Liam Niemeyer

As new cases of coronavirus mount in the Ohio Valley, health officials are bracing for an onslaught of patients and what could be unprecedented demand for beds, medical staff and specialized equipment.

Kentucky, Ohio and West Virginia have disproportionately high rates of people vulnerable to serious illness from COVID-19. But the region’s capacity to treat them has been sharply reduced by the closure of some 21 hospitals over the past 15 years. An analysis by the Ohio Valley ReSource shows some of the communities where hospitals have closed have some of the nation’s poorest health outcomes, making them especially vulnerable.

John Fuller is waiting for another farmer he’s never met before to talk about a situation he never imagined he would be in.

It’s an overcast January day on his farm in west Kentucky, where he grew 18 acres of hemp last year, investing more than $250,000 of his own cash. He’s one of nearly 1,000 licensed hemp growers in 2019 who helped grow Kentucky’s biggest hemp crop since the state reintroduced it, trying to cash in on what could be a $1 billion industry for CBD products made from hemp.

But now, Fuller is wondering how much of that investment he’ll get back.

Tom Folz drives around on a sunny, August afternoon and surveys the thousands of acres of dark green, leafy soybean plants and tall stalks of corn he grows on his sprawling farm in Christian County, Kentucky.

At 54, Folz has wispy, white hair matching his white mustache. It’s taken him several long work weeks to get his crop to where it is today.

“You got to be a little bit ‘off’ to be a farmer,” Folz said. ”You don’t get to enjoy anything during harvest and planting season because we’re working.”

The U.S. Environmental Protection Agency will decide over the next six months whether to follow through with a Trump administration executive order that would dramatically change federal protections for such streams and wetlands.

The proposed revision would roll back an expanded Clean Water Act rule from the Obama administration, that included protections for ephemeral streams and wetlands in something called the “Waters of the United States,” or WOTUS.