>> good evening. i geoff bennett. >> is really troops. >> why one american town feels left behind. >> is that we don't matter enough.

i don't know what the case might be. >> major funding for the pbs news funding has been provided by. ♪ >+> moving our economy for 160 years. bnsf, the engine that connects us. >> the walton family foundation, working for solutions to protect water during climate change, so

people and nature can thrive together. supported by the john d. and catherine t. macarthur foundation. committed to building more just, verdant, and peaceful world. or information atmac found.org. and with the ongoing support of these institutions. this program was made possible by the corporation for public broadcasting and by contributions to your pbs station from viewers like you. thank you. amna: welcome to the newshour. the united nations security council approved a resolution this evening that calls for "urgent and extended humanitarian pauses" in the fighting between israel and through hamas in gaza.

the u.s., united kingdom, and russia abstained. meanwhile in gaza, the focus is on the largest hospital there. geoff: israeli forces entered the the al-shifa hospital and the compound that surrounds it at dawn this morning, with hundreds of patients and doctors still there, but in dire shape. israel and the us say the hospital is used by hamas as a command center, a charge the staff and hamas both deny. john yang has the story. john: inside gaza city's biggest hospital, clouds of dust and toxic smoke from israeli shelling, as doctors and patients struggled to breathe. the shifa hospital is no longer safe. in the intensive care unit, a doctor narrates the aftermath in this video released by the hamas-run gaza ministry of health. even the youngest are deprived of life support.

rows of critical care patients were moved to the corridor away from life supporting machines. the doctor is pumping oxygen manually, he said. as this little girl struggles to breathe. israeli forces entered the shifa hospital compound at dawn. in what the idf called a precise and targeted operation in one specific area. in a statement, the palestinian mission to the u.n. called it a war crime and said israeli soldiers terrorized civilians, ransacked rooms, destroyed equipment, and beat medical staff whom they interrogated at gun point. israel says shifa is not just a hospital but also a hamas command and control center, somethng hamas and hopsital officials deny. we are inside the mri depart of the hospital. john after searching for more : than 12 hours of search, the idf released this video as evidence, showing a cache of weapons they said they found. >> if you follow me behind the mri machine and behind it, here is ak 47, cartriges, ammo, there are grenades in here and all of this was hidden very conveniently, secretly behind the mri machine.

this is a laptop. we found it in the mri room. john: the idf also claimed their search turned up technological assets belonging to hamas. just hours before the raid, the u.s. said it has intelligence that hamas uses hospitals, including shifa, as military strongholds. but officials also say the u.s. did not license the raid. regardless, israeli prime minister benjamin netanyahu said that no place in gaza is off limits. >> they said that we would not reach the outskirts of gaza city, we've arrived. they told us that we would not enter shifa, we've entered.

and in this spirit we say a simple thing, there is no place in gaza that we will not reach. john palestinian health : officials say 650 patients and thousands of displaced civilians remain trapped inside the hospital grounds, including medical staff who chose to stay behind to care for them. dr shadi issam radi remained with his two children. his wife had been killed three weeks ago in an israeli airstrike. >> i have worked in the intensive care department for seven years. my wife was killed while i was working. i was obliged to bring the children with me and i am still working. thank god for everything. john elsewhere in gaza, no end : to death and destruction and in khan younis, in the south, this was a shelter for a family who had fled from the north. but for some of them, it became a tomb, at least one woman and two cildren reportedly killed. this baby survived. at the only open crossing along the gaza-egypt border, a truck carrying the first load of fuel entered the strip. expert said the roughly 6000 gallons will do little to alleviate the shortage. and israel said it will only supply it to u.n. aid efforts not hospitals , for their now-silent generators. >> aid needs to be reliable, on the day, on the next day, on the

next week. john: in geneva today, the u.n.'s emergency relief coordinator martin griffiths urged israel to allow a continuous flow of aid, and at more checkpoints along the border. >> we have the trucks, we need the fuel and we need the money to fund the delivery and then we can do the job that we are there to do. silence the guns long enough to give the people of gaza a breather from the terrible, terrible things that have been put on these last few weeks. john: aid desperately needed at medical facilities across gaza, like al-aqsa. today, doctors scrambled to treat the injured caught in the

