News from the South - North Carolina News Feed
Outer Banks a challenge for access to health care
This summer, 5 million tourists will descend on 200 miles of remote North Carolina coastline. The Outer Banks are idyllic — and popular. But for both those visitors and the area’s 38,000 year-round residents, the vacation paradise has one serious problem: health care access.
Dare County Emergency Management Services evacuates about one person a day by helicopter. In the summer, that number can reach four or five.
Outer Banks Health Hospital in Nags Head, with its 21 beds, is the region’s lone hospital, and its capabilities and equipment are limited. The hospital evacuates another 15 to 30 people per month.
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On the island of Ocracoke in nearby Hyde County, for example, a ride in a helicopter or ferry is required to reach any kind of specialty, intensive or emergency care. Travel time to the mainland in a ferry can reach three hours, and that’s if weather permits.
Some parts of the Outer Banks are more well-connected, but even there, travel times, and staffing shortages keep people from getting the care they need.
In an emergency, these limitations can result in life-threatening crises. It can take up to six hours for EMS services to respond to a call.
“We’re a rural area that deals with nonrural problems because of the amount of visitors we have,” Dare County EMS chief Jennie Collins told Carolina Public Press. “The population swells from 38,000 to 300,000 in the summer. Everyone that’s coming on vacation brings their problems with them.”
Tropical weather systems and storm surges create a further threat. The region’s singular artery, Highway 12, can flood, leaving residents completely cut off. Traveling over bridges in high winds poses its own dangers. And for a number of populated islands like Ocracoke, no road connects them to the rest of the world.
In the event of a storm surge, Hatteras residents rely on emergency ferries to transport them to beaches farther north, Roanoke Island or to the mainland.
The last time that happened was nearly 10 years ago, noted Sheila Davies, director of Dare County Health Department. But Atlantic hurricanes are getting more and more severe, due in part to warming ocean temperatures.
The area is popular with retirees, many of whom have cardiovascular diseases, lung cancer or other conditions that can cause moments of acute emergency.
Medical calls from people over 50 are the most common form of emergency calls to Dare County EMS, said Collins.
“A lot of times, someone’s doctor back home will say, ‘you need to go on vacation and rest and relax,’” Collins said. “So those people will come to the Outer Banks. And then they want to go for a walk on the beach. Well, that’s very much like a stress test.” And if it doesn’t go well, help is rarely at hand.
Qualified medical professionals don’t tend to move to the Outer Banks. The seasonal economy makes year-round practice financially difficult. The geographic isolation stunts career growth. Housing costs have skyrocketed due to vacation rentals, making it nearly impossible for physicians and nurses to afford living where they would practice.
For locals, this means that treating chronic conditions like diabetes and hypertension is rife with challenges. Dentists as well are few and far between.
The Outer Banks is defined in different ways, but the heart of the island system spans four counties: Currituck, Dare, Hyde and Carteret. Additional island communities farther south along the coast are less isolated. The health department of each plays a key role for folks living on or visiting the Outer Banks. They coordinate emergency responses, collect data on what services are most urgently needed and treat the uninsured.
But under the administration of President Donald Trump, $230 million in health funding for North Carolina is gone. One of the programs most dramatically gutted dealt with behavioral health for vulnerable populations. That funding cut is felt sorely on the local level.
“Services to Ocracoke are limited, mainly based on manpower and geography,” Gibbs said. “In fact, these services to the mainland are limited now based on manpower and funding.”
And what’s more, Outer Banks locals are plagued with rising instances of mental health problems and substance abuse.
“There is a certain amount of anxiety here all the time,” said Kathy Cooper, of the Outer Banks chapter of the National Alliance on Mental Illness. “Lives depend on how the tourist season goes. The rest of the year depends on May through September. Can they earn enough money this summer to get us through the winter?”
For the region’s youth, the situation can be dire.
“For kids growing up here, the only thing they want to do is get the hell off this rock,” Cooper continued. “There’s nothing here for youth. If you don’t surf or fish, you have a problem. And that problem usually ends up being substance abuse.”
On Ocracoke, alcoholism and substance abuse are of grave concern to the locals, Hyde County health director Luana Gibbs told CPP.
