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God’s Doctors

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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
A doctor visits with a patient at the Health Wagon in Wise, Virginia. March 14, 2023.

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.

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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.

Left: March 14, 2023 - Wise, Virginia. Dr. Robert Kilgore takes a dental impression for dentures at The Health Wagon Office in Wise, Virginia on Tuesday, March 14, 2023. Right: March 14, 2023 - Wise, Virginia. Dental impression for dentures at The Health Wagon Office in Wise, Virginia on Tuesday, March 14, 2023.
Dr. Robert Kilgore takes a dental impression for dentures. March 14, 2023.
Picture of a conference room at The Health Wagon in Wise, Virginia on Tuesday, March 14, 2023.
A conference room at the Health Wagon. March 14, 2023.

The Rec
Luray, Virginia
Picture of Audre King, Director of The REC (the former Andrew Jackson School) in Luray, Virginia on Friday, June 16, 2023.
Audre King, Director of The REC in Luray, Virginia on Friday, June 16, 2023.

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.”

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Picture of Audre King guiding kids across Main Street in front of The REC (the former Andrew Jackson School) in Luray, Virginia before a group outing to a playground on Friday, June 16, 2023.
Audre King guides kids across Main Street before a group outing to a playground on Friday, June 16, 2023.
Picture of Audre King and Damon Mendez playing basketball with participants from The REC in Luray, Virginia on Friday, June 16, 2023.
Audre King and Damon Mendez play basketball with participants from the REC. June 16, 2023
Diptych showing lunch time at The REC and the REC building
Left: Lunch time at the REC. Right: Damon Mendez carries a speaker into the REC. June 16, 2023

CrossOver Healthcare Ministry
Richmond, Virginia
Picture of Marilyn Metzler, RN interacting with Father Markorieos Ava Mina at CrossOver Healthcare Ministry in Richmond, Virginia.
Marilyn Metzler, a registered nurse who has volunteered for 27 years, speaks with Father Markorieos Ava Mina at CrossOver Healthcare Ministry in Richmond, Virginia. June 1, 2023.

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.

Diptych showing CrossOver Healthcare Ministry in Richmond, Virginia
Scenes from CrossOver Healthcare Ministry. June 1, 2023.
Picture of Maria Santiago Morente receiving an ultrasound from Laurel Wallace, D.O., a volunteer at CrossOver Healthcare Ministry in Richmond, Virginia on Thursday, June 1, 2023.
Maria Santiago Morente receives an ultrasound from Laurel Wallace, D.O., a volunteer at CrossOver Healthcare Ministry on Thursday, June 1, 2023.

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.”

Picture of ADAMS Compassionate Healthcare Network in Chantilly, Virginia
ADAMS Compassionate Healthcare Network in Chantilly, Virginia. November 13, 2023.
Picture of a patient receiving an eye examination from a volunteer doctor at ADAMS Compassionate Healthcare Network in Chantilly, Virginia.
A patient receives an eye examination from a volunteer doctor at Adams. August 12, 2023.
Left photograph showing Tori Finney, a volunteer, measuring a patient at ADAMS.  Right photograph showing Dr. Fathiya Warsame helping a patient at ADAMS
Left: Tori Finney, a volunteer, measures a patient at Adams. August 12, 2023. Right: Dr. Fathiya Warsame helps a patient at Adams. November 13, 2023.
Picture of Dr. Sadia Ali Aden, MD, Executive Director at ADAMS Compassionate Healthcare Network in Chantilly, Virginia
Dr. Sadia Ali Aden, the executive director of Adams Compassionate Healthcare Network. November 13, 2023.
Picture of ADAMS Compassionate Healthcare Network in Chantilly, Virginia
Adams Compassionate Healthcare Network. November 13, 2023.

Madam Russell United Methodist

Saltville, Virginia

Picture of Pastor Lisa Bryant at Madam Russell Memorial United Methodist Church in Saltville, Virginia
Pastor Lisa Bryant at Madam Russell Memorial United Methodist Church in Saltville, Virginia. March 13, 2023.

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.”

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Picture of people gathering before a meeting of the Saltville 12 Step Recovery Group in the basement of Madam Russell Memorial United Methodist Church in Saltville, Virginia
People gather before a meeting of the Saltville 12 Step Recovery Group in the basement of Madam Russell Memorial United Methodist Church. March 13, 2023.
Picture of Saltville, Virginia.
Saltville, Virginia. March 13, 2023.

Support for this story was provided by the Magnum Foundation, in partnership with the Commonwealth Fund.



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Virginia farmer protects Secretariat’s playground from solar farms, data centers

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Virginia farmer protects Secretariat’s playground from solar farms, data centers


CAROLINE COUNTY, Va. — A sprawling pasture in Caroline County where racing legend Secretariat once grazed as a young colt will be protected from development forever, thanks to a farmer’s dedication to preserving Virginia’s equine heritage.

