07/03/2026
As we have spent time with subjects in Tennessee and Alabama, we have seen, over and over again, that the folks who are standing in the gap are often suffering themselves from a lack of care.
And so while this is meant to be a series to educate folks about health deserts, it is also a portrait of the American family in 2026.
A portrait of families who cannot make ends meet, despite living in the wealthiest country in the world.
We met Hayley when we started documenting the group that she and her husband co-founded, Action Group.
BAG distributes free supplies and food to unhoused folks in their community in Appalachia.
Hayley, her husband, and the other members do this work in addition to their paid jobs.
When we sat down to hear more from Hayley, she told us that not only does she can she not afford health insurance, she also has medical debt.
Approximately 36% to 41% of American adults carry some form of medical or dental debt.
This means roughly 79 to 100 million people have problems paying medical bills or are actively paying off past healthcare expenses over time. (Source: Commonwealth Fund)
Medical debt disproportionately affects parents, lower-income households, and communities of color. Black adults are 50% more likely and Hispanic adults are 35% more likely than white adults to owe money for care. (Source: KFF)
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