, crossfires of a war where hospitals have become battlegrounds. for the pbs newshour, i'm john yang. >> president biden spoke moments ago about u.s.-china relations, he has been meeting with xi jinping in california. the president said they vowed to improve dialogue. pres. biden: we're going to improve dialogue in both directions. nick schifrin will have more. police were able to rescue hundreds of people who have taken a hospital hostage. it happened in port-au-prince.

in ukraine, officials in keep the fact is obvious these measures would allows to report on great successes. russian officials insist those who cross the weather are taking

heavy casualties. the u.s. weather agency warned today that greenhouse gases in the atmosphere reached a record high in 2022, with no end in sight. new data showed average concentrations of carbon dioxide were 50% above pre-industrial levels, for the first time. methane and nitrous oxide were also higher, raising the odds of more, extreme weather events. >> practically the whole planet has seen an increase of heatwaves, about half of the planet has been facing an increase of flooding events and one third of the planet has seen an increase of drought events, and this negative trend will continue until 2060. >> british leaders said they will keep trying to send asylum-seekers to rwanda. the court said they are at real risk. the false fails, they could

withdraw from human rights treaties. >> i am prepared to change our laws and change those relationships. our people expect us to do whatever it takes to stop the boats. >> still to come on the newshour. congressman mike gallagher discusses the gop debate over government funding in the u.s. relationship with china. the father of an israeli hostage on the war in gaza and efforts to bring his son home. universities are pushed to address mental health concerns with students on college campuses and much more. >> this is the pbs newshour from

washington. today in san francisco, president biden met face-to-face with chinese president xi jinping, for the first time in a year. the two leaders are announcing agreements on military communication and a crackdown on the chinese chemicals used to make the lethal drug fentanyl. but as nick schifrin reports from the summit site, the goal was less about breakthroughs, and more about stabilizing a troubled relationship. >> today in a handshake at a summit, the leaders of the world's largest -- economies in most consequential competition said they want the relationship to be stable.

pres. biden: it is paramount that you and i understand each other clearly, leader to leader, with no misconception or miscommunication. we have to ensure that confrontation does not veer into conflict. >> i'm still of the view that major country competition is not the pervading trend of current times and cannot solve the problems they sing china and the united states or the world at large. nick: they are agreeing on what they call a comprehensive set of communications. the top u.s. indo pacific military commander with his counterpart and working level groups to discuss operational safety. the ideas to ensure communication, even in crisis. the u.s. believes close calls between chinese and american ships, what the u.s. calls 180 unsafe encounters between chinese and american jets, just in the last two years. the actual collisions chinese ships with filipino boats in the south china sea to cause a crisis. the lack of communication has already caused concern. the senior u.s. official said when the chinese spy balloon crossed the u.s. early this

year, we had no way to really communicate with the chinese. >> it's a necessary but not sufficient condition for managing strategic competition. >> he calls better communications important, but warns china use them differently than the u.s.. >> they are skeptical of it, which is one of the reasons why they are so quick to cancel it. they think in particular crisis management part of the military to military channels are just a way for the americans to create the conditions for them to push china even more. nick: there are announcing steps to limit the proliferation of fentanyl, 100 times more potent than morphine and link to one -- 200s of thousands of american deaths. it is made from chemicals in china, converted to cartels -- shipped to cartels that convert them to drugs. beijing has made previous promises on fentanyl. in exchange, the u.s. is reportedly lifting sanctions and

have armed china's ministry of public safety. but divisions remain, most notably over taiwan. taipei confirmed that the u.s. was helping taiwan check -- train to protect the island. it has increased its military intimidation. today president biden is warning china not to interfere with taiwan's january presidential election. beijing labels the front runner a separatist. but senior u.s. officials hope beijing's aggression to taiwan could be inhibited by internal problems, were protesting 2021 revealed deep dissatisfaction with the chinese economy. today more foreign direct investment is flowing out of the country than coming in. international investors are concerned, targeting western firms, and rising labor costs. >> a few years ago, everyone believed that to be competitive

we had to have a presence in china. today i haven't had anyone come to me honestly for three years asking could you help me make an investment into china. nick: u.s. officials believe it has led to a charm offensive ahead of the summit, including recent english language article featuring xi jinping's interest in friendship with america. she is expected to take that message to american ceos tonight. u.s. officials here at the site are eager for more contacts and communication, but say it's not a return to the diplomacy of the past. the overriding context of the relationship today, they say, is competition.

