North Carolina
Opinion: NC’s HOP program has led to healthier residents, lower medical costs. It needs funding
The best way to lower health care costs is to reduce the need for expensive medical services by preventing illness in the first place. Thanks to the foresight of North Carolina lawmakers, our state tested a pilot program that does just that. In only two years, people are healthier and health care costs are lower. But despite its success, the future of the Healthy Opportunities Pilot is unclear.
As the two most recent secretaries of the North Carolina Department of Health and Human Services, we launched HOP by working with the Republican-led General Assembly and with the first Trump administration, which approved the pilot. North Carolina’s innovation has since become a model for other states and earned national attention for its impact.
HOP is based on a simple idea — it costs less to keep people healthy than to treat them after they get sick. We spend most of our money in this country treating diseases, rather than preventing them. Evidence from HOP has shown that investing in things that impact your health such as food and housing not only prevents disease but also saves money.
Recent studies show HOP reduces health care costs by $1,020 per participant each year. The savings come from people needing fewer trips to the emergency room and fewer hospital admissions. People are staying healthy because local farmers, nonprofits, and small businesses deliver meals so people have healthy food, make home repairs that get rid of mold and help avoid asthma attacks, and help patients get preventive care and medicine when they need it, not after it becomes an emergency.
In Western North Carolina, families displaced by Tropical Storm Helene faced similar challenges. One mother, whose child suffered from asthma, received support from HOP to make their new home safer by removing mold and other triggers through the Breathe Right program. The result? Fewer ER visits and a healthier future. In the Cape Fear region, a young single mother was struggling with unsafe housing, food insecurity, and her children’s health problems. With support from HOP — including help with housing, food access, and parenting resources — she found stability. She secured full-time work, moved her family into a safe home, and saw their health improve dramatically.
And yet, despite these successes, North Carolina lawmakers have not included specific funding for HOP in either the House or Senate budget proposals. Without funding, millions in federal dollars will be pulled out of our rural communities, emergency department and hospital visits will likely rise again, health care costs will increase, and people’s health will be at risk.
Cutting programs like HOP does not save money. It just shifts costs to emergency rooms, schools, and long-term care facilities — and drives up costs for all of us. It’s why lawmakers funded Healthy Opportunities in the first place. And now that it’s delivered on the promise of saving costs, it’s time to double down on what works. In December of last year, noting the proven success of HOP, the federal government approved expanding the pilots statewide, which could unlock amazing opportunities across all of North Carolina. As North Carolina faces tough budget choices, sustaining and growing programs like HOP is the fiscally responsible decision. It supports healthier families, stronger communities, and a more sustainable health care system.
With uncertainty at the federal level and no funding included for HOP in either the North Carolina House or Senate budgets, the program’s future hangs in the balance. If it ends, the consequences will be real — lives, jobs, and hurricane recovery efforts will all be at risk. In a time when so much feels uncertain, this is a solution we can agree on. The evidence is clear, the need is urgent, and the stakes are high. Our state must continue to lead the way with common-sense improvements to our health system.
The question is not how we can afford to do this; it is how we cannot?
Dr. Mandy Cohen and Kody Kinsley are former Secretaries, NC Department of Health and Human Services.
North Carolina
Ex-senator’s wife, 75, found escaped inmate cowering in the backseat of her car: ‘I was shaking like a leaf’
The 75-year-old wife of a former Republican North Carolina senator had a frightening start to her week when she discovered an escaped inmate hiding in the backseat of her car, according to local reports.
Marie Steinburg, married to ex-State Senator Bob Steinberg, left her Edenton home for work around 7:30 a.m. Monday when she unlocked her Honda Civic and found 23-year-old accused thief Charles Babb cowering in the backseat, with a blanket wrapped around his orange prison jumpsuit.
“I headed out the door, and I clicked the unlock, and it must have scared the guy, because the next thing I know, I saw something moving in my backseat,” the startled senior said, WTKR reported.
“I kept backing up little by little by little because I thought, I don’t know what this man is going to do.”
Babb — who police said escaped from the Chowan County Detention Center Sunday night — then jumped out the car.
While residents were urged to lock their doors and windows, stay inside, and avoid interacting with the armed and dangerous fugitive, Steinburg said she remained calm and began talking to him.
“I figured if I was nice to him, he’d be nice to me,” she said, WAVY reported.
“I just figured that was the thing to do because I didn’t know if he was really dangerous,” Steinburg explained, adding that “he kept saying, ‘I’m sorry, I’m sorry, I’m sorry. I’m so cold.’ And, you know, I was startled and I know he was too. And I said, “Well, hey, let me go in and get you a coat.’”
