For Carlos Rodriguez, CEO of the Community FoodBank of New Jersey, the spike in demand has been as dramatic as the arrival of the coronavirus. In a normal year, Rodriguez’s organization provides food for some 50 million meals through a network of 1,000 pantries, food kitchens and other affiliates.

But the pandemic meant that some of his bigger food pantries saw 50% more traffic almost overnight. And people who had previously donated food were now, for the first time in their lives, asking for help feeding their families.

The disaster-like level of need is only one problem. Panic shopping by consumers has left grocery stores with little left over to donate, Rodriguez said, leaving the Community FoodBank without its most reliable supply of provisions. To keep feeding its clients, he said, his organization has been forced to vie with national grocery chains to buy basic items, paying 15% more than only a month or so ago.


Rodriguez estimates the Community FoodBank has clear access to about two and a half weeks of food. “I have to tell you, we are week by week,” he said. “The need keeps compounding.”

Around the country, as more than 16 million people have filed for unemployment in just three weeks, the nation’s emergency assistance food supply chain has come under rapid strain. Food banks are besieged by unprecedented traffic, even as the pandemic reduces the number of volunteers who help staff the operations. Supplies are harder to come by as consumers stock up more and donate less.

The result, in some cases, has been dramatic: hourslong waits for donated food. Images of multi-mile lines of idling cars are becoming the modern equivalent of the Depression-era photos of men in overcoats waiting for bread.

Calls into some food assistance hotlines have increased tenfold, said Katie Fitzgerald, executive vice president and chief operating officer for Feeding America, the nation’s largest food bank organization. Between 30% and 50% of the visitors to food banks in Feeding America’s network since the coronavirus are seeking food assistance for the first time, she said. “There’s a lot of desperation and fear out there.”

Data from state 211 help lines, which help connect Americans with social services, tell a similar story. Researchers at Washington University in St. Louis compared requests for food pantry information on 211 calls between March 12 and 25 to the same period last year. Those requests at least doubled in all 23 states the researchers examined. In New Jersey, 211 food pantry requests jumped 2,200%; in Alabama, 967%; and in Maryland, 963%.

In March, thousands more people than usual called into 211 help lines looking to find local food pantries, according to data from 29 states.

Local food banks are under duress. The United Food Bank in Mesa, Arizona, served roughly four times as many families in the last full week of March compared with the first week, all while battling a 40% reduction in grocery store food donations, said Tyson Nansel, the organization’s spokesperson.

The consequences have been immediate. A fifth of local meal assistance programs in Feeding America’s network have already shuttered at least temporarily, according to a survey of the organization’s food banks.

The overall U.S. food supply, experts say, is plentiful. But a burst in demand because of pandemic fears has led to temporarily empty shelves, said Ananth Iyer, department head of management at Purdue University and an expert on supply-chain management.

That has reduced food bank supplies since unsold food with expired “sell by” or “best by” dates in grocery stores, which can still be safe to eat, is often donated to food banks. Cash donations help food banks, but Fitzgerald said it’s still tough to purchase shelf-stable supplies right now.

In the survey of her 200-bank network, Fitzgerald said, 20% worry they’ll run out of the necessary supplies in the next two to four weeks. “We estimate that there is a $1.4 billion gap in what the emergency food assistance system needs to meet this elevated need,” she said. Without that, Fitzgerald said, the organization may have trouble sustaining operations. “It’s a very big problem.”

Meanwhile applications for the federal government’s largest food-support program, Supplemental Nutrition Assistance Program, or SNAP — colloquially referred to as food stamps — are rising in most states, said Stacy Dean, vice president for food assistance policy at the Center on Budget and Policy Priorities.

The Families First Coronavirus Response Act, signed into law March 18, lets states increase benefits (with approval by the U.S. Department of Agriculture, which oversees the SNAP program and gives guidance to state agencies and local offices administering it) for households not already receiving maximum SNAP benefits.

Pharmacy Workers Are Coming Down With COVID-19. But They Can’t Afford to Stop Working.As prescriptions surge, Walgreens and CVS employees say they need more protective gear, cleaning supplies and sick pay. “Someone will come into work sick and there’s nothing anyone can do about it,” a pharmacist says.

This gives no boost to the poorest families, who already receive maximum benefits, according to Dean. “I’m very disappointed that they locked out the poorest families from emergency allotments,” she said. Dean and other advocates say the USDA could do more.