The hospital in Nags Head, Outer Banks Health, has no mental health beds. If someone is sent to the hospital under involuntary commitment, they have to find an open bed elsewhere in the state. And that could be as far as Asheville.
This gloom and anxiety factor disproportionately affects those working to keep the tourism economy afloat, and those service industry jobs don’t typically offer health insurance.
“We are seeing a growing number of mental health issues related to working in tourist related jobs such as restaurant and hospitality jobs,” said Linda Leiser, an administrator at Dare Community Clinic. “The American health care system is broken and puts the uninsured and underinsured at greater risk.”
A dearth of psychiatrists and licensed counselors at the clinic leaves some with a six-month wait to get an appointment.
Six months is a long time to wait for a suffering person on an isolated barrier island.
This article first appeared on Carolina Public Press and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Outer Banks a challenge for access to health care appeared first on carolinapublicpress.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
The article presents a factual account of the healthcare challenges faced by the Outer Banks, particularly focusing on the difficulties caused by geographic isolation and limited medical resources. It highlights the negative impacts of funding cuts under the Trump administration, including the reduction in behavioral health services, which may subtly suggest criticism of the former president’s policies. The article frames these issues as local struggles exacerbated by national-level policy decisions, leaning toward a critique of the healthcare system without an overt ideological stance. However, its focus on the consequences of these cuts and reliance on government services implies a Center-Left perspective on healthcare policy.
News from the South - North Carolina News Feed
Errors found on Kroger price tags in Consumer Reports investigation
SUMMARY: A Consumer Reports investigation found Kroger, including its Harris Teeter stores, has widespread price tag errors causing shoppers to overpay by about 20%. The probe examined 26 Kroger-owned stores across 14 states and Washington D.C., revealing expired sales tags on over 150 items, including meat, produce, coffee, medicine, and pet food. On average, shoppers were overcharged $1.70 per item, or 18.4% more at checkout. Kroger employees cite staffing cuts and limited hours for difficulty keeping price tags updated. Kroger is piloting digital price tags and has a “Make It Right” policy to fix errors immediately. North Carolina monitors pricing accuracy and enforces corrections.

Imagine picking up an item on sale only to be charged full price at checkout. That’s exactly what Consumer Reports says is happening at Kroger-owned stores across the country.
News from the South - North Carolina News Feed
FCC Environmental is still struggling with customer service, nearly 6 months into contract • Asheville Watchdog

I think we can all forgive Jed Hinkley for being a little irritated with FCC Environmental.
“I think ultimately I ended up being without trash cans for about three and a half months-ish,” Hinkley said. “Luckily, Paul (a neighbor) was nice enough to let me put my stuff in his, and then he was taking some of our recycling, or I just put it next to his. And then my back porch was just full of recycling because I didn’t want to throw it away.”
Like most Buncombe County residents, Hinkley, who lives in the Weaverville area, was supposed to get the new FCC trash cans in December, after the former contractor, WastePro, picked up its cans. The message he heard was what everyone else heard: If you’re an existing customer, your service will roll over to the new provider. So just leave your old bins out there for WastePro to pick up, and FCC will bring new ones by and start picking up your trash in January.
Buncombe chose FCC in part because the company’s rates were slightly lower than Waste Pro’s proposal, which the county felt exceeded inflation. WastePro had held the contract for 10 years, and while service was solid over the last few years, the company struggled at times with customer service, too.
When all of his neighbors got rolling bins and he didn’t, Hinkley started calling FCC. He estimates he called them six to eight times, typically getting a customer service center in Colorado.
“Each time you would talk to someone, and they’d say, ‘Well, okay, give me your address and your name, and we’ll submit a ticket for you,’” Hinkley said. “And so I think by the fourth or fifth time, I was like, ‘Clearly, there’s no communication happening here.’ And there was never any follow up.”
The customer service folks were always nice, he said, and he didn’t blame them for the screw-up. By early February, Hinkley said he just asked them if he could pick up a bin himself, but he was told FCC hadn’t set up its Buncombe County facility yet.
He also filled out an online form, and he reached out to Buncombe County Board of Commissioners Chair Amanda Edwards. Still, no bins.
