In 2015, Scott County, Indiana (Austin is the county seat) experienced 181 HIV diagnoses in a community of 4,000 — one of the largest HIV outbreaks in US history outside major cities.

The outbreak was driven by IV use of Opana ER (a reformulated oxymorphone) — a drug specifically reformulated to be harder to crush but which users began injecting, dramatically increasing bloodborne pathogen transmission.

Governor Mike Pence initially opposed needle exchanges on moral grounds, then declared a public health emergency and approved a temporary exchange after CDC intervention. This timeline is directly relevant to discussions of how political beliefs affect public health response.

Indiana's maternal mortality rate is among the 10 worst in the US; Black Indiana women die at 2-3x the rate of white Indiana women from pregnancy-related causes.

Specific causes: rural hospital closure of obstetric units, limited access to prenatal care, implicit bias in obstetric care for Black women, and socioeconomic factors.

Practice the "implicit bias in obstetric care" discussion specifically — well-documented cases of Black women's pain being underestimated and dismissed, leading to preventable deaths.

Indiana's Medicaid expansion (HIP 2.0) requires enrollees with incomes above the poverty line to make monthly contributions to a personal wellness account. Failure to pay can result in disenrollment.

This is an unusual form of Medicaid with conditionality built in — practice arguing both the rationale (incentivize health engagement) and the critique (punishes poverty, creates administrative burden that disproportionately disenrolls vulnerable people).

Know that Indiana was one of the first states to get CMS approval for this kind of conditionality, and that the evidence on whether it improves outcomes is mixed.

"Since 2011 I've sat on MMI panels across Canada, the USA, and the UK — scoring thousands of candidates across medicine, dentistry, PA, and nursing. Universal MMI is built on everything I've learned sitting on the other side of that table."

Traditional MMI with 9 stations. Topics include harm reduction ethics, rural physician workforce, maternal health equity, faith-based healthcare ethics, Medicaid conditionality, and personal purpose.

Approximately 355 students per year across 9 Indiana campuses — the largest MD program in the US. Students spend their first year at one of 8 regional campuses before transitioning to clinical rotations.

Median GPA around 3.73, median MCAT around 511. IU gives very strong preference to Indiana residents.

In 2015, Scott County, Indiana experienced 181 HIV diagnoses in a community of 4,000 — driven by IV drug use of reformulated oxymorphone. Governor Pence initially resisted needle exchanges before CDC intervention led to a public health emergency declaration.

Indiana's Medicaid expansion program, which requires enrollees above the poverty line to make monthly contributions to personal wellness accounts. It was the first CMS-approved Medicaid program with personal responsibility contributions.

Indianapolis (main campus), Bloomington, Evansville, Fort Wayne, Gary/Northwest Indiana, Muncie, South Bend, Terre Haute, and the new Bloomington campus. Each has regional clinical affiliates.

Multiple factors: rural hospital obstetric unit closures creating maternity care deserts, racial disparities in obstetric care quality and implicit bias, high rates of poverty and uninsurance (before HIP 2.0), and limited access to prenatal care in rural areas.

Yes — IU's Rural Health Innovation Collaborative and the distributed campus model ensure students can train in rural Indiana communities. Many regional campuses are specifically in rural or small-city settings.