Durrie Bouscaren

Durrie Bouscaren is a general assignment reporter, based in Des Moines. She covers breaking stories, economic news, and reports from the Statehouse during the legislative session. 

Bouscaren joined IPR in March of 2013 as a one-woman bureau in Cedar Rapids. Her passion for public radio began in high school, when she would listen to BBC World Service newscasts in the middle of the night. While attending Syracuse University, she reported and produced local news for member station WAER, and received a statewide Associated Press Broadcasters Association award for a report on Syracuse’s Southern Sudanese community. Bouscaren also covered Syracuse and small towns  throughout Central New York as a stringer for WRVO Public Media. Her work has aired on NPR's All Things Considered, WBEZ's Front and Center and KQED's The California Report

Bouscaren's favorite public radio program is Planet Money.

In 2011, Aaron Murray bought his first gun at a sporting goods store — a .40 caliber Beretta pistol. He and his wife were fixing up a foreclosed home in a tough neighborhood in the northern suburbs of St. Louis, and he wanted to protect himself.

Two years later, a bullet from his own gun during a home invasion would leave him paralyzed from the waist down.

If you’re one of the about 10 million people who don't have health insurance through work and buy it on your own, this is the week to see what rate hikes your insurance company is asking regulators to approve for next year. That is, unless you live in Missouri.

State legislators approved a law last year to allow Missouri’s insurance regulator to review price increases for health insurance plans. But the state decided to postpone the deadline to share those rates with the public, citing “several significant developments impacting the individual health insurance market.”  About 240,000 Missourians buy plans on Healthcare.gov.

A two-year federal investigation of Backpage.com, a website that frequently advertises commercial sex, led Democratic U.S. Sen. Claire McCaskill to introduce legislation Tuesday. The bill, filed with bipartisan support, would make it illegal for websites to "knowingly  facilitate sex trafficking.”

McCaskill said Backpage.com appears to be actively involved in cultivating and publishing ads for minors engaged in commercial sex, a felony. The company's activities are detailed in a growing cadre of evidence released by federal investigators, uncovered in ongoing civil and criminal court cases and published by the Washington Post.

St. Louis’ Medium Security Institution, also known as the Workhouse, has been the target of protests and lawsuits for years, including for its lack of air conditioning during the recent record-breaking heat.

While the city brought in temporary air conditioning units Monday, providing what city engineers said would be the ability to “sustain a temperature of 78 degrees inside the dorms,” the events sparked several questions. Here are some important facts about the Workhouse and the regulations it must adhere to.

Twice as many United States women are dying in childbirth today as in 1990, even though all other wealthy nations have seen declines in maternal mortality rates.

Rising rates of obesity and women having children later in life may help explain the rising number of deaths, said Dr. Shilpa Babbar, who specializes in high-risk pregnancies at SSM Health St. Mary’s Hospital in St. Louis County.

Updated July 24 at 2:15 p.m. information on arrests — Amid continued protests during this week's heat wave, St. Louis Mayor Lyda Krewson announced Saturday that the city is ordering portable air conditioning units to be installed "as soon as possible" at the Medium Security Institution. Inside the facility, which is also known as the Workhouse, many inmates are live in quarters without air conditioning as temperatures soar above 100 degrees. 

How long is the wait for a Spanish-language therapy session in the St. Louis area, if you don’t have health insurance? A year or more, providers say.

Jorge Riopedre, president of St. Louis-based Casa de Salud, which serves uninsured immigrants and refugees at a clinic on Chouteau Avenue, hopes to change that.

MONROE CITY, MO. — The closest emergency room is 20 miles east on the highway. That’s why it isn’t unusual for people experiencing heart attacks, blood clots and strokes to show up at Dr. Rodney Yager’s clinic on Main Street in Monroe City.

Yager, who grew up in the area, can handle the fast pace of a small-town clinic. What worries him more is how federal health care policies being shaped in Washington, D.C., could affect his patients.

Anthem Blue Cross Blue Shield, one of Missouri’s largest insurers, no longer covers emergency room visits that it deems unnecessary.

The policy aims to save costs and direct low-risk patients to primary care physicians and urgent care clinics. But doctors say patients may avoid going to a hospital when they really need it, if they fear a large bill.

