Rural medical care in crisis
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- čas přidán 9. 03. 2019
- Since 2010, 99 rural hospitals in the United States have closed, leaving residents in isolated communities without access to proper medical or emergency room care. The effects can be deadly, as Lee Cowan discovered meeting with residents in Nevada and Oklahoma who have witnessed their towns' only hospital close. He also visited a hospital in Kansas that took an unusual approach to profitability, and a charity whose international outreach to provide medical care in remote locations has taken a domestic turn.
I used to work at a rural hospital. Our CEO was telling us constantly we were in the red. Didn't stop him from spending 600k redoing the executive offices and having catered meals (not from the hospital cafeteria) for the physicians meetings.
I worked in medical as well and I really know you're telling the truth about administration.
Luna Azule You both are liars as my wife runs two fellowships and a residency program and is the executive assistant to the Chairmen of surgery and it’s for a level 4 university hospital and she says no way they would spend even $100 k on the executive offices
@@BigRed2 Wow I'm glad you worked where I did Big Red. You have no idea how things work where there isn't a bunch of oversight like at a level 4 university hospital. Pretty sure that is a UK thing and has no bearing what so ever on rural US hospitals.
did you speak up?
😂Ahhhhhhh absolute power corrupts absolutely.. People like that are soulless.
NPR once reported on how a one-industry town losing its largest employer can lead to a hospital closing. Then not having a hospital can make it impossible to attract industry because insurance rates would be too high. Plus executives and engineers do not want to move to a town without a hospital.
It's a downward spiral. The truth of the matter seems to be that in order to have a stable economy, your community needs certain levels of infrastructure that in the past you could get away with. A hospital within 50 miles is no longer a 'perk' for most businesses looking to setup shop. That's not the only consideration that is severely lacking in vast swaths of the country by a long shot (local colleges, decent public schools, high speed internet, decent EMS, highly educated talent pool, etc.) But it is the topic at hand in this video.
Unfortunately with more and more infrastructure considered 'essential' to a lot of businesses, this leads them to concentrate in certain areas of the country that already provide that... and unfortunately that infrastructure usually relies on public investment... which we've been getting away from as a country for 30-40 years.
Make no mistake, this is all being orchestrated by design and it’s part of the UN Agenda 21/2030. We are witnessing the controlled demolition of America. Look at the Agenda 21 map and the Wildlands Project. This has been in the works for a long time.
That’s why I live in Massachusetts, people call us lib state ( even though 3 dem govs in 40+ years), best hospitals , edu, and 4 seasons. Happy to pay my taxes
IM IN CT AND HEARD MASS HAS GREAT HOSPITALS
The mouth-breathers don't realize that taxes pay for good schools and healthcare.
@Thomas Headley The SALT cap was a sop to red states at the expense of blue ones.
Worcester: UMass Memorial. Boston: Beth Israel, Mass General, Brigham and Women's, Dana Farber, Boston Children's. You are minutes away from the best and most advanced medical care in the world.
Hartford, CT has a top 100 hospital in the nation according to CMS.
We call our local hospital "the band-aid station" these places are a joke. They are run largely by corrupt local officials who tend to "lose" vast amounts of capital.Let's not even discuss the "pill mills" that run out of some of these places. There was a hospital in Muhlenburg County, KY that had a doctor dealing cocaine out of its ER ( on top of other things). As far as I know he is still employed there. I understand the medical care is needed, but the entire system needs a redo.
TheWickedTruthx I read this as you are in Kentucky. If so please vote against Mitch McConnell. Regardless of who opposes him. McConnell must go! He is the leader of destroying all healthcare and Social Security. Everyone in Kentucky must see the greedy evil in every breath McConnell takes, every word he speaks. Watch CSPAN if you don't believe me. Medicare for all is the only answer for the future of healthcare. Our country is being wrung out like an old dishrag by the current administration, lead by Mitch McConnell.
@@moplum Excactly
If you can prove this allegation, file a police report. I think you are spreading false rumors.
moplum turtle man only has to say two words to get re-elected: Jesus and Freedom
Before you phase in Medicare for all you need to give free tuition to doctors who finished medical school and serve in remote areas of America
I have always felt the same way.
Many states offer student loan forgiveness for medical professionals working in underserved areas. This sort of thing should be expanded.
@@misterjag Yep. There's usually a stipulation that they'll pay for medical school if you agree to practice in a rural area for at least 5 years.
Why? They want to be out away from literally everything civilization has to offer while crying about the cost of gas. You can either get with society or you can suck it up.
If you have a serious medical condition, you can’t (shouldn’t) live over 100 miles from a hospital. Too risky.
For real. Why live so far away from a bigger city when your health is so poor?