the administration's critics today said this kind of engagement only reinforces, rather than resolves, china's coercive behavior. amna: so what about this announcement you reported on about military to military communications? how significant is that? nick: the u.s. is thinking this is particularly important in times of crisis, but it is unclear if it will affect those chinese jets and ships coming so close to u.s. military assets. the bottom line is analysts believe beijing harasses u.s.

military assets because it doesn't want them operating so close to chinese territory. the u.s. says they are international waters and the fact is communication one change that. amna: what do we know about conversation between the leaders on the ongoing client -- conflicts, specifically in gaza and in ukraine? nick: u.s. officials hope that china can be helpful when it comes to the middle east by talking to his partner are ran and encouraging it not to expand the conflict. on ukraine, u.s. officials believe china is pretty much all in politically when it comes to supporting russia able medically and militarily, reinforcing its military, but stopping just short of sending weapons to russia for its war in ukraine. nothing today is going to change that. amna: you also reported that on taiwan, there are still divisions between the two nations. is there anything being discussed that could bridge that gap? nick: in a word today, no. chinese officials tell me they find u.s. behavior around taiwan not only the navigation patrols that the u.s. has between taiwan and the mainland, but also the president's previous comments about supporting taiwan and boosting military help to

taiwan. that is destabilizing. the u.s. is just going to repeat what it is said in the past, that it believes in the one china policy and the assurances that it is given beijing in the past, and they are hoping that previous language is stabilizing. but frankly, it is unlikely to reassure beijing and we are talking my something her divisions are not going to be papered over at this summit. amna: we know that xi jinping's arrival was met with a number protests in and around san francisco. new we know if the chinese leader saw any of those? nick: it's a good question, i don't know if he saw him personally, but chinese diplomats took pains according to u.s. officials before the arrival to make sure they asked u.s. officials exactly what xi jinping would see looking out of his window going to each of these events. our bus actually had to go around protests outside the summit site, which is completely

locked down. there is in order focus -- inordinate focus on xi jinping, but he has consolidated control. u.s. officials believe he is really making his own judgments. that makes this kind of high-level diplomacy all the more important and all the more reminiscent of early cold war diplomacy between the united states and the soviet union. amna: nick schifrin reporting from san francisco, thank you. good to see you. a™ geoff: as president biden prepared for his meeting with chinese president xi in san francisco, lawmakers in washington were sorting out a plan to prevent a government shutdown. the house passed its temporary funding bill last night, with republicans divided and democrats mostly in favor.

here to discuss both issues is republican congressman mike gallagher of wisconsin. he is the chair of the select committee on china. welcome back to the newshour. i first want to ask about this funding mail. you voted for the short-term government funding bill back in september, but voted against the one yesterday. why? >> it is hard to see how anything changes with another short-term funding bill. here we did waste a month deposing speaker mccarthy, having this internal battle, and yet we are exactly where we were at the start of that process. i am increasingly concerned that we are going to sleepwalk our way into a defense sequester because according to the terms of the fiscal responsibility act, if we don't pass appropriations bills, we will trigger a 1% across-the-board cut next year, and at a time of growing geopolitical crisis in europe and the middle east and the indo pacific, a defense sequester would be about the stupidest thing we could do. so that is my concern. geoff: speaker mike johnson was forced to rely on democratic votes to get this bill through the house, using the same maneuver that kevin mccarthy used for that group of house republicans decided to topple him. will johnson meet the same fate or will republicans give him more room to maneuver? >> i think it will have more

room to maneuver, but it is fitting that the cr in sans groundhog day. the only path forward is we should pass a clean not offset israel bill, therefore we could start a process of one track of negotiations over israel, taiwan, and defense appropriations, and a separate track on ukraine and the border. it will require compromise, and the speaker should commit to a series of robust reforms to the entire budgeting process, which is broken which is why we are in this situation. two you fix that, we will wind up with an endless series of repeating crs. we should pass the ending government shutdown act so we don't do this shutdown politics and constantly live under the threat of a shut down. geoff: republicans are increasingly positioning aid for

