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• A federal pause on most refugee admissions has forced Wisconsin resettlement agencies to lay off staff and shut down some programs. The slowdown follows a historically busy four-year stretch in which about 5,000 refugees arrived in the state.

• Providers warn that if Wisconsin’s resettlement infrastructure withers, the state could be unprepared for a future surge of refugees.

• The Trump administration is prioritizing South Africans — primarily Afrikaners, a white minority — among the limited refugee admissions it plans to allow.

• Eleven South African refugees arrived in Wisconsin in September, followed by another 32 later in 2025 — the only refugees resettled in the state this year.

Zabi Sahibzada’s team of refugee resettlement caseworkers has shrunk. The Trump administration’s pause on refugee admissions in January 2025 dealt a blow to Sahibzada’s employer, Jewish Social Services of Madison, which previously counted on federal funding tied to each new refugee arrival to support its resettlement program.

A few new arrivals trickled in over the following months, entering the U.S. with special immigrant visas available to Afghan and Iraqi nationals who worked with the U.S. government or its international partners. The same visa enabled Sahibzada, a former USAID employee from Afghanistan, to reach the U.S. in 2022. 

But even those admissions have now halted. The State Department in November stopped issuing any visas to Afghan nationals after authorities identified the man who shot two West Virginia National Guard members near the White House as an Afghan special immigrant visa holder.  

Though the Trump administration says it will permit up to 7,500 refugees to resettle in the U.S. this fiscal year, it plans to prioritize South Africans – primarily Afrikaners, a white minority descended largely from Dutch, French and German settlers. 

Eleven South African refugees arrived in Wisconsin in September, followed by another 32 in late 2025. They were the only refugees resettled in the state since last January, U.S. State Department records show. 

The dramatic slowdown leaves agencies searching for ways to maintain Wisconsin’s resettlement infrastructure until the refugee pipeline widens again. For some agencies, that includes resettling South African refugees, even if some remain skeptical of the Trump administration’s motives for privileging them in admissions. Jewish Social Services lacks that option: Federal officials did not include the nonprofit in the South African refugee program. 

Providers warn that if Wisconsin’s resettlement infrastructure – trained caseworkers, volunteers and employer partnerships — withers, the state won’t be prepared for any future surge of refugees. 

Trends in refugee resettlement 

The near-total shutdown of refugee admissions followed the most active period for resettlement in decades.

More than 5,000 refugees reached Wisconsin between October 2020 and September 2024 – a span in which refugee resettlement in the U.S. reached the highest annual peak since the early 1990s.

Most recent refugee arrivals came from Myanmar and the Democratic Republic of the Congo. 

Those figures do not include special immigrant visa holders, asylees or immigrants with humanitarian parole, many of whom come from the same countries as those admitted as refugees. Roughly 370 Afghans with special immigrant visas settled in Wisconsin between October 2020 and October 2025.

Refugees reach Wisconsin through a network of international, federal and state agencies, national nonprofits and state-level partners. In the process, they pass through a series of screening interviews, background checks and medical examinations. 

Six organizations currently contract with Wisconsin’s Department of Children and Families to provide resettlement services, connecting new arrivals to housing, employment and English language courses. Relying on a mix of federal and state funding, they provide some services for up to five years after an arrival. The federal government ties much of its funding to the number of refugees resettled. 

Resettlement agencies cut staff

Lutheran Social Services of Wisconsin and Upper Michigan planned to resettle more than 400 people in fiscal year 2025. Instead, it resettled 163 people between October 2024 and January 2025, after which it received only a half-dozen new arrivals, resettlement director Omar Mohamed said. All were Afghans with special immigrant visas who arrived in Wisconsin without ties to a resettlement agency and reached out for help.

“At least 27 people were scheduled to arrive in January when the stop work order happened,” he added. President Donald Trump’s inauguration day order to suspend the U.S. Refugee Admissions Program rendered their plane tickets useless. 

The sudden shift prompted Lutheran Social Services to cut nearly a third of its resettlement program staff, Mohamed said. 

Most Wisconsin refugee resettlement agencies face similar predicaments. Jewish Social Services in Madison laid off two case workers and a housing specialist. Hanan Refugee Relief Group, a relatively new nonprofit operating out of an office above a South Side Milwaukee pizzeria, cut 10 members of an already small team. World Relief Wisconsin, which resettles refugees in the Fox Valley, also laid off staff.

Catholic Charities of the Diocese of Green Bay, which has resettled hundreds of refugees in northeast Wisconsin in recent years, ended its resettlement program after its national affiliate, the U.S. Conference of Catholic Bishops, severed its partnerships with the federal government in April.

But Sean Gilligan, the diocese’s refugee services director, says Catholic Charities is still providing housing referrals, English classes and other basic services to refugees who already  settled in greater Green Bay.

Resettlement agencies are still receiving some federal funds to support refugees who arrived within the past five years, along with state grants for educational and health programs.

That funding may temporarily help the agencies stay afloat. 

Hanan Refugee Relief Group is ramping up its focus on employment training, Executive Director Sheila Badwan said. That includes offering on-the-job English language training for refugees employed at a Milwaukee Cargill meat processing plant.

But the loss of funding from new arrivals leaves Hanan and other agencies scrambling to find donors to support their work. 

“We are hoping just to keep our doors open to serve not just the ones we welcomed (recently),” said Uma Abdi, the nonprofit’s refugee program director, “but all of those refugees and immigrants that still need support.” 

The International Institute of Wisconsin, an older and well-established resettlement agency, is an outlier. It’s growing as others scale back. Revenue from contracts with medical clinics and other businesses to provide translation services has allowed it to grow as others scale back.  

“We can operate without any government contracts,” President and CEO Paul Trebian said.

Trump opens doors to South Africans 

With the doors closed to refugees from most of the world’s conflict zones, some Wisconsin resettlement agencies are now turning their attention to South Africans.

The Trump administration launched the South African refugee admissions program through a February executive order, filling in the details after the fact. Alleging a “shocking disregard of its citizens’ rights,” the order pointed to a 2024 South African law that allows the state to seize land without compensation in limited circumstances. 

The law’s supporters call it necessary to redistribute land from the country’s white minority, who own much of South Africa’s farmland, to a Black majority still recovering from decades of racial apartheid that ended in the 1990s. Trump decried the law as “racially discriminatory” and accused the South African government of “fueling disproportionate violence against racially disfavored landowners.” 

South African President Cyril Ramaphosa has not set a date for the law’s implementation, and police statistics do not bear out claims that white farmers are more likely to be targets for violence than Black farmers. 

Trump’s order specifically offered refugee status to Afrikaners, but his administration has since said the resettlement program is open to members of any racial minority in South Africa, including those of English or South Asian descent, so long as they can “articulate a past personal experience of persecution or fear of future persecution.” Unlike most refugees, South Africans may apply for refugee status only while living in South Africa. 

Refugee advocacy groups and the South African government have criticized the program for legitimizing false claims of “white genocide” and bypassing some steps through which refugees from other countries must pass. 

But the Wisconsin resettlement agencies participating in the program say their responsibility is to welcome refugees, not to determine who deserves refugee status. 

“We’re here to serve everybody,” said Lutheran Social Services President and CEO Héctor Colón, whose nonprofit expects next year to resettle up to 75 new arrivals, mostly or all South Africans in the Milwaukee area. 

Colón adds that working with South Africans keeps his organization’s resettlement infrastructure in working order during the pause in other admissions.

 “We’ve been through ebbs and flows, we understand how this works,” he said, “but our organization has made a commitment that we want to keep this program up and running. There are many programs all across the country that cannot absorb the hit.”

But World Relief Wisconsin Regional Director Gail Cornelius, whose nonprofit helped resettle South Africans this year, noted that some of the South Africans who arrived in Wisconsin last year have already moved on to other states. 

Revetting of refugees promised 

A wave of federal rules changes following the November attack of National Guard members further complicates the work of resettlement agencies. 

Among the changes: halting green card and citizenship applications for immigrants and refugees from 39 countries, including Afghanistan and Myanmar. 

“People that were going in for their citizenship oath were actually pulled out of line,” Cornelius said.

The Trump administration also vowed to revet and reinterview all refugees who entered the U.S. during the Biden administration, regardless of their current legal status. Such a review could affect thousands of Wisconsin refugees, but resettlement agencies are still awaiting clarity about how the administration will follow through. 

“How are they going to review all of these cases?” Badwan asked. “Do we even have the resources to do that?”

Sahibzada wonders whether he, too, will face revetting. Meanwhile, the White House’s bar on immigrant visas for Afghan nationals placed his plans to reunite with his wife and children on hold. They remain in Kabul, his daughters confined to their home after the Taliban forbade girls from attending school. 

“I was waiting for things to be calm,” he said, referring to the conflict between Afghanistan and Pakistan that previously stalled his efforts to secure visas for his family. “I talk to my kids every morning, and they’re asking me that question, like, what’s gonna happen? I have no answer to them. I’m just saying, maybe things will get better.”

Working with Afghan families who made it to Wisconsin before the door closed is bittersweet, Sahibzada added. “Even if my kids are not here, at least they are here.”

Refugee resettlement agencies try to keep doors open as White House shuts out new arrivals is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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This story was produced in partnership with the University of Wisconsin-Madison’s Investigative Journalism class taught in the School of Journalism and Mass Communication.

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• The state reported five deaths from people falling through the ice on Wisconsin lakes last winter, compared with seven over the previous five years.

• There were 10 Madison lake rescues the previous two winters (plus another one in the last week of December 2025) after only one in 2023.

• More dangerous ice conditions are having a negative effect on businesses and tourism.

When Alec Hembree fell through the ice on Lake Wingra last winter, he remembered, “it was instantaneous.”

It was just after dark on Jan. 20. The temperature was around 2 degrees. Hembree was riding his bike across the frozen lake from his work on Madison’s east side to his home on the west side, a commute he had tried successfully for the first time the previous week. When he fell in, his feet couldn’t touch the bottom. He barely had time to be scared.

“I think there were a couple people on the lake,” Hembree said. “They wouldn’t have been able to get to me before I got out.”

The air was so cold, Hembree’s leather gloves immediately froze to the icy surface of the lake when he tried to pull himself out. After about 30 seconds in the water, he was able to pull himself and his bike out. It all happened so fast, he wasn’t sure how he did it. He thinks his training from being an Eagle Scout helped. 

“Everything was in an ice shell at that point,” he said. He biked 10 minutes to a co-worker’s house, where he used a hair dryer to thaw his jacket zipper and get out of his frozen clothes before his co-worker gave him a ride home.

Hembree’s experience is becoming more common on Wisconsin’s lakes. For some, falls prove deadly. The Department of Natural Resources last winter recorded five people statewide who died falling through the ice on off-highway vehicles across the state. Between 2020 and 2024, similar accidents accounted for a total of seven deaths.

According to the Madison Fire Department, the Lake Rescue Team was dispatched four times to rescue people who fell through the ice in 2025 and six times in 2024, though only once in 2023. Through the end of 2025, the department had responded to 39 incidents of people falling through the ice since 2016. On Dec. 27 (as this story was being finalized for publication) the department rescued another individual who had fallen through the ice on Lake Mendota.

But those are only the incidents where the Lake Rescue Team was dispatched, so the stories of Hembree and others who fell through the ice and managed to escape aren’t included.

“This (past) year has probably been one of the more dangerous years on ice that I can remember,” said Lt. Jacob Holsclaw, the Wisconsin DNR’s off-highway vehicle administrator.

Treading on Wisconsin’s frozen lakes has gotten more dangerous, creating cost for taxpayers and business owners and calling into question the future of an important state pastime.

A growing trend

Trekking on Dane County’s frozen lakes is a common winter activity for southern Wisconsin residents.

“Walking on frozen lakes” was the most common activity on the lakes among respondents to a 2010 Dane County Land & Water Resources Department survey. At 28%, that was more common than swimming, kayaking, boating, or fishing from a boat or pier. Other ice-related activities such as skating and fishing were more popular than water skiing, jet skiing and sailing. The study authors estimated that close to 110,000 Dane County residents — more than a fifth of the population — walked on the county’s frozen water bodies at least once in 2010.

The heavy usage of the frozen lakes provides a revenue stream for numerous Dane County businesses and nonprofits. For example, the Clean Lakes Alliance hosts the annual Frozen Assets Festival, in which hundreds of participants take part in a fundraising 5K on frozen Lake Mendota and others enjoy scientific demonstrations, ice skating, kiting, boating and other ice-related activities.

But the future of frozen recreation in Dane County is in peril. Madison winters are getting shorter and less predictable. And falls through the ice are becoming more common.

Ron Blumer, a Madison Fire Department division chief who heads the department’s Lake Rescue Team and has been with the city since 1995, said in recent years his team has conducted “a lot more responses” to calls to rescue people who fell through the ice.

Part of the uptick can be attributed to climate change and the shrinking number of days of 100% ice cover on the Yahara lakes. Since 1855, when the Wisconsin State Climatology Office began consistently tracking Lake Mendota’s freezing and thawing dates, the lake has stayed frozen for an average of 102 days every winter. But only in four of the last 25 years has Mendota been frozen that long. During the 2023-24 winter, the lake was frozen for 44 days — a more than 20-year low. Last winter it froze for 69 days.

There’s no ‘safe’ ice

While information about how thick ice should be for walking or driving varies between sources, there is some consensus: No ice is ever completely safe.

“We really shy away from saying that there’s ever any ice that’s 100% safe,” Holsclaw said. The DNR’s website offers no hard and fast rules for what’s considered a “safe” thickness.

“You cannot judge the strength of ice by one factor like its appearance, age, thickness, temperature or whether the ice is covered with snow,” the website reads. “Ice strength is based on a combination of several factors.”

Air temperature is just one of those factors. But others include wind, sunlight, whether the ice is near a spring or other moving water, and whether the ice is frozen water (black ice) or mixed with snow (white ice).

“Black ice can withstand a lot more force (than white ice),” said Adrianna Gorsky, a freshwater and marine sciences Ph.D. candidate at UW-Madison. “Even if you have really thick white ice, it might not be as strong as if you had black ice only.”

Fluctuations in temperature during winter can also have a marked effect on ice thickness and quality. In January and February of 2025, it wasn’t uncommon for temperatures to fluctuate by tens of degrees within a single week in Dane County. On Jan. 21, the day after Hembree fell through the ice, Madison temperatures were in the single digits. A week later, on Jan. 28, the high temperature was 49 degrees. This frequent melting and thawing back and forth, Gorsky said, could result in mixed layers of black and white ice that would compromise the ice’s structural integrity.

Variations in temperature can also make lake ice expand or contract, causing pressure heaves or large cracks to form in the surface of the ice.