@@JadedJassy21 Hana J - Your career might be tied to the town, or people may not be able to afford to move. If you're in poor health in America, your medical bills will already be stacking up, making it less affordable to move as you are less likely to be able to pay a mortgage or take out and pay for a loan. See 13:18
Hana J I agree
Hana J I'm badly asthmatic and UK and stayed twenty miles out ambulance said u can't stay this far out too risky moved bk to city any better nope left to rot
Exactly!!!! My thoughts exactly!! I was in tears when the mom said her daughter had suffered seizures on their ride to the hospital and that it is irreversible. So scary. I cannot imagine being in her situation. My heart aches for her and for the woman who lost her husband when the helicopter couldnt get him to the hospital in time.
Well done piece.
toothaches are the worst when you cant get help.
YES!
But isnt that dental? Guess theres no dentists in rural areas, either.
msmegs93 There are. People can’t afford them. It’s 1,000+ to save one tooth. Most have to get their teeth yanked and that is still around 200 per tooth. Most can’t pay for the preventative care. Pretty, white, bleached teeth are for the rich master class.
I'll help ya, come to my garage. I got just the tool for ya.
@@TSemasFl
Is it rusty? I like antique tools. thanks for looking out buddy.
For those of us living in Europe this is hard to comprehend.... please explain to me why can't the state buy the hospital (it going to close anyway) and run the hospital using tax dollars
Peter Townsend The phrase ‘using tax dollars’ is key. I agree, hospitals should not be run as a business because it then becomes about money and what profit can be made.
BECAUSE THE MAJORITY OF AMERICANS ARE UNEDUCATED, IGNORANT AND LOVE MAKING SURE PEOPLE OF COLOR DOES NOT GET WHAT THEY FEEL SHOULD HAVE!
We would rather pay nineteen percent of our GNP to medical costs, than orginize our medical system. We want poor people to get little or no care, while the upper classes pay large premiums for care the insurance that doesn't cover much. And if you have a pre-existing condition, well got to change that law. It would make too much sense to pool our money and make sure everyone got coverage. To have national health insurance for the US would make sense, and help too many people.
Thanks for Highlighting my comment.
@@r.stevens6205 Yup, this logic lost the Dems the last general election. It's as if randall here just turned CNN off and immediately parroted their sentiment here in a youtube comment.
Disgusting and unconscionable. Everyone deserves readily available access to a hospital. Our fellow Americans are dying because of this basic need and people still debate universal healthcare.... unbelievable
Phillip Y. This is happening here in Kansas also. Even if we get facilities we have to do something about the physician shortages. We really need to look at the complexity of the problem from all angles. Medicare for all sounds good but there is a lot of work to get there. We are still fighting about the need for it.
Guys it's simple..but it's how you guys have been raised its what you know...here in the UK the government employs all the GP and the nurses..the hospitals are grouped into regional trusts, the government gives each trust a pot of money and they run the hospitals....another pot of money pays the pharmacies for medicine...its not perfect but everyone is covered.....all this is funded from taxation....your paying health insurance to a private company who select what cover they offer......unbelievable....
Phillip Y yeah but Hillary Clinton trying to improve our Health Care System in 1988 was shot down for 35+ years as evil. Then OMG she made some less than great decisions on her e-mail & OMG the mainstream media & the GOP CULT made every little item as despicable as the illegitimate president & his GOP CULT has done.!(Mitch McConnell refuses to even have a vote on a Supreme Court person)
Could the GOP CULT be any more anti-American. Sure just look at trump’s budget & what Paul Ryan tried to do for 20 years.
It’s easy our so called Christian needs to care about each other from the poor, homeless in big cities to West Virginia to this small town in Nevada.
Any hope, no when Americans allowed Russians & at least 70 years of hate any government help for under served areas, poor people or the disadvantaged by the republicans voters it’s too late. Hillary Clinton defeat tells communities,!tribes like this one is try to contain or stop the damage. Generally the small towns voted GOP CULT for 70+ years not concern about others so they are the ones that have to acknowledge the problem and solutions. It’s not a socialist view point. It’s what some one else said. Treat others like you would like to be treated
Heidi Thaw: sorry but the HATE that your state has shown for people, Hillary Clinton for example, not a socialist, just some one that wants to treat others like she would like to be treated makes me not care any more about States that have been in trouble for decades. The example are everywhere, Mississippi, Louisiana, crooked lets fix & rig the voting systems Ohio, Iowa, & Georgia or Florida the state that has voting regulations somewhat like Russia. Never too late but for many of us we will never see the honorable USA that existed with President Obama again.
It's impossible to have hospitals in every small town. What about people who live in the middle of Alaska? Do you build and support a hospital for twelve people? Twenty? I lived for 24 years in a town of 800. Is that large enough to support a hospital?
And yet Congress has ''free'' healthcare.
That we get to pay for... like that Orange Idiot's 'wall!'
Greg Nulik Of course they do.
Members of Congress have good healthcare but it is NOT entirely free and most of it is not exclusive to them. They can choose from over 300 plans offered to other Federal employees.
Well get off CZcams and run for Congress.