israel and ukraine as an either or proposition. why is that? >> we are the world's sole superpower we must do both. what ukraine has revealed is that our entire munitions industrial base is insufficient. we have here an opportunity to make a once-in-a-lifetime, generational investment and build weapon systems, long-range precision fires, that are not only critical for ukraine, for israel, but critical for our most important national security challenge, which is china's threat to taiwan. that is what we have to do. certainly the enemies we have arrayed against us are increasingly working together, china, russia and iran dedicate themselves to undermining american leadership, so for us to segment these problems misses the global. geoff: could that argument holds sway among republicans who are increasingly skeptical of

providing funding to ukraine? >> if we require it as part of the ukraine funding, couple things, the administration to come to us with a plan are classified expression of what the end state is in ukraine, combined with robust inspector general oversight provisions, i think that would go a long way toward alleviating those concerns. the reason i advocate for pairing targeted clinical ukraine funding to border policy changes is that that requires both parties to compromise, and those democrats who may be skeptical of any tougher border policy, in order to support further funding for ukraine, would have to come to the table. that strikes me as a sensible thing to do, particularly as we have divided government. geoff: the white house says president biden wants to leave his meeting with china's xi jinping today with the u.s. relationship with china on

firmer footing. in your view, how should the administration navigate this relationship with a focus on problem solving over provocation? >> i think the important thing to do is not to slow defensive action just to sit down at the table with xi jinping or other high-level ccp officials. time and again, we pay a price just to get to the table. this ccp makes a promise at the table and then reneges on that promise later. put differently, we pay upfront in cash, but for china, the check is always in the mail. this meeting itself has come as a cause. we have not sanctioned a single p.r.c. official for the last two years for human rights officials, forts takeover of hong kong, we have not had a

meaningful investigation into the origins of covid. the spy balloon incident was downplayed. in response, china has actually grown more aggressive. you see right now and unprecedented tempo of pressure being applied from the mainland against taiwan. i hope of nothing else, president biden will communicate strong and clear and in no uncertain terms that this threat to taiwan needs to cease. geoff: how should the u.s. approach countering china's influence, treating china like a geopolitical foe on the one hand, while working with china to solve major challenges like climate change, like the problems posed by artificial intelligence, trying to stem the flow of illicit fentanyl into the u.s.?

>> the most important form of communication, more important than anything biden says in san francisco right now is actually that we surge our power west of the international date line to the indo pacific to make it impossible for xi jinping to conquer taiwan militarily. that is the language of hard power that dictators like xi jinping understand. we also need to make sure we don't mirror image our own western values onto this regime. in the past, people who have made an argument for cooperation with china have cited not only climate change but stability on the korean peninsula as well as public health and pandemic prevention as areas where interests align. but the increased threats from the regime undermines the argument that somehow our interests align our that xi jinping cares about commitments

made at cop 27. i assure you, he does not. geoff: thank you for your time this evening, we appreciate your insights. amna: among the estimated 239 hostages believed to be held by hamas in gaza is 35-year-old israeli-american sagui dekel-chen. he lives in kibbutz nir oz, near the gaza border, which came under brutal attack by hamas terrorists on october 7th. his father, jonathan dekel-chen is here in washington, dc meeting with u.s. officials to help free his son, and joins me now. jonathan, welcome back to the newshour, it is good to see you. among the officials you been meeting with here in washington is the u.s. hostage envoy roger carstens. give us a sense of what kind of update you been able to get either from him or any other officials, u.s. or israeli, about the status of your son in the last few weeks. jonathan: i cannot go into details about what was shared with the families of hostages who are themselves israeli-american. what i can say is that over the course of the last two or three days, we have been meeting with them, there is a spirit of partnership between hostage families and administration

officials, including ambassador carstens. it is clear from our perspective that the u.s. administration from president biden on down is absolutely doing what it can in a very complicated situation to secure the release not just of the u.s. citizens being held hostage, but also the rescue of the 239, including my son. amna: you have shared your son's story with my colleague nick schifrin paving as you mention, he was protecting his wife and children when a moss attacked. he said he physically fought the terrace before himself being kidnapped. what can you tell us today about how his wife and children are doing and how you are doing, more than five weeks later? -- the 160 or so surviving members have been relocated temporarily to a southern city. the layers of trauma here are immense.