“And there will be a gap in there where there’s thin ice or no ice at all,” said Jon Mast, a lieutenant on MFD’s Lake Rescue team. These areas can be especially dangerous to walk near.

For as much that is known about factors affecting ice thickness and qualities, “there is a lot of unknown,” said Gorsky. That’s because winter limnology is relatively understudied compared to other areas of marine science.

“There’s a lot of things we still don’t know and a lot of theory that we’ve based off summer open water season that doesn’t really hold true for winter,” Gorsky said.

Increasingly visible effects of climate change on lake ice have precipitated “a cry for more research” in winter limnology, Gorsky added. And it can’t come soon enough. Because falls through the ice are costing local businesses, nonprofits and taxpayers money.

The cost of thin ice

In Madison, there are no fines associated with being rescued from falling through the ice. Because, Blumer said, “we want people to enjoy the lakes and to have fun.” But that fun still comes at a cost.

Businesses and organizations that rely on the ice for income are feeling the strain of weakening lake ice too.

In 2024 the Clean Lakes Alliance canceled all on-ice events for its Frozen Assets Festival, including the annual 5K. According to Sarah Skwirut, the Clean Lakes Alliance’s marketing coordinator, only around 200 participants participated in the on-land “winter workout” the organization hosted in lieu of the 5K, down from 800 who ran the 5K the previous winter, which generated around $30,000 for the nonprofit.

“If the lack of ice becomes more common in the future,” Skwirut said in an email, “we will need to adapt and find new ways to engage the community and promote our work.”

Small businesses are equally if not more affected by the phenomenon. In 2022, Pat Hasburgh purchased D&S Bait and Tackle in Madison, “very aware of what I was getting myself into as far as climate change and running a business that kind of depends on ice,” Hasburgh said. He admitted the recent, mercurial winters have made it difficult to plan for the ice fishing season.

“I mean, I had a pile of augers waist high in 2022,” Hasburgh said, citing that people are less likely to need such a high-powered tool to break through the ice in warmer winters. And 2024 was even worse.

“We had four weeks of ice, as opposed to three months,” he said. “That was a rough one to try to make it through as a business.” Hasburgh is used to around a third of D&S’s business coming from ice fishing, but guessed that it was probably less than a quarter in 2024.

Beyond Madison

The increase in falls through the ice is easier to see in a populous part of the state like Dane County. But the trend is apparent across Wisconsin. And in many cases, the cost is more than just lost business or an icy bike ride.

The five deaths this past winter happened in Pewaukee, Kenosha, Fond du Lac, Superior and Westfield, an hour north of Madison, where a man died on Jan. 6 after falling through the ice on Lawrence Lake while riding a UTV.

In a Facebook post, the Marquette County Sheriff’s Office urged the public “to avoid venturing onto frozen lakes or rivers unless they have confirmed the ice is thick enough for safe activities.”

The temperature in Westfield on Jan. 6 was below freezing and had been every day the previous week.

An October 2024 study published in Nature Reviews Earth & Environment warned that lakes between 40 and 45 degrees north latitude — a range that includes all of Wisconsin south of Wausau — could lose all safe ice for the winter sometime this century.

A solution may lie in more research. Gorsky said predicting the future of what winter is going to look like for lakes “is a really big research topic.”

For Hembree’s part, he considers himself lucky to be alive. But he has “no concerns” about going back on the ice. He’s enjoying it while he still can.

“If I do go out commuting on the lake again I will be, certainly, more cautious,” he said.

On thin ice: Falls through the ice on Wisconsin lakes are becoming more common. There’s more than just warm weather to blame. is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Local experts say – and national data supports – that winter brings a broad set of safety risks, including risks that disproportionately affect older adults and young children.

Dangers include hypothermia and frostbite, falls inside and outside the home and carbon monoxide poisoning.

Here are more details about those dangers and how to prevent or minimize them.

Slips and falls

The Wisconsin Department of Health Services reports that falls are one of the most common reasons for emergency medical service responses statewide.

In 2024, emergency medical personnel in Wisconsin responded to more than 140,000 fall-related calls, accounting for about 21% of all 911-related ambulance runs statewide, according to DHS data.

Older adults are disproportionately affected.

According to the National Institute on Aging, older adults face a higher risk of falling due to chronic medical conditions that can limit circulation, balance or mobility, including arthritis, Parkinson’s disease and diabetes. 

Children also face a higher risk of falls, which are the leading cause of nonfatal injuries for all children, according to the Centers for Disease Control and Prevention. 

The Milwaukee Health Department urges residents to prepare for icy conditions as temperatures fall and to clear snow and ice from walkways to help prevent falls. 

The National Institute on Aging recommends using ice melt products or sand on walkways, using railings on stairs and walkways, avoiding shoveling snow yourself when possible and wearing rubber-soled, low-heeled footwear.

Christine Westrich, emergency response planning director for the Milwaukee Health Department, said social isolation adds another layer of risk for older adults.

“Either their friends or relatives have passed away, and they have over time socially isolated themselves,” Westrich said. 

The onset of hearing loss and dementia are risk factors for increased isolation, she added. 

Hypothermia and frostbite

Age can affect how the body handles cold exposure.

According to the U.S. Centers for Disease Control and Prevention , older adults with inadequate clothing, heating or food and babies in cold conditions are among the groups at highest risk of hypothermia. 

This winter, there have already been roughly 10 fatalities where cold temperatures may have played a factor, said Michael Simley, a medicolegal death investigator manager for the Milwaukee County Medical Examiner’s Office.

Extreme temperatures can also worsen existing medical emergencies, Simley added.  

A heart attack, for example, is serious under any circumstances, he said. But, he added, it becomes even more dangerous when it happens in a hostile environment like when it is very cold. 

Carbon monoxide poisoning

With colder temperatures comes increased use of furnaces and other heating systems – and with that, a higher risk of carbon monoxide poisoning.

Increased use of appliances and other items that burn fuels and other chemicals, such as furnaces, portable generators, stoves and chimneys, helps account for the higher risk, according to the CDC.

Carbon monoxide is odorless and invisible, and symptoms such as headache, dizziness and nausea may be overlooked or mistaken for other illnesses. 

“We’ve recently had two outbreaks with families of four (members) or greater,” Westrich said. “In one case, they didn’t have working heat and brought a charcoal grill inside. … In another, it was a malfunctioning furnace.”

In both situations, she said, there were no working carbon monoxide detectors.

DHS says carbon monoxide detectors should be installed on every level of the home. 

Renters should be especially vigilant, Westrich said.

“Oftentimes, what might get overlooked in the lease, it’ll say the renter is responsible for the battery replacement in those devices,” she said. “Sometimes tenants aren’t aware of that, or it’s hanging high in the ceiling – you forget it’s even there.”

Resources

The Milwaukee Health Department maintains cold weather guidance with general information and tips. 

For non-emergencies that are not crimes, the Milwaukee Police Department says residents have a number of options, a spokesperson for the department said in an email. 

Residents can request a welfare check by calling 414-933-4444. 

People seeking shelter, warming centers or other basic needs can call 211. 

Those experiencing emotional distress or mental health struggles can call or text 988, the national Suicide and Crisis Lifeline. 

Westrich and Simley both emphasized the same core message about being mindful of the people in your community.

“Check on your neighbors,” Westrich said. 

As temperatures drop, here is where you can find shelter from the cold and free winter gear

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Jonathan Aguilar is a visual journalist at Milwaukee Neighborhood News Service who is supported through a partnership between CatchLight Local and Report for America.

Winter can be dangerous for older adults and children. Here’s how to stay safe is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Cori Salchert leaves the Christmas lights on year round.

It’s not to celebrate the holidays, but so an ambulance can easily spot her house any time of year. 

“Hearing that an 11-year-old stopped breathing … can be a scary thing for an EMT, so we just lessen the difficulty for finding our home,” Cori said. 

Since 2012, Cori and her husband, Mark, have adopted five children, all with a terminal prognosis — meaning the Salcherts adopt these children knowing their lives will be cut short. They get most of their needs met at the Salcherts’ Sheboygan home, which is equipped with a stairlift and handicap shower.  

“Our hope is that our kids are whole and well and that we’re going to see them again, and that they’re going to be able to say, ‘Hey mom,’ or, ‘Hey dad’ — something that they never were able to say while we had them,” she said. 

Cori is known as the hospice mom. 

She adopts children with complex medical conditions, many from the foster care system.

Children in foster care often have worse medical health than children in the general population. And there are hundreds of kids in foster care with terminal illnesses, according to research published in the National Library of Medicine.  

The Salcherts’ first adopted child was Emmalynn. She lived with them for 50 days and died in 2012. She had difficulty regulating body temperature, so she spent most of her life bundled in someone’s arms, like she was the moment she died. 

Samuel was adopted at 13. He died two years later from a rare genetic disorder affecting the brain’s white matter. 

And Nehemiah was just 3 1/2 when he died on Dec. 2, 2021, in the Salcherts’ family room. He was lying next to Cori as she sang “Jesus Loves Me.” 

“He opened his eyes — he hadn’t done that in about 48 hours — and took his last breath, and he was gone,” Cori said as she showed a photo of Nehemiah. “He woke up in heaven and he will never have to have another surgical procedure.”

Social workers and doctors close to Cori call her a unicorn. She said that idea of being exceptionally rare often makes her sad because she wished more people could give dying children a loving place to spend the rest of their lives. 

To others, it might seem like a daunting endeavor to continuously lose and grieve children.

“One of our pastors had told us, ‘These kids are going to wreck your life. But they are not going to ruin it. So your heart is never going to recover the same as it was before you had them. And that’s an OK thing,’” she said. 

Meeting Charlie and Kassidy

The Salcherts say they have 17 children: five adopted, eight adult biological kids and four fostered children. There is a sign on their front door that reads: “There’s like a lot of kids in here.”  

Two of the Salcherts’ adopted children, Charlie and Kassidy, were home from school recently for the holidays.

Kassidy is 6. She was born with the umbilical cord wrapped around her neck.  She loves balloons and gets a big smile on her face when the family walks into the room. 

Charlie is 11. He has school awards taped to his wall. One reads: “Ray of Sunshine award presented to Charlie Salchert for making our classroom a better place.” He has hypoxic-ischemic encephalopathy, in which his brain was damaged from a lack of oxygen and blood flow.

Providing care for Charlie and Kassidy is a family effort. Their adult children pitch in. One child sleeps in Charlie’s room at night, and another helps care for Kassidy. 

Charlie’s condition makes him technically deaf and blind. But Cori said there are moments when she’s not so sure.

At school, Charlie has an eye gaze machine that helps him communicate. 

He’ll do things like turn up the volume and play music as loud as the machine goes. Cori said teachers have to remind him repeatedly to stop. 

“He can be a very naughty 11-year-old in his own way,” she said with a laugh.  

Walk a day in their shoes 

That day at the Salcherts’ home, Kassidy’s biological mother messaged Cori to see how her daughter is doing. Cori gave her an update and reminded her she is always welcome at the house. 

Many people ask the Salcherts about the children’s biological parents and the circumstances that led them to give up their parental rights. She usually tells them to walk one day in their shoes. 

Kassidy’s biological mother didn’t want to give her daughter up. However, her second daughter was born with a congenital heart defect, and she couldn’t care for two children with such complex medical issues. 

The biological mother remains in contact and often receives pictures from school and was there when Kassidy got her ears pierced. 

“Kassidy’s family has just gotten bigger rather than exclusionary,” Cori said. “She has two moms who love her a lot.”

Cori rejects the notion that she is a “Disney princess mom.” She simply has the ability to care for the children, as well as the special equipment, stairlifts and accessible home that some children need. 

And she thinks others have the ability to do it, too. 

“We live in the miracle zone,” she said. “If you don’t live in the miracle zone, well, you don’t need miracles. 

“But we need them and we’ve seen them.”

This story was originally published by WPR.

‘The miracle zone’: This Wisconsin family adopts terminally ill children is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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The Social Development Commission spent 2025 trying to restore services and funding in the face of legal challenges, board friction and government audits and reviews.

Commonly known as the SDC, the organization has a long history of providing services for low-income residents in Milwaukee County, including tax help, job training and rental assistance.   

Since it stopped running its programs in April 2024, SDC has been trying to create a path to resume its anti-poverty work. 

Here are some of this year’s major stories on the SDC. 

March/April

State holds public hearing   

In March, the Wisconsin Department of Children and Families scheduled a public hearing on SDC’s status as a community action agency. 

The community action agency designation allows SDC to receive a federal block grant to support its anti-poverty work. 

Jorge Franco, interim CEO and chair of the SDC board, said at the board’s next meeting he felt the department had not been transparent with SDC about its concerns on SDC’s ability to restart services and meet other requirements while they had been meeting and providing documents over past months. 

In early April, the Department of Children and Families held a hearing in Milwaukee on SDC’s community action status to get public comments from members of the community, who spoke in favor of SDC. 

May/June

State files wage claims lawsuit 

The Wisconsin Department of Justice, on behalf of the Department of Workforce Development, filed a lawsuit in May that alleges the SDC failed to pay $360,000 in wages and benefits owed to former employees, according to court records. 

William Sulton, SDC’s attorney at the time, acknowledged SDC owes workers wages, but said the lawsuit would not be the most effective way to get them paid. 

Franco has said SDC is committed to repaying employees for wages and benefits. 

State’s community action decision held for review

After reviewing materials from the public hearing, Secretary Jeff Pertl of the Department of Children and Families decided in May that it would remove SDC’s community action status in July.

However, SDC leaders said they had concerns that the state did not follow the proper decision process, so they requested a review from the U.S. Department of Health and Human Services in June. 

The department agreed to take up the review, which suspended the state’s decision. 

September 

Weatherization vendors win lawsuit 

Three vendors filed a money judgment lawsuit against SDC in an effort to collect reimbursements for weatherization work completed for the agency. In September, a judge granted a total judgment of $186,500 plus statutory costs and accrued interest. 

October 

Credit facility proposed

The SDC board received a letter of intent from Wings Credit Union indicating it is interested in providing the SDC with a credit facility, or a type of loan, of up to $15 million. In SDC’s case, the credit facility would be used to cover upfront expenses for government-funded programs that are paid through reimbursements. 

Foreclosure decision 

In March, Forward Community Investments Inc. filed a foreclosure lawsuit against SD Properties Inc., which owns SDC’s buildings, alleging it defaulted on mortgage payments for the main office and warehouse buildings on North Avenue. 

At an October hearing, a judge ordered a judgment of foreclosure against the North Avenue buildings and ruled that Forward Community Investments was entitled to a money judgment of approximately $3.1 million. 

SDC moved out of the buildings and started a three-month redemption period.

Sulton resigns

Sulton, SDC’s attorney and legal counsel since late 2022, resigned from his volunteer position in mid-October. 