@@TSemasFl 2 people i've met Have asked me to run for congress, 1 might've been joking, but I got a bad feeling about it.
My hometown lost its maternity ward. Utterly disgusting. Women dying from childbirth should not become a common thing again. Also all things does is encourage folks like myself to never return home. Why should I live somewhere where having a child is a major crapshoot. And so my hometown continues to die out with our parents. What a smart move.
Not nearly as disgusting as the proposition that everyone else should have to pay for people to voluntarily live in a location that's economically unfeasible for a hospital.
in the UK they tell you to birth at home if it's not your first child and it's not medically necessary for you to be at a hospital. Labor and delivery is an expensive ward to operate.
@@Meton2526 not everyone voluntarily lives in rural places. Some are born there and born into crushing poverty with lackluster schools and no way to get out, others are farmers (as you can't feed a nation in under an acre of land), and then there are those who have jobs in rural counties (like cops and teachers) simply because the people I just described need those positions filled. And btw, my hometown has 2 colleges (one new York state University, other private) and the neighboring "city" (the population recently dropped under the threshold for NY State to be considered a city) has a few manufacturers located there. These aren't cow towns with only one red light. The hospital there was simply mismanaged and the population was soooo poor and incapable of paying their bills that the Catholic Church dumped the hospital on the state and they cut services left and right until all it is now is a 10 bed waystation with an er and a helicopter pad that sends serious cases to hospitals 1-2 hours away. And it's 45 minutes to the nearest maternity ward. All because healthcare is a joke in the us. I get that 1 horse towns shouldn't expect heart surgeons, but maternity wards, NICU, dialysis, and physical therapy should be available within a 30 minute drive.
@@story3877 And none of that is relevant to the point that it's a disgusting proposition that everyone else should have to pay for someone to get to live where they want. If a town is not feasible, it should go away, not be propped up by throwing good money after bad.
@@Meton2526 @13:25 they answer that
Many of these people will spout about "Socialism" but fail to understand that For-Profit means that only corporations needs matter. Suck it up or move.
Colin Yapp
That was my same thought. I wonder how many of them voted for someone that promised to attack Obamacare and rejected Medicaid expansion which is far from perfect but at least offered Medicaid and insurance that wasn’t available before to the uninsured. I personally think that all insurance and hospitals should be nonprofit that way profits aren’t put above the health of people.
Colin Yapp : thank you: : :.... I think some hippies back in the 1960’s talked about corporate take over of America. Kind of like protesters of the if the Vietnam War even as helicopters were trying to save the last Americans left & the Vietnamese that would be killed for helping Americans.
Then there was a Woman, worse yet just a meaningless First Lady trying to fix, improve, Americans health care system. That same wonderful smart intelligent caring person ran for president in 2016 & she almost won... Running against a person that doesn’t pay taxes, pays prom stars to bang while his 3rd wife is taking care of their newborn, promises great heath care, HATES OBAMA so tries to get rid of all the good one of our top 8 presidents America has had an absolutely despicable, filthy, dirty liar scumbag & 1/3 of America thinks he’s great & OMG allows this near traitor to be president with help from Russia, HILLARY CLINTON IS EVIL.
Talk about a stupid, lowlife, superstitious the world is laughing at this country.
Oh yeah, the country is U.S.A. Amazing with the progressives Bernie Sanders we just did on 11/6/2016 a 9/11 on ourselves.
Socialism and communism is not the answer America wake up
Colin Yapp Doesn’t anyone remember Joseph McCarthy & the fact he was so afraid & had so little faith in the American form of government that communism would take over the world we still have those that have no faith in our government. The only fear we should have is trump believing Putin over OUR American intelligence & military leadership & taking advice from Putin. Then after taking their advice refusing to let the American public know or listen. I know of no left wing progressives that is this despicable
+Colin. You wanna know something? Norwegian Socialized Healthcare is run on Capitalistic principles. Yes, its "surplus" based. As in services, despite being pay for by the government and Citizens only paying a symbolic fee (Has to do with incentivize people to only seek a doctor when they need one), anyway. The economical structure of the hospital is based on profit in vs cost out. Thereby you get the best of both words. Effective hospitals and the benefits of size. Lastly, there are even some private clinics, but they are more towards things that there are long lines on. The logic being that as long as private doesnt get too much, and thereby steal all the good doctors over time and unbalance the system. They can take care of the outer edges of needs. Meaning while all Citizens pay for the governmental option. Someone, like a employer wanted to have their worker back as soon as possible, can pay to have that worker use a private clinic instead and thereby skip the line. Costs the government ZERO, gets a Citizen back to "tax paying" and productivity for their employer sooner AND shortens the line for the rest of Citizen in it that do not have that luxury. THAT is how proper healthcare system is run!
Did I mention that only the government buys medicines for the nation? Yeah, representing 5 million users tend to grant you rebates. The medicine are in turn bought engross from private owned pharmacies and sold to Citizen ether via blue receipt (Has a max free, the rest is covered by gov) or white receipt which is full price because its not medicine the user medically needs and therefor has to cover their own cost.
