The rural north coast California counties of Humboldt and Del Norte face multiple health and health care challenges, including high death rates from stroke, accidents, suicide, and alcohol or drug use; severe shortages of health care professionals in primary care and behavioral health; and limited access to care in remote areas. To work on solving these and other challenges, the region comes together as a community, including collaborations to keep clinicians in the area and expand treatment for mental health and substance use disorder (SUD). Passage of the Affordable Care Act (ACA), particularly expansion of Medi-Cal, has helped expand access to care and stabilize health care providers' finances as the share of people without health insurance declined markedly. However, the cost of private health insurance is high and rising rapidly. Like other California communities and the nation as a whole, the region faces significant disruptions from the COVID-19 pandemic but avoided an initial surge in cases by quickly mobilizing to stem the virus's spread.
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