Kevin Engel, who owns Engel Family Farms, has placed The Cove in Doswell under a permanent conservation easement with the Capital Region Land Conservancy. The 350-acre property, which includes forestland adjacent to Secretariat’s birthplace at the State Fairgrounds, will remain agricultural land in perpetuity.

“This is part of our family. Part of the history of the state. Part of the history of this country,” Engel said.

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Kevin Engel, who owns Engel Family Farms, has placed The Cove in Doswell under a permanent conservation easement with the Capital Region Land Conservancy.

The Cove holds special significance as the place where the future Triple Crown champion Secretariat first stretched his legs before his legendary 1973 racing season. Leeanne Ladin with Secretariat for Virginia, an authority on the famous thoroughbred, confirmed the historical importance of the site.

“You can feel the history. That is where Secretariat grazed and played as a young colt,” Ladin said. “There has still never been quite anything like it.”

Engel began farming at The Cove in 1982 and developed a friendship with Secretariat’s trailblazing owner, the late Penny Chenery. In 2023, his family purchased the property to ensure its preservation.

“That was the time where I just wanted to come out by myself and look and say wow we finally got it done and give thanks for that,” Engel said.

The conservation easement means no solar farms, subdivisions or data centers can ever be built where Secretariat once played.

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Parker Agelasto with the Capital Region Land Conservancy praised Engel’s vision, noting the timing is crucial as Central Virginia faces rapid development pressure.

“Central Virginia in the last few years has been the fastest growing region of the whole state. We have seen some of our individual counties being the fastest growing in the nation,” Agelasto said.

The property has been an active farm for hundreds of years, making its preservation even more significant for Virginia’s agricultural heritage.

“Where we are is remarkable for its history because it has been an active farm property for hundreds of years,” Agelasto said.

For Engel, protecting The Cove represents something more valuable than potential development profits.

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“Money is not everything. It helps, but I want to build something that goes way beyond me,” Engel said. “I want something that sticks around forever.”

The farmer, who describes himself as a Secretariat devotee, was instrumental in bringing a bronze statue of the champion to Ashland in 2024. Now he can ensure future generations will experience the same pastoral landscape that shaped America’s greatest racehorse.

“There are only 50 states in this country, but there is only one state that Secretariat came from. This is it! And this is the spot,” Engel said. “We need to keep this around forever.”

Ladin expressed relief knowing this piece of racing history will be protected.

“It is such a wonderful thing that he and his family did because that really is preserving a special piece of Meadow history and Virginia history absolutely,” Ladin said.

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The Cove at Meadow Farm in Caroline County now stands as a permanent testament to Virginia’s equine legacy, where visitors can walk the same fields where a legend once roamed.

“Every piece of land has a story to tell, but you have to let it tell the story. And in this instance, this land is forever connected to Secretariat,” Agelasto said.

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Flu cases climb across Virginia, state reaches highest totals in years

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Flu cases climb across Virginia, state reaches highest totals in years


HARRISONBURG, Va. (WHSV) – Flu cases are climbing across Virginia, reaching some of the highest levels the commonwealth has seen in years.

According to the Virginia Department of Health, over 21% of all emergency department visits in the northwest region this flu season were for respiratory illnesses. Rachel Dumene, spokesperson for the Central Shenandoah Health District, said while viruses can mutate and cause symptoms that are more severe, she said the challenge this year is how fast the flu is spreading.

“Sometimes they can mutate to create new symptoms or become more severe. However, that’s not what we’re seeing this year,” Dumene said. “This is a pretty average flu. However, the thing that’s different about it is that it’s spreading at a more rapid pace.“

That faster spread is leading to more infections overall, and more people experiencing serious symptoms. Children make up the largest share of flu-related emergency room visits in the region, which is why Dumene said vaccination remains one of the best tools to keep people out of the hospital.

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“Even though this flu virus seems to be spreading at a higher rate than previous years, the flu vaccine still helps prevent against severe illness,” she said. “It is possible that people who get vaccinated can still get the flu. However, this can keep them from experiencing very negative consequences or having to go to the emergency room.”

It’s still not too late to get vaccinated, Dumene said. Protection develops about two weeks after the shot, and peak flu season often doesn’t arrive until February. She also recommended washing hands frequently, covering coughs and sneezes and staying home when sick to slow the spread.

What hospitals are seeing

Augusta Health Public Relations Manager Kristen Printy said regional hospitals and emergency medical services are working together to manage a seasonal increase in patients to make sure people across the region receive the care they need.