You think if US did this federally. 1 client, representing over 350 million users! If you dont get a discount on that, you wont get it on anything!
Medicare for all
How are their husbands getting these high paying jobs but their are no urgent cares or hospitals 😲🙄. Very sad.
Poor mom stopping every few minutes to see if her child was breathing! Where was dad? Surely rural Tonapah could spare a sherrif his shift if he had to rush his wife and child to a hospital a hundred miles away.
Because employment opportunities, high paying or not, aren't all within ten miles of a hospital or clinic?
This is so sad! Hospitals are needed desperately.
I agree. Unfortunately, there aren't many doctors that want to practice in rural areas.
john schultz except for immigrant doctors
Move in to society then. You people cry about "hard work" but expect to be catered to.
Some of these billionaires thinking of running for President should be putting their money to use in helping these communities.
yah where are the liberal Billionaires ? Oh that’s right liberals are hypocrites
@@BigRed2 How about Billionaires on both sides helping? Instead of putting all this money on campaigns that are truly useless since all of them on both sides tell lies. This is an everyone issue not one side or the other. People need real help not false promises.
@@BigRed2 you mean Big idiot
Zanne Both sides? lol why don’t you fools lead by example? Why is it that conservatives donate more money and time to charity work?
staytunedfor Why do liberals want to force me to pay for their coverage? Why don’t liberals get together and create their own Health Ins company where they don’t care about profits? Oh i know why it’s because liberals want conservatives to pay for everything
I live in Iowa and no did not vote for Trump. Our ambulance services have been shut down around us. I am also on Medicaid and have told even though the computer system says I am that all of last year they denied all of my medical bills and my specialist. Not only medical but mental needs are being taken away from our communities as well.
I live in a blue county of a red and sometimes blue state (FL). My city is expensive. But I would never move to the middle of the country where there are no opportunities, public transportation, museums, and hospitals. You get what you voted for.
@Narciso Duran There are many places in the US that are both cheap and are not rural and lack basic facilities.
I work in a museum in a rural area. There are smaller museums everywhere that you may not be as aware of but that are connecting digitally to other museums and sharing their collections. I write grants for my museum and there are plenty of grants for cultural institutions in rural areas that we are utilizing to expand our collection and art education program. My museum offers a great collection and educational lectures, despite being in a rural location.
mascara1888 This has what to do with healthcare?
I mean there are just no museums, public transportation or hospitals in rural areas. You really need some level of self-awareness to grasp the level of ignorance coming out of your mouth.
These people specifically described that there were jobs out there. And when you move and there's originally a hospital, but now there's not? They made an educated choice, but things outside their control let them down. People can't just pick up and move out of there either. We can't all live in big cities, and not everyone wants to. Smaller towns in Nevada are still perfectly fine places to live, unless you need a hospital. You don't need public transportation, or museums (although there are plenty out there).
Don't bash on people for a choice that you personally wouldn't make. It's not their fault hospitals are leaving, similar to how it's not the individual's fault that healthcare is so shoddy.
Having a hospital where you live is a real consideration, before moving there.
The hospital shut down after she took a job, moved there, and got pregnant.
S CT one hundred percent its a must if u have health conditions
Wow that’s shocking I’m from the uk and that first story that’s the equivalent of us having no hospitals between London and Wales THATS ABSOLUTELY SHOCKING how does America function?!
We buy more missiles and pray to sky daddy.
It does for the wealthy and the strong. Tr-la...
To put this into perspective... Tonopah is in Nye County, NV. Nye County has a population of ~44,000 people, but is 47,030 square kilometers of land. England has a population of 55.6 million. And has 50,301 square kilometers of land.
This is what you get when health care is for profit. I don't see this getting better.
Most hospitals are non-profits, it’s very clear that they couldn’t even break even, so much for your anti capitalist rant
Every time I hear idiots say "they are for profit", do not understand how that that is actually a GOOD THING, in order to pay the bills and to have money available to pay for repairs, expansion, jobs, buying equipment! Socialized medicine means that you never have enough money for better machines, medicines, or Doctors! YOU GET RATIONED HEALTHCARE! You get LESS TRAINED DOCTORS AND NURSES! The smarter ones will not come into the medical fields, so you lose access to the smartest and brightest students!
I don't see anyone bashing Canada's system now.
Dann Marceau oh I just had a bashing about how great Canada's system is I'm UK and was told to no move to USA by this guy yea if I could sadly I'm too unwel
Yes you do. An emotional appeal piece in no way discredits the legitimate complaints about Canada's system.
People will always die with or without good acessable healthcare thats a fact .
Rand Paul sure isn't, got his hernia surgery in Canada.
@@RobertLoves Rand Paul is still against socialized medicine; he went to a PRIVATE hospital in Canada to get his surgery.
