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Tuesday, April 15, 2025

The Tragedy of NCAA Athletes Who Died Young

[Editor's note: This article was written before the tragic death of former LSU football player Kyren Lacy, who died of an apparent suicide.]  

The NCAA has long been a cornerstone of American college sports, offering a platform for student-athletes to showcase their talent while pursuing higher education. These athletes are revered for their commitment, discipline, and often exceptional abilities, balancing the pressures of academics and the demands of competitive sports. However, there exists a darker side to this world—a series of tragedies that have shattered lives and futures. The untimely deaths of NCAA athletes, often in their youth, cast a long shadow over the collegiate sports landscape and demand reflection, discussion, and action.

A Stark Reality: The Lives Cut Short

In the past decade, there have been numerous heartbreaking stories of NCAA athletes who have tragically passed away at a young age. These athletes, in the prime of their lives, were known for their fierce dedication to their sports and the promise of success that lay ahead. From football players to track stars, the common thread among these stories is the shock and disbelief that accompany such sudden losses.

The deaths of athletes like Zachary Easter, a football player at the University of Iowa, or Mitch Petrus, a former Arkansas Razorback who played in the NFL, demonstrate the vulnerability of young athletes. These athletes, often strong and healthy, were still susceptible to the dangers of both physical and emotional stress, and the grim reality is that their stories are not isolated.

The causes of these deaths vary greatly. Some, like Easter, succumb to the pressures of mental health struggles, while others, like Petrus, tragically fall victim to cardiovascular events or other undiagnosed health conditions. However, the impact on families, friends, teammates, and the entire college community remains the same: profound grief and a relentless questioning of how such a loss could occur.

The High Stakes of College Sports

One of the underlying factors contributing to these tragedies is the intense pressure faced by student-athletes. The NCAA and its member institutions hold their athletes to extraordinarily high standards, both on and off the field. The expectation is often that they must excel in their sport while maintaining their academic standing—balancing an often grueling schedule of training, games, classes, and personal life.

While these demands can shape athletes into disciplined and resilient individuals, they can also contribute to physical and mental strain. Physical exhaustion, injuries, and the demands of performance can take a severe toll on the body, sometimes in ways that are not immediately visible or diagnosable. Mental health struggles, too, are increasingly recognized as a significant challenge for student-athletes, with many feeling isolated or overwhelmed by the pressure to succeed. Tragically, this pressure sometimes leads to a point where the athlete cannot carry on.

Further complicating matters is the culture of silence surrounding mental health in sports. Athletes are often expected to "push through" pain and adversity, leading many to mask their struggles, avoid seeking help, or underreport symptoms. This cultural stigma, combined with a lack of adequate mental health support, creates a deadly cocktail for some athletes, whose needs go unnoticed until it is too late.

The Role of Colleges and the NCAA

As institutions of higher education, colleges and universities have a responsibility to care for the well-being of their students—athletes included. However, there is a growing concern that some universities and the NCAA as a whole have not done enough to address the physical and mental health challenges faced by student-athletes.

The NCAA has made some strides in recent years, implementing policies designed to improve the health and safety of athletes. From concussion protocols to mental health awareness initiatives, these measures reflect a growing acknowledgment of the risks that student-athletes face. However, critics argue that these efforts are still insufficient and that the culture of winning at all costs often takes precedence over athlete welfare. The pressure to perform continues to outpace efforts to safeguard the well-being of athletes, leaving some to wonder whether the systems in place are truly protecting those who are most at risk.

Moreover, the lack of comprehensive long-term health care, especially for former athletes who may face long-term consequences from injuries or undiagnosed conditions, further highlights the systemic shortcomings in how the NCAA handles athlete health. While some colleges have programs to support former athletes, many feel that these programs are often inadequate for the long-term needs of those who were once part of the athletic community.

Mental Health: A Critical Issue

One area that has garnered increasing attention in recent years is the mental health of student-athletes. While the physical demands of sports are often the focus of attention, the psychological toll of being a college athlete can be equally, if not more, devastating.

Studies show that student-athletes are at higher risk for anxiety, depression, and other mental health issues compared to their non-athlete peers. The pressure to perform at a high level, combined with the stress of academic work, social expectations, and sometimes traumatic injuries, can be overwhelming. Tragically, this sometimes leads to self-destructive behaviors or even suicide.

In 2020, the death of Riley O’Neill, a University of Texas swimmer, shocked the collegiate community. O’Neill, a highly talented swimmer, struggled with depression and the pressure to perform. His death highlighted a broader issue of how universities and athletic programs often fail to provide adequate mental health resources or to address the stigma surrounding mental health struggles.