By late March/early April, Hinkley had thrown in the towel. Then a stroke of luck struck.
“Actually, my girlfriend had seen a can blown over into a river — a recycling bin,” Hinkley said. “So there was a recycling bin just sitting in a river, and I said, ‘Oh yeah, next time you’re on your way home, can you grab that for me?’”
Score! The man finally had a bin!
Then another lightning bolt of good luck struck.
“And so then after that, I think in early April, I went down to their center off Sweeten Creek, and I just showed up and said, ‘Hey, here’s the scenario: Can I pick up a bin?’” Hinkley said. “And they said, ‘Sure, but we only have the small ones.’ Which, honestly, I really only need a small one, but they were out of all sizes but the small ones.’”
Fortunately, his household doesn’t make a lot of trash.
Here’s a nice touch: the FCC worker looked Hinkley up in their system and noted that he was “a former customer.” He was told he’d get a can, and they’d set him up with service.
“I have a can, I’m getting service, but nobody’s billed me or sent me an email, or I haven’t gotten an email,” Hinkley said. “So I don’t know what the status of my actual billing account is. But they saw me in the system, and they registered that I picked up a can, and I haven’t heard from them since. That was probably the first or second week in April.”
And now FCC is picking up his trash and recycling on the regular.
Now, after that amount of frustration, I think I’d just take some free pickups for, oh, I don’t know, life. But Hinkley is an honest guy.
“I’m a believer that they’re providing me service, and I should be paying for it,” he told me.
I salute this man. We both marveled at how in the modern computer age a company’s computer system and intertwined customer service can be so bad. We talked about how when you order something online you immediately get a confirmation receipt and then tracking emails and texts if you request them, until it’s on your doorstep.
It’s almost stalker-ish. They’re in contact so much it’s like an ex-girlfriend that won’t leave you alone after the breakup.
Is FCC meeting Buncombe County’s set goals?
As I’d also heard from several other people in recent weeks about poor FCC customer service and Hinkley mentioned seeing other complaints on social media, I decided to reach out to Buncombe County to see if the company is meeting its goals. Back in January when I wrote about their rocky rollout, I noted that in a county briefing, Buncombe County Manager Avril Pinder had addressed the issue, noting that “delays and missed pickups have been incredibly frustrating.”
Pinder said then that the county had set “an action plan” for FCC, with the expectation that the company would maintain a 98 percent collection rate starting Feb. 1. So I went back to the county last week for an update.

“FCC has been at 100 percent completion of trash and recycling routes since mid-March,” county spokesperson Johanna Cano told me via email. “This means that all assigned routes were run for that date of collection, but it does not mean that every single customer had their waste picked up. Misses can still occur even if 100% of the routes are completed.”
This can happen because of bins being placed incorrectly, access to bins being blocked, service issues at specific addresses, or driver error, Cano explained.
“While the overall route is completed, these isolated misses don’t prevent the route itself from being marked as complete,” Cano said.
The number of complaints about FCC has also dropped considerably. Cano provided this list:
Complaints Received:
January: 436
February: 231
March: 90
April: 99
May: 31 (as of May 12).
“Through our issue tracker, which was established to help triage FCC concerns and questions, we have received 1,782 submissions from Jan. 1 to May 7,” Cano said. “Topics include no new FCC bins delivered, questions on how to pay their bills, missed pickups, and more.”
Cano added that FCC maintained a 98 percent completion rate for the majority of February, “with the exception of four days in February due to staff having the flu. The lowest rate during this time was 92 percent for recycling.”
I also asked if FCC had been fined or otherwise punished by the county for poor service.
“Liquidated damages will be assessed to FCC per contract for valid missed service that was not recovered within the contract-specified timeline,” Cano said. “We are currently in discussion with FCC on the amount of penalties that will be assessed.”
Buncombe County Board of Commissioners Chair Amanda Edwards, who was inundated with calls and emails from residents back in January when FCC took over, said the situation has improved.
“What I can tell you is the emails coming to the commissioners come in waves,” Edwards said.
Some days FCC might miss a pickup in one area, or they have trouble with what’s sometimes called “back door service” — special pickups for folks with mobility issues or who can’t roll a bin to the street.