What's sad is that because of the socialized healthcare in Canada, a free market healthcare system exists underneath it for foreigners. Because Rand Paul was not a Canadian citizen, and does not have Canadian health insurance, he was able to go and negotiate a cash price for his services that were better value than the US, because Canada doesn't have the regulatory bureaucracy for private healthcare that the US does (why regulate what's normally government run?)
I though we are for small government and rural America didn't government welfare. ops! except farm welfare.
This is absolutely heartbreaking! This is the United States of America! How can we allow this to go on?
I agree. Let's deregulate the healthcare industry, remove asinine government programs that only inflate the costs, and let the free market create an optimal pricing that serves both provider and customer.
This is sad, but what makes it really tragic is that these people voted for this outcome.
Can you clarify on how they voted on this? I'm slightly confused. Thanks
This is you're so right? You couldn't pay me to live in one of digital railway estates and they vote for these. People what do they do for nothing nothing at all and that's blue States? We have to give these poor people money for what and the government has taken that or spent it on the people don't think people know god don't like me😢
I live in seattle washington I have some of the world president Of the United States could come to my. Come to my doctors I think I am everyday😊😊
yep you have a point
You know it's time to leave when a hospital checks out.
I would leave stat if my town had no er room
Flaca Diabla what happens if ur alone sick and too poorly
@@lucyintheskyee8295 you help thin the heard
Yep. I would hightail the heck out of there immediately and move somewhere that has a hospital within 10 minutes of my place.
Mhm. Pick up your livelyhood. Get a new job. A new house. And because you're probably not too financially well off to begin with, you probably don't have any savings to rely on.
If they could pick up and move, they would. I can guarantee it. But it's much easier said than done, especially with a family.
Excellent report.
Keep in mine a lot of these people are racist
7:38 LoLz, baking cookies is not a productive healthcare strategy.
My God , this is happening in America? why don't the Drug companies, that charge outrageous prices for one pill, take a portion of that income and give it back to communities that so desperately need it ? they would make it all back with "new" customers... even Target does that.
Part of the problem is the expense of Medical degrees has skyrocket as has the cost of liability insurance. Medicaid and Medicare pay for a fraction of the cost of treatment so the cost of insurance goes up. Battle Creek Michigan is an excellent example. In 1980 there were 4 hospitals in the Battle Creek area now there is one.
Those two stories in the beginning of this report are so sad and scary. I can't imagine being in their position. So frightening. I live within 10 minutes of 3 hospitals Thank God. I could never move somewhere that I was not close to a medical center. Couldn't do it. You should always be near medical care in case of emergencies God Forbid.
My heart aches for these people.
I heard one doctor saying Medicare reimbursement rates are too low to sustain the hospital. That makes me wonder if Medicare alone will save these hospitals from closure.
Nonetheless, you need basic funding for health care , and that should come out of a public funded system. That should address the basic needs of the population, regardless where they live or demographic and sócio economic standing.
Now , for elective procedures , you either should pay out of pocket, or have private gap coverage ( as pitched by that insurance company in Albany, GA ). . The model coverage used in European Countries, Canada , I am not sure it would work in the US, therefore you can’t grant universal health care to cover everyone and offer every service there is. We are looking at a larger population set here They simply do not scale up. Even Canada itself is having problemas in sustaining the quality of Health Care they once had. There are a lot of long wait periods and you can actually be better taken care of once under the table money enters the picture.
In a more socialized health care delivery, there are not profitable or losing hospitals. One’s gain covers the other’s loss. So there has to be a certain basic service or funding to provide standardized quality of delivery anywhere in the Country.
Now , for the rural hospital , there ought to be used the same model applied by Rural Telcos ( your local phone , cable , and broadband operator ).
In that specific model , RUS Telco receive earmarked funds to pay for their capital allocations through a budgeted year. That money comes straight from your phone bill at s major metropolitan area. It usually represents 1% of your local phone bill.
So , using the above outlined model, operational expenses ought to be funded by Medicare , while Capital Expenses ( CAPEX ) should be funded by users in Metropolitan Areas. The more affluent pitch in so the less fortunate have the necessary standard level of health care delivery.
In Massachusetts , they do a similar model where hospitals earmark a residual portion of their revenues, pool that money, and provide coverage for uninsured and underprivileged. Now you can apply this funding model , whether to provide for the uninsured or the ones living remotely.
Oh god, we need less government mucking up our healthcare, not more. You want to setup a fund to pay for people's healthcare, go ahead, VOLUNTARILY. Stealing it from people is WRONG.
Regular clinics have a "quota" of allowing 10% of their patients to be on Medicare/Medicaid because they lose so much money. Hospitals will do the absolute minimum to get you patched up and out the door, so I've noticed from once having extremely good insurance to Medicaid temporarily.