Sulton represented SDC in lawsuits, served as a spokesperson and advised the board.

November 

Board members make failed attempt to remove Franco  

Some members of the board attempted to call an emergency meeting to vote on removing Franco as the board chair and interim CEO, but they ultimately did not vote on anything because of a disagreement on meeting procedure. Franco opposed the meeting and called it “out of order.” 

State releases community action decision

The Department of Children and Families notified SDC on Nov. 21 that it believes the federal review period ended as of Nov. 18 and would be moving forward with removing SDC’s community action status. It selected UMOS to be an interim provider of block grant-funded services. 

SDC commissioners raised questions about the timeline of the federal review at a board planning session in November. 

December 

Federal office releases letter

The director of a division in the federal Office of Community Services found that the Wisconsin Department of Children and Families’ process of removing SDC’s community action status was compliant with federal law, according to a letter it sent to the department on Dec. 5. 

SDC is seeking further clarity from senior leadership at the Department of Health and Human Services, Franco said in a statement.  

What happens next  

Building sale or foreclosure auction  

The three-month redemption period for the North Avenue buildings expires on Jan. 6, according to SDC, although they technically can be redeemed up until there is a hearing to confirm the sale of the properties at auction. 

Ongoing legal cases

Lawsuits filed against SDC from TriShulla, an information technology company, and the Department of Workforce Development are still ongoing. 

Meredith Melland is the neighborhoods reporter for the Milwaukee Neighborhood News Service and a corps member of Report for America, a national service program that places journalists in local newsrooms to report on under-covered issues and communities. Report for America plays no role in editorial decisions in the NNS newsroom.

Jonathan Aguilar is a visual journalist at Milwaukee Neighborhood News Service who is supported through a partnership between CatchLight Local and Report for America.

A year of challenges for Milwaukee’s Social Development Commission is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Angel Shelton never imagined herself holding a leadership position as she spent her teen years in the foster care system in Milwaukee. Now, at 20, she’s the new vice president of Wisconsin’s Youth Advisory Council, hoping to advocate for the needs of foster youths. 

The Wisconsin Youth Advisory Council began in 2005 and consists of current and former youths in foster care who work with government officials to advocate for foster youths in the state. 

“I wasn’t planning on running for this position,” Shelton said. “I guess God had other plans for me.”

Issues she plans to highlight as vice president include the need for improved transportation, more social workers, increased support and expectations for foster parents and more mental health resources. 

She became acutely aware of foster youths’ needs before and during her time in foster care. 

“When we do get a little support, we have to put our foot on the gas to get it fully,” Shelton said. 

Entering a life-changing program

At 16, Shelton met Christine Woods, independent living supervisor at Wellpoint Care Network, who placed her in supervised independent living at 17. 

“Ms. Woods was like an angel that walked up to me and opened all the doors to my journey,” Shelton said. 

Woods later encouraged her to participate in Youth Transitioning to Adulthood, a program that supports youths aging out of foster care by assisting with education, employment, housing, health and care connections. 

While in the program, Woods made Shelton feel secure and introduced her to new opportunities, like becoming a secretary and vice president of the program.

Woods said she admired Shelton’s vulnerability and acceptance of constructive feedback and encouraged her to become a member of the Wisconsin Youth Advisory Council.

“In the beginning, Angel was shy, and now she’s just out there, and I think it’s because she knows people are listening,” Woods said. 

After a year of serving as vice president of the local Youth Advisory Council and filling other roles, Shelton delivered an impromptu speech for a seat on the Wisconsin Youth Advisory Council and won all the votes to become vice president. 

“Her speech was a standing ovation,” Woods said. 

Becoming vice president marked Shelton’s latest step in leading efforts to improve the lives of youths in foster care. 

Providing better transportation services

As a leader on the Wisconsin Youth Advisory Council, Shelton is prioritizing transportation services.

She remembers being late for school each day and knows there are many foster youths with mental health challenges or disabilities that struggle with transportation. 

Also, in a conversation with a peer, she was made aware that some youths aren’t given enough funds to take public transportation.

A call for social workers

Although Shelton had a supportive social worker before aging out, she knows all foster children don’t have the same experience.

She hopes to push for more compassionate social workers who will spend more time with the youths.

“They need to understand that we don’t have parents to call on, so we need more social workers who will be present and hands-on,” she said. 

Shelton wants social workers to check in with children weekly and in person, instead of once a month. 

“I see both ends of the stick between young people and other people of authority like social workers and the system, but I want them to understand how we feel,” she said. 

Improving support for foster parents

Another goal of Shelton’s is for foster parents to participate in workshops that provide proper training and expectations for their role, like providing youths with hygiene products, laundry bags and more.

“I want this to be a mandatory workshop where they’re held accountable,” she said. 

Shelton hopes the workshop reminds individuals that youths should be treated with dignity.

“With some foster parents, once you transition out of their house, they are going to put your things in bags and out,” Shelton said. 

While living in a group home for two weeks, Shelton noticed a lack of hygiene products as well. 

“I ended up telling somebody that I couldn’t live like this, and that’s when I was switched over to my own place,” she said. 

Supporting mental health

Losing a friend to suicide motivated Shelton to open up about proper care for mental health.  

Her goal is to provide more mental health services for at-risk individuals who are 12 to 19. 

“Certain feelings are so normalized now, that some don’t even realize they’re battling something,” Shelton said. 

Woods says Shelton can utilize Wellpoint Care Network’s mental health services to link individuals to different forms of therapy like art, music, games and other outlets. 

To ensure every voice can be heard, Shelton said the council will be creating a TikTok account that posts every day in 2026.

The posts will feature videos from foster youths, parents, staff and professionals asking questions, and the council responding with answers.

“I wanted to create a different system nationwide for everybody, not just (Youth Transitioning to Adulthood),” Shelton said.

Watching her sister shine

Seeing Shelton in a leadership role didn’t surprise her oldest sister, Desirae Shelton, but hearing she won vice president brought her to tears. 

“She is living proof that where you come from doesn’t define where you will go,” Desirae Shelton said.

She admired how her sister carried pain but turned it into purpose as she grew more confident and willing to speak up for herself and others. 

“I just want Angel to make youth feel seen and supported,” she said. “I hope she brings attention to what kids go through emotionally.”

Plans for the future

In May, during Foster Care Awareness Month, Shelton will lead an annual mental health panel for the council, professionals, foster parents and relatives to discuss their lived experiences, needs and other topics. 

An Avenues West resident and nursing student at the Milwaukee Area Technical College, Shelton plans to become a nurse practitioner or a professional in the mental health field. 

In the next few years, she also wants to start a nonprofit that provides mental health services and a group home for at-risk teens.

“Whether I’m helping people in foster care or the juvenile system, mental health is at stake for both,” she said. 

---

For more information

You can learn more about the work of the Wisconsin Youth Advisory Council by attending its monthly meeting. They’re held every second Thursday from 5 p.m. to 7 p.m. at Wellpoint Care Network, 8901 W. Capitol Drive in Milwaukee.

Individuals who are interested in becoming a part of Youth Transitioning to Adulthood can click here to register for its monthly mandatory orientation. 

‘Where you come from doesn’t define where you will go’: Former foster child becomes vice president of the Wisconsin Youth Advisory Council is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• Dementia Innovations, a nonprofit started in Sheboygan County, is developing what it describes as the first U.S. village where people diagnosed with dementia will live and own homes.
• Unlike a traditional risk-averse memory care facility with locked doors, homeowners at Livasu, short for “living as usual,”  will be free to navigate the village with support from staff.
• It’s similar to a European model. Experts say the village care model is difficult to replicate in the litigious U.S., but Livasu’s founders hope the village will show it can work in Wisconsin and other states.
• To limit costs, the village is using manufactured homes, a more affordable alternative to site-built options.

A row of footprints followed John and Terri Cooper, both 70, as they carefully navigated an icy road near Sheboygan, Wisconsin. They stopped at a row of concrete slabs. 

“This is our house,” John said, waving at the first snow-covered block.

“It’s pretty big,” Terri added while standing on the foundation.

As they do every Sunday, the Coopers had driven around 20 miles from their independent living community to the construction site of their soon-to-be home. John flies a drone over the neighborhood taking shape around it, which will include a grocery store, a spa and a gym. He photographs progress on the 45-acre development designed specifically for people like Terri, who has Alzheimer’s disease.

The couple has moved a lot during their 50-year marriage. But this summer’s move will be different from all the others.

Dementia Innovations, a nonprofit started in Sheboygan County, is developing what it describes as the first U.S. village where people diagnosed with dementia will live and own homes. It’s similar to a European model that encourages people with memory loss to remain more independent. The Sheboygan County village, Livasu, short for “living as usual,” will allow people with dementia to live alone or with loved ones and continue typical routines from their homes as their disease progresses.

Applauded for years in other countries, experts say the village care model is difficult to replicate in the U.S. Livasu’s founders hope the estimated $14 million village will show it can work in Wisconsin and other states.

To limit costs, the village is using manufactured homes, a more affordable alternative to site-built options. People will buy their home and set hours of caregiving, depending on their level of need.

Unlike a traditional risk-averse memory care facility with locked doors, homeowners will be free to travel throughout the village with support from staff.

“We all take risks every day, but as we age, and especially as we age with dementia, there’s a safety-at-all-cost approach,” said Livasu’s project lead, Mary Pitsch. “That cost is actually a loss of personhood.” 

Rather than a fence surrounding the village or automatically locking doors, landscaping will direct people from their home toward the community’s “downtown.” People living in the village’s 124 houses will have access to a lodge with support staff and a place to eat meals with neighbors and to watch the Packers, Pitsch said.

The village will eventually feature a public grocery store and a restaurant.

“We are changing the way we are thinking about care and support,” Pitsch said.

Aging at home — together

The Coopers met in college. 

“I picked Terri out almost immediately. It took me some months to convince her that I was the right guy,” John joked.

“Thankfully,” Terri chimed in with a laugh.

As the couple raised two daughters, John worked different technology jobs and photographed sporting events like triathlons on the weekends. Terri was a structural steel detailer. 

After watching her mother battle Alzheimer’s, Terri made sure to eat healthy and exercise to prevent herself from getting the same disease. But in 2019, John started noticing changes. Two years later, Terri was officially diagnosed. 

“I mean right now,” she asked John outside of the Livasu construction site,  “I think I’m OK, right?” 

“Yeah, you’re great!” he responded emphatically, prompting another round of laughs.

Terri shook her head.

“This is what I live with,” she said.

The couple moved into an independent living center over a year ago after John was diagnosed with two forms of cancer that are now in remission.

“We wanted to be someplace where, if I was gone, Terri could live and have people take care of her,” John said. “That’s still the goal.”

Unlike institutional settings, Livasu will allow them to age in their home together.

Manufactured housing brings savings 

The Coopers are excited to again own a home, even if it’s smaller than they’re used to.

First they left their 2,400 square foot home in Neenah for a 1,500 square foot duplex. Their future manufactured home in Livasu measures just 1,140 square feet, John said. But unlike the independent living duplex they rented, they are purchasing this home.

Home prices in Livasu currently range between $95,000 and $175,000 — less than traditional site-built houses. 

Like with any manufactured homes, savings come from finding scale in mass production, with factories buying materials in bulk and cutting down material waste through computer design. 

The Livasu homes are built off-site, limiting construction time and noise as people move in at different times, Pitsch said. The homes have a title, similar to a car, instead of a traditional deed. That will make transferring the homes between owners easier.

Terri Cooper lived in a mobile home during one year at college, John recalled. But today’s manufactured homes are higher quality, he said. 

“They’re actually built pretty nice,” he said.

Every detail is designed for someone aging with dementia, Pitsch explained while walking through a model home placed outside the Livasu construction zone. 

More lights in each house help aging eyes. Dark door handles contrast to lightly painted doors. The homes feature safer electric stoves instead of gas.

While homes in most manufactured housing communities — traditionally called “mobile home parks” — have stairs,  Livasus will place homes at ground level.

Bedrooms will have a direct line of sight to the toilet, which can help prevent incontinence.

“The shower was a big discussion. Do you have glass doors? Do you have a shower curtain?” Pitsch remembered debating with the other designers. 

“Lots of conversations about some things that would seem really simple, were long conversations,” she said, “and we made the best decisions we could.”

Dignity in dementia care

Pitsch, a social worker, developed her passion for this work while working with older adults. She has run an at-home care company with her husband for close to 20 years. She learned Sheboygan-area law enforcement often responded to emergencies involving people with dementia. 

She and other community members started a task force to evaluate the county’s response to residents with dementia. That prompted changes in the county’s emergency protocols and the creation of Dementia Innovations.

“I’m kind of one of those people that if it’s not me, then who’s going to do it?” Pitsch said.

Pitsch and others started planning a way to better care for people with dementia and to prevent emergency situations in the first place. They learned about Hogeweyk, the world’s first dementia village in the Netherlands.

“We are far behind other countries in a better, humanistic way of providing care for those with dementia,” Pitsch said.

Dementia care in the U.S. tends to prioritize safety above all else, said Emily Roberts, an associate professor at Oklahoma State University who researches the connection between older adults and their physical environment. 

Creating environments where people can make choices and take risks can be expensive, especially in a litigious country like the U.S., she said.

Support staff in Livasu will regularly monitor the grounds. Cameras can alert them if someone walks in or out of the village through an unexpected area.

Creating a home-like environment also prevents people from wanting to leave, Roberts said. As the number of people with dementia continues to grow, the country will need more environments that support people with dementia, she said. That’s especially true in aging Wisconsin.

A private room in a nursing home cost $127,750 on average in the U.S., according to the Alzheimer’s Association — more than a smaller home at Livasu. Village residents will pay for care as they need it, similar to at-home care, and potential homeowners discuss their finances with Livasu volunteers, Pitsch said. 

Livasu raised more than $8 million for the first phase of construction. It still needs to raise around $6 million more to complete the entire village, but the first houses are already waiting to get placed on foundations.

Pitsch recently watched as a construction crew drove excavators and bulldozers over the giant field where a restaurant, post office and ice cream shop will eventually go. 

“I pinch myself,” Pisch said. “It gets pretty emotional actually, to see that it’s actually happening,” 

‘Wherever she goes, I go’

When the Coopers move in, they don’t expect to need any caretaking. They still make weekly visits to see their grandkids and take weeks-long hiking, camping and cycling excursions.

“Wherever I go, she goes, wherever she goes, I go. Except in the women’s bathroom,” John said, eliciting more laughs from Terri.

“We kind of like each other, so that’s OK.” 

As the couple finished checking in on construction of their future community, they carefully walked back to their car — holding hands the entire way.

