rural hospitals

Medicaid Is Rural America's Financial Midwife

Mar 13, 2018
Maddie McGarvey / Kaiser Health News

Brianna Foster, 23, lives minutes away from Genesis Hospital, the main source of health care and the only hospital with maternity services in southeastern Ohio’s rural Muskingum County.

Bram Sable-Smith / KBIA/Side Effects Public Media

When the hospital closed in rural Ellington, Missouri, a town of about 1,000, the community lost its only emergency room, too. 

That was 2016. That same year, a local farmer had a heart attack.


Bram Sable-Smith / KBIA/Side Effects Public Media

It’s a familiar story in rural America. Four years ago the Pemiscot County hospital, the lone public hospital in Missouri’s poorest county, nearly closed. What’s keeping it in business today has also become increasingly common in rural healthcare: relationships with a handful of local pharmacies.


Dan Margolies / KCUR

No one at the hospital in Fulton, Missouri (population 12,790) had ever heard of a management consultant named Jorge Perez until he showed up at its potluck in September.


Bram Sable-Smith / KBIA/Side Effects Public Media

When Sarah Scantling went into labor this summer, she had to drive 30 miles and across state lines.

Three years earlier, the only maternity ward where she lives in Pemiscot County, Missouri closed down. Scantling had to choose between a handful of other hospitals in the region between 20 and 70 miles away. She chose to give birth in the hospital in Dyersburg, Tennessee.


Without Price Breaks, Rural Hospitals Struggle To Stock Lifesaving Drugs

Sep 18, 2017
Sarah Jane Tribble / Kaiser Health News

Hospital pharmacist Mandy Langston remembers when Lulabelle Berry arrived at Stone County Medical Center’s emergency department last year.

Berry couldn’t talk. Her face was drooping on one side. Her eyes couldn’t focus.

“She was basically unresponsive,” Langston recalls.

In Appalachia, Two Hospital Giants Seek State-Sanctioned Monopoly

Jul 24, 2017
Phil Galewitz / Kaiser Health News

Looking out a fourth-floor window of his hospital system’s headquarters, Alan Levine can see the Appalachian Mountains that have defined this hardscrabble region for generations.

Rural Hospitals Lose Ground In States That Didn't Expand Medicaid

Sep 9, 2016

It isn’t news that in rural parts of the country, people have a harder time accessing good health care. But new evidence suggests opposition to a key part of the 2010 health overhaul could be adding to the gap.

To Survive, Rural Hospitals Join Forces

Aug 17, 2015
A University of Arizona medical student examines a patient at the Copper Queen Community Hospital in Bisbee, Arizona. Copper Queen has allied with other rural hospitals in southern Arizona to survive.
AP

WILLCOX, Arizona—Ask Sam Lindsey about the importance of Northern Cochise Community Hospital and he’ll give you a wry grin. You might as well be asking the 77-year-old city councilman to choose between playing pickup basketball—as he still does most Fridays—and being planted six feet under the Arizona dust.

Bram Sable-Smith / KBIA/Side Effects Public Media

When cattle farmer Greg Fleshman joined the board of Putnam County Memorial Hospital in rural northern Missouri in 2011, the hospital was on the brink of closing.

“Things we just falling apart financially and the morale of the employees. And it just seemed to get worse and worse,” he recalls. “Those were the darkest days.”


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