Flu problems(WHSV)

“This season has brought an increase in patients, and it’s important that hospitals and EMS agencies continue to work closely together,” said Crystal Farmer, MBA, MSN, RN, FACHE, Senior Vice President and Chief Operating Officer of Augusta Health. “By coordinating our efforts, we can help ensure patients get the right care, in the right place, at the right time, even when demand is higher.”

Robert Garwood, VP, Chief Medical Officer Sentara RMH Medical Center said increased ER volume secondary of the flu has translated into increased hospital admissions of these patients.

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“The current flu vaccine does not cover the strain that’s circulating throughout our area really well, which has resulted in patients with some significant illness. This is again translated to increase hospital patient censuses and less bed availability, which also impacts our ED,” Garwood said.

Augusta Health added that people should always seek emergency care for serious or life-threatening conditions. For less urgent needs, people are encouraged to consider primary care, urgent care, or telehealth options when appropriate.



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The Good, Bad and Ugly From Virginia’s Dominant Win Over California

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The Good, Bad and Ugly From Virginia’s Dominant Win Over California


The Virginia Cavaliers clinched yet another conference win last night, this time against California. Overall, this has been a remarkable season for the Cavaliers thus far, with few hiccups along the way. Their latest victory came with a stunning 84-60 finish, but as the story goes, there are still areas that need attention. With that, let’s take a look at the good, the bad and the ugly of last night’s meeting.

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The Good

Jan 7, 2026; Charlottesville, Virginia, USA; Virginia Cavaliers forward Thijs de Ridder (28) passes the ball around California Golden Bears forward John Camden (2) during the second half at John Paul Jones Arena. Mandatory Credit: Amber Searls-Imagn Images | Amber Searls-Imagn Images

The Cavaliers are undoubtedly more consistent on offense — they’ve encountered quite a few challenges defensively. However, last night appeared to be a bit of a turning point, said cautiously. The Golden Bears’ efforts with the ball were met with great resistance from UVA. Malik Thomas, in particular, has made strides on both sides of the ball, but his defensive improvements have been noteworthy. As head coach Ryan Odom stated during his postgame press conference:

“… I thought our guys did a nice job. The discipline was there for the majority of the night. They did get us on occasion, not on occasion, probably too many times at the end of drives with shot fakes, but for the most part, in that first 10 minutes of the second half, we were able to stop them in and around the rim and stay down. And they were kind of left with some really hard shots there, which allowed us to get out in transition. I thought our press was pretty good. Even though we didn’t get a lot of turnovers or anything like that, I thought our press, you know, was effective.”

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The Bad

Jan 7, 2026; Charlottesville, Virginia, USA; Virginia Cavaliers guard Chance Mallory (2) dribbles the ball as California Golden Bears guard Dai Dai Ames (7) defends during the second half at John Paul Jones Arena. Mandatory Credit: Amber Searls-Imagn Images | Amber Searls-Imagn Images
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Although Virginia wrapped up the matchup with a 24-point lead, there were moments throughout the night in which leads were swapped between programs in the first quarter. Once the second half rolled around, the Golden Bears were unable to catch up. However, the brief moments that they did control the scoreboard could have cost UVA the game, and ultimately, another loss in the ACC.

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“I’m not worried about the margin,” said Odom. “It’s more about how we’re playing. And I thought our guys played well tonight, you know, defensively, we’re trying to make strides. We’re trying to get better. The guys are focused on that. Offensively, we can’t lose that, you know, ability to really share the ball and put pressure on our opponents. And I think we’re improving.”

The Ugly

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Jan 7, 2026; Charlottesville, Virginia, USA; Virginia Cavaliers guard Chance Mallory (2) dribbles the ball around California Golden Bears guard Dai Dai Ames (7) during the second half at John Paul Jones Arena. Mandatory Credit: Amber Searls-Imagn Images | Amber Searls-Imagn Images

Much of the back-and-forth lead during the first quarter was due to Cal’s pressure. Their defense stayed on top of UVA, which ruffled some of the Cavaliers’ feathers on the court, forcing some turnovers along the way.

Odom described this situation by stating, “Cal was really bothering us with their defense, their aggressiveness, and stepping out and pick and roll, even though we didn’t have a ton of turnovers in that first half. We had five. There were still some bobbled balls. The ball was loose and a little bit too loose for us. And their pressure had a lot to do with that. The end of the half was really important for us, the execution on defense and offense to give us a little bit of a cushion there going into halftime.”

Virginia certainly encountered some difficulty last night, but it wasn’t anything they couldn’t successfully navigate. Now, the Cavaliers are gearing up for their upcoming matchup against Stanford on Jan. 10 at John Paul Jones Arena. Will UVA capitalize on its opportunity to extend its ACC record to 3-1?

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