The tragedy of O’Neill’s passing, like others, underscores the need for universities and the NCAA to take proactive steps to ensure that student-athletes have access to counseling and mental health services. These services must be integrated into the athletic programs in a meaningful way, removing barriers to access and ensuring that athletes feel safe and supported in seeking help.

A Call for Change

The untimely deaths of NCAA athletes serve as a painful reminder of the sacrifices these young individuals make in pursuit of excellence. Their lives, cut short too soon, represent not only personal tragedies but a systemic issue that demands attention.

To prevent further heartbreak, colleges, universities, and the NCAA must make a more concerted effort to prioritize the physical and mental well-being of student-athletes. This means improving access to mental health services, providing better protections against physical risks, and creating a culture that values health and safety over performance and achievement.

In honor of those who have passed, we must ensure that future athletes do not have to suffer in silence, that their health is protected, and that their futures remain bright, even as they face the unique pressures of being a student-athlete. It is only through such efforts that the untimely deaths of these young athletes will lead to meaningful change, sparing others from the same fate.

The tragic loss of so many young athletes calls for us to reflect on the human cost of competitive sports, pushing for a shift in how we view success—one that values life and well-being as much as it does athletic performance. The NCAA and its member institutions must rise to the occasion, ensuring that these tragedies do not continue to define the legacy of college sports.

Friday, April 25, 2025

Madness on Campus: The Unseen Struggles of College Students

College campuses are often portrayed as vibrant places of learning, personal growth, and social exploration. For many, these years are full of excitement, new experiences, and the thrill of shaping one’s future. However, beneath the surface of campus life, a darker reality lurks—a reality that is rarely discussed but increasingly hard to ignore. The mental health struggles of college students have reached a crisis point, and the pressure to succeed academically, socially, and professionally is often pushing students to their breaking point. The “madness” on campus isn’t just about late-night study sessions or the intensity of competitive sports—it’s about the unseen battles many students are facing every day.

The Pressure Cooker of College Life

For today’s college students, the pressure to succeed is more intense than ever. In addition to excelling academically, students are expected to balance internships, extracurriculars, social lives, and the looming uncertainty of their futures. The fear of not measuring up, of failing to secure a job after graduation, or of not living up to parental expectations can be overwhelming. These pressures are compounded by financial burdens, the weight of student loans, and in many cases, the struggle to make ends meet while navigating the high cost of living.

While the modern college experience has evolved to include more support systems than in past generations, the demands placed on students have also grown exponentially. Many students find themselves caught in a cycle of stress and exhaustion, trying to juggle the high expectations placed upon them. Unfortunately, these expectations can be detrimental to their mental health, leading to feelings of inadequacy, anxiety, and depression.

The Silent Epidemic: Mental Health on Campus

According to recent surveys, mental health issues among college students have skyrocketed in the past decade. Anxiety, depression, and stress are at all-time highs, with more students reporting feeling overwhelmed and mentally exhausted. A 2023 study from the American College Health Association found that 60% of students felt “overwhelming” anxiety at some point during the previous year, and 40% reported feeling so depressed that it was difficult to function. Despite this, only a small percentage of students are receiving the mental health support they need.

The stigma surrounding mental health remains one of the biggest obstacles to seeking help. Students often feel they must appear “perfect” in order to meet academic and social expectations, and admitting to mental health struggles can feel like an admission of failure. As a result, many students suffer in silence, exacerbating their problems and making it harder to find a way out.

Campus resources, while they exist, are often overwhelmed. Counselors and therapists on many campuses are stretched thin, with waitlists sometimes extending for weeks. This leaves many students without the help they so desperately need. Additionally, the counseling services offered on many campuses are often seen as temporary fixes—band-aid solutions to much deeper, systemic issues that go unaddressed.

The Tragic Consequences of Ignored Struggles

The mental health crisis among college students is not just a matter of academic performance or emotional distress—it has life-and-death consequences. A growing number of tragic stories are emerging from campuses across the nation, with young people taking their own lives in response to their struggles. Suicide is now one of the leading causes of death among college-aged individuals, with an alarming number of students feeling they have no other option.

One heartbreaking example is Riley O’Neill, a talented swimmer at the University of Texas, whose death in 2020 shocked the college community. O’Neill, who had been struggling with depression and the overwhelming pressures of college life, took his own life after feeling isolated and unable to cope with his struggles. His death, like many others, brought attention to the unseen mental health crises occurring on campuses and underscored the urgent need for better mental health resources and support systems for students.

Stories like O’Neill’s are tragic reminders of the real, human toll of mental health struggles on campus. They should serve as a wake-up call for universities to reevaluate how they support their students and to prioritize mental health just as much as academic performance or career success.