‘Living as usual’: A new village in Sheboygan County reimagines life with dementia is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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The Senate on Thursday rejected legislation to extend Affordable Care Act tax credits, essentially guaranteeing that millions of Americans will see a steep rise in costs at the beginning of the year.

Senators rejected a Democratic bill to extend the subsidies for three years and a Republican alternative that would have created new health savings accounts — an unceremonious end to a monthslong effort by Democrats to prevent the COVID-19-era subsidies from expiring on Jan. 1.

Ahead of the votes, Senate Democratic Leader Chuck Schumer of New York warned Republicans that if they did not vote to extend the tax credits, “there won’t be another chance to act,” before premiums rise for many people who buy insurance off the ACA marketplaces.

“Let’s avert a disaster,” Schumer said. “The American people are watching.”

Republicans have argued that Affordable Care Act plans are too expensive and need to be overhauled. The health savings accounts in the GOP bill would give money directly to consumers instead of to insurance companies, an idea that has been echoed by President Donald Trump.

Senate Majority Leader John Thune, R-S.D., said ahead of the vote that a simple extension of the subsidies is “an attempt to disguise the real impact of Obamacare’s spiraling health care costs.”

But Democrats immediately rejected the GOP plan, saying that the accounts wouldn’t be enough to cover costs for most consumers.

The dueling Senate votes are the latest political messaging exercise in a Congress that has operated almost entirely on partisan terms, as Republicans pushed through a massive tax and spending cuts bill this summer using budget maneuvers that eliminated the need for Democratic votes. In September, Republicans tweaked Senate rules to push past a Democratic blockade of all of Trump’s nominees.

The Senate voted 51-48 not to move forward on the Democratic bill, with four Republicans — Maine Sen. Susan Collins, Missouri Sen. Josh Hawley and Alaska Sens. Lisa Murkowski and Dan Sullivan — voting with Democrats. The legislation needed 60 votes to proceed, as did the Republican bill, which was also blocked on a 51-48 vote.

No interest in compromise

Some Republicans have pushed their colleagues to extend the credits, including Sen. Thom Tillis of North Carolina, who said they should vote for a short-term extension so they can find agreement on the issue next year. “It’s too complicated and too difficult to get done in the limited time that we have left,” Tillis said Wednesday.

But there appeared to be little interest in compromise. Despite the potential for bipartisan agreement, Republicans and Democrats have never engaged in meaningful or high-level negotiations on a solution, even after a small group of centrist Democrats struck a deal with Republicans last month to end the 43-day government shutdown in exchange for a vote on extending the ACA subsidies. Most Democratic lawmakers opposed the move as many Republicans made clear that they wanted the tax credits to expire.

Still, the deal raised hopes for bipartisan compromise on health care. But that quickly faded with a lack of any real bipartisan talks.

An intractable issue

The votes were also the latest failed salvo in the debate over the Affordable Care Act, President Barack Obama’s signature law that Democrats passed along party lines in 2010 to expand access to insurance coverage.

Republicans have tried unsuccessfully since then to repeal or overhaul the law, arguing that health care is still too expensive. But they have struggled to find an alternative. In the meantime, Democrats have made the policy a central political issue in several elections, betting that the millions of people who buy health care on the government marketplaces want to keep their coverage.

“When people’s monthly payments spike next year, they’ll know it was Republicans that made it happen,” Schumer said in November, while making clear that Democrats would not seek compromise.

Even if they view it as a political win, the failed votes are a loss for Democrats who demanded an extension of the benefits as they forced a government shutdown for six weeks in October and November — and for the millions of people facing premium increases on Jan. 1.

Maine Sen. Angus King, an independent who caucuses with Democrats, said the group tried to negotiate with Republicans after the shutdown ended. But, he said, the talks became unproductive when Republicans demanded language adding new limits for abortion coverage that were a “red line” for Democrats. He said Republicans were going to “own these increases.”

A plethora of plans, but little agreement

Republicans have used the looming expiration of the subsidies to renew their longstanding criticisms of the ACA, also called Obamacare, and to try, once more, to agree on what should be done.

Thune announced earlier this week that the GOP conference had decided to vote on the bill led by Louisiana Sen. Bill Cassidy, the chairman of the Senate Health, Labor, Education and Pensions Committee, and Idaho Sen. Mike Crapo, the chairman of the Senate Finance Committee, even as several Republican senators proposed alternate ideas.

In the House, Speaker Mike Johnson, R-La., has promised a vote next week. Republicans weighed different options in a conference meeting on Wednesday, with no apparent consensus.

Republican moderates in the House who could have competitive reelection bids next year are pushing Johnson to find a way to extend the subsidies. But more conservative members want to see the law overhauled.

Rep. Kevin Kiley, R-Calif., has pushed for a temporary extension, which he said could be an opening to take further steps on health care.

If they fail to act and health care costs go up, the approval rating for Congress “will get even lower,” Kiley said.

Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our newsletters to get our investigative stories and Friday news roundup. This story is published in partnership with The Associated Press.

U.S. Senate rejects health care subsidy extension as costs are set to rise for millions of Americans is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

Reading Time: 6 minutes

Click here to read highlights from the story

• Free clinics like Bread of Healing in Milwaukee and Open Arms Free Clinic in Walworth County serve as a final safety net for community members who can’t afford health care.

• They are bracing for higher demand as more residents are expected to forgo insurance as a crucial tax credit is set to expire and premiums spike.

• Clinic staff say they may need more resources to meet demand. 

• The U.S. Senate on Thursday rejected dueling plans related to helping people pay for plans on the federal marketplace.

Editor’s note: This story has been updated to note the U.S. Senate’s rejection on Thursday of legislation to address the expected rise in health care premiums.

Cars filled the small parking lot outside of Milwaukee’s Cross Lutheran Church on a recent Monday afternoon. The church’s pews sat empty, but downstairs visitors waited around folding tables. Not to hear a sermon, but to see a volunteer physician. 

Staff and volunteers walked patients past a row of dividers used to separate the “waiting room” from the folding tables where doctors and counselors filled out paperwork. 

In front of the free health clinic’s four exam rooms, two phones rang. 

“This is the Bread of Healing Clinic. Can you hold for a moment?” asked Diane Hill Horton, the free health clinic’s assistant.

Across from Hill Horton, another staff member scheduled an appointment in Spanish. 

On a typical Monday, the clinic sees up to 30 patients. Bread of Healing treated 2,400 patients in 2024 across three clinics it runs in Milwaukee. Patients typically lack any health coverage and aren’t asked to pay for their visits.

“We don’t turn anyone away,” Hill Horton said.

But without action from lawmakers in Washington, clinic staff worry that it will become harder to answer every call.

Free clinics like Bread of Healing serve as a final safety net for community members who can’t afford health care. They are bracing for higher demand as more residents are expected to forgo insurance as a crucial tax credit is set to expire and premiums spike.

Affordable Care Act premiums in Wisconsin will increase on average by 17.4% next year, a previous Wisconsin Watch analysis showed, with wide variation depending on age, income, family status and geography. Meanwhile, experts estimate more than 270,000 Wisconsinites rely on the enhanced premium tax credit to make insurance more affordable. It will expire at the end of the month without intervention. 

People without insurance are less likely to get preventative care. Bread of Healing focuses on treating chronic conditions to prevent people from overwhelming emergency rooms, said Executive Director Erica Wright.

“If we don’t try our best to move with that demand, we’re not going to be able to see as many people, and there’s going to be a lot of folks falling through the cracks,” she said.

Wright oversees all three Bread of Healing locations. While the clinics have some room to take on more patients right now, she wants to significantly increase their capacity over the next year — adding money and volunteers to serve a possible “monsoon” of demand.

“We’re never going to be able to serve everybody, we know that,” Wright said. “But I don’t want it to be where our phones are ringing off the hook and we just can’t meet at least a good chunk of the demand.”

Higher premiums and shrinking options

Ashley Bratz paid about $545 a month for a low-deductible marketplace plan this year. That same plan cost over $700 when she went to sign up for 2026.

Even with her job at Open Arms Free Clinic in Walworth County covering a portion of her health care costs, the only option in Bratz’s price range had deductibles higher than what she expects to spend.

 “It’s supposed to be reasonable, and this is not reasonable,” Bratz said.

Bratz, who works as the nurse clinic coordinator, said she did not receive enhanced marketplace subsidies this year. Those who did will face a particular shock as the tax credit expires — while also confronting rising prices and shrinking options.

The income-based tax credits have lowered some marketplace enrollees’ monthly premium payments since they became available in 2014.

In 2021, the federal government expanded those subsidies, further bringing costs down for lower-income enrollees and extending smaller subsidies to people making over four times the  federal poverty level — $62,600 a year for one person in 2025.

Without an extension, monthly premiums are expected to more than double on average nationally for subsidized enrollees, according to KFF, an independent source for health policy research.

A quarter of enrollees surveyed by KFF said they were “very likely” to go without insurance if their premiums doubled.

The U.S. Senate on Thursday rejected a Democratic plan to extend marketplace subsidies. Republicans, who have long criticized the Affordable Care Act (ACA), have instead called for a broader overhaul. The Senate also rejected a Republican plan that would have expanded access to high-deductible insurance plans and deposit $1,000 to $1,500 in enrollees’ health savings accounts — without renewing enhanced subsidies.

Sara Nichols, Open Arms Clinic executive director, is forging ahead regardless. When Bratz told her about her shrinking affordable coverage options, Nichols started working with an insurance broker to find a new plan for the clinic’s small team of paid staff.

“We cannot have health care workers not have health insurance,” Nichols said.

The move left Bratz relieved. Now she’s preparing to help more clients who can’t afford coverage or just need help navigating the complicated system.

They face challenges beyond lost subsidies and premium hikes. President Donald Trump’s “big” bill-turned law included additional changes to Medicaid funding and the ACA that are expected to increase the number of people without insurance by 10 million over the next decade, according to the Congressional Budget Office.

“We always take what is thrown at us and we figure out how to handle it,” Bratz said. “Do I think we could also use more help? Yes.”

Resources needed to meet demand

Open Arms Free Clinic is already seeing higher demand, Nichols said. 

It operates a dental clinic five days a week, and she’s considering whether further demand would require opening its medical clinic for an additional day.

That would take more volunteers and money. 

While the Legislature sent state dollars to free clinics in its latest budget, private grants and donations have been harder to secure this year, Nichols said. She expects the clinic will have to get even leaner next year.

But she won’t start turning patients away.

The clinic provides dental, medical and behavioral health to low-income people who live and work in Walworth County. Its 250 volunteers help with things like translating, nursing, greeting patients and connecting people to the clinic. They also provide vision and pharmacy services.

“I know that we have enough smart people and kind people that we’re going to come up with a solution to anything that comes up,” Nichols said.

This is far from the first time Wisconsin’s free clinics have faced big changes, said Dennis Skrajewski, the executive director of the Wisconsin Association of Free and Charitable Clinics. 

Free clinics adapted to the COVID-19 pandemic, operating with fewer volunteers and switching to telehealth services and opening vaccine programs, Skrajewski said. Then clinics prepped for increased demand in 2023 after Medicaid unwinding.

“We’re used to waking up and the world changed yesterday, so we’ll adjust,” Skrajewski said.

Wisconsin’s free and charitable clinic association is collaborating with other safety net health providers as part of the Wisconsin Owns Wellbeing initiative, which will host statewide planning meetings to strengthen the state’s safety net services. 

Clinic co-founder: ‘I just wish it weren’t needed’ 

Rick Cesar started working as a parish nurse at Cross Lutheran Church in the 1990s. He took people’s blood pressure at a weekly food pantry and ran an HIV testing site and needle exchange out of the church’s basement.

He helped co-found the Bread of Healing Clinic in 2000, a decade before the ACA passed. 

“There were so many people that had no coverage,” Cesar said.

Demand for free services persisted even after more people enrolled in marketplace plans. The clinic expanded to two other locations and hired paid staff. Cesar retired from nursing in 2019 but still regularly volunteers. He feels proud watching the clinic grow.

“I just wish it weren’t needed,” he said.

The clinic is adaptable, Cesar said, whether it’s responding to a pandemic with vaccine drives or helping clients navigate ACA changes.

“We’re going to be here and do as much as we can,” Cesar said. “But those resources, you never know how long they are going to last when the demand is so great.”

‘We don’t turn anyone away’: Wisconsin’s free clinics fill gaps as thousands expected to go uninsured is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Wisconsin refugee support organizations and food banks are preparing for the worst as regulators in other states implement new rules barring many refugees and people granted asylum from federal food assistance programs. 

But they haven’t yet seen the new restrictions take effect in Wisconsin.

The Wisconsin Department of Health Services, which administers FoodShare — the state’s name for the federal Supplemental Nutrition Assistance Program (SNAP) — has continued to provide benefits to immigrants rendered ineligible under the new federal restrictions, support groups say. The agency has not said how long it will continue to do so. 

Refugees, asylees and other immigrants who entered the country through humanitarian programs had long been eligible for SNAP before securing legal permanent residency. But President Donald Trump’s “big” bill-turned law, signed in July, rewrote SNAP eligibility rules to exclude such immigrants who have yet to obtain green cards.  

The U.S. Department of Agriculture gave states until Nov. 1 to comply. 

Refugee assistance groups and food banks across Wisconsin have sounded the alarm about the ban. Nearly 8,000 refugees and asylees have settled in the state over the past decade, federal data show, and resettlement organizations note many rely on FoodShare as they find their footing.

 “SNAP is a lifeline for refugees and asylees as they rebuild their lives in the United States after traumatic and often dangerous circumstances,” said Matt King, CEO of Milwaukee food bank Hunger Task Force. “Food support is one of the first stabilizing resources they receive as they navigate an unfamiliar country and begin the process of resettlement.” 

Hunger Task Force helped more than 1,600 refugees access food assistance in 2024 alone, he added.

Anticipating a benefits cutoff, Wisconsin aid groups have geared up for a surge in demand for services.

 “We’ve already been proactive,” said Donna Ambrose, executive director of The Neighbor’s Place, the largest food bank in Marathon County – a longtime hub for refugee resettlement. Her organization is extending its hours and offering an “evening market” on Thursday nights to accommodate rising needs. 

In the Fox Valley, the nonprofit Casa Hispana recently received an anonymous donation to support food and fuel assistance. It plans to hold a giveaway in the coming weeks. CEO Carlos Salazar expects part will go to asylees from Latin America who stand to lose FoodShare benefits.

COMSA, a resource center for immigrants and refugees in Green Bay, faces a more difficult position. While the nonprofit will continue its core programs – job application support and English language classes, for instance – the center lacks resources to begin providing food assistance, Executive Director Said Hassan said.

Officials with refugee resettlement groups say their clients who lack green cards are still receiving FoodShare — for now. They haven’t heard details about what’s next. 

