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Tuesday, 10 February 2026
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Written by John Hood
According to folklore, extraordinary beings resent being confined within ordinary spaces. In “The Fisherman and the Jinni,” one of the stories Sheherazade tells her misguided husband in One Thousand and One Nights, the being in question is so angry at being imprisoned for centuries in a bottle that he has to be tricked into granting wishes rather than killing his lowly liberator outright. In Disney’s Aladdin, the genie isn’t so vengeful but still describes his confinement as “phenomenal cosmic powers” uncomfortably crammed into an “itty bitty living space.”
The real world isn’t teeming with mystic flasks or misty sorcerers. But to the people who first told fairy tales around campfires, our modern abilities to tame the elements, construct labor-saving devices, cure diseases, and fly through air and space would look an awful lot like sorcery. And, truth be told, our real world is teeming with would-be heroes trying desperately to bottle up disruptive discoveries and technologies.
Take artificial intelligence. Might it displace workers, deform journalism, debase literature, and place destructive new weapons in the hands of diabolical foes? Yes. Caution is warranted. It cannot, however, be un-invented, permanently stunted, or monopolized by a few self-appointed guardians. To believe otherwise is, indeed, to remain in a fantasy world. As a practical matter, we have no choice but to develop and use AI, as prudently and productively as we can, so as to maximize its benefits and minimize its risks.
I feel the same way about a less “gee-whiz” innovation that nevertheless presents promise as well as some peril: telehealth.
Although the digital technologies and practice models behind telehealth services predate the COVID-19 pandemic, it catalyzed a dramatic expansion. Patients needed help. Hospitals were, by necessity, limiting exposure. Physicians, therapists, and other providers were, too. So, barriers to telehealth fell. Only some were reinstated after the crisis.
Over the past five years, this innovation has proven itself to be cost-beneficial. “Telehealth is not a silver bullet,” wrote Josh Archambault and Joshua Reynolds, coauthors of a new report on the subject, “but it remains one of the most efficient and cost-effective ways to expand access to care, particularly in underserved rural communities.”
Published by the Massachusetts-based Pioneer Institute and Texas-based Cicero Institute, the report grades the 50 states according to how much they’ve adjusted their administrative and regulatory policies to facilitate provider and patient use of telehealth.
North Carolina, I’m sad to say, fares poorly in the Pioneer-Cicero study. We earn, and I do mean earn, one of the 10 failing grades Archambault and Reynolds assign. We make it too difficult for North Carolinians to obtain services from medical providers in other states. We don’t explicitly define telehealth in a neutral manner, allowing for a range of time sequences and modes (live vs. prerecorded, audio-only vs. full video, live check-ins vs. remote monitoring of conditions, etc.) based on patient and provider preferences. And we don’t allow nurse practitioners to deliver the full range of services for which they are licensed — whether remotely or in-person — without the costly and largely superfluous oversight of physicians.
Before reading the report, I was generally familiar with the case for telehealth reform and expansion. I’ve written about it before. What I didn’t yet know, however, is that the federal government has created new financial incentives for the practice under its Rural Health Transformation Program. About half of the $50 billion in grants will be awarded according to policy mix, not just baseline need, with access to telehealth represented in the grant formula both directly and indirectly.
The A-plus states of Arizona, Colorado, Delaware and Utah know what North Carolina has yet to accept: telehealth is here to stay. It’s never going back in the bottle. So let’s grant it three wishes: 1) define telehealth properly, 2) permit patients to use it freely, and 3) empower nurse practitioners to deliver it efficiently. The results won’t be miraculous. But telehealth can expand access while moderating costs. That’s good enough.
Editor’s note: John Hood is a John Locke Foundation board member. His books Mountain Folk, Forest Folk, and Water Folk combine epic fantasy with American history (FolkloreCycle.com).
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Tuesday, 03 February 2026
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Written by Bill Bowman
For nearly five decades, the beverage industry in our region has been shaped, strengthened, and elevated by the steady hand and generous spirit of one remarkable man.
This month, it is both an honor and a privilege to celebrate the career and character of someone who has served our community with distinction and earned the admiration of everyone fortunate enough to work alongside him.
Healy Wholesale’s Joe Thigpen is a name that carries weight in Cumberland County—not because he ever sought recognition, but because he lived his career with humility, loyalty, and an unwavering commitment to doing “the right things, for the right reasons.”
It’s a philosophy that resonates deeply with us here at Up & Coming Weekly. From his early days delivering Pepsi Cola in 1977 to his final chapter with Healy Wholesale, Joe has embodied the values that make Fayetteville’s business community strong: honesty, integrity, hard work, and genuine care for people.
On page 14 of this issue, we share Joe’s extraordinary story—a story of perseverance through change, of friendships forged over decades, and of a man who turned competitors into colleagues and customers into lifelong friends.
It is also a story of grace, reflecting how Joe handled both success and setbacks with the same quiet dignity that has defined his entire professional life.
As Joe steps into retirement after 48 years of service, we invite you to join us in honoring his legacy. His impact reaches far beyond the daily duties of beverage sales. It lives in the relationships he built, the trust he earned, and the countless people he encouraged along the way.
On behalf of the entire Up & Coming Weekly team—and a grateful community—we extend our deepest appreciation to Joe Thigpen. May his next chapter be filled with the same joy, friendship, and purpose he has given to all of us. Our city, state, and nation would be a far better place if we had more people like Joe.
Thank you for reading Up & Coming Weekly.
—Bill Bowman, Publisher
Special Note: On Sunday, February 15, from noon to 6 p.m., Gates Four Country Club will host a retirement celebration in Joe’s honor featuring the band RIVERMIST.
The public, friends, and family are invited to this ticketed event. Proceeds support Kidsville News! and its mission to provide reading and educational resources to Cumberland County elementary schools. For ticket information, visit https://bit.ly/46sPvNF, scan the QR code, or call 910‑391‑3859.
(Photo: Joe Thigpen has been a staple of the Fayetteville community for 48 years in the beverage business. This February, he retires after a 48 year career. Photo courtesy of Bill Bowman)