Sexual Assault on Campus: An Overlooked Crisis

Another critical issue that often goes unaddressed is sexual assault on college campuses. According to the National Sexual Violence Resource Center (NSVRC), 1 in 5 women and 1 in 16 men experience sexual assault while in college. This staggering statistic highlights the reality that sexual violence is an endemic problem on many campuses across the country. Yet, many victims of assault feel isolated, shamed, or even responsible for the violence they’ve experienced. The trauma of sexual assault can have severe, long-lasting effects on mental health, including depression, anxiety, post-traumatic stress disorder (PTSD), and suicidal thoughts.

Part of the reason sexual assault continues to be a pervasive issue on campuses is the culture of silence that surrounds it. Victims often feel afraid to come forward, either due to the fear of not being believed, the social stigma, or the complicated legal and institutional processes that often seem to favor the accused rather than the survivor. This fear can lead to underreporting, with many victims choosing to keep their trauma hidden. Additionally, some students may feel the pressure to remain silent due to concerns about their academic and social standing on campus.

It’s crucial that campuses provide safe, supportive environments for students who have experienced sexual assault. Universities must have clear policies and resources in place to support survivors—ranging from accessible counseling services to campus security that is trained to handle these cases with sensitivity and professionalism. Survivors of sexual violence deserve to feel heard, validated, and safe while navigating the aftermath of their experiences.

The Role of Alcohol and Drug Abuse in Campus Struggles

In addition to mental health challenges and sexual assault, substance abuse is another issue that is deeply intertwined with the campus experience. Alcohol and drug use are unfortunately common among college students, and for many, partying or experimenting with substances is viewed as an integral part of social life. However, for some, these substances become a coping mechanism for the stress, anxiety, and depression that they are grappling with.

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that about 60% of full-time college students between the ages of 18 and 22 drink alcohol, with 40% engaging in binge drinking. Excessive alcohol consumption is often linked to risky behaviors, including unsafe sexual activity, physical injuries, and academic struggles. For students already dealing with mental health issues, alcohol can exacerbate feelings of depression and anxiety, creating a dangerous cycle of dependence and emotional turmoil.

Drugs, including prescription medication misuse, marijuana, and party drugs, are also prevalent on campuses. These substances may be used to self-medicate for anxiety or depression, or they may be part of a social trend. The consequences of substance abuse are severe, ranging from academic failure and legal issues to addiction and overdose. For students in crisis, turning to drugs and alcohol may feel like an escape, but it ultimately only deepens their problems.

Campuses need to take substance abuse seriously by offering programs that promote responsible drinking, early intervention for at-risk students, and support for those struggling with addiction. Universities must also be proactive in educating students about the dangers of alcohol and drug abuse, providing resources for students who may need help overcoming addiction, and ensuring that they have a clear path to recovery.

The Months After Graduation: A New Set of Pressures

For many students, the madness doesn’t end when they graduate. In fact, some may argue that it intensifies. The months following graduation bring a new set of challenges and anxieties. While some students quickly find jobs, others face the harsh reality of a competitive job market, uncertainty, and the pressure to establish themselves as successful adults.

Recent graduates often struggle with the transition from the structured environment of college to the ambiguity of the professional world. Many face the disappointment of job rejections or the discouragement of landing positions that don’t align with their degree or career aspirations. The search for meaningful work, combined with the financial strain of student loans, can lead to feelings of failure, depression, and isolation.

This period is especially challenging for students who may have expected to step into a job immediately after graduation or who lack a clear career path. The societal pressure to “have it all figured out” within the first few months of post-graduation life can exacerbate anxiety and self-doubt. Graduates are expected to succeed quickly, to climb the career ladder, and to live independently—yet many are struggling with the emotional fallout from the relentless pressure of college life and the overwhelming uncertainty of the future.

Moreover, the feeling of isolation can be particularly pronounced during this time. Students leave behind the community of friends and professors that supported them through college, and in the midst of job applications, networking, and interviews, they often find themselves feeling disconnected. The support systems that existed in college become harder to access, and many graduates feel like they’re navigating their post-college life alone.

A Call for Compassion and Understanding

The madness on campus isn’t just about the chaos of late-night cramming sessions or the excitement of sports games. It’s about the unseen mental health struggles that affect so many students every day. It’s about creating a system that values students as whole individuals, not just as future professionals or academic performers.

In the face of this crisis, it is imperative that colleges and universities act now. By prioritizing mental health, fostering a culture of compassion, and offering the resources and support that students need, we can ensure that the madness on campus transforms from a chaotic burden to an environment of healing, growth, and well-being. The future of higher education must be one where students are supported in every sense—academically, socially, and emotionally. Only then will we be able to protect our students from the madness that too often consumes them.

