Virginia
God’s Doctors
Nearly 20 million people gained health-insurance coverage between 2010 and 2016 under the Affordable Care Act. But about half of insured adults worry about affording their monthly premiums, while roughly the same number worry about affording their deductibles. At least six states don’t include dental coverage in Medicaid, and 10 still refuse to expand Medicaid to low-income adults under the ACA. Many people with addiction never get treatment.
Religious groups have stepped in to offer help—food, community support, medical and dental care—to the desperate.
Over nine months last year, the photographer Matt Eich documented the efforts of five such organizations in his home state of Virginia. These groups operate out of trailers and formerly abandoned buildings; they are led by pastors, nuns, reverends and imams. In many cases, they are the most trusted members of their communities, and they fill care gaps others can’t or won’t. —Bryce Covert
The Health Wagon
Wise, Virginia
The Health Wagon is the oldest mobile free clinic in the country. It was founded in 1980 by Sister Bernie Kenny, a Catholic nun and nurse practitioner, who first offered care out of a Volkswagen Beetle. Today it has four mobile units that operate out of RVs, plus two buildings that offer medical and dental care. It plans to soon open the first nonprofit pharmacy in the region.
This is Appalachia—the western tip of the state, near the Kentucky border. The place has been hit hard by the opioid crisis, and residents suffer from high rates of cardiovascular disease, mental-health problems, diabetes, asthma, and cancer. “We’re the Lung Belt, we’re the Heart Belt, we’re the Kidney-Stone Belt,” Teresa Owens Tyson, who has been with the clinic since its early days and is now its CEO, told me. Most of the people the Health Wagon serves either don’t have insurance or have such high copays and deductibles that they can’t afford to use their policies. Tyson said she’s seen lines of people 1,600 deep waiting at the clinic at 6 a.m. Dental services are in particularly high demand: A 12-year-old recently came in whose teeth were so decayed, the child already needed dentures.
The Rec
Luray, Virginia
Reverend Audre King grew up in Luray. He went away to college, got married, and was living hours away in Northern Virginia when he says God told him in a dream to go back home and begin a ministry there.
He tried to buy a long-abandoned building on his childhood block, but no bank would give him a loan. Finally, the owner agreed to sell it to him for cheap if he used it to serve the community. Digging out all of the dirt and dead animals and hooking the place up to electricity and water took months, but in 2017, the Rec was up and running.
It now serves hundreds of hot meals in area where many people live in motels without kitchens. It also provides mental-health programming, kids’ activities, a computer lab, and fitness classes. “Our goal is that anything, for whatever reason, the town or county can’t or won’t be able to fund—a resource they won’t provide—we want to be that help,” King told me.
All of its services are provided almost entirely by volunteers; the only person who gets paid is a bus driver who transports kids from their schools and homes to the Rec and back. King doesn’t take a salary for either the Rec or at the Eternal Restoration Church of God in Christ, where he serves as minister; he works for a gas company.
When he preaches at the church, he’s teaching the Gospel, he told me; but at the Rec, he’s “living the Gospel.” He pointed to Matthew 25:35–40: “For I was hungry and you gave me food … I was naked and you clothed me, I was sick and you visited me.”
CrossOver Healthcare Ministry
Richmond, Virginia
Last fiscal year, CrossOver treated more than 6,700 patients, over half of whom came from other countries as immigrants and refugees. Most undocumented immigrants can’t access Medicaid; those who can may still struggle to navigate the complex health-care system, especially if English isn’t their first language. The interdenominational group runs two free clinics offering primary care as well as cardiology and pulmonology, OB-GYN care, dental and vision care, behavioral-health services, pediatric care for children over 3, and a low-cost pharmacy. CrossOver relies on more than 400 volunteers to see patients, and still can’t open up enough appointments for everyone who comes seeking care: “We turn away about 30 to 35 people a week,” Julie Bilodeau, the group’s CEO, told me.
Adams Compassionate Healthcare Network
Chantilly, Virginia
About 10 years ago, Yahya Alvi applied for a job at the Adams Compassionate Healthcare Network, half an hour from Washington, D.C. The organization’s president told him that his dream was to open a free clinic. “That is my passion,” Alvi responded. He started by securing empty space at a nearby mosque and taking free equipment from a clinic that was giving it away. At the beginning, he employed only one doctor and himself, and the clinic was open just one day a week.
Today, it operates six days a week and has two paid nurse practitioners in addition to the two doctors. The clinic was founded by Muslims, but it accepts anyone without insurance or the money to pay for medical care, from anywhere in the country and practicing any religion. “Our religion says that all human beings are created by God almighty,” Alvi told me. “And all deserve equal treatment.”
