Us & Them

Many West Virginians have trouble with their teeth. In fact, there’s a big gap between the folks who can reliably access an affordable dentist and those who can’t. That’s no surprise when half the state’s counties have fewer than six dentists. National rankings consistently put West Virginia at or near the bottom in overall oral health care and a state report shows that by third grade, 56% of chil...

This year, West Virginia lawmakers made significant changes to drug and alcohol treatment programs funded by Medicaid, which many people use. The new legislation ties Medicaid payments to patient outcomes rather than the number of patients served. The Mountain State has the nation's highest overdose rates, and overdose death rates among Black residents exceed those of any other group. In this epis...

Daniel Johnston, a visual artist and singer-songwriter from West Virginia made his mark in the indie music scene of the1980s. His raw and unpolished style earned him a label as an outsider artist, and a place in the state’s Music Hall of Fame. Johnston recorded his best-known songs on cassette in his parents’ basement in Hancock County. Songwriters saw past the lo-fi production values and musician...

Hundreds of thousands of kids rely on America’s foster care system. West Virginia has the highest rate of foster care placements of any state - four times the national average. Foster care is most often needed because of parental substance use, mental health challenges, poverty and neglect. Six-thousand Mountain State kids are in foster care, but there’s a shortage of licensed foster homes and res...

Psychedelic drugs are getting attention from the Trump administration as treatment potentials for some mental health conditions. An executive order from President Trump fast tracks research and access to the drugs, which can carry health risks. On the latest episode of Us & Them, host Trey Kay checks back on someone who’s been using an illegal psychedelic called ibogaine to help people kick ad...

The 250th anniversary of the Declaration of Independence arrives at a moment when Americans are arguing not just about politics—but about our nation’s history. As President Donald Trump calls for the removal of what he labels “divisive” history from public institutions, a new documentary from Ken Burns revisits the American Revolution with all of its complexity, contradiction, and competing vision...

For some Americans home ownership is a way to build wealth for future generations. But West Virginia presents the complexities and nuances of that reality. The Mountain State has the nation’s highest homeownership rate but the second lowest personal income rate. And much of the state’s housing is old and needs repair. In one West Virginia county, 67 percent of the homes are more than 80 years old...

There are more challenges now for people who live at the intersection of addiction, homelessness and the criminal justice system. New laws in about a dozen states echo aspects of the 2024 Safer Kentucky Act, which enhances penalties for violent crimes, drug crimes, shoplifting and carjacking, and bans public camping. On this encore episode of Us & Them , host Trey Kay returns to Kentucky to ch...

Children are often described as the future. But in many rural communities across America, the path to bringing a child into the world is getting longer — sometimes literally. Across the country, families are traveling farther and farther from home to deliver babies. Since the end of 2020, 124 rural hospitals have closed or announced plans to close their labor-and-delivery units — about two closure...

America’s overdose crisis keeps changing shape. In recent years, provisional CDC data have shown a sharp national decline in overdose deaths — even as public officials warn the street drug supply remains volatile and some communities see signs of a rebound. That uncertainty is also reshaping the recovery world — especially around opioids. Some people find abstinence-based recovery works best. Othe...

The U.S. continues to struggle with racial discrimination and this episode of Us & Them looks back at a moment in the 1960s when music and race intersected. America’s popular music scene is a racially integrated space and there are times when it provides a place to heal the nation’s divides. Host Trey Kay shares a story about a band that took a stand against racism and the musicians who suffer...

For this encore episode of Us & Them , host Trey Kay hears about the challenges to America’s incarcerated population as they re-enter society. At least 95% of all state prisoners are released after serving their sentence, more than 600,000 people each year. The re-entry process requires essential tasks; accessing identification materials, birth certificates and sometimes social security materi...

In this encore episode of Us & Them, host Trey Kay shares the story of a simple song written more than 250 years ago that now has a profound and universal legacy. John Newton wrote the hymn Amazing Grace to connect with Christians and over decades it’s been sung to a number of melodies. However, addition to its religious origins, it is now a popular folk song and an anthem for civil rights whi...