as far as dealing with the day today, it is what keeps us going, the belief, the hope and belief that all of the hostages will come home soon and live the lives that they really deserve to live. taking care of children, in my case grandchildren, is coupled with, and surrounding them with love to help to the degree we can -- overcome trauma, and at the same time working with partners in government both in israel and the united states and other friendly governments is really what keeps us going, because all of the hostages deserve this. amna: there is a divide on whether or not to support a cease-fire, whether it could help in some way to negotiate a release of the hostages. where do you stand on that? jonathan: i have stood from the start in a place were two things

can be true at once. the one of course is that all of the hostage families want more than anything else to have their loved ones back home with them and safe and healthy. at the same time, the other truth is that hamas, particular someone who lives on a kibbutz in a border area and one of the communities that was completely devastated by these massacres, i understand the need for the israeli army to eradicate hamas as a governing force. so what i hoped for in this case is that the israeli army, to the degree that it is possible, supporting states, are doing everything they can tactically on the ground to ensure the

safety of all of these hostages, and if a cessation of hostilities, temporary or otherwise, could bring back all the hostages, then absolutely, that would be something that i could see all of the hostage families accepting. amna: you have spoken so eloquently about this idea of holding two ideas in your head at the same time. 1200 people were brutally murdered on october 7, and as you say now, israel is on this campaign to eradicate hamas so that israeli citizens can stay safe in the future as well. at the same time you're watching all these images of the airstrikes and the ground troops and thousands of civilians in gaza have now been killed. i just wonder how you, watching this and knowing your son could be there, how you are processing that. jonathan: it is limitless heartbreak, honestly. i worry about my son and his two little daughters, and a daughter to be born in another month. where they are going to be at a

week from now, a month or six months from now. immense stress and sadness, coupled with immense sadness at the suffering of the citizens of gaza. they don't deserve this. i don't believe there is anyone amongst the hostage families who enjoys watching this. the people of gaza, and i've said this before and i will reiterate it, i believe they are prisoners of hamas, in a comparable way to the israeli hostages right now. the suffering of the people of gaza is a direct result of the policies, actions, and ideologies of hamas. so it would seem, if one makes both an emotional and an intellectual calculation, that the answer is clear. we all will be able the day after to move forward with our loved ones home and the gazans being able to live normal lives, only after hamas is gone. amna: jonatha, thank you so

much for your time, for your grace, and for sharing your families story with us. we appreciate it. ♪ geoff: higher education is facing a student mental health crisis. that's the focus tonight of our series, arethinking college" and our reporting on "early warnings: america's youth mental health crisis." we start with yale university, which earlier this year, settled a lawsuit following the death of a student by suicide in 2021. according to the agreement, the university will now allow students more flexibility to take lighter course loads and to keep their health care while on medical leave. yale agreed to the policy after a group of alumni and students sued the school, arguing the policies discriminated against students with mental health issues. willow sylvester is a yale graduate who was part of the

lawsuit. she explained what things were like before the settlement. >> when i started at yale, had to stop seeing my therapist, and i felt super isolated. fast forward to my senior year, i was a freshman counselor i'm working directly with first-year students, and almost every single one reported the same feelings of feeling isolated on campus. mental health justice at yale was founded in the immediate passing -- of death by suicide of a first your student. she didn't feel like she had the help she needed. she had spoken publicly about feeling this need to move down to a part-time courseload, and

if she could move down to part-time courses she would be able to get on top of her mental health, but that was not an option at yale. another thing that was related is maintaining access to gail's health insurance when you are are on leave our withdrawal. she had gone home and taken a leave from her middle health, she would've lost access to yale health resources and yell mental health resources while she was home. she knew that she needed both of those. students on leave and maintain access to their yale health insurance and they can go down to a part-time courseload. we absolutely should not have to lose alive to get these changes rolling. geoff: last year, north carolina state university saw 14 student deaths including seven by suicide, leading to concern and criticism about the level of student support. in a statement to the newshour, north carolina state said it has

expanded mental health resources and access both on campus and to the broader community. that includes nearly 30 more counselors and clinical positions in recent years, additional wellness days, greater peer support and new telehealth options. ireland white is a student who started a mental health support group called athe self-love cluba and wants to see even more changes. >> i started the club in january of this year because of the recent suicides on campus. i thought one of the easiest ways i could get back to my community was to start a club. >> we're just trying to build a community of people who, you know, want to focus on themselves and, you know, try to do something as a collective and create a safe space for people on campus to talk. >> there's a lot of anxiety with students today of like not being cool enough, not fitting in, not belonging. >> i also think that schoolwork and just the amount of pressure there is for deadlines in college really contributes to this feeling of anxiety. not only are you missing out

