The Trump administration’s efforts to cut federal spending is targeting a broad range of departments and agencies including the low-income health care program Medicaid. Republican lawmakers want work requirements in place for eligibility. But the scope of Medicaid programs goes beyond direct health care. Many people rely on Medicaid for treatment of substance use disorder and drug addiction. West Virginia has the nation's highest overdose numbers and the rate for African American people exceeds any other group. In this episode of Us & Them, host Trey Kay learns how Medicaid money supports the organizations that work in recovery and what that work looks like.

Home ownership in America is one of the most common ways to build wealth for future generations. But in Appalachia, 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 there’s another reality at work. Much of that 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. One estimate shows there are 500,000 people living in such conditions. This is a side of the housing crisis we don't often hear -- structures in disrepair without electricity, or running water, that people call home.

There’s a fresh slate of legislative agendas in the new year and some include efforts to chip away at reproductive rights and access to abortion, even in states that have recently passed constitutional abortion rights ballot measures. On this episode of Us & Them, host Trey Kay looks at what’s ahead after a record number of initiatives passed in November. There’s a lot that conservative legislatures and courts can do to limit the voter-approved amendments. While legal maneuvering continues, the number of abortions in the U.S. is at its highest level in more than a decade thanks to the increased use of abortion pills and travel across state lines. Abortion opponents want President Donald Trump to enforce a 19th Century law they say will stop abortion pills through the mail. Meanwhile, abortion-friendly states are using shield laws to protect their telehealth abortion providers from criminal prosecution for providing abortion pills to women in states with bans. The U.S.’s inconsistent abortion laws are pitting states against each other, and state governments against their citizens.