“So I do think, anecdotally, on some of that special service, they are still working through that pickup,” Edwards said. “That seems to be the biggest amount of complaints that I have received from individuals.”
Overall, Edwards views the FCC situation as “improving, with some bumps in the road as we go.”
“And I think a lot of that is as they’re learning the routes, and our rural country roads that can be tucked in between mailboxes and hard to find,” Edwards said.
FCC responds: ‘This is something we take seriously’
I also reached out to Charles Merkley, vice president of business development with FCC, to ask about their recent performance and improvements they’ve made. He said the company has “taken several key steps to improve our service in Buncombe County.”
“We’ve re-optimized our service routes to ensure the right trucks are assigned to the appropriate areas, increasing efficiency and reliability,” Merkley said. “To better accommodate the growing number of customers, we’ve also added an additional route and continue to adjust our service model to meet local demand.”
Merkley said FCC has also “enhanced” its small “pup truck” operations “by reducing the number of homes on each route and adding more routes on certain days.”
“We’ve added a new operations manager, two route supervisors, and an additional dispatcher who helps monitor routes in real time and manage customer inquiries,” Merkley said. “We also now have a local billing agent onsite to assist customers directly with payments and concerns.”
Merkley also addressed the lack of a local call center, which he acknowledged has been “one of the consistent concerns in the community.”
“This is something we take seriously,” Merkley said. “We’ve explored options to establish one within Buncombe County, but local staffing challenges have made it difficult to implement at this time.”
For now, all customer calls go through FCC’s centralized call center, “where most inquiries are resolved quickly,” he said. “If a call requires escalation or a customer specifically requests it, the issue is transferred directly to our local team for resolution.”
I asked Edwards if she felt like the county made a mistake in switching to FCC, as WastePro had certainly had its issues over the years but seemed to have settled into a groove.
“That’s a loaded question,” she said with a laugh.
Hey, maybe I like my journalistic questions and my baked potatoes the same way: loaded.
“I think the county had developed a great working relationship with WastePro over the years, and I am hopeful that we can develop that same kind of terrific working relationship with FCC,” Edwards said, mentioning one WastePro manager in particular who was always helpful. “Because I think that relationship will be key to addressing the challenges that our residents who are using FCC services are facing.”
Edwards encourages customers experiencing problems to reach out to her or other commissioners. Edwards’ email is amanda.edwards@buncombecounty.org
The other commissioners’ emails follow the same pattern: firstname.lastname@buncombecounty.org
Edwards would like to see FCC address the call center issue, and the lack of local workers to respond to problems.
“That is one frustration that I hear over and over and over — I’m getting people who don’t understand Buncombe County,” Edwards said. “And also that emails go unanswered.”
For his part, Hinkley said he is glad his long garbage nightmare seems to be over. He hopes they continue to work on what he calls the breakdown in communications between accounts and actual service.
“It was pretty comical,” he said now that the worst of it is in his rear view mirror.
Hinkley also thinks there’s little point now in backing out of the deal with FCC.
“If everyone’s had so much of a headache and finally things seem to be working, it almost seems like we should just let it be,” Hinkley said. “But every customer should get some sort of rebate or something.”
I suspect a timely rebate will be harder to get than a trash bin.
Asheville Watchdog welcomes thoughtful reader comments about this story, which has been republished on our Facebook page. Please submit your comments there.
Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. John Boyle has been covering Asheville and surrounding communities since the 20th century. You can reach him at (828) 337-0941, or via email at jboyle@avlwatchdog.org. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.
Related
The post FCC Environmental is still struggling with customer service, nearly 6 months into contract • Asheville Watchdog appeared first on avlwatchdog.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
This content presents a straightforward, fact-based account of a local service issue involving trash collection without showing clear ideological leanings. It focuses on the experiences of residents, statements from a local official, and the service provider’s responses, maintaining a neutral tone. The coverage is rooted in practical concerns about customer service and local government accountability, which are not associated with a particular political bias.
News from the South - North Carolina News Feed
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The post Conservatives on U.S. House Budget Committee switch votes, advance GOP package appeared first on ncnewsline.com
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