I am an international medical graduate from Europe, married with an American. I have ECFMG certification which means that I passed all my US medical licensing examinations and all 3 at first attempt. I love to work in underserved areas and with underprivileged populations. That is the reason I became a Physician. I had my parents as role models. I was not matched at Residency 2019! Each year, there is hundreds like me. Any program director wants to give us a residency position. Residents are payed only 50k a year. I am even ready to work for free.
Sara fancy becoming my Dr I'm sick lots of physical conditions but my own drs don't even bother left to rot I'm UK BTW not American. its horrific here
You can't tell me qualified law enforcement personnel are in such low demand that they can't find a job closer to a medical facility. If my child had a life threatening condition that required periodic urgent medical attention, I'd not be in a town without such care four months later, let alone four years.
Well said I found my self screaming at my computer they need to get their daughter out of there now it's not worth the chance of something happening to her seems like they are playing with fire.
Sometimes one got to move on in and with life.. God bless all through this process!
I dont get it, why medical care in rural areas left alone to survive solely from profit, no government help/funding?
Because it's immoral to steal from people to pay for someone's desire to live in the middle of nowhere.
I think I know who they voted for in 2016....
Yeah, I just wrote something similar. They reap what they sow.
😒 Probably.
susiq1121 ....Get what you vote for.
This is a foolish reply. Rural folks may be conservative, but hospitals closed during the Obama years at the same rate. The problems of rural hospitals are not political, they are regulatory in nature. The federal government is driving rural hospitals out of business as their rules do not have enough flexibility for rural sites. The last 20 years has been an urbanization of healthcare into centralized care in cities. But this has caused not only rural failures, but also the fact today that our Nation has NO ABILITY to flex our capacity to deal with a wide spread national emergency. Even urban america is at risk. There are almost no urban beds available as they are so full in the cities. What will this mean when the next swine flu, ebola, or other airborne infection hits this country? We all need to support Rural Hospitals and not have CMS stick its head in the sand.
@@WarrenKSpellman The red states voted AGAINST the ACA aka Obamacare which provides more funding FOR rural hospitals. Out of state residents should NOT get to use Cali hospitals. You get what you pay for in red states.
Wow that's really sad. God bless you all.
Heartbreaking......
It's all about the Greed! The problem starts when we teach our kids to want to grow up to be millionaire doctors. With tuition free education, medical professionals wouldn't need millionaire-maker salaries and fees to pay off their million dollars in education debt and so they could be paid reasonable salaries in the universal healthcare system.
For little Elaina ...my ex-husband has seizurous elepticous and has been on the ventalator because of this. They prescribed a medication to be administer via suppository called diastat. To quell the never ending seizures Not sure if that is available for a small child, but maybe and it could be helpful.
There are plenty of hospitals and health care companies that make millions if not billions of dollars in profit. I think they should be subsidising smaller hospitals. Nobody should be making money off the sick and dying. All hospitals should be not for profit, or if they do make a profit why cant they help the smaller hospitals. Just like in sports where they share certain revenues with the smaller market teams. Instead this country has allowed major companies to take over the health care system when all they are trying to do is make has much money as possible. disgusting!
These people that give half of their retirement to the hospital. ❤️
Their is no excuse for that .. the state should step in but a satellite emergency room such as an urgent care center the state has a responsibility to make sure it’s residents have a basics emergency room level 3 at less to provide BLS support for the community.
in the mid 1990's....me and my parents lived in a very small city in the middle of Death Valley CA because the city was a truck driver city..there were only 2 hotels, 3 apartment complex, 1 school, 1 post office, 2 diners, 1 supermarket,.......when my mother gave birth to my little sister, my parents had to drive all the way to Lancaster for the nearest hospital
it would make sense for the Fed to open Regional Medical Centers in Rural America , they do not have to be large maybe a dozen plus beds, but this could be an answer to all but the most remote locations.
You have local, state and national politicians you vote for who are either keenly aware of these issues and choose not to take up the issue at all or pass legislation to adequately fund healthcare for all, but trip over themselves to pass trivial or non important and self serving legislation. And you vote for them time and time again. The only purpose you serve is to get them elected. And I'll bet that if they could find a way to exclude you from the process altogether, they would. Once and for all, Vote for politicians and demand they fund healthcare for all.
Healthcare is not an issue for the government. Get them out and allow the free market to optimize the cost instead of the ridiculous regulatory capture we have now that keeps prices so high.
Why live in a place where you know there is such a struggle !!! (You live in a place where you call it- NoWheresVille) ???
Time to move where you can function & live with dignity !!!!
Don't get upset with my opinion. ..it an opinion!! Like every one else. ...
It is expensive to move. And when you do not have a job waiting for you after the move, it is just as risky. Some people actually do not have the ability to obtain that amount of money.
When you live in no where, there isnt alot of money to go around. The more that leave the more they take with them. Its a no good situation really....
This is why I want to live in an urban area rather than live in a rural area.
It’s unconscionable that there are hospitals that are for profit. We need some form of Universal Healthcare; not saying it has to be MediCare for All but something. This story was friggin heartbreaking.