“We’re supposed to find out any day” about benefits, said Sean Gilligan, the refugee services manager with Catholic Charities of the Diocese of Green Bay. 

Last-minute guidance from the federal Agriculture Department adds to the uncertainty. The agency on Oct. 31 directed states to permanently block all immigrants who entered the U.S. through humanitarian pathways – including refugees and asylees – from receiving SNAP, even after obtaining green cards.

Wisconsin Democratic Attorney General Josh Kaul and 21 other state attorneys general challenged the directive in a late-November lawsuit, arguing that the department’s instructions conflict with provisions of Trump’s new law. The lawsuit asserts refugees and asylees with green cards remain eligible for SNAP aid.

The attorneys general also argue that federal rules allow a 120-day grace period to implement latest guidance, meaning states shouldn’t immediately be held to its provisions. The Trump administration claims that period ended Nov. 1.

“Wisconsin and other states have already begun implementing the statutory changes enacted earlier this year, but USDA’s guidance now forces them to overhaul eligibility systems without sufficient time,” Kaul’s office said in a press release.

The state could face financial penalties if the Trump administration determines it is distributing aid to  immigrants who are ineligible for SNAP. A provision of Trump’s landmark law will strip some funding from states with high SNAP “error rates” – a measure of over- and under-payments to recipients – beginning in fiscal year 2028. Wisconsin is among few states with an error rate below the bar for penalties, but Kaul’s office said confusion over the new eligibility rules could push the state’s error rate over the penalty threshold. 

The new rules will “create widespread confusion for families, increase the risk of wrongful benefit terminations, erode public trust, and place states in an untenable situation where they must either violate federal law or accept severe financial liability,” Kaul’s office said in a press release.

The state health department declined to comment about its plans, and about what steps it has taken to implement the new eligibility requirements.

Refugee advocates brace for impact from federal limits on food aid is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Tim Scott was shocked when he was laid off in May as the executive director of Nearby Nature, an organization that works to reconnect Black people to nature by offering nature education classes and introducing residents to new outdoor experiences. 

Instead of letting the sudden change deter him, he doubled down on his commitment to help Milwaukee residents experience the outdoors. 

Scott is opening Urban Nature Connection, a community-based nonprofit dedicated to reconnecting Black and Brown communities with nature. 

The organization’s mission is to promote the physical, spiritual and mental health of outdoor activities such as birding, gardening, biking, hiking and fishing.

Finding a new purpose

According to Scott’s wife, Theresa Scott, he has always been an outdoorsman. 

“He has always enjoyed walking or spending time in the park or outdoors,” Theresa Scott said. 

Tim Scott spent most of his career in construction work. 

He’s also done some coaching and marriage counseling but said he found a new purpose when he took the role at Nearby Nature. 

“This is my passion, this is my healer, I owe nature my life to tell you the truth,” Scott said.

His wife agrees. 

“I think this is a great second career for him,” she said. “It’s better for his mind and his body.” 

Scott said he now knows the importance of pushing nature as a healing mechanism, especially for those who don’t have access to mental health services. 

“We all experience trauma in different ways,” Scott said. “But we don’t all have access to the same mental health services. Being out in nature really saved me when I was experiencing my own crisis.” 

By connecting people with nature, Scott hopes to help others find their own healing. 

In addition to outdoor activities, the organization will focus on indoor gardening, programming and advocacy of green space.

Over the next few months, the focus will be on getting people outside even during the colder months.

“A lot of our work will be advocacy,” he said. “So, we will center advocacy through every season.”

Scott says he plans to partner with other agencies to host wellness events, community discussions and group walks.

To keep up with Urban Nature Connection, you can follow its Facebook page here.

“What he wants to do here is truly a movement,” Theresa Scott said.

---

Jonathan Aguilar is a visual journalist at Milwaukee Neighborhood News Service who is supported through a partnership between CatchLight Local and Report for America.

‘I owe nature my life’: Milwaukee nonprofit aims to connect Black and Brown people to nature is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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This story was originally published by ProPublica.

The most powerful Republican in Wisconsin stepped up to a lectern that was affixed with a sign reading, “Pro-Women Pro-Babies Pro-Life Rally.”

“One of the reasons that I ran for office was to protect the lives of unborn children,” Assembly Speaker Robin Vos told the cheering crowd gathered in the ornate rotunda of the state Capitol. They were there on a June day in 2019 to watch him sign four anti-abortion bills and to demand that the state’s Democratic governor sign them. (The governor did not.)

“Legislative Republicans are committed to protecting the preborn because we know life is the most basic human right,” Vos promised. “We will continue to do everything we can to protect the unborn, to protect innocent lives.”

Now, however, Vos has parted with some in the national anti-abortion movement in its push for a particular measure to protect life: the life of new mothers.

Many anti-abortion Republicans have supported new state laws and policies to extend Medicaid coverage to women for a year after giving birth, up from 60 days. The promise of free health care for a longer span can help convince women in financial crises to proceed with their pregnancies, rather than choose abortion, proponents say. And many health experts have identified the year after childbirth as a precarious time for mothers who can suffer from a host of complications, both physical and mental.

Legislation to extend government-provided health care coverage for up to one year for low-income new moms has been passed in 48 other states — red, blue and purple. Not in Arkansas, where enough officials have balked. And not in Wisconsin, where the limit remains two months. And that’s only because of Vos.

The Wisconsin Senate passed legislation earlier this year that would increase Medicaid postpartum coverage to 12 months. In the state Assembly, 30 Republicans have co-sponsored the legislation, and there is more than enough bipartisan support to pass the bill in that chamber.

But Vos, who has been speaker for nearly 13 years and whose campaign funding decisions are considered key to victory in elections, controls the Assembly. And, according to insiders at the state Capitol, he hasn’t allowed a vote on the Senate bill or the Assembly version, burying it deep in a committee that barely meets: Regulatory Licensing Reform.

Vos’ resistance has put him and some of his anti-abortion colleagues in the odd position of having to reconcile their support for growing families with the failure of the Assembly to pass a bill aimed at helping new moms stay healthy.

“If we can’t get something like this done, then I don’t know what I’m doing in the Legislature,” Republican Rep. Patrick Snyder, the bill’s author and an ardent abortion foe, said in February in a Senate hearing.

Reached by phone, Vos declined to discuss the issue with ProPublica and referred questions to his spokesperson, who then did not respond to calls or emails. Explaining his opposition, Vos once said, “We already have enough welfare in Wisconsin.” And in vowing to never expand Medicaid, he has said the state should reserve the program only for “those who truly need it.”

His stance on extending benefits for new mothers has troubled health care professionals, social workers and some of his constituents. They have argued and pleaded with him and, in some cases, cast doubt on his principles. ProPublica requested public comments to his office from January 2024 to June 2025 and found that the overwhelming majority of the roughly 200 messages objected to his stance.

“I know this is supported by many of your Republican colleagues. As the ‘party of the family’ your opposition is abhorrent. Get with it,” one Wisconsin resident told the speaker via a contact form on Vos’ website.

Another person who reached out to Vos chastised him for providing “lame excuses,” writing: “The women of Wisconsin deserve better from a party that CLAIMS to be ‘pro-life’ but in practice, could care less about women and children. We deserve better than you.”

 ‘A commonsense bill’

Donna Rozar is among the Wisconsin Republicans who staunchly oppose abortion but also support Medicaid for new mothers.

While serving as a state representative in 2023, she sponsored legislation to extend the coverage up to one year. Her effort mirrored what was happening in other states following the end of Roe v. Wade and the constitutional right to an abortion. Activists on both sides of the abortion issue recognized that there could be a rise in high-risk births and sought to protect mothers.

“I saw this as a pro-life bill to help mothers have coverage for up to a year, in order to let them know that they would have the help they needed if there were any postpartum complications with their pregnancy,” said Rozar, a retired registered nurse. “I thought it was a commonsense bill.”

Vos, she said, would not allow the bill to proceed to a vote even though it had 66 co-sponsors in the 99-person chamber. “The speaker of the state Assembly in Wisconsin is a very powerful individual and sets the agenda,” she said.

Rozar recalled having numerous “frustrating” conversations with Vos as she tried to persuade him to advance the legislation. “He was just so opposed to entitlement programs and any additional expenditures of Medicaid dollars that he just stuck to that principle. Vehemently.”

Vos has argued as well that through other options, including the Affordable Care Act, Wisconsinites have been able to find coverage. While some new mothers qualify for no-cost premiums under certain ACA plans, not all do. Even with no-cost premiums, ACA plans typically require a deductible or co-payments. And next year, when enhanced premium tax credits are due to expire, few people will be eligible for $0 net premiums unless Congress acts to change that.

Rozar lost her race for reelection in August 2024 after redistricting but returned to the state Capitol in February for a Senate hearing to continue advocating for the extension. She was joined by a variety of medical experts who explained the extreme and life-threatening risks women can face in the first year after giving birth.

They warned that without extended Medicaid coverage, women who need treatment and medication for postpartum depression, drug addiction, hypertension, diabetes, blood clots, heart conditions or other ailments may be unable to get them.

One legislative analysis found that on average each month, 700 women fell off the Medicaid rolls in Wisconsin two months after giving birth or experiencing a miscarriage because they no longer met the income eligibility rules.

Justine Brown-Schabel, a community health worker in Dane County, told senators of a new mother diagnosed with gestational diabetes who lost Medicaid coverage.

“She was no longer able to afford her diabetes medication,’’ Brown-Schabel said. “Not only did this affect her health but the health of her infant, as she was unable to properly feed her child due to a diminishing milk supply.”

She described another new mother, one who had severe postpartum depression, poor appetite, significant weight loss, insomnia and mental exhaustion. Sixty days of Medicaid coverage, Brown-Schabel said, “are simply not enough” in a situation like that.

Currently, new moms with household incomes up to 306% of the poverty line (or $64,719 a year for a single mom and baby) can stay on Medicaid for 60 days after birth. But the mother must be below the poverty line ($21,150 for that mom and baby) to continue with coverage beyond that. The new legislation would extend the current protections to a year.

Bipartisan unity on the legislation is so great that Pro-Life Wisconsin and the lobbying arm of the abortion provider Planned Parenthood, which offers some postpartum services, both registered in support of it before the Senate.

“It’s something that we can do and something that’s achievable given the bipartisan support for it,” Matt Sande, a lobbyist for Pro-Life Wisconsin, said in an interview. “It’s not going to break the bank.”

Once fully implemented, the extended coverage would cost the state $9.4 million a year, according to the state Legislative Fiscal Bureau. The state ended fiscal year 2025 with a budget surplus of $4.6 billion.

With the Assembly bill buried by Vos, Democratic Rep. Robyn Vining tried in July to force the issue with a bit of a legislative end run. She rose during floor debate on the state budget and proposed adding the Medicaid extension to the mammoth spending bill.

All of the Republicans who had signed on to the Medicaid bill, except one absent member, voted to table the proposal, sinking the amendment. They included Snyder, the bill’s sponsor, who in an email to ProPublica labeled the Democrats’ move to raise the issue during floor debate “a stunt.”

“Democrats were simply more concerned with playing political games to garner talking points of who voted against what, than they were in supporting the budget negotiated by their Governor,” he said.

Said Vining of the Republicans who tabled the amendment: “They’re taking marching orders from the speaker instead of representing their constituents.”

Well-funded opposition

Vos’ opposition echoes that of influential conservative groups, including the Foundation for Government Accountability, a Florida think tank that promotes “work over welfare.” Its affiliated lobbying arm openly opposed the Medicaid extension for new moms when it first surfaced in Wisconsin in 2021, though it has not registered opposition since then. Reached recently, a spokesperson for the foundation declined to comment.

Over the past decade, the foundation has received more than $11 million from a charitable fund run by billionaire Richard Uihlein, founder of the Wisconsin-based shipping supplies company Uline. In recent years, Uihlein and his wife, Liz, also have been prolific political donors nationally and in the Midwest, with Vos among the beneficiaries.

Since 2020, Liz Uihlein has given over $6 million to Wisconsin’s Republican Assembly Campaign Committee, which is considered a key instrument of Vos’ power. And in February 2024, she donated $500,000 to Vos’ personal political campaign at a time when he was immersed in a tough intraparty skirmish.

One concern cited by extension opponents such as the Foundation for Government Accountability is that Medicaid coverage for new moms could be used for health issues not directly related to giving birth. Questions over how expansive the coverage would be spilled into debate in Arkansas in a Senate committee in April of this year.

“Can you explain what that coverage is? Is it just like full Medicaid for any problem that they have, or is it somehow specific to the pregnancy and complications?” asked GOP Sen. John Payton.

A state health official told him new mothers could receive a full range of benefits.

“Like, if they needed a knee replacement, I mean, it’d cover it?” Payton said.

“Yes,” came the reply.

The bill failed in a voice vote.

In Wisconsin, no lawmaker voiced any such concern during the February Senate hearing, which was marked by only positive feedback. In fact, one lawmaker and some medical experts in attendance openly snickered at the thought that Arkansas — a state that ranks low in public health measurements — might pass legislation before Wisconsin, leaving it the lone holdout.

Ultimately, the Wisconsin Senate approved the legislation 32-1 in April, sending it along to the Assembly to languish and leaving Wisconsin still in the company of Arkansas on the issue.

Despite the setbacks and Vos’ firm opposition, Sande of Pro-Life Wisconsin and other anti-abortion activists are not giving up. He thinks Vos can be persuaded and the bill could move out of its purgatory this winter.

“I’m telling you that we’re hopeful,” Sande said.

Rozar is, too, even though she is well aware of Vos’ unwavering stance. “He might have egg on his face if he let it go,” she said.

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

He vowed to ‘protect the unborn.’ Now he’s blocking a bill to expand Medicaid for Wisconsin’s new moms. is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• The founders of Ebb & Flow Connections Cooperative host emotional CPR training to community members and run a community living room in downtown Appleton. 

• Lynn McLaughlin and Karen Iverson Riggers have trained more than 2,500 people in ECPR in roughly seven years. 

• Their approach to teaching social connection has proved successful enough that groups in several other counties want to replicate it, and several state entities say the model is a method for building connection to prevent suicide. 

• The effort is grant-funded, and the community living room requires space and volunteers.

Karen Iverson Riggers scrawls on a giant notepad as the 12 people around her call out rules they think should govern the next two days they’ll spend together: “It’s OK to cry.” “Authenticity over correctness.” “Judgement-free zone.” “Say it messy.”

The group — a mix of mental health professionals, children and family workers and curious residents — is kicking off an “emotional CPR,” or “ECPR,” workshop, a community public health training teaching how to assist someone in crisis or emotional distress.

Training leaders Iverson Riggers and Lynn McLaughlin have dedicated the last several years to encouraging northeast Wisconsinites to deeply connect with one another — and giving them a free community space to do so — in hopes they can combat the social isolation many feel today. 