Steinburg said Babb then turned and raced down the driveway — reportedly leaving behind his prison sandals and a face mask — as she ran inside, called out to her husband, and dialed 911.
“I got in as fast as I could,” she recalled, according to WTKR.
“I was shaking like a leaf, and I could barely get the key in the lock, but I did.”
The Edenton Police Department apprehended the convict nearby shortly thereafter.
Police did not give details on how Babb escaped jail, other than to say he used a make-shift edged weapon. He was being held on felony breaking and entering and larceny charges before his breakout, according to the Daily Advance.
Her husband, who advocated for prison reform during his 10 years in office, praised his wife for how she handled the terrifying situation, believing a higher power was looking out for them.
The couple added that they will never forget to lock their car doors again.
“Oh let me tell you, if I don’t, [my husband] is gonna,” a relieved Steinberg said.
“It’s one of those things that we learned.”
The Chowan County Sheriff’s Office has since launched an investigation into Babb’s jailbreak.
North Carolina
How Seth Trimble’s Injury Unlocked North Carolina’s Potential
Injuries are an unfortunate element in sports, and that has been relevant for the North Carolina Tar Heels this season. Now, most of the time, those injuries occur in games or practices. That was not the case for Seth Trimble, who suffered a broken arm in a workout accident.
The senior guard has not played since the second game of the season against the Kansas Jayhawks on Nov. 7.
Although the injury forced the Tar Heels’ coaching staff and players into an uncomfortable situation, the team has responded, winning six of seven games in Trimble’s absence. You never want to see a player suffer a significant injury, but in this particular case, it has opened the door to possibilities that North Carolina may not have been aware of if this never transpired.
Here is why Trimble’s injury has not been doom and gloom for the Tar Heels in this early portion of the season.
Unlocking a Potential Star Off the Bench
Before the last two games, North Carolina’s backcourt situation appeared to be a significant shortcoming for the Tar Heels. Because of that, Davis was forced to expand his bench with the hopes of unlocking the offense while supplying consistent production.
That has elevated freshman guard Derek Dixon’s role in the rotation, which has proven to be pivotal in North Carolina’s wins in the last two games against Kentucky and Georgetown. During that span, the 6-foot-5 guard has averaged 11.5 points while shooting 53.3 percent from the field and 50 percent from three-point range.
With the rotation becoming solidified in recent weeks, head coach Hubert Davis explained how the backcourt has taken shape following the Tar Heels’ win over Georgetown on Sunday.
- “I really like [Kyan] and Derek [Dixon] on the floor at the same time,” Davis continued. “I’ve always said that I love multiple ball handlers. You can’t take us out of our offense. And with those two, with the way that Georgetown was switching defenses, we always had somebody that can handle the basketball and get us into a set and get us organized.”
- “So, it’s trying to figure out rotations,” Davis continued. “And then when Seth comes back, it’s finding it again. Different combinations is one of the things that I was excited about coming into the season. That is the versatility that we have, that we can throw out a number of different rotations out there that can be really effective on the floor.”
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North Carolina
Seasonal flu virus numbers increase across NC; NCDHHS shares tips to stay healthy this season
RALEIGH, N.C. (WTVD) — Flu-related illnesses and deaths have been rising across the state, according to the North Carolina Department of Health and Human Services.
Three flu-related deaths were reported within the past week, bringing the number of deaths to nine this season.
North Carolina reported 542 flu-related deaths for the 2024-25 respiratory virus season; this is the highest number of statewide flu deaths ever recorded in NC.
So far, no flu-related deaths in children have been reported in North Carolina.
SEE ALSO | Flu concerns grow in US as UK sees more cases among kids
Influenza A (H3N2) virus strain known as subclade K has spread worldwide, and it is the most often reported flu virus so far this season in the U.S.
State Epidemiologist Zack Moore says the flu is spreading quickly in our state and says flu vaccines are the most important tool to protect yourself from illness or death.
As holiday travel and gatherings ramp up, NCDHHS shares the following tips to keep yourself and loved ones safe and healthy:
- Regularly wash your hands with soap and water. Alcohol-based sanitizers can help prevent the spread of some respiratory viruses.
- Avoid touching your eyes, mouth, and nose.
- Clean and disinfect surfaces and objects that are often touched.
- Cover coughs and sneezes with a tissue and throw it away into the trash.
Stay home when sick: Avoid going out if you can and take steps to prevent spreading the flu to others in your home, such as using a separate bathroom, not sharing cups, towels and utensils, and wearing a mask when around other people.
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