Resources for Students Struggling with Mental Health, Sexual Assault, and Substance Abuse:

If you or someone you know is struggling with any of the following issues, here are some resources to reach out to:

  • National Suicide Prevention Lifeline: 1-800-273-TALK (1-800-273-8255) – Available 24/7 for confidential support.

  • Crisis Text Line: Text HOME to 741741 – Free, 24/7 text support for those in crisis.

  • National Sexual Violence Resource Center (NSVRC): www.nsvrc.org – Offers resources and support for sexual assault survivors.

  • RAINN (Rape, Abuse & Incest National Network): 1-800-656-HOPE (4673) – National sexual assault hotline offering confidential support and resources.

  • Alcoholics Anonymous (AA): www.aa.org – Provides support for individuals struggling with alcohol addiction.

  • National Institute on Drug Abuse (NIDA): www.drugabuse.gov – Provides resources for students dealing with substance abuse issues.

These resources are here to help students navigate the challenges of mental health, sexual violence, and substance abuse during and after their college years. Don’t be afraid to ask for help—it’s a critical step in finding support and healing.

Thursday, March 13, 2025

Mental Health and Financial Barriers Threaten College Student Success (TimelyCare)

Seven in 10 students have considered taking a break or dropping out.

FORT WORTH, Texas, March 12, 2025 /PRNewswire/ -- Mental health struggles and financial pressures are jeopardizing college students' ability to complete their education, according to a new study by TimelyCare, higher education's most trusted virtual health and well-being provider,

"Many students are slipping through the cracks due to unmet financial, academic, and emotional needs."

The survey, which gathered responses from 740 students attending two- and four-year colleges across the U.S., exposes significant barriers to student success and calls for specific action by educational institutions to address pressing concerns.

Key Findings:

Students at Risk of Stopping - More than half (53%) of current college and university students said they had considered taking a break from school, and 17% considered dropping out and not returning.

Financial Strain - Nearly one-third (31%) of respondents cited financial strain as a primary reason for considering withdrawal. Additionally, a significant portion of students reported relying on a combination of financial aid, scholarships, and part-time or full-time work to cover costs.

Success Barriers - An overwhelming 95% identified at least one obstacle impacting their success. Mental health (53%) and finances (49%) were the top challenges, followed by physical health (33%), academics (28%) and social belonging (26%).

Gaps in Support Access - While 90% of students had used at least one school-provided resource such as academic advising, tutoring, or mental health counseling, issues like lack of awareness, inconvenient office hours, and inaccessible locations kept many from getting the needed help.

Success Defined
Students identified GPA, gaining knowledge, and graduating or completing their coursework as their top measures of success in line with a 2024 survey. Interestingly, non-traditional students placed graduating and gaining knowledge above GPA.

"This study makes it crystal clear that many students are slipping through the cracks due to unmet financial, academic, and emotional needs," said Nicole Guerrero Trevino, PhD, Vice President for Student Success, TimelyCare. "Our institutions must rise to the occasion to ensure no student is left behind."

What Can Be Done?
In an open-ended question, students identified several ways institutions can better support their success, including:

Promoting Awareness of Resources: Students called for more accessible and transparent communication about resources like tutoring, counseling, and career services.
"Make a comprehensive list of all resources in one place."
"Talk about these services more openly. I didn't know they existed when I needed them."

Tailoring Support for Non-Traditional and First-Generation Students: Develop targeted programs and policies, such as childcare options and evening/online classes, to support students balancing multiple roles.
"Offer different hours for people who work full time during regular work hours."

Engaging Faculty and Staff: Train educators and advisors to proactively identify struggling students and provide personalized support.
"Make it feel more normal that all students are impacted in some way and encourage all students to look into getting the help they need. It still feels almost taboo to seek out help in most situations."

Expanding Mental Health and Financial Well-Being Resources: Increase counseling availability, destigmatize mental health challenges, and offer virtual and flexible options for access. Streamline communication about scholarships, grants, and emergency funding while providing robust financial literacy resources.
"Give access to virtual services or anonymous services"

TimelyCare virtual success coaching supplements on-campus academic preparedness, career readiness, and financial wellness support with an integrated 1:1 care and coaching model.

A complete list of questions and responses from the February 2025 survey may be found here. Click here to download a related infographic.

About TimelyCare
TimelyCare is the most trusted virtual health and well-being solution for learning communities, offering personalized, clinically proven care that fosters student success and delivers life-changing outcomes. With an unmatched range of service options on one seamless, easy-to-access platform, including mental health counseling, on-demand emotional support, medical care, psychiatric care, health coaching, success coaching, basic needs assistance, faculty and staff guidance, peer support and self-guided wellness tools, we extend the efforts of 400+ campus wellness teams, ensuring millions of students have direct, anytime access to our culturally competent and diverse care providers. Recognized as a Princeton Review Top 5 Need to Know Organization for Mental Health Awareness, TimelyCare drives measurable and meaningful improvements in depression and anxiety, empowering every student on their wellness journey while strengthening learning environments.