Madam Russell United Methodist
Saltville, Virginia
One day in 2021, Steve Hunt was on the side of the road, trying to hitchhike to a grocery store about seven miles from his home in Saltville, Virginia. Hunt had lost his sight a few years earlier, after an infection in his leg went septic and he fell and knocked his retinas loose. Lisa Bryant saw him when she pulled up at a stop sign. She’s a pastor, and she had just finished a service at one church and had to be at another in an hour. She was in a hurry. But just the week before, she had preached about Jesus calling his followers to bring the blind and suffering to him. She gave Hunt a ride.
The interaction came at a crucial time for Hunt. “I was at bottom at that point,” he told me. His house was strewn with glass shards because he kept breaking things. He was struggling with addiction. “Everything was falling down around me, mentally and emotionally,” he said. “I was asking God to kill me that day she picked me up.”
Instead, Hunt started going to the new 12-step program Bryant had started at her main church, Madam Russell United Methodist. “They just kind of pulled around me, supported me,” he said of the congregation. He’s helped Bryant expand that program, the only one in a town where opioid use is rife but all the addiction-recovery programs are oversubscribed. Bryant has also set up community-service opportunities at her church for people convicted of drug offenses, and is working to secure transitional housing for people dealing with addiction.
Bryant doesn’t think the point of being a Christian is just to get to heaven after death, but to see the kingdom of heaven on Earth, too. She’s realized that “giving these people a new community, a healthy community, is one of the best things we can do for them,” she said. “We all need each other. That’s just how we’re created.”
Support for this story was provided by the Magnum Foundation, in partnership with the Commonwealth Fund.
RICHMOND, Va. (WRIC) — A $50 million statewide initiative is looking to reform Virginia’s child welfare system.
In a release shared by the governor’s office on Tuesday, Dec. 16, Gov. Glenn Youngkin announced the Safe Kids, Strong Families roadmap, which aims to strengthen child safety, expand permanency and support the Commonwealth’s child welfare workforce. The initiative is a collaboration between the governor’s office and a coalition of state, local and community partners.
The proposed $50 million investment from the governor’s budget would go toward several key objectives in the plan. The roadmap builds on several initiatives to strengthen child safety and permanency that were launched since 2022.
Per the release, $10 million would go toward increasing the minimum salary for local family services specialists to $55,000 to address high vacancy and turnover rates.
An allocation of $424,000 would go toward priority response within 24 hours for children ages 3 and younger. With 81% of last year’s child fatalities involving children under 3 years old, the age group is at the highest risk of maltreatment, per the release.
The initiative also calls for a $32.7 million investment and 132 positions to create a centralized intake system. The 24/7 hotline would handle reports of child abuse and neglect and connect them to local departments.
Youngkin said the initiative reflects years of efforts from the state to strengthen child welfare.
“This roadmap builds on the progress we’ve made and sets a clear direction for a system designed to protect children and support families for generations,” Youngkin said. “It reflects the Commonwealth’s enduring commitment to every child’s well-being and future.”
A posthumous memoir by one of Jeffrey Epstein’s best-known accusers, Virginia Roberts Giuffre, has sold 1m copies worldwide in just the two months after its release.
Publisher Alfred A Knopf announced on Tuesday that more than half the sales for Nobody’s Girl came out of North America; in the US, the book is now in its 10th printing after an initial run of 70,000 copies. Giuffre’s book, co-written by author-journalist Amy Wallace, was published in early October.
The memoir helped revive criticism of Andrew Mountbatten-Windsor, formerly a British prince, whom Giuffre alleged had sex with her when she was 17. And it heightened demands that the Justice Department release its files on Epstein, who killed himself in prison in 2019 while awaiting trial on sex trafficking charges.
Giuffre died by suicide in April at age 41.
“This is a bittersweet moment for us,” Giuffre’s family, including siblings Sky Roberts and Danny Wilson, said in a statement. “We are enormously proud of our sister, and the impact she continues to have on the world. We’re also filled with so much sorrow that she couldn’t be here to witness the impact of her words. In her absence, our family remains committed to ensuring her voice is everlasting.”
Within weeks of Giuffre’s book being published, King Charles III stripped Mountbatten-Windsor of his remaining titles and evicted him from his royal residence.
Mountbatten-Windsor has long denied Giuffre’s claims but stepped down from royal duties after a disastrous November 2019 BBC interview in which he attempted to rebut her allegations.
He paid millions in an out-of-court settlement in 2022 after Giuffre filed a civil suit against him in New York. While he didn’t admit wrongdoing, he acknowledged Giuffre’s suffering as a victim of sex trafficking.