“This is not an individual problem. It’s not like you are doing something wrong because you’re lonely or feeling isolated,” Iverson Riggers said. “This is a community design issue … Lots of folks are being forced to work themselves to death without having any free time to engage in any kind of community or connection.”

The pair founded Ebb & Flow Connections Cooperative, which runs a Community Living Room in downtown Appleton. They describe it as an “unconditionally welcoming” space, where community members can socialize, play games, hang out or confide in certified ECPR practitioners. 

“There’s no requirement to belong,” McLaughlin explained. “You just do.”

Their approach to teaching social connection has proved successful enough that groups in several other Wisconsin counties are now trying to replicate the resources they offer. Plus, several state entities say their model is a method for building connection to prevent suicide. 

With funding from the Medical College of Wisconsin, the pair spent two late-October days in Oshkosh training Winnebago County residents and workers. 

Attendees practiced how to effectively listen to and assist people who are struggling, as a means to prevent self-harm and further distress. After the workshop, they’d be considered an ECPR “practitioner” and could go on to eventually work as a listener in a living room.

A place to ‘just be’

The pair’s idea for bringing more northeast Wisconsin residents together was born several years ago, when they were sitting in Iverson Riggers’ living room, discussing the unhelpful ways people typically respond to those struggling with mental health issues. They also lamented the general loss of “third spaces,” or places outside of home or work where people casually connect with their community without a cost barrier.

“So we said, ‘You know, what if there was a space where folks could go and could just be?’” Iverson Riggers said. 

That question led them to devise the idea of the Community Living Room, where people could do just that. 

In 2023, they received a grant from the Community Foundation for the Fox Valley Region, which they used to launch the concept as a pop-up event in different places — the local library, community gatherings, the children’s museum. There was always food and several ECPR-certified listeners in attendance. 

Thanks to the relationships they built hosting pop-ups, a local developer gifted them space to open a permanent downtown Appleton location in October 2024. They pay just $1 in rent annually. 

“It was created to break down all the barriers that people find to seeking support,” Iverson Riggers said. “There’s no appointments and no forms. There’s no requirement of a certain kind of identity or diagnosis. There’s no requirement about how you engage.”

Inside the space, which resembles a large apartment, several cozy couches invite visitors to get comfortable. There are tables to sit at or partake in board games or puzzles. A small kitchen area with a fridge is stocked with fresh snacks. A poster on the wall permits people to take what they need — clothing, food, safe sex tools, hygiene supplies and even Narcan. 

“It just says something about creating a space … where we can go and connect and feel welcome without having to buy anything, without having to be a certain way, without having to conform to whatever the rules of the space are,” Iverson Riggers said.

How people use the space varies. Some simply pop in for a snack or a drink or to use the bathroom. Two visitors regularly come in and practice playing the guitar. Others want to connect one-on-one with the “listeners” trained in ECPR — at least two people who have taken the training are paid $50 per hour to be present. 

While the staff are trained to help people who are experiencing emotional crises and are more than ready to assist if needed, the living room aims to be a “prevention space,” they said. They believe that if people feel less lonely and isolated, or know they have somewhere where they can get support, they may not reach the point of crisis.

“You know, it’s not just this joy-filled, ‘everything is peaceful’ (place),” McLaughlin said. “We’re learning how to navigate conflict in community. We’re learning how to support people in distress, in community.” 

Since they started offering community ECPR workshops roughly seven years ago, they’ve helped train more than 2,500 people. 

For years, they felt they were “pounding the pavement” to spread the word about their ideas for connecting neighbors. Now, they’ve turned a corner and have seen a steady increase in demand. 

Community members across Wisconsin, including in Winnebago, Brown, Sauk and Sheboygan counties, have shown interest in replicating their approach. Prevent Suicide Wisconsin also shared Ebb & Flow’s approach in its 2025 Suicide Prevention Plan as a model for using peer support to reduce deaths by suicide.

Thanks to this, Iverson Riggers and McLaughlin expect they’ll soon be “overwhelmed” with interest. The increased attention has come with its own challenges — they had to cut back on meetings with people who want to replicate their approach in other counties. It’s also been hard to keep up with the demands of “chasing down funding” and keeping the downtown Appleton space in shape, Iverson Riggers said. 

Lanise Pitts, a practitioner certified in ECPR, said she was drawn to the warmth of the cooperative and kept returning to events after she attended the training. The Community Living Room allows her to connect with people from different circles and different career paths that she would likely never meet otherwise, she said. 

“When people just come in, it’s just like being welcomed to somebody’s house. Come in, find something to do, kick your feet up,” Pitts said while curled up on a couch in the living room. “When they leave, after we’ve done puzzles or colored or played card games or music games or had a 30-second dance party, it’s just like the weight gets lifted. Like you might come in with a lot of baggage, but when you leave out, you’re leaving some of that behind, and it just kind of dissipates.”

The Community Living Room currently has funding to be open two days a week. See a schedule here. 

Miranda Dunlap reports on pathways to success in northeast Wisconsin, working in partnership with Open Campus. Email her at mdunlap@wisconsinwatch.org.

Feeling lonely? Appleton’s Community Living Room offers an antidote to isolation is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Legislation is being introduced that would, for the first time in a decade, increase benefits for the most severely injured workers in Wisconsin. 

The bill, if adopted by the Republican-majority Legislature and signed by Democratic Gov. Tony Evers, would make a number of changes to the state’s worker’s compensation system. 

In particular, it would give raises to people declared permanently and totally disabled such as 77-year-old Jimmy Novy and paraplegic Scott Meyer.

They were featured in a September Wisconsin Watch article. It reported that more than 300 PTD recipients haven’t gotten a raise in their worker’s compensation benefits since 2016.

Novy, who lives in southwest Wisconsin, receives a worker’s comp check of $1,575 per month. Had his benefit kept pace with inflation, which rose 34%, he would have received nearly $21,000 more over the past nine years.

Meanwhile, Wisconsin employers have seen their premiums for worker’s compensation insurance decrease 10 years in a row, saving them $206 million in the past year and over $1 billion since 2017.

Unlike most workers injured on the job, who get temporary worker’s compensation benefits before returning to the job, Wisconsin PTD recipients get worker’s comp checks for life. Twenty-three states provide automatic cost-of-living raises for PTD recipients. But Wisconsin PTD recipients get raises only if worker’s comp legislation proposed every two years, known as an “agreed bill,” becomes law. 

The new agreed bill was proposed by employers and labor leaders on the state Worker’s Compensation Advisory Council. The Assembly Workforce Development, Labor and Integrated Employment Committee will hold a hearing on the bill Thursday. 

The bill would make these changes for PTD recipients:

• Make an estimated 210 more PTD recipients eligible for raises, known as supplementary benefits. Currently, only PTD recipients injured before Jan. 1, 2003, are eligible for raises. The bill would change that date to Jan. 1, 2020.
• Raise the maximum weekly benefit for PTD recipients by 57%, from $669 to $1,051, effective Jan. 1, 2026.
• Give PTD recipients annual raises, with the amounts set shortly before taking effect. The raise amounts would vary based on when the recipients were injured and their earnings at the time. 

One example, provided by the state Department of Workforce Development when the agreed bill was proposed: A PTD recipient injured in 1985 and receiving $535 a week would get a 57% increase to $840. The increase would amount to nearly $16,000 per year.

Spokespersons for the Assembly committee chair, Rep. Paul Melotik, R-Grafton, and for Sen. Dan Feyen, R-Fond du Lac, chair of the Senate Committee on Government Operations, Labor and Economic Development, said the lawmakers had not yet reviewed the bill.

Novy, while in his late 20s, learned he had been exposed to manganese, a key component in batteries, from working in a battery manufacturing plant. He suffered neurological problems that affected his left leg, severely limiting his ability to walk or even maintain his balance.

The bill would raise Novy’s monthly worker’s comp check to about $2,450 from $1,575, an annual increase of about $10,000.

“That’s about time,” Novy said Friday about the bill, eager to hear when he might see a raise in his check.

The money for worker’s compensation checks comes from worker’s compensation insurance companies and from employers who are self-insured for worker’s comp. No tax dollars are involved.

Agreement among employer and labor members on the Worker’s Compensation Advisory Council on the bill was reached after a “fee schedule” for worker’s compensation medical services was included in the 2025-27 state budget adopted in July. 

The schedule limits how much health care providers can charge for worker’s comp care.

Meyer, who lost both legs following a workplace accident in 1993 and now lives in Colorado, said he hopes that for PTD recipients on fixed incomes, the proposed raises make “a meaningful impact on their day-to-day lives.”

Appleton lawyer John Edmondson, who represents worker’s comp recipients, said the raises would be “a very nice step in the right direction, albeit coming far too late for those PTD workers who economically suffered and some who simply died waiting.”

Wisconsin worker’s comp bill would raise benefit for permanently disabled is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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As appropriations for the Supplemental Nutrition Assistance Program’s funding remain uncertain because of the government shutdown, Native American tribes across the U.S. have been forced to step in with emergency funds to support families who rely on the federal aid.

It’s a demographic that relies heavily on SNAP, which provides food assistance for approximately 42 million Americans. According to the Economic Policy Institute, 23% of American Indian and Alaska Native households used SNAP benefits in 2023 — nearly double the national average.

And tribal advocates and representatives have warned lawmakers of the risk the government shutdown poses to their communities, including the lapses in funding to SNAP, Head Start and WIC, the Department of Agriculture’s Supplemental Nutrition Program for Women, Infants, and Children.

“Most tribes are taking care of their tribal members. It’s just that they’re taking on a lot of expense at this point,” Oklahoma Sen. Markwayne Mullin told NOTUS.

In Oklahoma, Cherokee Nation officials announced on Monday they would use $6.5 million to provide direct checks to citizens on the reservation or in nearby counties. Another $1.25 million will fund nonprofit food programs and local food banks to help support the Cherokee Nation, which is the largest tribe in the country.

In other states, the percentage of people affected by SNAP cuts also disproportionately hits tribal nations. Wisconsin, for example, has 11 federally recognized tribes, and the Menominee tribe is its largest with approximately 8,700 members, according to Wisconsin First Nations. Wisconsin Watch reported that in Menominee County, which is 80% populated by the Menominee Tribe, 46% of residents receive SNAP benefits. Officials for the tribe did not respond to an inquiry from NOTUS.

When asked if he’d been speaking with tribal nations in his state about how they are affected by SNAP cuts, Wisconsin Sen. Ron Johnson said, “Well they would be affected like everyone else.”

“I’m opposed to this government shutdown,” Johnson said. “The simple solution is: Vote for the House CR,” referring to the continuing resolution that would end the government shutdown.

Sen. Mike Rounds told NOTUS he has been in contact with the tribal nations in South Dakota.

“The vast majority of the members on most of my reservations, one of their primary sources of money for food is SNAP,” Rounds said. “Our Democrat colleagues, I think, are starting to understand it. But they are wedging because they want something that we can’t deliver, which is an outcome on their proposal to simply continue on with a failed plan on Obamacare.”

A federal judge ordered President Donald Trump on Thursday to issue full SNAP benefits within a day, a decision that comes after a long back and forth over the use of USDA contingency funds. On Friday, the administration filed an appeal to stop that order.

But even ahead of the shutdown, SNAP was already facing cuts. Trump’s reconciliation bill slashed $186 million in SNAP funding through 2034, according to the Center for Science in the Public Interest. The bill, which was signed into law in July, included a $500 million cut in funding to the USDA’s Local Food Purchase Assistance Cooperative Agreement program, which allowed states and tribes to procure fresh, locally sourced food.

“I’ve been speaking to tribal leaders and those that are responsible for food programs within sovereign nations, and there’s concern across the board,” said Sen. Ben Ray Luján.

Luján’s state of New Mexico has the third-highest percentage of Native Americans in the country. In his previous attempt to pass legislation that would temporarily fund SNAP, Luján included reimbursing the states and tribes that are currently using emergency funding.

When asked if tribes or states would receive these reimbursements, a spokesperson for the USDA blamed Democrats for the shutdown.

“This compromises not only SNAP, but farm programs, food inspection, animal and plant disease protection, rural development, and protecting federal lands,” the spokesperson said in a statement. “Senate Democrats are withholding services to the American people in exchange for healthcare for illegals, gender mutilation, and other unknown ‘leverage’ points.”

Historically, tribal reservations are geographically isolated and more likely to be in a food desert.

The only program that remains somewhat untouched by the government shutdown and the reconciliation bill is the Food Distribution Program on Indian Reservations. FDPIR provides monthly boxes of USDA foods that Natives refer to as “commodities” based on their lower nutritional value. Prior to Nov. 1, when SNAP ran out of federal funding because of the shutdown, some nations suggested their members switch from SNAP to FDPIR because households cannot participate in both programs in the same month.

The consensus among lawmakers, however, is to end the shutdown.

Hawaii Sen. Brian Schatz, the vice chair of the Senate Committee on Indian Affairs, told NOTUS on Wednesday the effect on Native American communities is simple to describe: “It’s quite bad, disproportionately bad.”

“People deserve to eat,” he added.

NOTUS reporter Manuela Silva contributed to this report.

This story was produced andoriginally published by NOTUS, a publication from the nonprofit, nonpartisan Allbritton Journalism Institute.

Native American tribes are struggling in wake of SNAP uncertainty is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Gov. Tony Evers said Wisconsin is restoring benefits for nearly 700,000 Wisconsinites who receive federal food aid. 

The move means the Wisconsinites who rely on food assistance “will not have to wake up tomorrow worried about when or whether they are going to eat next,” Evers said in a Thursday evening statement.

Evers’ announcement came hours after a federal judge ordered the Trump administration to fully fund the Supplemental Nutrition Assistance Program, known as FoodShare in Wisconsin.

The federal government had halted November payments for the program amid the government shutdown. More recently, the administration opted to make partial payments under previous court orders last week. A Wednesday statement from the Wisconsin Department of Health Services said the partial payments could add delays because states had to calculate what reduced payments would look like for individuals and get that information to a vendor that distributes the funds.

On Friday morning, the Trump administration filed a motion with a federal appeals court asking for an emergency stay of the Thursday night court order.

Evers’ statement said the state Department of Health Services anticipates benefits would be available Friday morning to FoodShare recipients.

“My administration worked quickly to ensure these benefits could be released as soon as possible so that our kids, families, and seniors have access to basic food and groceries without one more day of delay,” Evers said in a statement. “But let’s be clear — it never should’ve come to this.”

Evers, a Democrat, said the Republican Trump administration should have “listened to (Evers) and so many who urged them to use all legal funds and levers to prevent millions of Americans from losing access to food and groceries.”