Under the Families First act, SNAP households are receiving a total of $1.7 billion each month above the previous total, the USDA said in an emailed response. The agency added that it is “leveraging all of our programs’ services, built-in flexibilities, and new flexibilities to ensure people have access to food.”

The USDA estimates that some 37 million Americans were food insecure in 2018. An additional 17 million people are now at risk of going hungry, according to projections by Feeding America.

SNAP applications are rising in states such as Georgia, Utah, Louisiana and Connecticut. In Alabama, online applications for food stamps spiked 155% from February to March. California’s applications more than doubled between the first and fourth weeks of March.

In many states, there are fewer staff processing more applications, because of social distancing and coronavirus-related telework, Dean said. In California, Los Angeles County’s Department of Public and Social Services closed its offices and expanded teleworking, according to spokesperson James Bolden. He said that the department hasn’t heard about issues with its online portal, but that some customers have had longer-than-usual wait times for its telephone Customer Service Center.

The Families First act was intended to be an immediate relief response, the Center on Budget and Policy Priorities wrote in a recent post. The package includes other benefits, like one piece that lets states (with the USDA’s signoff) give meal-replacement benefits to households with children who’d otherwise receive free or reduced-price meals at school. States, including Michigan and Florida, are starting to get approved for this.

On April 6, 140 representatives — all but one a Democrat — signed a letter to House and Senate leaders urging them to increase the maximum SNAP benefit by 15%, bump up the monthly minimum benefit from $16 to $30 and put a hold on Trump administration rules that would weaken benefits and eligibility for food stamps.(The 2009 Recovery Act increased the maximum monthly SNAP benefit by 13.6%.)

Charitable groups like Feeding America have called for a boost to SNAP to aid the millions of newly unemployed Americans, calling it the best short- and long-term solution to help food access.

In most states, SNAP benefits can’t be used to make online food purchases, though a pilot program has opened up this option in a handful of states. It hasn’t yet made it to Virginia, where the roadblock has frustrated recipients of food stamps like Erika Schneider, a 42-year-old in Charlottesville who is unemployed because of a respiratory and neurological condition. Schneider, who doesn’t drive, started a Change.org petition to broaden online grocery delivery and pickup options for SNAP users.

She relied on daily Meals on Wheels food delivery, which stopped daily deliveries a few weeks ago and instead has been dropping off shelf-stable items every two weeks. Schneider is on a special diet and said she couldn’t eat everything that was dropped off recently. She resorted to eating cans of plain tomato sauce and rice. “All of a sudden, I was like, ‘Oh my god, I’m almost out of food,’” Schneider said. “And then I ran out of food and completely panicked.”

She was finally able to restock her cupboards with the help of community donations and organizations, she said, and a few days ago, Meals on Wheels dropped off a box of food.

“I guess I just got lucky this time,” Schneider said. “But we shouldn’t have to get lucky in a crisis. We should have the infrastructure for equal access to food at any time.”

This story was originally published by Pro Publica and was written by Beena Raghavendran and Ryan McCarthy.

  • Health care sticker shock has become the norm, but talking to your doctor about costs can help you rein it in
    Photo credit: National Cancer Institute on Unsplash, CC BYA doctor at the National Cancer Institute talks with a patient.

    As health care costs rise, patients aren’t just shouldering higher bills. They’re bearing more and more responsibility for getting information.

    Americans are facing a health care affordability crunch on multiple fronts. In 2025, the Republican-controlled Congress approved a sweeping tax law that scaled back premium subsidies for Americans accessing care through the Affordable Care Act starting in 2026. As a result, millions on ACA plans now face much higher premiums, with many dropping out or expecting to drop out and risk going uninsured as premiums surge. By March 2026, about 1 in 10 people on ACA plans had dropped out, and that share is expected to rise.

    Meanwhile, high-deductible insurance plans have become more common, requiring patients to pay thousands of dollars before coverage fully kicks in. The rise of those plans, along with surging drug prices and the growing share of Americans who are under- or uninsured, means that medical debt remains a leading source of financial strain.

    Nearly half of U.S. adults now report difficulty affording health care. Together, these shifts are accelerating the “consumerization” of health care. Patients now have the ability to comparison shop, evaluate options and manage costs – but often without clear pricing. In this environment, knowing how to ask the right questions may be one of the most important tools patients have.