This week Giuffre’s family expressed their “deep disappointment” after the Metropolitan police announced Mountbatten-Windsor will not face a criminal investigation in the UK over allegations against him.
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In Australia, the crisis support service Lifeline is 13 11 14. In the US, the National Suicide Prevention Lifeline is 1-800-273-8255. In the UK, Samaritans can be contacted on 116 123. Other international suicide helplines can be found at befrienders.org
Virginia
Virginia voters nominate candidates in Fairfax, Prince William ahead of January special election – WTOP News
Voters in several Northern Virginia districts are nominating candidates Tuesday who could be elected to serve on the state’s House of Delegates.
Voters in several Northern Virginia districts are nominating candidates Tuesday who could be elected to serve on the state’s House of Delegates.
Whoever wins Tuesday’s contests will compete in a special election on Jan. 13, 2026, for vacated seats in the Virginia General Assembly, where Democrats currently hold a 63-37 majority.
The series of shake-ups comes as several Democratic lawmakers step down from the House of Delegates to join Gov.-elect Abigail Spanberger’s administration.
Two of the resigning lawmakers represent Northern Virginia: Del. David Bulova, of Fairfax City and Fairfax County; and Del. Candi Mundon King, of Prince William and Stafford counties.
Last week, Spanberger named Bulova as her pick for Virginia’s next secretary of natural and historic resources.
And the future governor tapped King to serve as the secretary of the commonwealth.
Each party has until Dec. 17 to submit a nominee to the Virginia Board of Elections for next month’s special election, according to a writ of special elections filed by Virginia House Speaker Don Scott.
District 11: Fairfax City and part of Fairfax County
Democrats
Five candidates are running for the Democratic nomination in a firehouse primary, including the exiting delegate’s wife, Gretchen Bulova, as well as Vanessa Cardenas, So Lim, Douglas Shuster and Denver Supinger.
Any voter registered in Virginia House of Delegates District 11 can participate — but they have to sign a declaration of support for the Democratic Party, according to the democratic committees in Fairfax County and Fairfax City. In a firehouse primary, the political parties organize the contest, not the state.
District 11 includes all of Fairfax City and portions of Fairfax County. If you’re not sure whether your home sits within the district’s boundaries, check out this website.
The caucus locations are open 7 a.m. to 7 p.m. at these locations:
- Fairfax Presbyterian Church at 10723 Main Street
- Jim Scott Community Center at 3001 Vaden Drive
- Fairfax County Government Center at 12000 Government Center Parkway
Gretchen Bulova is the chair of the Fairfax County 250th Commission and the county’s history commission.
Cardenas is also a Fairfax City resident who works as the executive director of America’s Voice, which works to garner support for policy changes that create paths toward full citizenship for immigrants.
At a candidate forum on Sunday, Lim introduced herself as a progressive Democrat. She served three terms on the Fairfax City Council.
Shuster is the president of the Miller Heights Neighborhood Association and works at an advisory firm.
Supinger, former chief of staff to Del. Karrie Delaney, is the founder of a consulting firm that specializes in social impact strategy, political advocacy, and policymaking, according to its website.
It’s the second time Fairfax voters have participated in a firehouse primary this year, after earlier nominating candidates who competed to replace the late Rep. Gerry Connolly in June. Democrat James Walkinshaw ultimately won that special election in September.
Republicans
The Fairfax County Republican Committee confirmed with WTOP that Adam Wise will be the nominee, and there will be no caucus held.
Wise had previously run for the District 11 seat in November but lost to David Bulova, the incumbent.
District 23: Parts of Prince William and Stafford
Democrats
A Democratic caucus will also be going on in Virginia House of Delegates District 23 on Tuesday, according to the Democratic committees in Prince William and Stafford counties.
The caucus is scheduled to run from noon to 7 p.m. at these locations:
- Dumfries Community Center at 17757 Main Street, Dumfries
- Porter Branch Library at 2001 Parkway Boulevard, Stafford
Two candidates qualified to be on the ballot: Woodbridge Supervisor Margaret Franklin and Muhammed “Sef” Casim.
WTOP will report on the full ballot once the Republican nominee is finalized.
What’s happening in January
Voters in District 23 and District 11 will head to the polls on Jan. 13, 2026, for a special election to replace Dels. Bulova and King.
Early voting will be open from Jan. 3 to Jan. 10.
Outside of Northern Virginia, a separate special election is being held on Jan. 6, 2026, to replace representatives headed to Spanberger’s administration. Voters in the Richmond area will elect a new state senator in House District 15 and a new delegate in District 77.
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