Wednesday, September 6, 2023

Student Loans and a Brutal Lifetime of Debt (Dahn Shaulis and Glen McGhee)

The US Department of Education is holding more than 900,000 student loans that are at least 30 years old. Tens of thousands of these loans originated almost a half-century ago. And it's likely that most of the total balances are the result of interest charges that have accumulated over the decades--from people who can't ever pay back their loans.

 
Source: US Department of Education  

Will these student loans finally be forgiven under the latest Biden forgiveness plan?  Or will the US continue to honor (and bail out) the rich while punishing generations of the working class for their mistakes?  

The information in this article is part of a larger effort to examine quality of life, disability, and premature death among student loan debtors. Our most recent Freedom of Information requests to the US Department of Education attempt to gather more information.

23-02758-F  
The Higher Education Inquirer is asking for the age and cause of death of the last 100 student loan debtors whose debt was relieved because of death.  The age and cause of death should be listed on the death certificates sent to the US Department of Education for student loan relief.   (Date Range for Record Search: From 09/09/2022 To 09/09/2023)

23-02747-F  
The Higher Education Inquirer is requesting the number of loans and the dollar amount of loans that have been discharged each year for the last ten years due to (1) death and (2) disability.  If available, we would also like an estimate of the number of debtors affected in that decade.   (Date Range for Record Search: From 09/08/2013 To 09/08/2023)


From Glen McGhee:

A study published in the Journal of American College Health[2] reveals that student loans are associated with negative health outcomes among college students, including delaying medical care. The study found that those with student loans are more likely to delay medical, dental, and mental health care[1]. 
 
Another study published in Health Soc Care Community[4] found that borrowers behind or in collections on student loans are forgoing healthcare after self-reporting general physical ill-health. The study's objective examines whether falling behind on student loans may compound ill-health by deterring people from seeking healthcare. The results of this study confirm that student loans are associated with poor health. 
 
A survey conducted by ELVTR[5] found that 54% of respondents say their mental health struggles are directly related to their student loan debt. Additionally, over 80% of participants say student loan debt has delayed a major life event for them. 
 


Saturday, April 19, 2025

Why College Matters: Out of Touch with Social Class Realities

Serve Marketing's Why College Matters media campaign stacks the deck in favor of higher education and expects consumers to believe the story they tell. The problem with this campaign, and its anonymous funders, is that for many folks, college (and life after college) is problematic at best and oppressive at worst. 