    We are professors who study how perceptions of health care costs shape patients’ decisions about their care. Our research examines how factors such as price-transparency regulations influence patient choices. Across our work, we consistently hear from patients about rising costs and how conversations about price with their providers too often never happen.

    Why speaking up about cost matters

    When one of us took our child to the doctor for pink eye, the pediatrician quickly sent a prescription for antibiotic drops to the pharmacy. At the pickup, the pharmacist dropped the news that the drops would cost more than US$300. A follow-up phone call to the doctor’s office, however, yielded important information: A generic version of the same medication offered the same treatment and the same results, but at a fraction of the price.

    That quick phone call saved her a lot of money. It also raised a broader question: Why don’t more people have these conversations about cost? In fact, one study shows that cost conversations occur in only about 30% of medical visits.

    These discussions aren’t just for medications. They can be crucial when a recommended procedure has multiple alternatives; when out-of-pocket costs might affect whether you follow through on care; or when a sudden medical bill could create financial strain. Speaking up about price can help patients stay healthier and avoid the all-too-common trade-off between medical care and household expenses.

    The study mentioned above also found that doctors and patients identified ways to reduce out-of-pocket costs – such as switching to a generic drug or adjusting the timing of care – in nearly half of those cases. Importantly, these conversations were typically brief and did not compromise the quality of care, the researchers found.

    Patients actually prefer doctors who bring up costs, other research has found. Still, most patients remain hesitant. While a majority say they want to discuss cost, only a minority actually do, often waiting until a bill arrives – often when it’s too late to consider alternatives. That’s why it’s important that consumers feel empowered to ask the right questions. Here are three that can help make care more affordable.

    A close-up of a person's hands, with pen in one, going over a complicated medical billing form.
    A patient works on a medical billing form. Mael Balland on Unsplash.CC BY

    Is there a generic or lower-cost alternative?

    One of the simplest ways to reduce drug costs is to ask whether a less expensive option is available. Brand-name medications can cost significantly more than generics, even when they are equally effective. One industry survey estimated that 90% of all prescriptions filled in 2024 were generic or biosimilar, but these accounted for only 12% of drug spending.

    In many cases, physicians can substitute a generic drug or recommend a similar treatment that achieves the same outcome at a lower price. And when no direct generic exists, there may be therapeutic alternatives worth considering. For example, if a brand-name eye drop or inhaler isn’t available in generic form, doctors can often prescribe a different medication in the same class that works just as well but costs far less. Research on physician–patient cost conversations shows that switching to lower-cost, clinically similar alternatives within the same drug class is a common strategy for reducing out-of-pocket spending without compromising care.

    Is there any financial assistance available?

    Some hospitals and large health systems have specific programs aimed at making care more affordable for lower-income patients. In many states, government programs address this same goal. These programs often offer discounts on care, but they can be complex to navigate and require significant paperwork. Many health care offices have staff who are knowledgeable about these programs and can help patients determine eligibility and sometimes even assist with applications, although the Trump administration has cut funding.

    Patients can often find these programs through hospital or health system websites, which typically include financial assistance or “charity care” pages outlining eligibility and how to apply. State Medicaid offices and insurance marketplaces are also key entry points for coverage and subsidy programs. Nonprofit organizations and patient advocacy groups may also offer or list assistance tailored to specific conditions or medications.

    It’s also important to remember that for prescription medications, what you’re quoted isn’t always the final price. Many medications come with options to reduce costs, including manufacturer coupons, copay assistance programs and patient assistance programs. Doctors’ offices and pharmacists may also know practical ways to save money, such as using a different pharmacy, switching to mail order or adjusting how a prescription is written. Asking about these options can uncover savings that aren’t immediately obvious.

    What will this cost me, and are there other options?

    Health care pricing is often opaque, and costs can vary widely depending on where and how care is delivered. Asking up front about your expected out-of-pocket cost can help you avoid surprises later.

    This question also opens the door to alternatives. For example, patients may be able to choose a lower-cost imaging center, opt for outpatient rather than hospital-based care, or delay nonurgent services until insurance coverage improves.

    Speaking up is part of taking care of your health

    Health care decisions shouldn’t feel like a choice between your well-being and your wallet. A brief, honest conversation about cost can lead to more affordable and more sustainable care.

    Physicians can’t address financial concerns they don’t hear about, and most want to help their patients access care they can realistically follow through on. As costs continue to shift toward the patient’s burden, asking these questions isn’t just helpful – it’s essential.