socially, you're missing out academically. and then there's also, you know, who is doing t best in the class. and this kind of competitive aspect that you don't even realize takes a toll on how you feel about yourself and your self-esteem. >> it was really strange to just get an email saying, like, all these students had passed away instead of like, having a big community meeting or like a community gathering where we could actually discuss about how we can go about this and how people are feeling. they just kind of introduced them. student mental health task force and kind of called it a day. >> doubling the amount in counselors does not translate to people are getting more help. >> no matter what you're doing on any day of the week.

state has an event that's going on right now that you could just go to later tonight or in the morning. there's always something going on. >> but there's an absence of people really talking about mental health and how it affects them. geoff: let's hear more about what schools need to do dr. jessi gold is an assistant professor of psychiatry at the washington university in st. louis. dr. gold, what is the main thing you hear from students you work with in terms of what they are struggling with? >> i mean, college students have always struggled, it's nothing new. the pandemic has definitely made it worse. but you know, i see anxiety i see depression. college is also a time of exploration. so we see substance use, we see trouble with concentration. and then obviously all of that is compounded by all of the changes that have happened in the pandemic and then all the changes that continue to happen in the world. so it's just been really hard and college students feel things and feel things really strongly. geoff: well, rates of anxiety, depression, suicidal ideation on college campuses have never been higher. what accounts for that?

is this a generational thing? i mean to your point, there's something about attending college that is inherently stressful. that's always been true. what's different about the current moment? >> i wish we could pinpoint one thing and blame that one thing because i know people would love to blame things like social media and say it's just social media. and that someone difference. -- that is the one difference. and i don't think that's true. i think we definitely can say that has to be a factor because we didn't have social media before. and that affects our mental health. and we're looking at news more often more. and the information we're taking in is different and the way that we're thinking about things is different. but then there's also like, the way that we are interacting with each other and socializing is

also different. and there's a lot of loneliness and that's contributing. i think that we talk about mental health more and sometimes that leads to like over pathologizing, meaning that we're calling things depression and anxiety with a big deal and a big a meaning like the diagnosis as opposed to the symptom. so i think it's good that we talk about it more, but it might mean that people associate with the actual diagnosis as opposed to just the symptom. so we're getting in this situation where it's hard to know is the person just struggling with the actual feelings or are they actually struggling with something where they need to come see me? geoff: so what more can universities and colleges do to address the academic pressure, the loneliness that students are feeling? is this a structural thing that colleges have to address? >> there's definitely struggle -- structural points to it. so we talk about how his mental health included in everything that we're working on in college campuses, right. so things like leave policies, if someone's really struggling, how do we make sure that when they leave, they feel comfortable asking for help, that they feel comfortable coming back on campus that they're able to do that? that's really important. there's mental health and everything that we're doing, but mfortable talking to faculty to begin with to know that those faculty feel comfortable even talking to those students because i see faculty too, and

they don't. they haven't had training in mental health. they're not psychiatrist, and they're often the first people that come to students and they're supposed to support them through their mental health experiences as coaches as faculty members, as administrators, and they need the support to be able to do that too. so how do we make it easier for faculty to talk to students for students to feel comfortable talking to faculty for them to notice stuff so they get seen earlier so then they come to me, and they can talk to each other earlier too. geoff: we've heard how students say they want more transparency. school administrators obviously have to abide by health, privacy and confidentiality laws. there might be concerns about reputational damage to the colleges and universities. some administrators have a concern that the more they talk about suicide, that that might in some ways encourage or might lead to more deaths by suicide. how should university and college leaders, how often should they talk about this and how should they talk about it? >> so there's no evidence that the more we talk about things, and the more we asked about things, the worse it is. so as a psychiatrist, we're encouraged to always ask our patients about suicide, it doesn't mean that we're going to make patients then think about it. we don't implant those ideas. in fact, we support people by asking about those things. so it's important for us college to be a safe place to have those conversations. and for students to feel safe from the minute they get on campus to talk about mental health, from prevention to intervention, and the only way

you do that is to change the culture of how we talk about these things and you can't be scared to talk about it. and we can't be just super reactionary, where the only campuses that are doing things are the campuses where something really bad happens. geoff: the campuses that are getting it right, what are they doing? that the schools that help students do their best and feel their best? >> i wish i could tell you there's one good example and that that's the one that emulate across the country. and i don't know that we have like a perfect college yet and i think that's because every college is probably a little bit different. and so i think colleges need to figure out exactly what their population looks like and what their population wants. so instead of just making a cookie cutter mold of what everybody wants and should be doing, we need to do that. i think we need to have available resources, of course, so that if people need care, they can get it.

