,” said Kimple.

NCDHHS also has helpful resources on its website, like a measles immunity checker, information about vaccines, and a program that helps eligible families get free vaccines.

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A town in western North Carolina is returning land to the Eastern Band of Cherokee Indians

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A town in western North Carolina is returning land to the Eastern Band of Cherokee Indians


An important cultural site is close to being returned to the Eastern Band of Cherokee Indians after a city council in North Carolina voted unanimously Monday to return the land.

The Noquisiyi Mound in Franklin, North Carolina, was part of a Cherokee mother town hundreds of years before the founding of the United States, and it is a place of deep spiritual significance to the Cherokee people. But for about 200 years it was either in the hands of private owners or the town.

“When you think about the importance of not just our history but those cultural and traditional areas where we practice all the things we believe in, they should be in the hands of the tribe they belong to,” said Michell Hicks, principal chief of the Eastern Band of Cherokee Indians. “It’s a decision that we’re very thankful to the town of Franklin for understanding.”

Noquisiyi is the largest unexcavated mound in the Southeast, said Elaine Eisenbraun, executive director of Noquisiyi Intitative, the nonprofit that has managed the site since 2019. Eisenbraun, who worked alongside the town’s mayor for several years on the return, said the next step is for the tribal council to agree to take control, which will initiate the legal process of transferring the title.

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CHEROKEE CHIEF SIGNS ORDINANCE FOR FIRST OFFICIAL DEER SEASON ON TRIBAL LANDS

“It’s a big deal for Cherokees to get our piece of our ancestral territory back in general,” said Angelina Jumper, a citizen of the tribe and a Noquisiyi Initiative board member who spoke at Monday’s city council meeting. “But when you talk about a mound site like that, that has so much significance and is still standing as high as it was two or three hundred years ago when it was taken, that kind of just holds a level of gravity that I just have no words for.”

In the 1940s, the town of Franklin raised money to purchase the mound from a private owner. Hicks said the tribe started conversations with the town about transferring ownership in 2012, after a town employee sprayed herbicide on the mound, killing all the grass. In 2019, Franklin and the Eastern Band of Cherokee Indians created a nonprofit to oversee the site, which today it is situated between two roads and several buildings.

“Talking about Land Back, it’s part of a living people. It’s not like it’s a historical artifact,” said Stacey Guffey, Franklin’s mayor, referencing the global movement to return Indigenous homelands through ownership or co-stewardship. “It’s part of a living culture, and if we can’t honor that then we lose the character of who we are as mountain people.”

LUMBEE TRIBE OF NORTH CAROLINA GAINS LONG-SOUGHT FULL FEDERAL RECOGNITION

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Noquisiyi is part of a series of earthen mounds, many of which still exist, that were the heart of the Cherokee civilization. The Eastern Band of Cherokee Indians also owns the Cowee Mound a few miles away, and it is establishing a cultural corridor of important sites that stretches from Georgia to the tribe’s reservation, the Qualla Boundary.

Noquisiyi, which translates to “star place,” is an important religious site that has provided protection to generations of Cherokee people, said Jordan Oocumma, the groundskeeper of the mound. He said he is the first enrolled member of the tribe to caretake the mound since the forced removal.

“It’s also a place where when you need answers, or you want to know something, you can go there and you ask, and it’ll come to you,” he said. “It feels different from being anywhere else in the world when you’re out there.”

The mound will remain publicly accessible, and the tribe plans to open an interpretive center in a building it owns next to the site.



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