    The next time you’re handed a prescription or a referral, remember: One simple question about price could make all the difference.

    This article originally appeared on The Conversation. You can read it here.

  • Snoozing in bed is actually bad for you, but here’s how to get out of bed comfortably
    Photo credit: bruce mars via UnsplashA woman sleeping on her pillow.
    ,

    Snoozing in bed is actually bad for you, but here’s how to get out of bed comfortably

    When you disrupt NREM sleep, you disrupt the body’s replenishing capabilities.

    We all know that moment when the alarm goes off in the morning and you start thinking about who you wouldn’t murder for another five minutes (another 10 minutes?!) of sleep. You hit the snooze button, and your eyes drift closed again, only to be thrown open as the alarm sounds one more time. While those extra few moments of sleep might feel wonderful at the time, they’re never as good as simply waking up and staying up and can even cause more harm than good.

    “The name for the uncomfortable feeling on awakening is ‘sleep inertia,’” writes Dr. Keith Roach in The Detroit News. Sleep inertia is that feeling of zombie-like grogginess you get when you wake up again shortly after being up once before, like when you hit the snooze button or take a nap. According to Sleep Foundation, it can also include “disorientation, drowsiness, and cognitive impairment that immediately follows waking.” Though going back to sleep might feel nice for a short time, you’d actually be better off for the rest of the day by just getting out of bed, especially if you wake up naturally feeling well-rested, Roach continues. 

    While there’s not an explicit understanding of why sleep inertia happens, according to the Sleep Foundation, it could be related to a disturbance of NREM sleep, non-rapid eye movement sleep, which is “an essential part of the sleep cycle,” that’s important because it’s when the body takes time to repair itself. When you disrupt NREM sleep, then, you disrupt the body’s replenishing capabilities. This brings on that groggy feeling, because 10 minutes isn’t just 10 minutes; your body’s actually resetting itself for anywhere from 30 minutes to some four hours. What you end up doing, according to Dr. Sam Wagg of Fix Medical Group in San Diego, is trading 10 minutes for an even longer period of time to recover, and it just isn’t worth it. “Pressing snooze can make sleep inertia worse because of the repeated forced awakenings,” says psychiatrist Dr. Tracey Marks. “Our brains don’t like waking up and going back to sleep and waking up again in a short time period.”

    Luckily, with modern advents, you don’t have to do this on your own. As Dr. Marks shares, there are several ways to make waking up easier. One of them is by choosing relaxing sounds to wake up to, and allowing them to slowly increase volume while the alarm goes off. Another is choosing a regular time to rise, weekends included. “This keeps your body clock in sync,” she says. You can also choose to wake up to natural light or invest in a sunrise alarm clock. Last but not least, Dr. Marks says, you actually have to get up and “move around so that your body can know it’s time to start the day.”

    According to the Sleep Foundation, you can also limit caffeine, make sure the room is cool, and reduce the use of substances like cigarettes and alcohol. Another useful warrior against sleep inertia is bedding that enhances your sleeping experience. This can include “natural, breathable fibers like wool, down, cotton, linen and silk…[that] feel soft and comfortable for your body,” Apartment Therapy shares.

    And while a cool, cozy bed nestled in soft light and music sounds like something you may never want to leave, it will actually help you get out of bed feeling that much more rested and ready to take on the day, leaving sleep inertia in the dust.

    This article originally appeared last year. It has been updated.

  • The good life requires two things, self‑knowledge and friends – you can’t have one without the other
    Photo credit: Stephen Simpson/Stone via Getty ImagesFriends can see and know you in ways that you yourself never can.
    ,

    The good life requires two things, self‑knowledge and friends – you can’t have one without the other

    A global study links nature connection with resilience, mindfulness and life satisfaction.

    Friends can help us with all kinds of things in life. How could I forget moving that piano for friends in Chicago? Fortunately, none of us ended up in the ER.

    One of the most important things friends do, though, might seem surprising: They help us get to know ourselves.

    Both in their 50s, Cindy and Ann had been friends since the second grade. Year after year, they never missed a birthday. Cindy would give Ann gourmet popcorn or maybe a sweatshirt from her alma mater, while Ann would give Cindy a special book on a topic that interested her, or maybe an old batch of family recipes. At one point, it dawned on Cindy just how thoughtful Ann’s gifts were. It wasn’t about the cost. “She really thinks about my life and what I’m doing,” Cindy said. “It’s amazing. Ann is just really thoughtful.”