Siteman Cancer Center is expanding its reach to north St. Louis County, a move aimed at better serving the region’s African-American population.

Doctors will begin seeing patients at Christian Hospital during the first week of July, where Siteman will replace the hospital’s existing Cancer Care Center. A new building in Florissant is slated to open in 2019, pending regulatory approvals.

Public health advocates say placing a cancer center in an underserved area will improve cancer care for residents in the neighborhood.

A new friend was scheduled for a mastectomy, but was now determined to get out of bed and cancel the surgery. So Ella Jones’ mothering instincts kicked in.

“I went over to the bed, and I rubbed her and talked to her, and explained in general terms what was going to happen,” said Jones, 71. “If she had gotten up out of that bed and left, she would have never done any treatment.”

Jones, a nine-year breast cancer survivor, is one of several women who coach others through their treatment in St. Louis. The program is run by The Breakfast Club, a local nonprofit that supports African-American women diagnosed with breast cancer.

Updated June 27 with a new timeline:

Republicans in the U.S. Senate said Tuesday they would delay a vote to pass their plan to replace the Affordable Care Act.

The Senate's Better Care Reconciliation Act would reduce the federal deficit by $321 billion and leave 22 million more people uninsured by 2026, according to Monday’s estimate by the Congressional Budget Office. Like the House plan, it slashes Medicaid and allows states to redefine what’s covered in a basic health insurance plan, in a bid to lower costs.

The state of Missouri filed suit Wednesday against three major drug companies, alleging they fueled the nation’s opioid epidemic with a campaign of false advertising and fake claims.

On the steps of St. Louis Circuit Court, Missouri Attorney General Josh Hawley said he would seek “hundreds of millions of dollars” in damages against Purdue Pharma L.P., Endo Pharmaceuticals Inc., and Janssen Pharmaceuticals Inc., a subsidiary of Johnson & Johnson.

Next year, Blue Cross Blue Shield of Kansas City will leave the individual health care marketplace in Missouri that was set up under the Affordable Care Act. And when it does, about 18,000 patients in 25 western Missouri counties will lose their health insurance. If those enrollees sign on to Healthcare.gov this fall to buy a replacement plan, they may have no options to choose from.

That's because those 25 counties could become "bare."

With high temperatures expected in the St. Louis region on Saturday, the heat index — a measure of temperature and humidity — could break 100, according to the National Weather Service. That means it’s a good time to take precautions against dehydration and heat exhaustion.

Twenty-five people died of heat-related causes in Missouri last year, including an 85-year-old woman who died while sunbathing at her St. Louis County retirement home. Seniors, children, and people with chronic medical conditions are at the highest risk for heat stroke.

Two national child advocacy organizations have filed a federal lawsuit against the Missouri Department of Social Services, alleging that children in the state’s foster care system are over-prescribed psychotropic medications with little oversight.

“They’re prescribed off-label, to control behaviors,” said Bill Grimm, an attorney for the National Center for Youth Law, which filed the lawsuit on Monday. “While many other states have instituted some sort of oversight … Missouri has very little to none of those safeguards in place.”

The suit seeks class action status. State officials declined comment, citing pending litigation.

Adly Castanaza, nurse from Jalapa, Guatemala, guides the probe of a portable ultrasound over the belly of a volunteer in St. Louis. It’s the same machine she’ll use back in Guatemala, to measure how pregnant women, their children and the elderly are affected by smoke from cook stoves.  

“I have seen, when I was in the hospital, so many people who come from rural communities that have [chronic obstructive pulmonary disease],” Castanza explained. “We have to know exactly if there’s a relation(ship with air pollution).”

Washington University in St. Louis is training health workers from India, Rwanda, Guatemala and Peru to conduct a massive study on how the smoke from traditional cook stoves affects women and children.

Public health experts on a panel in St. Louis Friday admonished Missouri lawmakers for failing to pass a prescription drug monitoring bill during the last legislative session. They also called for more treatment centers.

At least 712 people died after opioid overdoses in the bi-state St. Louis region last year — nearly 200 more than the year before, according to the anti-addiction group NCADA St. Louis. Missouri is the only state without a statewide database.

