While Americans disagree about many things when it comes to politics, elections and domestic and global affairs, most agree that a robust economy is essential for a strong nation. In recent months, nearly all U.S. states have shown economic growth, except West Virginia, and it’s not just losing jobs, it’s losing young people. In this first of two Us & Them episodes, host Trey Kay talks with a number of young adults from the Mountain State about whether they will stay put or find their future elsewhere. This episode focuses on those who want to stay in West Virginia, or are leaning toward building their lives here, even as they wrestle with whether the state can offer the opportunities they need. In a state where the death rate exceeds the birth rate and the workforce participation rate is the nation’s lowest, there are efforts to retain population. But some say the state needs to do something else to become more competitive.

There are so many young people in the U.S. who are not in school, working or training for work, that there’s a name for it. They are ‘disconnected youth,’ and while West Virginia’s rate has dropped in recent years, it’s still one of the highest in the nation. Just under 12%, or 24,000, young people are in this category, and they can be tough to track down because there’s a stigma attached to this status. However, some programs are trying to bridge the gap - to connect with young people and help them train for a job and a career. On this Us & Them episode, we’ll find out why some young people get stuck and the things Mountain State leaders say could help this next generation.

Housing is becoming less affordable for many people. As a result, more cities and towns grapple with growing homeless populations. Hundreds of cities across the nation now have laws that prohibit camping on public property to discourage encampments and illegal activity. On this episode of Us & Them, host Trey Kay moderates a community conversation in Morgantown about that city’s approach to housing. Morgantown is one of five West Virginia cities with a public camping ban. Local advocates say there are twice as many homeless people as there are shelter beds available. This year, lawmakers did not have the votes to pass a statewide camping ban, but some leaders say that’s a better approach than patchwork local measures. 

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 children show signs of tooth decay. Twelve percent of older adults have had all their teeth extracted. But as Us & Them host Trey Kay learns in this award-winning encore episode, there are new approaches that aim to change some old habits.  

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 episode of Us & Them, host Trey Kay learns how Medicaid funding supports organizations working in recovery and what that work looks like on the ground.

This episode of Us & Them, recently honored with a Regional Edward R. Murrow Award for Excellence in Diversity, Equity and Inclusion, is presented with support from The Greater Kanawha Valley Foundation.

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 musicians like Nirvana’s Kurt Cobain championed his work. Johnston was diagnosed with bipolar disorder in his 20s, and as his fame grew, his mental health struggles increased. He died in 2019 at age 58, leaving hundreds of songs and drawings. In this award-winning episode of Us & Them, host Trey Kay talks with family members, musicians and others about Daniel’s life and legacy.

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 residential facilities and that’s why nearly 400 kids live in out-of-state institutions. On this Us & Them, an encore episode finds more than half of all states have seen their number of licensed foster homes drop, some by as much as 60 percent because many new foster parents don’t stay in the system for long. 

While official foster care cases are tracked and overseen by state agencies, many types of so-called kinship care are not official or included in state data. 

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 addictions. Ibogaine can alter brain functions and is used in some countries to treat depression, anxiety, PTSD and drug withdrawal symptoms. Twenty years ago most U.S. doctors wouldn’t touch the drug and politicians stayed away from it but now, the prospects for psychedelics in America may be changing. 

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 visions of freedom. In this episode of Us & Them, host Trey Kay brings together professors and students at Marshall University in Huntington, West Virginia along with community members for a public conversation. There’s talk about what the revolution meant then, who it was for, and what it means now—at a time when questions about executive power, citizenship, and belonging feel anything but settled.

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 and half rate below normal on standard quality measures. By several measures there are 500,000 people living in such conditions. In this encore Us & Them — which was recently honored by the Virginias Associated Press Broadcasters for Best Podcast — we travel just across the state line to Western Virginia to experience a side of the housing crisis we don't often see — structures in disrepair that people call home.