State borders are the new front lines in the nation’s abortion battle. On this encore episode of Us & Them, host Trey Kay looks at the evolving geography of abortion. Since a 2022 U.S. Supreme Court decision overturned federal abortion rights, 21 states have either banned or restricted abortion access, including West Virginia. Meanwhile, West Virginia’s neighbor, Maryland, is one of 22 states that are protecting abortion rights and expanding access. Kay follows the decision of Women’s Health Center of West Virginia to move its abortion services from Charleston to a new clinic just over the border near Cumberland, Maryland. The move was intentional because Western Maryland, like West Virginia, is a so-called abortion desert. The two regions have some deep political and cultural similarities. Western Maryland Republicans say they feel ignored by the overwhelmingly liberal, Democratic legislature in Annapolis. They say the new abortion clinic is not wanted or needed in their part of Maryland, and they blame the clinic’s presence on the fallout from Roe v. Wade’s defeat. This Us & Them episode was recently honored by the Virginias Associated Press Broadcasters as Best Podcast of 2024.

During his first months in office, President Donald Trump has issued about 150 executive orders and is taking action on the very issues he promised during the campaign. There’ve been dramatic changes in immigration in the form of mass deportations despite concerns over a lack of due process. The administration continues to make good on moves to cut the federal workforce, government agencies and a variety of government-funded organizations. And nearly every day there’s economic news about Trump’s reciprocal tariffs with countries around the world and the impact on the global economy. With all of this to digest, it’s time for another Us & Them dinner party as host Trey Kay brings together guests of varying political persuasions to share a potluck meal and their views on President Trump’s first 100 days in office. 

For this episode of Us & Them, host Trey Kay celebrates the tenth anniversary of the podcast with the young members of Marshall University’s Dead Podcasters Society, a club that is dedicated to artistic expression and following one’s passions, much like the fictional group in the 1989 film Dead Poets Society.  The event becomes a master class on podcasts, the intimate form of audio storytelling that has hooked hundreds of millions of listeners around the world. Kay talks with students about how he encourages people to tell him their stories and about a lifetime spent forming connections with people who hold views that are very different from his own. He also gets inducted into the Dead Podcasters Society in a ceremony that involves a sword and a vow to “seize the sound.”

For decades, polls have shown most Americans believe equal opportunity in the workplace is beneficial and laws like the 1964 Civil Rights Act worked to achieve that goal. More recently, the effort has included voluntary diversity, equity and inclusion programs - known as DEI. On this episode of Us & Them, host Trey Kay looks at changing social and political sentiment that’s prompted efforts to dismantle the nation’s DEI programs. President Trump’s executive orders require government agencies and private businesses to stop the programs calling them illegal and immoral discrimination. State lawmakers are taking a cue from Washington and so far more than 30 states have considered or are looking at anti-DEI legislation, with half having already passed such laws. While some people say diversity programs provide positive societal change and are positive for a business’s bottom line, a growing percentage say the efforts are discriminatory practices that can lower employment standards and do not improve productivity or efficiency in the workplace. 

Reality is more challenging now for people who live at the intersection between substance use disorder, homelessness and the criminal justice system. New laws across the nation echo aspects of the 2024 Safer Kentucky Act, which enhance penalties for violent crimes, drug crimes, shoplifting and carjacking, as well as a ban on public camping. On this episode of Us & Them, host Trey Kay returns to Kentucky to check on the consequences of the new tough-on-crime law. In cities, the demand for longterm and transitional housing remains acute, while in small town Appalachia the access to any social safety net can be far, far away.

Many Americans assume the U.S. Constitution guarantees men and women equal rights. But the authors of the Constitution did not consider women as part of ‘We the people.’ In fact, the equal protection clause of the 14th amendment provides far fewer protections for gender as a protected category than it does for race, religion or national origin. In this episode of Us & Them, host Trey Kay hears from author Jill Hasday, a law professor at the University of Minnesota whose new book “We the Men” lays out an unfinished agenda for women’s equality. Hasday says women are systematically forgotten in America’s most important stories about itself and there are important symbolic and emotional consequences from that exclusion. 

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.