Photographs clockwise from top left by Jennifer McCalla, Martha Rial, Comocrea Johnson and Vickie Babyak.
Introduction by Jim Busch
Health care challenges in southwestern Pennsylvania that have dominated political debate and newspaper headlines for decades have disproportionately impacted the people of the Mon Valley. High rates of poverty, unemployment, and an aging population are among the factors that make these crises particularly severe in the Valley.
Tube City Writers took a close-up look at how McKeesport residents and health care providers are coping. They interviewed people navigating health crises and the providers who try to help them. Their following stories put a human face on this issue by letting those most affected tell their stories.
The Mon Valley, due in large part to the Clairton Coke Works, contributes significantly to the region’s air pollution. In tandem with this, many Mon Valley residents suffer from respiratory issues, in addition to a wide range of other health issues such as obesity, diabetes and a swath of mental health issues. Many also do not have health insurance, and food and pharmacy desserts compound the issue.
We looked at a wide variety of health-related issues of concern to their fellow Mon Valley residents. Collette Funches explored the issue of aging in place. She covered an innovative program in McKeesport that helps local seniors continue to “feel seen and valued.”
Vickie Babyak’s story deals with a growing problem in our region, the loss of neighborhood pharmacies. The valley is in danger of becoming a “pharmacy desert,” making it difficult to purchase even basic health care items like over-the-counter medications.
The need for affordable and easily accessible health care for local women is the subject that Anna Lisa Haughwout chose to pursue. She spoke with AHN health care providers who have launched an AHN clinic to care for McKeesport women. Haughwout also spoke with some of the clinic’s patients about their experiences.
Peg Luketic took on the subject of making health care resources available for local residents. She spoke with one patient of McKeesport’s 9th Street Clinic who described it as a “life-saver.” She also interviewed the clinic’s dedicated team of volunteers and health care professionals who make this important service available to the community. They shared their perspectives from the front lines of the health care crisis, especially for our poorer neighbors.
I have a personal stake in this issue. I wrote this while in a rehabilitation facility after being severely injured in an automobile accident. I came here from the hospital. After a few months, my insurance reached its limit, and I had to go on self-pay. Even though I still can’t walk after a two-month period, I was deemed ready to go home. This left me two options: either go to a nursing home and spend the rest of my life in bed, or pay out of pocket to continue my rehabilitation.
After working and saving for my entire adult life, either option is likely to bankrupt me. I chose to continue my rehabilitation, and now I am paying $10,000 per month to the facility. Fortunately, I can do this, even though it is rapidly draining my savings. Many of my neighbors are not able to cover their health care costs and lose everything they’ve worked for, including all the savings, their Social Security payments and their homes, if they own one.
While I have been in this facility, I have met several people who have been forced to return home long before they are ready, increasing the risk of further complications such as falls. This is a leading cause of bankruptcies in the United States.
Though the health care problems in the Mon Valley are serious, the Tube City Writers team also discovered glimmers of hope in the health care providers and nonprofit organizations that are struggling against the odds to deliver quality health care to their neighbors. These men and women are perfect examples of the indomitable spirit of the Mon Valley.
Editor’s Note: Longtime Tube City Writer participant Jim Busch passed away shortly after publication of this series. We are grateful for his many contributions to the McKeesport Community Newsroom and will always cherish his kindness and generosity.
McKeesport-area patients must travel for specialty care
Patrick McBride at his McKeesport home.
Story and Photograph by Jennifer McCalla
Patrick McBride, 73, a lifelong McKeesport resident, has spent years managing multiple health issues such as myeloid leukemia, melanoma and prostate cancer. He quickly learned that he had to leave his community for some specialty treatments.
“There were times with different diseases where I had to go to Shadyside or somewhere else,” McBride said, “because the process, the equipment, or the specialists I needed just weren’t available here in McKeesport.”
McKeesport-area residents like McBride don't just anticipate a diagnosis — they brace for exhaustion. When illness strikes, patients face transportation barriers and long waits to access a medical specialist.