but that can't be the only thing we're doing right. we can't just say the answer is more therapists because you can always have more therapists and people will always use more therapists but you will run out of that as a resource. so you have to start earlier with peer support with supporting faculty and staff and helping students earlier with helping students feel comfortable talking to each other and noticing signs and symptoms in themselves. that sort of thing is really easy, and it's not that expensive and can make pretty big changes to how we talk to each other and how we make changes on campus. geoff: dr. jesse gold, assistant professor of psychiatry at the washington university in st.

louis, thanks for your time. thanks for having me. >>thanks for having me. geoff: if you or someone you know is in crisis or may be considering suicide, call or text the suicide and crisis hotline at 9-8-8. you can also visit "9-8-8 lifeline.org." amna: steubenville, ohio was once a powerhouse of american manufacturing, a center of economic prosperity driven by steel mills. but like many communities that depended on that industry, steubnville has struggled to find its place in the modern american economy, even as the country as a whole continues to see high growth and employment. judy woodruff visited the small city in ohio to try to understand why many of its residents say they feel forgotten, as part of her ongoing series, america at a crossroad >> this is a story about some people, some american people who live along the ohio river, in a valley nestled amid three states: ohio, pennsylvania, and west virginia. john saunders: when i came out of high school, you could pick wherever you wanted. it was like a cafeteria. where do you want to go to work?

judy: john saunders is a united steelworkers union representative who's been working in the steel industry in steubenville, ohio for over 40 years. he still remembers how it used to be. john: people were hiring and you had an opportunity to go wherever you thought fit. i don't think i'm going to be around to see the heyday again. judy: much has changed since the glory years of the 1950's, 60's and 70's. growing competition from asia began shuttering mills in the 80's, and the passage of the north american free trade agreement, or nafta, in 1994 only accelerated that trend. as jobs went away, the steubenville metro area's population plummeted, from 163,000 in 1980 to just over 114,000 today. saunders says people in this region feel betrayed. john: they're bitter. their families left. they're bitter that they can't get their family. these jobs over the years. we're third, four or five generations of the same families working there. everybody don't live happily ever after. okay. there's been some real pain. judy: a quarter of steubenville residents live at or below the poverty line, compared to 11.5%

nationally. and the median income in steubenville is $39,000, compared with $74,000 across the country. >> you are in what we call our fresh market, where you can shop, choose the items that you would like. judy: pastor ashley steele at the urban mission ministries food bank in steubenville is trying to help fill the gap for those in need. ashley: so prior to the pandemic, we averaged about 10,000 visits to our pantry throughout an entire year. during the height of the pandemic, we were over 33,000 visits. judy: but it sounds like you still have a large number of people to serve. >> yes, we will exceed that number this year. judy: the poverty here has had a dramatic effect on the lives of steubenville residents. all of the downtown area is

defined as a food desert by the u.s. department of agriculture, and on the south side of town, life expectancy is 17 years below the national average. james and lisa bogo have two children, aged two and sixteen. they rely on food assistance from the urban mission to feed their young family. they say inflation has made it difficult to afford necessities. lisa: food pantries. you know, they're helping a lot. it's sad because he works hard. yeah, very hard. i might stay-at-home with them, but at one point i was working too and it still wasn't enough, you know? judy: despite the fact that federal grants provide 10% of the food here, and 30% of the urban mission's shelter budget, people here are frustrated by a feeling that their struggles are being ignored by washington. one resident recently complained, "we're the fly-over country in fly-over country.a do you feel washington hears what's happening in communities

like these? james: no, no, no, no, they n't. lisa: not at all. judy: what makes you think that? lisa: if you look at the world and you look at our country, all you see all these immigrant -- immigrant groups, people coming in from other countries, they get tons of help. but what about the people who live here who are, you know, american citizens, have been here all our lives. you know, we kind of just get shoved to the wayside. it's almost like we don't matter enough. maybe our votes don't matter enough. i don't know what the case might be. judy: those votes have shifted dramatically, along with the city's economic fortunes.