Evers spokesperson Britt Cudaback told WPR that the state is working to access “readily available federal funding, pursuant to the court’s order.” She said, as of Thursday night, the administration had submitted the necessary information to ensure residents can get their FoodShare benefits “as early as after midnight.”

The U.S. Department of Agriculture’s announcement last month that benefits would be paused was a break from past precedent for the USDA, which had used emergency funds to pay SNAP benefits in previous government shutdowns. Wisconsin was part of a multistate lawsuit seeking to compel the USDA to continue funding the program. 

The lapse in benefits put pressure on Wisconsin recipients of the benefit, as well as food pantries and other service providers. On Thursday prior to the judge’s ruling and Evers’ announcement, the Milwaukee County Board approved $150,000 in assistance for the 234,000 people in that county who receive the benefits.

On Nov. 1, Evers declared a state of emergency and a period of “abnormal economic disruption” in response to the ongoing shutdown and potential lapse in federal food assistance. The executive order directed state agencies to take all necessary measures to prepare for a potential delay in FoodShare payments. It also directed the Wisconsin Department of Agriculture, Trade and Consumer Protection to enforce prohibitions against price gouging.

Senate Republicans and Democrats have been deadlocked over a short-term federal funding bill since Oct. 1. Democrats, like U.S. Sen. Tammy Baldwin, are demanding the bill include an extension of COVID-19 era Affordable Care Act enhanced tax credits. Without them, Democrats and Evers estimate ACA insurance premiums would spike significantly. Republicans in the Senate are demanding that Democrats vote on a “clean” funding bill. 

On Wednesday, Republican U.S. Sen. Ron Johson called on his GOP colleagues to kill the Senate’s fillibuster rule, which requires 60 votes in order to pass certain legislation. With a 53-seat majority, Republicans can’t pass their funding bill without Democratic support. Johnson’s comments represent a flip from 2022 when he accused Democrats trying to kill the filibuster of wanting “absolute power.”

This story was originally published by WPR.

FoodShare assistance restored to Wisconsinites, Gov. Tony Evers says is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• Residents choosing health insurance on the federal marketplace for 2026 will contend with hikes in premiums and other fees, the potential ending of tax credits that made payments more affordable and fewer plan options in some areas. 

• But Wisconsin’s average premium hike of 17.4% next year is lower than the national average of 26%.

• The exact changes in costs and options depend on where you live. 

• Insurance navigators say finding an affordable plan is still possible.

People who rely on the federal Affordable Care Act marketplace to choose health insurance for 2026 must contend with a host of challenges as the open enrollment period begins. Those include hikes in premiums and other fees, the potential ending of tax credits that made payments more affordable, and fewer options in some areas. 

That’s as a growing number of residents have used the marketplace. More than 300,000 Wisconsinites, or about 5% of the state’s population, signed up for plans last year at HealthCare.gov — more than double the enrollment from about a decade ago. 

If you’re feeling anxious or overwhelmed while considering your options, here is some information that might help. 

How long does open enrollment last? 

It began Nov. 1 and runs through Jan. 15. Choose a plan by Dec. 15 if you want coverage to kick in by Jan. 1. 

How much will premiums increase? 

Here’s some bad news: Premiums in Wisconsin will increase on average by 17.4% next year, a Wisconsin Watch analysis shows. If it’s any consolation, that’s less than the estimated 26% national hike as reported by KFF, a health policy nonprofit.

“Wisconsin is better than the national average,” said Adam VanSpankeren, navigator program manager of Covering Wisconsin, a University of Wisconsin-Madison Division of Extension program that helps people enroll in publicly funded health care. “Don’t be afraid to look at your plan and see what’s available because you’ll probably be able to find an affordable option.”

Premiums for most plans will increase by 9.4% to 19%. Premiums for a few outlying plans will surge by over 33.3%.

The increases depend on where you live. For example, the new benchmark plan in Milwaukee County will be 44% more expensive than the 2025 benchmark. That’s compared to an increase of just 8.13% in La Crosse and Trempealeau counties.

A benchmark plan refers to the second-cheapest Silver-tier plan, an Affordable Care Act concept used to calculate subsidies to help a marketplace enrollee pay their premiums. 

Benchmark plans in Sawyer and Ashland counties will become the state’s most expensive next year, with 27-year-olds paying premiums of $637.57 per month. The two counties also stand out when comparing the average plan costs. The state’s cheapest benchmark plans will be found in Kewaunee, Brown, Door, Shawano, Oconto, Marinette and Manitowoc counties, where a 27-year-old will pay $444.58 monthly.

Statewide prices for Common Ground Health Cooperative will increase an average of 16.6% in 2026, including more noticeable hikes of at least 30% in Jefferson and Walworth counties. The company attributed the changes to rising health care costs and a changing federal landscape.

“By updating our rates, we can ensure the sustainability of our marketplace product and continue to deliver high-quality care to our members,” a spokesperson wrote in an email to Wisconsin Watch.

What is happening with subsidies? 

More than 86% of Wisconsin enrollees last year received advanced premium tax credits that lowered the cost of premiums by an average of $585, according to KFF.

But one major subsidy, the enhanced premium tax credit, introduced in 2021, is set to expire at the end of 2025. Democrats in Congress have called for the credits to be extended in a debate that’s central to the ongoing federal government shutdown. 

The tax credit’s expiration would result in lower reimbursements for eligible households. Households with an income of more than four times the federal poverty level will no longer be eligible for any federal tax credit.

“How much Wisconsinites’ healthcare coverage costs will increase varies depending on age, income, plan selection, and available insurers in each county, but many Wisconsinites will see their premiums increase significantly, with seniors and middle-class families seeing some of the largest increases if Republicans in Congress do not extend enhanced tax credits under Affordable Care Act,” Evers wrote in an Oct. 27 press release.

A 60-year-old couple making around $85,000 in Barron County could see premiums skyrocket over 800%, with an annual increase of over $33,000 in costs, according to calculations by the Insurance Commissioner Nathan Houdek’s office. The same couple living in Dane County could see premiums triple, paying nearly $20,000 extra a year. 

VanSpankeren says to examine your options as soon as you can, with help from insurance agents or navigators such as those at Covering Wisconsin.

“That (cost increase) does not mean be scared or anxious or stay away from the marketplace,” VanSpankeren said. “It means you’ve got to look again, and you’ve got to do your homework and work with a navigator if you need to.”

If you’re looking for a marketplace plan, it’s a good time to estimate your income for the year, VanSpankeren added, even if that seems difficult. If your income changes over the year, you can report that later.

“You’re just going to do your best, and that’s all anybody can do,” he said. “But really take that extra time to calculate it, however close you can, it’s going to help you a lot in terms of making sure your plan is affordable and making sure you’re not paying back in tax credits that you shouldn’t have gotten.”

He also suggested considering how often you expect to visit the doctor’s office over the year and whether you anticipate any major procedures. That will help determine what plan makes most sense to choose. 

How will changes affect plan options? 

Residents in most counties will find fewer plan options as companies retreat from certain markets. Data from Houdek’s office show that 46 of Wisconsin’s 72 counties lost at least one insurance company. Up to four companies will stop serving Winnebago, Racine, Calumet, Milwaukee, Sheboygan, Outagamie, Manitowoc and Kenosha counties. 

Two out of three providers currently serving Fond du Lac County have announced exits, leaving residents with just one option.

VanSpankeren worries dwindling options will push some residents out of the marketplace, leaving them unable to access any existing subsidies — potentially falling prey to providers that exploit people in need.

“This would be an opportunity for the good agents and brokers of Wisconsin to rise to meet that need and say, ‘Hey, there are these other things you’re looking for. This particular hospital, this plan actually covers it. Let’s talk about your options,’” VanSpankeren said.

Dean Health Plan by Medica, Fond du Lac’s remaining insurance provider, is “committed to being a stable presence in the community and supporting those who may need to choose a new plan,” spokesperson Ricky Thiesse wrote in an email.

The company encouraged residents to confirm whether their preferred doctors and hospitals are in-network, or if they need to select new providers to receive full benefits.

What other plan changes might we see? 

A majority (61%) of the health plans in Wisconsin will feature higher deductibles next year, increasing out-of-pocket costs before insurance starts paying. The most dramatic deductible increase will be $2,800.

Some providers are also adjusting co-pays and coinsurance rates to reduce company costs. That could require enrollees to pay more per doctor’s visit or spend more on certain drugs.

Should I consider a catastrophic plan? 

Catastrophic plans, a federal marketplace alternative, commonly feature low monthly premiums but very high deductibles before providers pay for care. They are seen as affordable ways to protect only against worst-case scenarios, like getting seriously sick or injured, according to HealthCare.gov. Catastrophic plans are open only to people under 30 or those who qualify for a hardship or affordability exemption. 

But they are also getting more expensive next year, with premiums surging an average of 57.8%. Catastrophic plans make up the top six plans with the biggest premium increases in 2026. 

VanSpankeren suggests comparing a catastrophic plan with Bronze- or Silver-tier plans that might offer more comprehensive coverage.

While individual comparisons will vary, a single 27-year-old enrolling in a catastrophic plan in 2026 would save an average of just $38 monthly compared to a Bronze-tiered plan.

“We don’t choose plans for people, and we don’t steer people towards plans. But I would say it is very rare for anybody that a navigator works with to choose a catastrophic plan,” VanSpankeren said. 

Want to see how we crunched the data? Read our data analysis process here.

How to navigate the health care marketplace as premiums rise and options shrink  is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Laurie Doxtator starts each morning with affirmations.

“It’s OK to say no,” she thinks to herself while breathing in and breathing out, slowly grounding herself. 

“I’m proud of me waking up sober today.” 

“It’s a good day to start a new day.” 

The exercise plays an important role in keeping Doxtator clean from the drugs and alcohol that long controlled her life. She has built the routine through hard work, perseverance and the support of people around her — helping her stay alive. All the while she practices what she preaches to others seeking recovery: “Do this for you.” 

Doxtator, 61, grew up on the Oneida Reservation and spent time in California before returning to Wisconsin, enduring trauma along the way, including losing multiple family members. 

Three years ago, Doxtator realized she’d been using substances for 50 years, including drinking since age 8. “I realized it ain’t giving me nothing in life,” Doxtator said. “It ain’t gonna bring my children back, it ain’t gonna bring my mom back.”

She moved into a 30-day rehabilitation program but knew she needed more structure and time to heal. That led her to Amanda’s House, a sober living home in Green Bay for women and their children that allows them to stay as long as they need.

Doxtator spent most mornings at Amanda’s House in the craft room with her friend and fellow resident Ashley Bryan, carefully creating Diamond Dotz art pieces. 

Doxtator saw many people come and go during more than three years at the home, and she’s grateful to have felt their support. Bryan jokingly calls her “the OG” — a nod to Doxtator’s long tenure there.

Others call her “grandma” while asking how she’s doing. Doxtator enjoys the nickname, which prompts her to wonder what life would have looked like as a grandmother had her late sons raised children.

Jewelry on Doxtator’s hands and the tattoos spanning her arms tell pieces of her life’s story.

One ring belonged to her late mother, whose birth date is tattooed below a red rose on her upper right arm, which she calls her “memorial arm.” Doxtator still deals with the grief from losing her parents and regrets that she hadn’t sobered up when her mom was still living.

Another ring belonged to her older brother, Duane, who died this year on Mother’s Day. Below the rose of their mother, the tattooed words ROCK & ROLL memorialize Duane’s love of music.  

More scripted names and dates honor the children Doxtator lost — one in an accidental drowning and one to alcoholism. 

The turtle tattoos on Doxtator’s arm nod to her Oneida Nation membership and her family’s Turtle Clan history. 

Her newest tattoo, a hummingbird, represents the community she’s found at the Recovery Nest, part of the Oneida Comprehensive Health Division, which offers holistic healing and growth for those seeking recovery. Six other women joined her in getting that tattoo.

Even in sobriety, Doxtator struggles with the weight of her past trauma. 

She planned to die by suicide in July. But Bryan found out about it and intervened, prompting Amanda’s House Executive Director Paula Jolly to send Doxtator to Iris Place, the National Alliance on Mental Illness Fox Valley’s peer-run crisis center in Appleton, where she recovered. 

“I came out and they could tell the whole difference in me,” Doxtator said. “I needed that break.”

Trauma that unfolds early in someone’s life can affect them decades later — even when they don’t vividly remember, Jolly explained, citing research by psychiatrist Bessel van der Kolk.  

Doxtator’s visit to Iris Place reinforced the importance of daily routines and surrounding herself with supportive people.

She keeps a list of everybody in her life who might help her in different ways, organizing them by categories, such as “emotional support.” She keeps the numbers for a crisis center and her recovery coaches saved in her phone. At Bryan’s suggestion, Doxtator downloaded Snapchat, where women from Amanda’s House send funny selfies to each other. 

When other Amanda’s House residents leave for work, Doxtator spends time with her brother, Earl “Nuck” Elm, or visits the Recovery Nest. 

Doxtator spent much of last summer sewing a ribboned vest and beading a turtle pendant for this year’s KUNHI-YO’ “I’m Healthy” conference, sponsored by Oneida Behavioral Health’s Tribal Opioid Response Team. There, Doxtator was invited to walk in an August fashion show featuring people who attend the Recovery Nest. 

Ahead of the show, Doxtator was up at 4 a.m. due to her nerves. Bryan, who works as a hair stylist, was curling Doxtator’s hair in the Amanda’s House craft room. 

“Oh, you look so pretty,” Bryan exclaimed after finishing. 

“Oh no, Ashley no,” Doxtator said apprehensively. 

“You’re gonna be OK.”

“You sure?”

“You’re brave. You’ve done a lot harder things in your life. This is gonna be fun and you’re gonna enjoy yourself,” Bryan said before the pair hugged and said goodbye. 

Surrounded by friends and family, Doxtator heard cheering, clapping and a whistle as she walked into the show. Wearing her handmade outfit and her biggest smile, she waved to the crowd. 

Stephanie Skenandore, Doxtator’s lifelong friend and recovery coach, recorded a video on her phone from the side of the room after walking in the show herself. Skenandore, who has been in recovery for 33 years and shares the same recovery date with Doxtator, said she was proud of Doxtator for seeking her support when Duane died earlier this year. 

People in recovery often unhealthily dwell on their past mistakes — flaws that others can’t see, Skenandore said, connecting that process to the fashion show. It’s like focusing on a sewing imperfection that only the sewer will see.  

Recovery takes practice and creativity, she added. “There is no one specific way, and there is no perfect way.” 

When people like Doxtator first show up to Recovery Nest, Skenandore helps them set goals by asking them questions like, “How do you see a life looking into the future without the drugs and the alcohol? How do you want that to look for yourself?” 

She discourages people from viewing themselves as failures and helps them navigate life differently. 