Age-friendly organization promotes community-building
Story by Colette Funches
Allegheny County is aging, with more than one in four residents aged 60 and older.
“ I'm quite sure a lot of the older people, they want to stay in their home 'cause it's more like you have your own dignity,” said Jammia Ferguson, 86 and a grandmother of 25 (great-grandmother of 36 and great-great grandmother of six) who has lived in McKeesport for 58 years. She said she and others like her are attached to the lives they worked hard to build.
“ No, no, no, no, no. I'm gonna stay in my house. Only way I'm leaving my house, they gonna carry me out.”
Age Friendly Greater Pittsburgh, an initiative of the Southwestern Pennsylvania Partnership for Aging and the University of Pittsburgh School of Social Work, wants to help make the region a better place for people like Ferguson and her family.
Jammia Ferguson, age 86, at her home in McKeesport where she has lived for 58 years.
Photograph by Isaiah Johnson
The McKeesport 9th Street Clinic provides care for uninsured
Dr. Yui Sugiura at the 9th Street Clinic
Photograph by Martha Rial
James Crotti, of McKeesport, is a patient at the 9th Street Clinic.
Photograph by Martha Rial
Story by Peg Luketic
The McKeesport 9th Street Clinic has been a lifesaver for over 15 years for James Crotti, 62, a longtime McKeesporter and a part-time pizza delivery driver. Crotti said that twice-yearly visits enable him to monitor his blood pressure and help to provide him with his $300 monthly A-fib medication — allowing him to afford rent and have a car.
“They will hook you up,” Crotti said. “They're really nice people.”
Paying for health insurance isn't usually possible for people seeking care at the 9th Street clinic because of their financial circumstances. The clinic helps fill those gaps for residents in need.
According to a 2023 City-Data report, most McKeesport residents have government-subsidized health insurance or none at all. The report found that about 40% of residents have Medicaid, 14% have Medicare, and almost 8% had no insurance. But those numbers are on the rise.
McKeesport residents scramble amid pharmacy closures
Story and Photograph by Vickie Babyak
Mary Rose Bendel of McKeesport regularly visited Ayres Drug Store on Walnut Street. She knew the owners personally and would walk right into the store with her prescription already filled.
“I like to support local businesses, and now, another small business is gone,” Bendel said.
Just two months after Ayres closed, McKeesport’s two Rite Aid locations followed when the pharmacy chain’s nationwide closures took effect.
“I didn’t realize Rite Aid was closing and wished we could have stayed open,” said Charles “Chuck” Traeger, pharmacist and proprietor of Ayres Drug Store. After 58 years in business, Traeger retired in August, closing McKeesport’s last independent pharmacy.
One of two recently closed Rite Aid stores and pharmacies in McKeesport
Allegheny Health Network OB-GYN Mobile Clinic Provides Health Care Services for Women
(left to right) Dr. Grace Ferguson, managers Tammy Hall, and Krista Flaherty outside the AHN Mobile OB-GYN Clinic at the Carnegie Free Library of McKeesport.
Story and Photograph by Anna Lisa Haughwout
When it came time for an annual physical checkup for Misty Williams, the busy McKeesport mother of two searched for a medical practice that was caring, close to home and convenient.
Williams found her solution in a new mobile clinic for women, parked at the Carnegie Free Library of McKeesport. The clinic, packed into a 37-foot trailer, is equipped with a lift and layout that can accommodate people with mobility issues. It’s all designed to appear more spacious than some tiny homes.
“We won’t turn anyone away,” said Krista Flaherty, a program manager with the Allegheny Health Network’s Women’s Institute, which sponsors the clinic. “Come in, bring your kids, whatever.”
Upon entering the OB-GYN office on wheels, visitors encounter a typical, brightly lit consultation area with comfortable seating, an ADA-compliant bathroom to the right, and to the left medical equipment and cupboards. Beyond that is a blood-drawing station, and a large exam room equipped to do risk assessments and screenings.