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Balancing Care and Cost: What Medicaid Means for Mental Health

As Congress works through this year’s federal budget, one topic is drawing more attention: Medicaid. While it might not always make the headlines, decisions about how this program is funded could have a lasting impact on how people across the country access mental health and substance use services.

Path — illustration for One More Step

One More Step

"Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time." – Thomas Edison At first glance, these words appear reassuring.

Lake — illustration for Skimming Light

Skimming Light

It is late summer, the kind of evening when heat clings to wood and skin, even after the sun has slipped behind the trees. A dock stretches out over the water, quiet except for the occasional creak beneath bare feet.

Fire — illustration for Threaded Fire

Threaded Fire

There are times when a person returns, and everything seems almost the same. The door still opens easily. The chair waits exactly where it was left. A familiar voice echoes faintly down the hall.

Reception — illustration for The Shape of Reception

The Shape of Reception

At a dinner party, someone begins telling a story— a story about a flight delay, and a memory of thunderstorms and kids stomping in puddles at recess.

Belonging — illustration for Belonging Without Bending

Belonging Without Bending

True inclusion requires more than presence—it calls for shared participation. Equity involves recognizing the different challenges people may face and making sure everyone has the support, resources, and opportunities they need to be fully included.

From Self-Care to Isolation: Recognizing the Turning Point

At first, stepping back from social activities can seem reasonable, even necessary, offering a welcome sense of relief. Over time, though, these small breaks can quietly grow, leading to a gradual distance from friends, family, and the support systems that bring stability.