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Conservative Indiana Adopted Needle Exchanges But Still Faces Local Resistance

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Indiana was ground zero for shifting ideas about needle exchanges after a small town had an HIV outbreak in 2015 brought on by needle-sharing. But even as other parts of the country start to embrace needle exchanges amid the ongoing opioid epidemic, the sites remain controversial in Indiana. Only nine of the state’s 92 counties have them, after a series of closures and reopenings.

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Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints

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Nearly a decade ago, Dr. Jeffrey Brenner and his Camden Coalition appeared to have an answer to remake American health care: Treat the sickest and most expensive patients. But a rigorous study in the New England Journal of Medicine shows the approach doesn’t save money. “We built a brilliant intervention to navigate people to nowhere,” Brenner tells the “Tradeoffs” podcast.