 
The Higher Education Disconnect: What Survey Results Miss About Americans' Real Concerns
The Why College Matters campaign presents data suggesting Americans' perceptions of higher education can be positively influenced through messaging. However, when compared with broader research on Americans' attitudes toward higher education, significant disconnects emerge. This analysis examines the gaps between the campaign's focus and the well-documented concerns Americans have about today's college experience.
The Financial Reality Gap: Debt and Affordability Concerns
The Why College Matters campaign notably avoids addressing one of the most pressing issues facing Americans considering higher education: the financial burden. This omission creates a fundamental disconnect with public sentiment.
Student Debt as a Life-Altering Burden
Recent research shows that 70% of middle-income Americans believe student loans are impacting their ability to achieve financial prosperity5. The psychological burden is equally significant, with 54% of student borrowers experiencing mental health challenges directly attributed to their debt load, including anxiety (56%) and depression (approximately 33%)8.
The campaign's focus on abstract benefits like "growing America's economic prosperity" fails to acknowledge that for many individuals, the immediate economic reality is far less promising. Student borrowers report delaying major life milestones including starting families, purchasing homes, and pursuing careers they're passionate about due to debt constraints8.
The Middle-Class Squeeze
While the campaign targets adults without college degrees as a key demographic, it misses that middle-class families face particularly acute challenges. These families often find themselves in a precarious position - too wealthy to qualify for significant need-based aid but not wealthy enough to comfortably afford college expenses13. This "middle-class squeeze" represents a significant disconnect between survey messaging and lived experience.
The Employment Reality Disconnect
Perhaps the most striking omission in the campaign's framing is the reality of post-graduation employment outcomes, which directly contradicts the economic benefit messaging.
Widespread Underemployment
Research from the Burning Glass Institute reveals a sobering statistic: 52% of recent four-year college graduates are underemployed a year after graduation, holding jobs that don't require a bachelor's degree14. Even more concerning, 45% still don't hold college-level jobs a decade after graduation14. This creates a fundamental disconnect when the campaign emphasizes workforce development without acknowledging this reality.
The "First Job Trap"
The survey frames higher education as broadly beneficial for workforce development but fails to address what researchers call the "first job trap." Data shows that 73% of graduates who start their careers in below-college-level jobs remain underemployed a decade after graduation14. This presents a significantly different picture than the campaign's simplified message about maintaining a skilled workforce.
Credential Inflation: The Devaluing Degree
The campaign messaging presumes that increased educational attainment inherently produces positive outcomes, without addressing the phenomenon of credential inflation that undermines this assumption.
Degrees as Diminishing Returns
Credential inflation refers to the declining value of educational credentials over time, creating a scenario where jobs that once required a high school diploma now demand bachelor's degrees, and positions that required bachelor's degrees now require master's or doctorates11. This creates a paradoxical situation where more education is simultaneously more necessary yet less valuable - a nuance entirely absent from the campaign narrative.
Opportunity Costs Unacknowledged
The campaign frames college primarily through its benefits, without acknowledging significant opportunity costs identified in research. These include delayed savings, fewer years in the workforce, postponement of family formation, and accumulation of debt11. This one-sided framing creates a disconnect with the lived experience of many Americans weighing these very real tradeoffs.
The Growing Generational Divide
The campaign's focus on adults aged 35-64 misses a critical demographic: younger generations who express the most skepticism about higher education's value.
Gen Z's Value Perception Crisis
Only 39% of Gen Z respondents in one study said advancing their education is important to them, and 46% don't believe college is worth the cost15. This represents a fundamental shift in attitude that the campaign's methodology doesn't capture, creating another disconnect between messaging and emerging social reality.
The Civic Disconnection Context
Research on youth disconnection shows broader trends of civic disengagement, with young Americans becoming less connected to community institutions generally19. The campaign's framing of higher education as building community connection happens against this backdrop of declining civic participation - context that provides important nuance missing from the survey design.
Mental Health Concerns: The Hidden Cost
Perhaps the most significant omission in the campaign's messaging is the documented mental health impact of the higher education experience, particularly related to financial strain.
Student Debt as Mental Health Crisis
Research demonstrates clear links between student loan debt and mental health challenges. Beyond anxiety and depression, the financial burden of education impacts overall wellbeing in ways unacknowledged by the campaign messaging816.
Postponed Lives and Dreams
The psychological impact of delayed life milestones due to educational debt creates stress that extends far beyond graduation. Student borrowers report putting their lives on hold - a reality that contradicts the campaign's emphasis on "keeping alive the American dream"8.
Ideological and Cultural Concerns
The campaign notably avoids addressing concerns about campus culture and ideological homogeneity that research shows are significant factors in changing attitudes toward higher education.
Faculty Ideological Imbalance
Research from Harvard University reveals striking ideological homogeneity among faculty, with 37% identifying as "very liberal" and just 1% as "conservative"12. This imbalance contributes to perceptions of higher education as disconnected from the values of many Americans - particularly explaining why the campaign struggled to persuade conservative Americans that "higher education plays a critical role in maintaining a healthy democracy."
Conclusion: Bridging the Perception Gap
The Why College Matters campaign demonstrates that positive messaging can improve abstract perceptions of higher education's value. However, for these improved perceptions to translate into meaningful change in Americans' relationship with higher education, campaigns must address the substantive concerns documented in research.
The disconnects identified here - regarding debt, employment outcomes, credential inflation, generational attitudes, mental health impacts, and ideological concerns - represent real issues that significantly impact Americans' decisions about higher education. Any campaign seeking to genuinely improve perceptions of higher education's value must engage with these realities rather than focusing solely on abstract benefits.
Simply improving "feelings" about higher education without addressing concrete problems risks further widening the gap between institutional messaging and public experience - potentially eroding rather than building trust in higher education as an institution.
Citations:
  1. https://www.americansurveycenter.org/research/disconnected-places-and-spaces/
  2. https://scholarworks.wm.edu/cgi/viewcontent.cgi?article=1876&context=aspubs
  3. https://stevenschwartz.substack.com/p/degree-inflation-undermining-the
  4. https://eab.com/about/newsroom/press/2024-first-year-experience-survey/
  5. https://www.newsweek.com/student-loans-hindering-american-prosperity-survey-1839337
  6. https://www.burningglassinstitute.org/research/underemployment
  7. https://www.insidehighered.com/opinion/blogs/higher-ed-gamma/2024/06/03/colleges-and-universities-new-mandate-rebuild-public-trust
  8. https://thehill.com/changing-america/enrichment/education/3658639-majority-of-student-loan-borrowers-link-mental-health-issues-to-their-debt/
  9. https://measureofamerica.org/youth-disconnection-2024/
  10. https://scholarworks.gsu.edu/cgi/viewcontent.cgi?article=1037&context=aysps_dissertations
  11. https://en.wikipedia.org/wiki/Educational_inflation
  12. https://fee.org/articles/harvard-faculty-survey-reveals-striking-ideological-bias-but-more-balanced-higher-education-options-are-emerging/
  13. https://www.aaup.org/article/college-financing-and-plight-middle-class
  14. https://www.insidehighered.com/news/students/academics/2024/02/22/more-half-recent-four-year-college-grads-underemployed
  15. https://www.businessinsider.com/gen-z-value-of-college-higher-education-student-debt-tuition-2023-12
  16. https://lbcurrent.com/opinions/2024/09/04/debts-dilemma-student-loans-and-its-effects-on-mental-health/
  17. https://www.cssny.org/news/entry/national-poll-economic-hardships-american-middle-class-true-cost-of-living-press-release
  18. https://www.acenet.edu/Documents/Anatomy-of-College-Tuition.pdf
  19. https://www.cis.org.au/publication/degree-inflation-undermining-the-value-of-higher-education/
  20. https://www.insidehighered.com/news/quick-takes/2024/05/14/third-first-year-students-experience-bias-targeting
  21. https://www.rwjf.org/en/about-rwjf/newsroom/2023/10/survey-reveals-areas-of-fragmentation-and-common-ground-in-a-complicated-america.html
  22. https://www.hamiltonproject.org/publication/post/regardless-of-the-cost-college-still-matters/
  23. https://www.richardchambers.com/education-inflation-bad-for-education-bad-for-business/
  24. https://www.aaup.org/article/data-snapshot-whom-does-campus-reform-target-and-what-are-effects
  25. https://www.minneapolisfed.org/article/2007/has-middle-america-stagnated
  26. https://www.reddit.com/r/StudentLoans/comments/lmijoy/why_cant_they_just_lower_tuition/
  27. https://www.reddit.com/r/highereducation/comments/177qjtk/degree_inflation_is_a_huge_problem/
  28. https://www.insidehighered.com/news/institutions/2025/03/06/survey-presidents-point-drivers-declining-public-trust
  29. https://www.pewresearch.org/short-reads/2024/09/18/facts-about-student-loans/
  30. https://stradaeducation.org/wp-content/uploads/2024/02/Talent-Disrupted.pdf
  31. https://thehill.com/opinion/education/4375280-its-clear-colleges-today-lack-moral-clarity/
  32. https://www.apa.org/gradpsych/2013/01/debt
  33. https://center-forward.org/wp-content/uploads/2023/05/39370-Center-Forward-Student-Loans-Survey-Analysis-F04.11.23.pdf
  34. https://www.highereddive.com/news/half-of-graduates-end-up-underemployed-what-does-that-mean-for-colleges/710836/
  35. https://jamesgmartin.center/2019/07/exposing-the-moral-flaws-in-our-higher-education-system/
  36. https://www.freedomdebtrelief.com/learn/loans/how-student-loans-affect-mental-health/
  37. https://educationdata.org/student-loan-debt-by-income-level
  38. https://www.insidehighered.com/news/students/careers/2024/07/01/how-concerning-underemployment-graduates
  39. https://www.thefire.org/facultyreport
  40. https://www.ellucian.com/news/national-survey-reveals-59-college-students-considered-dropping-out-due-financial-stress