Many people know Thurgood Marshall as the first African American U.S. Supreme Court justice, however, first he had a long and distinguished career with the American Civil Liberties Union and the NAACP Legal Defense Fund. On this episode of Us & Them, Trey Kay hosts a community conversation highlighting Thurgood Marshall’s legacy and sharing excerpts from a new Maryland Public Television docume...

As we count down to the end of 2025, Us & Them host Trey Kay looks back at the year’s whirlwind of actions and reactions. Each week presented fresh moves in the agenda President Donald Trump outlined during his campaign. First it was a reshaping of the federal government from Elon Musk’s efficiency department, which slashed budgets and agencies and workers. At the same time, additional resourc...

We’re an aging nation. Today 16% of Americans are over 65. In the next few decades that will double as the youngest Baby Boomers move into old age. But in West Virginia, that future is now. It’s the third oldest state in the nation and more than 20% of its residents are over 65. At the same time, West Virginia’s birth rate is low because young people are leaving. That generational imbalance will i...

America’s crime rates have prompted President Donald Trump to deploy federal agents and National Guard troops in a handful of major cities. On this episode of Us & Them,  host Trey Kay looks at what data and statistics can really tell us about the level of violence in our country. Crime continues to be one of the defining issues for the Trump administration, and the president refers to “out of...

America’s housing shortage continues to put affordable homes out of reach for people across the country — from small towns to big cities. While West Virginia has the nation’s highest level of homeownership overall, many residents still struggle to find something that works for their budget. In fact, nearly 140,000 West Virginians spend more than 30 percent of their income on housing costs. In this...

This episode first aired in 2023, focusing on the strategies to motivate young voters and we’re sharing it again in the wake of the Sept. 10, 2025, assassination of Charlie Kirk, founder of Turning Point USA.  Kirk, a renowned conservative youth organizer, was shot and killed during a campus event at Utah Valley University. Nothing divides Americans like politics — but young voters continue to mat...

As the United States prepares to mark the 250th anniversary of the Declaration of Independence, attention is focused on the relevance of the American Revolution to our country today. The new episode of Us & Them spotlights a recent community event at Shepherd University in Shepherdstown, W.Va  with host Trey Kay and three top historians to talk about the realities of our revolutionary past. Ke...

Just as America faces some of its most critical political divides, our criminal justice system suffers from a lack of public trust. How are these dual crises interwoven?  In this episode of Us & Them , host Trey Kay talks with legal scholar David Sklansky, a Stanford professor who co-directs the school’s Criminal Justice Center. In his new book “Criminal Justice in Divided America,” Sklansky s...

Every day, 10,000 people turn 65 as America’s Baby Boom generation ages. By 2040, the number of people 85 or older will more than double and the need for caregivers will grow dramatically. In this episode of Us & Them, host Trey Kay moderates a community conversation focused on some of the unique caregiving needs in West Virginia where nearly 21% of the population is over 65. We’ll also hear e...

Every week across the U.S. more than two newspapers go out of business. In the past two decades more than 3,000 papers have shut down operations. That’s left more than 1,500 counties so-called news deserts. Forty-three of West Virginia’s 55 counties have just one local news source and that limited access gives the state a ranking of 46th out of all 50 states. Studies show when local news sources v...

The perception of crime in our nation shows an enormous divide. One recent poll reports 90% of Republicans say crime is up while 60% of Democrats say crime is down. The result has been a wave of ‘tough on crime’ laws from states across the political spectrum that expand the definition of violent crimes and their penalties. The 2024 Safer Kentucky Act is one of those omnibus crime bills that some s...

Our country’s divides often reveal themselves in our choices and habits, including how and where we get our information. As the economics of the media landscape have imploded, the economics of the industry have forced changes. In the past two decades, online sites have taken over much of the income stream from classified ads and general advertising. Many local news outlets have gone out of busines...