Hospitals are about profit even those so claimed "non-profit", and Medicare/Medicaid only pays fraction of what they would be able to charge the insurance company.
Was there a follow up ever done with the first family featured?
Absolutely disgusting and inexcusable. The US is a third world country, and the citizens can truly only blame THEMSELVES for not forcing change through political action and protest. Here in Hong Kong, where I've lived for the last 3 years, I just visited the doctor today. Called at 9:30am to receive a same-day noon appointment. The entire visit lasted 47 minutes. In total I will pay less than $5 USD for the visit. Had I walked in off the street with no appointment or connection to Hong Kong it could have taken up to 2 hours (the longest I've had to wait ever) and cost $33 USD. I fear the US will have to be completely destroyed through some type of war (external or civil) before things improve. Greed and corruption know no bounds, and 40% of the population is living in a fantasy world. There are primaries and an election coming up. Unless the US turns around and goes in the direction of Bernie Sanders, we have more of this to look forward to.
These people vote GOP, but what does the GOP do for them? Not a damn thing!
Low taxes means low amenities. "We're out in the middle of nowhere." Exactly, and areas with no people are not good business for healthcare companies and hospitals. Welcome to the for-profit healthcare system.
Without hospital, the children and the elders would be at the highest risk. The US is a massive big land, and soon these town with less than 100k population will be deserted.
Do they have urgent care centers they can do to?
ACA would've saved those hospitals.
ACA buried these hospitals. Granted they were already in rough shape i'll give you that. The corruption on the local level given access to federal monies skyrocketed prices. MRI as an example in 2004 were 800-1200 out of pocket max, but now in some cases we are seeing 2400-4000++. Those are the general numbers from the hospital I work at and only 1 example. Take a look at admission rate comparisons between medicare patients and out of pocket or out of pocket and private insurance....it gets insane.
@Amy Sternheim Oh God, yes I completely agree about Ryan and McConnell. I was working coding for MDS when ACA dropped though. I've seen the numbers first hand and people should be afraid. Parts of it could work well, but handing over federal monies so freely was a catastrophic mistake in my opinion. This hatchet job going on currently calls back to civil war era amputations.
Aca is a farce just for welfare deadbeats, muslims and illegal mexicans having millions of babies at taxpayer expense.
Is that job really worth sacrificing healthcare access for those children?
this all seems so wrong .. urban centers are overpriced, overcrowded and overstressed .. the internet makes Tonapah as close to NYC as Hoboken NJ .. States, Counties and Cities are responsible for infrastructure for their citizens and development to attract investment/jobs .. the concept of the general hospital may be outdated and urgent care centers may take their place (till patients can be stabilized and then transported) .. tears and shrugging of shoulders is not the future .. we can't all live in the cities or suburbs (and shouldn't need/want to) .. this is a solvable problem
it's not easily solvable. the US's geography leaves many rural towns like these too far from urban centers. in other countries, such as the UK and Japan, they have a smaller land mass and most towns are not far off from urban centers as everything is closer together. in the US, it is financially very difficult to keep running hospitals in these secluded towns. at best they could have a small clinic with a dr or two on call for emergencies but even that might not be profitable enough for the doctors, given the lack of resources.
@@JimTheEliminator the concept of the general hospital with wards of beds waiting for patients (and doctors who are not there) is not sustainable, however paramedic services with doctors on wire is a common commodity in urban areas delivered in the space and infrastructure of a ambulance/van. Since the 1930's countys have been responsible for public health systems including public hospitals if necessary or alternatives (in this case) .. making a 100+ mile run to an urban hospital without some preliminary/stabilizing care is not healthcare or a public health system
Ask President Trump, he will come to your rescue. He does this. He saves this kind of stuff. Ask.
You don't have to ask. He'll just tell you all about how he is the savior of the USA.
@@melbaanderson2633 Haha, ☺ yeah, maybe that'll work too, but in the end, it's about helping others.
He give paper towels!!!
I have a good friend who’s a doctor, who worked in rural areas, I had lots of fiends like that. The connections between rural hospitals and larger systems and all of the health interoperability. It entails. It matters a lot.
#fourfreedoms
Buffett, Bezos, or Gates could write just one little check to keep that hospital open.
I went on a plant exclusive diet and got of all medications! Maybe time to consider??
While I agree a whole-food, plant based diet is the optimal way of eating and can prevent, treat and even reverse many health conditions (and save Americans millions of dollars a year in health care cost), there is currently no cure for Dravet Syndrome (though medications can help the symptoms).
I live in a very small town in north alabama. We have a hospital that was so bad at one time that residents would say they wouldnt take their dogs to it. The hosp was taken over a few years ago by a larger system in a neighboring city. The care and staff have finally gotten better since the buy out. I wouldnt want to live in a town that didnt have access to a hospital , especially if i had small children . But im sure having to move would be very costly too. The US needs a national healthcare for all system,not just for the wealthy.