Skenandore said Doxtator’s handmade vest and pendant illustrated her creativity. 

After the fashion show, event organizers played a prerecorded video in which Doxtator shared her life story. Doxtator watched at a conference room table with her brother. When Doxtator appeared on screen, she picked up a napkin to wipe away her tears. A woman clapped at the mention of Doxtator’s years of sobriety before walking over to give her a hug.

“I came from nothing and built a community,” Doxtator said after the video ended. “It wasn’t easy.” 

Doxtator moved out of Amanda’s House on Oct. 17. Nuck and her cousin helped take her boxes to a storage unit. 

Doxtator’s long hair was now cut shorter than it had ever been. “I’m going on a new journey out in the world, so I want to have a new style look,” Doxtator said. 

“When you start looking at it from the time she came to the time now, she’s grown so much,” Jolly said. “I don’t want her to leave but it’s time. We’re technically holding her back. It’s time for her to move on.” 

Doxtator said she’s in awe of her own progress but knows that leaving won’t be easy. The old forces of addiction lurk outside of the support of Amanda’s House and will try to draw her back in. 

She said she’s determined to avoid returning to drugs and alcohol — and becoming the “same old Laurie: stealing, lying.”  

“If I go back out, I know I’m gonna die, there’s no choice in the matter,” she said.

As she approached her back-to-back dates of her move and her three-year sobriety anniversary, Doxtator started researching Gamblers Anonymous meetings. 

“It’s hard for me right now, that’s one of my downfalls right now, gambling,” Doxtator said. “I used to be real bad before, but I know that I can (get through) it again.” 

As her recovery progresses, Doxtator has grown more comfortable in sharing her story, with the hope of helping others, including during a recent Alcoholics Anonymous meeting. When a newcomer visited, “we told her to keep coming back,” Doxtator said. “It works if you work it. We said we’re proud of you for coming in.” 

Jolly offered Doxtator a standing invitation to return to Amanda’s House to share her story with the next group of residents.  

In the meantime, saying goodbye was hard, Doxtator said. She has yet to unpack a pile of boxes at her brother’s house, where she hasn’t yet slept much. 

There’s so much to get used to. She knows it will take time. But she tells herself she’ll succeed as long as she keeps working on herself, remembering that every day is a new day. 

Need help for yourself or a loved one? 

If you are looking for local information on substance use, call 211 or reach the Wisconsin Addiction Recovery Helpline at 833-944-4673. Additional information is available at 211’s addiction helplife or findtreatment.gov.

If you or someone you know is experiencing a mental health crisis: call the National Suicide Prevention Lifeline at 988 or contact a Wisconsin county crisis line.

‘I came from nothing and built a community’: After years of healing, woman takes next step in sobriety is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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• Habitat for Humanity is turning to factory-built manufactured homes to cut costs and expand affordable housing during an affordability crisis.

• Modern manufactured homes meet federal code, are faster to assemble and rival traditional homes in quality and appearance.

• Stigma and restrictions in some communities challenge the expansion of factory-built housing across Wisconsin.

Kahya Fox knows a solution to Wisconsin’s housing crisis won’t fall from the sky. But she has seen a crane suspend one in the air. 

The Habitat for Humanity of the Greater La Crosse Region executive director watched this summer as semitrucks pulled into the Vernon County city of Hillsboro, population 1,400. Instead of bringing materials to build a traditional home, they each carried a preassembled half of a house.

Workers removed the wheels that carried them down the interstate. Then, a crane hoisted them up and onto a concrete foundation. 

The scene illustrated a transformation within Habitat for Humanity, which has since the 1970s relied on community members to help construct homes from their foundations to the roofs. But even with volunteer labor, construction costs have skyrocketed over the years. That has prompted the nonprofit to introduce factory-built homes as an option, finding savings that allow it to develop more affordable homes for first-time buyers and working-class families. 

Habitat’s La Crosse affiliate was early to embrace the factory-built model, which is spreading to affordable housing organizations nationwide. But the organization hasn’t gotten all Wisconsin municipalities and residents on board.

Some local governments use zoning laws to prohibit manufactured home developments like the one in Hillsboro. Others require extra work or alterations before allowing manufactured housing projects. Some green-light developers that restrict factory-built housing from filling empty lots where they build.

Several states require local governments to allow manufactured homes alongside site-built single-family housing. Wisconsin is not among them. 

Critics of the model still associate manufactured housing with cheaply built and short-lived mobile homes built in the 1960s and 1970s — before the government started to regulate construction, Fox said.

But construction must now follow a federal building code, and manufactured homes can appreciate in value at similar rates to traditional homes, a Harvard University study found. 

The cheaper cost of developing factory-built homes does not reflect poorer quality, Fox said. Savings come from finding scale in mass production, with factories buying materials in bulk and cutting down material waste through computer design. Building can unfold faster in factories than on site, where builders face unpredictable weather.

While Fox said building a traditional Habitat home can take professionals and volunteers longer than a year, four homes trucked to Hillsboro this summer were placed in one day.

Fox highlighted farmhouse sinks and stainless steel appliances as she walked through each house — features already assembled as the crane lifted the homes into place.

A seam in the laminate wood floors split the kitchen from the living room, the only interior evidence of how the home arrived. Drywall and floor boards will eventually cover the seams, making the Hillsboro homes look similar to any site-built development, Fox said. 

“It’s not until you see them standing there and get in and walk through and touch things that you’re like, ‘No, this is like any other house,’” Fox said. “It’s beautiful.”

‘The place that I can leave my family’

Russell and Katie Bessel expected to learn the fate of their Habitat for Humanity application on May 28. By 1 p.m. on May 29, Russell started calling friends and family to tell them they must not have been chosen for a new home.

The family was getting used to bad news. A motorcycle crash in 2024 paralyzed Russell from the waist down, around the same time Katie started dealing with a cancer diagnosis.

But just as Russell finished speaking with his mom, Katie walked through the door crying. She showed him an email once she managed to stifle her sobs: They would move to Hillsboro in 2026.

It didn’t feel real until they saw one of the Hillsboro homes this summer, Katie said.

“Beautiful countertops, cabinets, flooring. It’s gorgeous,” Russell said.

And most importantly, the home will be wheelchair-accessible, unlike the family’s current apartment.

Russell sleeps, bathes and eats in the living room because his wheelchair can’t fit through narrow halls and doorways. He can’t maneuver to the dining table, forcing him to watch from his chair or bed as his wife and three children eat dinner.

“I’m tired of that,” he said. “I want to sit down and have a family meal.”

Their new home will have a giant kitchen island where he can eat next to his kids. 

The family will move into one of 10 manufactured homes in Habitat’s Hillsboro development — three of them for traditional Habitat homeowners, including the Bessels, who must work a set number of hours for the nonprofit and earn less than 60% of the local median family income, $95,400 in Vernon County. 

Three other homes are for first-time buyers who earn less than 80% the median income and will receive down payment assistance. Families earning no more than 120% of the local median income will be eligible to purchase four homes, which Habitat listed this spring during the rendering stage for about $350,000.

The tiered system benefits families with different levels of need, Fox said. Proceeds from Habitat’s sale of the four homes will help finance the rest of the development. The nonprofit has attracted interest in the homes since posting photos of their move-in-ready state, Fox said. 

The city of Hillsboro will pay Habitat up to $206,000 if the development is finished by July 2026, according to its contract.

No- or low-interest loans will help keep the Bessels’ mortgage payments affordable. But the family will ultimately pay for the full value of their home, like any other buyer.

“It’ll be the place that I can leave my family,” Russell said. “I don’t have to worry about when I do pass from this earth, that they’re gonna struggle.”

Factory-built models catch on

A crane will do most of the work once the trucks with the Bessel home arrive in Hillsboro. That doesn’t eliminate the need for volunteers and future homeowners to work at the sites, Fox said. They will help landscape the nearly half-acre lots for the traditional Habitat recipients and construct two-car garages attached to each home. 

“The beauty of local businesses putting teams together and retirees showing up and picking up hammers is a piece of Habitat for Humanity that’s been there since the very beginning, and it runs through everything that we do,” Fox said.

Still, less reliance on volunteers helps at a time when fewer people are volunteering for nonprofits nationwide, said Kristie Smith, executive director of St. Croix Valley Habitat for Humanity.

Smith’s affiliate started its final site-built home last year. This year, it’s developing six factory-built homes — all purchased through the La Crosse affiliate.

So far, St. Croix Habitat has developed only modular housing, building homes inside a factory but for a specific plot of land in line with specific state and local building codes.

Modular housing cuts the affiliate’s costs and time spent by 30%, Smith said. Manufactured housing like what’s being developed in Hillsboro would be even more affordable.

Unlike modular housing, manufactured homes are built to a federal building code, allowing for larger-scale building with fewer customizations. The average manufactured home in 2021 cost half the price per square foot than a site-built home, according to the Urban Institute, a nonprofit research firm.

The Hillsboro homes are a relatively new manufactured housing model called CrossMod — built to federal code, but with room for amenities typically associated with a site-built home. The Hillsboro development will feature the first CrossMod homes placed on full basements. They will be more energy-efficient than traditional homes.

Stigma and barriers persist

Thirty minutes away from Hillsboro, however, Reedsburg’s zoning ordinances prohibit mobile and manufactured homes outside of mobile home parks, where homeowners pay a monthly fee to rent a lot. It is among many municipalities to limit such housing. 

“People want affordable housing, but they want it in the next town over,” said Amy Bliss, executive director of the Wisconsin Housing Alliance, a manufactured housing trade association.

Other local governments say they allow manufactured homes in single-family neighborhoods, but reject them in practice, Bliss said.

And the Habitat development isn’t unanimously popular in Hillsboro. Several local homeowners strongly opposed it, arguing that the city does not need more housing or should add it to a different neighborhood, according to previous reporting by Hillsboro Sentry-Enterprise.

A decades-old federal policy bans zoning that discriminates against factory-built housing, industry leaders say. But a lack of government enforcement leaves developers and customers to fight the restrictions in court, a costly, rarely pursued process, Bliss said, adding that projects like the one in Hillsboro should help ease any stigma surrounding nontraditional homes. 

“Some municipalities are coming around because they realize that that’s the only way to get housing that is affordable for their workers,” Bliss added.

A new start 

The Bessels’ 8-year-old daughter isn’t thinking about how her house will be built.

“When we have the yard, we can play tag. We could play whatever game we want,” she said. 

With months left until the move, she’s already planning summer barbecues in a new yard. Her parents will cook while she rides bikes with her siblings and new friends.

Russell hopes this will be the last time his kids must start over after bouncing around Wisconsin in search of housing. They’ll finally lay down roots in the Hillsboro home.

“This is the end of the road for us,” Russell said. “This is finally ours.”

Trisha Young of Wisconsin Watch contributed to this report.

‘Finally ours’: Factory-built homes help families realize ownership dreams. But stigma and barriers persist. is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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As uncertainty surrounds Wisconsin’s SNAP program, also known as FoodShare, some community members are finding ways to support others in their time of need. 

Wisconsin’s FoodShare program serves more than 700,000 Wisconsin residents. FoodShare is funded through the federal Supplemental Nutrition Assistance Program, or SNAP. SNAP benefits across the country are at risk during the government shutdown.

After the Trump administration said it planned to to freeze payments to SNAP on Nov. 1, two federal judges on Friday ruled the administration must draw from contingency funds to keep aid flowing during the shutdown.

But those rulings may be appealed and benefits may be delayed.

Here are some things you can do if you live in Milwaukee and want to support anyone who might become impacted by FoodShare delays. 

What you should know

The Hunger Task Force of Milwaukee is in a position to provide resources to those impacted, according to Reno Wright, advocacy director for the nonprofit. 

“We do know that November payments are going to be delayed, but that eventually they will have access to those November benefits,” he said.

People can go to HungerTaskForce.org and access the “Get Help” page, and from there they will be able to find the nearest meal site or food pantry to them and their families, Wright said.

In the meantime, he said, FoodShare recipients should ensure their contact information is up to date to receive future updates.

You can also follow the Wisconsin Department of Health Services’ FoodShare update page. 

What’s being done

Food drive

The city of Milwaukee, Milwaukee County, Milwaukee Public Schools and other partners launched a citywide food drive to help residents impacted by the federal shutdown and a pause of FoodShare benefits. 

Collaboration to support food pantries

Feeding America of Eastern Wisconsin and Nourish MKE are collaborating with the groups to collect nonperishable food and monetary donations to support Milwaukee food pantries. 

Residents can visit the City of Milwaukee’s Food Drive page or Milwaukee County’s Food Assistance page for information on how to donate. 

Community fridges

Metcalfe Park Community Bridges has been organizing around food needs and access through advocacy and opening community fridges. 

To keep up with or support Metcalfe Park Community Bridges, you can follow the group’s Facebook page. 

Advocacy efforts

The Hunger Task Force’s Voices Against Hunger is encouraging people to urge the U.S. Department of Agriculture, or USDA, into helping. 

“The U.S. Department of Agriculture has the authority and the resources to prevent an interruption in benefits by using SNAP contingency funds, transferring funds from other departments and issuing clear guidance to state agencies. The tools to make sure families do not go hungry during this holiday season are available, and what is needed now is immediate administrative action and political will,” an email blast from the group stated.

Other efforts

Additionally, groups like the Hunger Task Force and Feeding America are gearing up to help those in need with donation campaigns and new trucks for food delivery. 

How you can help

Wright said the Hunger Task Force’s Voices Against Hunger is a statewide platform where information is sent out to let people know about things that are going on at the state and federal level, including federal nutrition programs like FoodShare. 

You can sign up for the group here and support the Voices Against Hunger efforts here. 

Shavonda Sisson, founder of the Love on Black Women Mutual Aid fund, took to social media to share concerns and ways to help. 

“We are all deeply concerned about the millions of families who will be impacted by the possible delays in SNAP benefits,” she said. “In times like these, community becomes crucial.” 

Sisson’s tips on how you can help your neighbors: 

• Reach out to your local food bank to see if it is accepting donations of time, food or money. All are going to be crucial.   
• Share your favorite low-cost meal plans and recipes. 
• Share a simple list of free hot meal sites, pantry hours and community fridges in your city. Keep it updated and easy to reshare.
• Stock and restock community fridges and neighborhood pantry boxes.
• If you own or manage a business, create a pantry shelf or offer shift meals and grocery stipends.

Others advocates said you can:

• Keep up with your neighbors and help where you can. 
• Offer rides to pick up food for those in need. 
• Volunteer at your neighborhood food pantries.

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Jonathan Aguilar is a visual journalist at Milwaukee Neighborhood News Service who is supported through a partnership between CatchLight Local and Report for America. 

How you can help neighbors in need if SNAP benefits are paused is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.