with its steel unions, this used to be a democratic stronghold, and a vital stop on presidential campaigns. in fact, i visited steubenville in 1976 to cover candidate jimmy carter's stop here. barack obama carried it narrowly in 2008. but 8 years later, and again in 2020, donald trump won the county overwhelmingly. and many would like to see him return again next year. james: if donald trump takes it, i think we'll be better off. lisa: when donald trump was president, i think our area was not as bad. i mean, i could be wrong, but, you know, people had gas, people had food. james: they didn't seem to have a lot, but they didn't have to struggle like they are now. judy: i'll have a beer. i'll have a beer. carmen: i'll have a bud light. judy: over at the spot bar, in downtown steubenville, we met carmen destefano, a longtime steelworker whose son, carmen jr, followed him into the industry.

industry. carmen: my son was lucky. he got a job in a steel mill right out of high school. but right now. he lost his job at wheeling steel. fortunately, he got a job at weirton steel. and he's laid off again. whether he's going to go back or not, i can't predict that. judy: who does he blame for what's happened in his career? carmen: the democrats, me and him argue it all the time. he blames the democrats. judy: and what does he say they've done? carmen: they've ruined everything. yeah. and he loves trump. now figure that out. god. my dad is rolling over in his grave. a staunch democrat. me? i'm a staunch democrat. my brothers were staunch democrats. and my son is a republican, i call him. judy: while many white working-class voters have shifted to the right, 2020 exit polls show that among all voters earning less than $50,000 a year, including all racial groups, the majority went for joe biden, not trump. about one in six steubenville residents is black, and city councillor royal mayo says his community has been hit the

hardest. >> i mean, in the black community, i mean, it's always been a struggle, even in the best of times is not as good for us. well, you know, it's sad to say, but, just like everywhere else, our unemployment was already twice the unemployment before the downturn. mayo says all of steubenville has been helped by an infusion of federal dollars. the city won a $500,000 housing and urban development grant, some of which will go towards building an outdoor learning center. >> is going to be a community garden, it's going to be a learning center. judy: and he and others are now working to secure a $50 million dollar federal grant to redevelop the north end of town. but he says many people here don't realize the impact the federal government has. >> now, i'm not i'm not 100% satisfied with the democrats do, but i shouldn't be.

i mean, they're not there to just serve me, because all my fellow democrats don't agree with me on every point. but there needs to be a middle ground that democrats and republicans alike can agree on to get some things done for the people. >> half my day is college credit plus classes. they'll help me graduate with my associates degree. judy: the hope for better days ahead is shared by chandler hoffman, a junior on the high school football team, who plans to attend college. chandler: i want to be a civil engineer or a mechanical

engineer. i think i'll come back to this place after college, it's like a home to me. i really don't want to leave it. judy: with 20 million federal dollars in pandemic aid, his high school is now constructing a new science, technology, engineering and math building. on a damp friday night just before halloween, the steubenville big red had their first playoff game. chandler, an offensive lineman, took the field. the final score? 42-0 steubenville. a welcome victory for a city that feels it's missed out on its share of wins. and would love to turn that around. for the pbs newshour, i'm judy woodruff in steubenville ohio. geoff: join us again here tomorrow night as we have a look at how russian oil is making its way to the u.s., despite western sanctions. and that is the newshour for tonight. i'm geoff bennett. amna: and i'm amna nawaz. on behalf of the entire newshour team, thank you for joining us. >> major funding for the pbs

newshour has been provided by -- the ongoing support of these individuals and institutions, and friends of the newshour. >> consumer cellular, how may i help you? this is pocket dial. with consumer cellular, get nationwide coverage with no contract. that's kind of our thing. have a nice day. >> these are people who are trying to change the world. startups have this energy that energizes me. i'm driving by helping others, every day. people who know, know bdo. >> the ford foundation, working with visionaries on the front lines of social change worldwide. funding for america at a crossroads was provided by -- and with the ongoing support of these individuals and institutions.

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