Monday, June 24, 2024

The Future of Publicly-Funded University Hospitals (Dahn Shaulis and Glen McGhee)

There are more than 200 active university medical centers (UMCs) and 1,700 teaching hospitals in the United States. These institutions, tied to America's major universities, employ large numbers of medical professionals, administrators, and laborers. While UMCs have grown in size, dominating areas in major cities, locating facilities that are financially well, well-staffed, and adequately resourced has become more difficult. 

Also known as academic medical centers or AMCs, UMCs feel the financial strain of a number of social issues: a growing elderly population, drug overdoses, mental health problems, gunshot wounds, victims of car crashes, children with severe illnesses, and numerous medical problems related to poverty.  Some UMCs are trying to grow out of their financial problems by expanding their networks and buying up other facilities that may provide more profitability.  

Private equity is also taking over hundreds of hospitals and clinics across the US, finding value where they can, however they can. Private for-profit hospitals, for example, will steer their most vulnerable patients to UMCs. And they will cut out programs they cannot profit from. Publicly funded university hospitals often cannot turn people away or dump patients if they cannot pay their medical bills--or if they are not covered by premium insurance.  

While nurses and other medical laborers may be overworked and short-staffed, CEO pay is often $1M-$3M a year at larger institutions. And many medical centers, both public and private, are run with administrators focused more on cost containment rather than patient care and preventive care. 
 