    Cindy had always imagined herself as a thoughtful person, too. But in comparing the kinds of gifts they sent to each other, she realized that she was not thinking about Ann in the way that Ann was thinking about her. And so began her deliberate process of becoming more thoughtful – as a result of the self-insight she had gained from her friendship with Ann.

    As a philosopher and philosophical counselor, I’ve noticed the pronounced connection between friendship and self-knowledge in my counseling practice. Cindy and Ann are one example among many. I’ve come to the conclusion that to really know yourself, it’s necessary to have good friends.

    The link between self-knowledge and friendship was key for Aristotle, too, more than 2,000 years ago. “Eudaimonia” – roughly translated as living well, or happiness – often remains elusive, yet Aristotle believed it didn’t have to be. Eudaimonia is largely within people’s control, he said, so long as they aim at the right targets.

    Two of those targets are knowing yourself and having good friends. The two are tied together – you can’t develop self-knowledge in a vacuum. Happiness, for Aristotle, can never be a solitary pursuit.

    Knowing – and befriending – yourself

    Humans have a highly developed capacity to think about their thinking. This is possible because of a split in human consciousness: There is consciousness, and there is consciousness of consciousness – what is known as reflection or metacognition. Metacognition allows us to step back and note our thoughts and feelings, analyzing them almost as if they belonged to someone else.

    This split makes reason, self-knowledge and morality possible. We can deliberate about our thoughts, feelings and potential actions.

    A faded painting shows two bearded men in robes, one of whom has gray hair, walking and gesturing side by side.
    A detail from ‘The School of Athens,’ by Raphael, shows Plato and Aristotle, his student, deep in discussion. Apostolic Palace/Web Gallery of Art via Wikimedia Commons

    Self-knowledge isn’t the same as being intellectual or even intelligent. Instead, it’s about using self-awareness and reason to develop character.

    In Aristotle’s view, character arises from developing habits that lead to intellectual and moral virtue, so that personal integrity is possible. This, in turn, builds self-trust and self-respect, as you learn to rely on yourself to do what is right – what Aristotle called “enkratēs,” or continence.

    In other words, self-knowledge is developing a good relationship with yourself. In your own internal dialogue, you become another trusted friend to yourself, based on what you’ve seen in your friendships: virtues like generosity, courage, truthfulness and prudence. Self-knowledge and moral development are tied together and realized in community, as underscored by Aristotle scholar Joseph Owens.

    Friendship based on character

    Aristotle recognized three types of friendship. Some are based on utility, like a study-group friend. Others are based on pleasure, such as friends in an antique car club.

    The third and highest form of friendship, which can last a lifetime, is based on virtue, or “arete.”

    In these situations, Aristotle wrote, a friend becomes “another self.” These friendships are based on mutual goodwill and love for the other person’s character; they are not fundamentally transactional. Instead, they are anchored in care and concern for the other.

    Such friendships are few, but foster self-knowledge. As philosopher Mavis Biss emphasizes, a good friend has a perspective on you that you yourself do not. You can step back and analyze your desires, thoughts and feelings, but you can never actually observe yourself.

    That means self-knowledge always has a social dimension. True friends enhance each other’s insight and capacity for virtue. As you get to know your friend, you get to know yourself – and are challenged to become a better version of yourself.

    “To perceive and to know a friend, therefore, is necessarily in a manner to perceive and in a manner to know oneself,” Aristotle wrote in the “Eudemian Ethics.” The friend is a mirror that helps refine our thinking, perception and moral understanding.

    Two women with gray hair and glasses sit inside a tent, looking out at a pond, as they smile and chat.
    A trusted and respected friend shares ideas, gives fresh perspective and magnifies life’s pleasures. Johner Images/Johner Images Royalty-Free via Getty Images

    Aiming at the good life

    In the end, what makes eudaimonia – the good life – possible? For Aristotle, it’s using reason to become our best selves. Knowledge and self-knowledge are the most desirable of all things, Aristotle argued: “One always desires to live because one always desires to know, and because one wishes to be oneself the object known.”

    And there’s no way to get there without good friendsA trusted and respected friend shares perceptions, enhances self-knowledge and magnifies life’s pleasures.

    The desire to know and be known is part of the quest for happiness. Knowledge of self, others and everything else is interconnected. For Aristotle, relationships are a portal into the realms of the vast and mysterious universe.

    This article originally appeared on The Conversation. You can read it here.

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