A Republican proposal to gut the Affordable Care Act narrowly passed the U.S. House of Representatives and now the U.S. Senate is crafting its own bill to reshape the nation’s health care system. Elected officials have held few town halls to hear from constituents in the St. Louis area about what they want in a health care bill, sparking demonstrations outside representatives’ offices.

Barb Fleming had built a small business selling tableware and wedding gifts. But that career nearly came crashing down around her in 2008, when her doctor found a lump in her breast. 

Months later, Fleming, of Bel-Nor, in St. Louis County, would find herself in Missouri's high-risk pool: a pricey, state-managed insurance plan that covered people with pre-existing conditions. The programs were phased out by the Affordable Care Act, but could return in the sweeping health care proposal passed this month by House Republicans.

Retired coal workers are no longer at risk of losing their union health insurance as the latest federal spending bill funded coverage that is no longer being paid for by bankrupt coal companies.

But the deal left another issue untouched: the looming insolvency of the union’s pension fund, which could run out of money as early as 2025.

Missouri is poised to strip additional providers from a state-run program that provides family planning services for uninsured women.

The budget lawmakers are sending to Gov. Eric Greitens contains a provision that prohibits hospitals and clinics from participating in the Missouri Women's State-Funded Health Services Program if the organization also provides abortion services, as defined by a state law for sexual education in schools.

The budget also cuts the program’s funding by $4.6 million.

St. Louis aldermen have reintroduced a bill to create a buffer zone outside Planned Parenthood's building in the Central West End, the state's only operating abortion clinic. A previous attempt stalled earlier this year.

Protesters generally gather near the building's driveway entrance at 4251 Forest Park Ave., asking women not to enter. The new proposal would require protesters to stay eight feet away from the driveway area of a health care facility.

Saint Louis University’s School of Medicine is removing an administrator who drew national attention for his work to prevent student depression and suicide. The decision comes as the school faces probation by the accrediting body for U.S. medical schools, which gave SLU two years to make recommended changes.

Administrators notified students and staff this week that Dr. Stuart Slavin, the associate dean of curriculum, would be placed on sabbatical “so that he can transition to the next phase of his career.”

This week, Missouri transferred the state-run health coverage of about 240,000 low-income adults and children to managed care plans run by three companies: WellCare, Centene Corporation and United Health Group.

The move is part of an increasing privatization of Missouri’s Medicaid program, MO HealthNet. Legislators call it a cost-saving measure that improves efficiency in health care. Critics say the transfer happened too quickly, putting patient health at risk.

Clinics that provide contraception and checkups for about 70,000 uninsured Missouri women may lose state funding next fiscal year, if they give patients information about abortion.  

As Congress faces a deadline to pass a stopgap budget for the rest of the federal fiscal year, scientists in research hubs like St. Louis are paying close attention.

The St. Louis region has long grappled with high rates of sexually transmitted infections, but an uptick in syphilis among women of child-bearing age is drawing the concern of public health officials.

In Missouri, 10 cases of congenital syphilis — when the infection is transmitted in the womb — were reported last year. That’s up from just two cases in 2015. Syphilis is treatable with penicillin, but can cause miscarriages, stillbirth and serious health problems if pregnant women do not receive medical care quickly. Men, however, make up the vast majority of cases.

Updated at 11:27 p.m. April 24 with the council's decisions — Two bills that would have established a drug monitoring database in Jefferson County failed during a Monday night meeting of the County Council.

The council heard two competing bills that would have allowed the county to join the local prescription tracking system set up by St. Louis County. But a disagreement over how long a database could keep Jefferson County data, however, likely derailed the whole process, even though council members appear to agree that the rising rate of opioid-related deaths is unacceptable and a prescription drug monitoring database could help prevent overdoses.

“SCIENCE IS REAL,” declares a stack of printed signs in a St. Louis shop. “Reject Alt-Facts,” reads a hand-drawn poster shared on a Facebook page. Another photo shows a purple Easter egg emblazoned with a diagram of an atom.

For many scientists planning to participate in the St. Louis March for Science on Saturday, activism is an unfamiliar role. But proposals by the Trump administration to slash federal funding for the Environmental Protection Agency, National Institutes of Health and federal science programs have been too much to accept, organizers said.

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