Simply adding money to these institutions without transparency, accountability, and reform not only makes the situation no better, it means less money for other areas of need, such as public health, K-12 education, safe and affordable housing, clean air and water, public transportation, and infrastructure.

Critical Condition   

While the covid epidemic was horrifying for hospitals, the underlying conditions for many UMC's are a slow-motion disaster. University medical centers are facing financial challenges due to several key factors:

1. Rising costs outpacing revenue growth: Operating expenses, particularly for staff, facilities, and technology investments, are increasing faster than patient care revenue. 

2. Reduced government funding: State support for academic health centers has been shrinking since the early 1990s. Federal and state funding for medical research and education has also stagnated or declined.

3. Lower reimbursement rates: UMCs are facing low reimbursement rates from Medicaid, Medicare, and commercial insurance. Cost-control measures introduced by the Affordable Care Act have also impacted revenues.

4. Legacy pension costs: Some UMCs are burdened with high fringe benefit costs inherited from state systems.

5. Increased competition: Many UMCs are too small to compete effectively in the current healthcare market against monopolies like HCA and Keiser. Their lack of scale gives them little leverage in negotiations for services and supplies.

6. Balancing multiple missions: UMCs must juggle patient care, research, and education. This can lead to inefficiencies, as physician time spent on research and teaching is less profitable than pure clinical care.

7. Infrastructure investments: UMCs need to make large investments in infrastructure and technology to maintain top-tier diagnostic and research capabilities

The main problem seems to be that the traditional financial model for academic medical centers is no longer sustainable in the current healthcare environment. Their operating costs are rising faster than their revenue sources can keep up, and they are struggling to maintain financial viability while fulfilling their multiple missions of patient care, research, and education.

Saving Lives is Unprofitable 
 
Burn Units: Treating burn victims requires specialized staff and facilities, leading to high costs, while insurance reimbursements may not fully cover them.

Neonatal Intensive Care Units (NICUs): While essential, NICU care for premature or critically ill newborns is expensive due to the high level of support needed.

Trauma Centers: Trauma care often involves a high volume of resources and unpredictable patient conditions, making it difficult to predict or control costs.

Mental Health Services: Mental healthcare reimbursement rates tend to be lower compared to other specialties, making these programs less profitable.

The Bigger (Unhealthy) Picture 

This strain at UMCs is under-girded by a dysfunctional and expensive healthcare system serving a population that is violent and unequal, and increasingly sedentary, unhealthy, disabled, elderly, and under psychological strain.
 
Around 40% of US hospitals are operating at a loss according to Kaufman Hall. And about half of all rural hospitals are running in the red. Obstetrics and delivery services are big money losers in these hospitals. Hundreds of these units, and their hospitals, are at risk of closing, leaving folks with longer travel times to get medical care. 
 
In 2022, U.S. healthcare spending reached $4.5 trillion, or $13,493 per person. The cost of healthcare per person in other wealthy countries is less than half as much. Despite this enormous spending, US life expectancy is 3 to 4 years less than other OECD nations. For those with means, though, the US offers some of the best medical care in the world. 

Zooming In

Financial problems and/understaffing and safety issues have been noted at:

University of Vermont Health Network (VM)
Nassau University Medical Center (NY)
CarePoint Health and Hoboken University Medical Center (NJ)
Rutgers Robert Wood Johnson Medical School (NJ)
George Washington University Hospital (DC)
Penn Medicine-University of Pennsylvania (PA)
University of Pittsburgh Medical Center (PA)
University Hospitals-Case Western Reserve (OH)
West Virginia University Medicine (WV)
University of Miami Health System (FL)
University Medical Center-LSU and Tulane (LA)
Detroit Medical Center-Wayne State University (MI)
Marquette University Health Care (WI)
Cook County Health-Rush University (IL)
University of Chicago Medical Center (IL)
Oregon Health & Science University (OR)
University of New Mexico Hospital (NM)
UCLA Health (CA)
University of California, including UC Davis (CA)

We expect to see more headlines about the declining finances at some university hospitals--and the downsizing that will follow. Fierce Healthcare has created a layoff tracker to monitor these events.

Related links:

Baby Boomers Turning 80: The Flip Side of the 2026 Enrollment Cliff

 

Thursday, April 10, 2025

ShareWell Offers Free Mental Health Support to University Students Nationwide


ShareWell—the first peer-to-peer mental health support platform—is now offering free, unlimited memberships to all university students across the U.S.

With 70% of college students reporting mental health challenges, ShareWell aims to fill critical gaps in care by providing live, virtual peer-led support groups on topics like anxiety, depression, academic pressure, and life transitions. Students can join as many sessions as they want—completely free—by signing up with their university email at www.sharewellnow.com.

It’s a simple way to access community support during what can be some of the most overwhelming years of life.