Greed and Economic inequality is killing families in this "free" country. Universal Healthcare would keep these hospitals open and give more people Healthcare.
Music Lover lol
I am a nurse in Cali and I will tell you..over 80 hospitals have closed, NOT because of "inequality," but because so many illegals use the hospitals and the hospital doesn't always get reimbursed. So the hospital takes the hit. Again. And again. And again. And then they close.
@@GrkG63 You are correct. Rural hospitals particularly get hit hard by non-paying Emergency Room patients. Americans take it for granted that their smaller hospitals will always be open. Until they are not. It is not fair for illegals to not be asked to pay their fair share just because EMTALA punishes reasonable efforts to collect up front.
@@WarrenKSpellman - you too. Your racism is ugly.
Rich get richer middle-class is near -gone as we middle class can't find work that will offer pay we can put food on the table, gas to get to and from work and medical coverage it no longer exists. At this point we might as well live off the grid, as the rich and higher ups are to blame for putting middle class in this position, and if they don't get enough $$$$ they pull out of small towns. We can't afford to start a family, can't retire with basic wages and degrees, can't own a house unlile the rich and baby boomers, those born with a silver spoon, some of us can't and never had that luxury, but the rich on both sides blame middle-class and lower middle-class, the ones who are the back bone to the country, without us this country wouldn't have retail and the rich would be in the same situation as us.
my prayers are with this lady who lost her husband that really got me I'm UK and were same boat corrupt bosses a to z horrific but yet seemingly Canada has free health care as if no such thing as free in this world.
Sadly, this is going to get much worse! It makes me sad☹ and angry😡. I don't know what to do about it. I'm a Hospitalist PA in Washington, D.C. I have patients who have been transferred from rural areas, suffering from acute exacerbations of chronic conditions. It's usually hypertension, diabetes and, COPD. They go on dialysis, get foot amputations from poorly controlled diabetes and, get respiratory therapy for poorly managed COPD. They've told me they didn't pursue regular care because of lack of services and/or no time (working MANY hours at minimum wage jobs to "make ends meet"). I have given up on ANY political leaders solving this situation, from ANY party (Rep, Dems, Independent, etc.).
i do like Free healthcare instead of a Border wall.
I have sympathy for this family but why not move closer to the city?
Michael Carr Too expensive
Janet Hockey it can’t be that much more expensive to live in a place that’s not 150 miles from a hospital
Easier said than done. You'd be giving up your job, your home, and everything. Houses cost more in the big city, so the little house in the middle of nowhere isn't going to sell for much and get you far. And if you're not doing well-off financially and don't have good savings? Even worse.
It's not as simple as just moving. You're basically throwing away all the time you've invested into whatever job, to get what will probably be a lower income in an area that requires more money to live. I can almost guarantee that if they could move easily, they would. Perhaps they're already in the process.
Anyhow, I don't know about Reno/Sparks area, but I know that house prices are skyrocketing in Vegas. A house worth 100,000 six years ago is probably closer to 200,000 or even 250,000 easy. Your basic, small house of 1,000 square feet is gonna be anywhere from 70-100,000. Even condos are this pricey. Let alone finding a decent house in a good area. Perhaps they could be outside the city, but then you're just gonna have to pay more for gas/be further than you'd like from a hospital anyways.
Either way, moving is expensive. That could dig them in a very bad financial hole. I just don't think there's any good options at that point. It's like when people say 'if you don't like a country, just leave it!' It's not as simple as just walking away.
This makes me sad and something must be done
Maybe rural folks should stop voting against universal healthcare. One of the largest consequences of this is insane insurance rates for people living in the area. Can't attract any new industry in that case, let alone get healthcare.
Sad. All these drug companies and medical device manufacturers who make millions of dollars every day could have saved this hospital. Eli lily, abbott labs, Pfizer, merck, etc
Is there anyway for this family to move to an area with a variety of hospitals? Its just not safe to be that far from a major hospital and your child has a severe condition. Parents, please make well-informed decisions when you relocate! You CANNOT move to the middle of nowhere with a child! =/
Shazzy1228 but if they have no money how can they move
@@lucyintheskyee8295 I'm trying to locate a gofundme or something for this family. I can't find anything. They HAVE to move. After watching this, I'm more than willing to donate if possible. Yes the initial move was stupid, but now a move is critical for the child.
@@Shazzyhtown When they moved, the town had a hospital and she wasn't pregnant with her ill child yet. The hospital closed weeks before she found out she was pregnant. It's not as easy to pick up your entire life and leave as you people act like it is.
It's like a third world country.
Joni Yves Usi UK's worse
Bet they all still vote GoP
Unfortunately this is what happens when you try to run governments "like a business". Is there money being made? No? Then you close what's no longer profitable. Unless someone pays the bills, hospitals that can't stay afloat will close. It's needed but if there's no money there's nothing they can do. If government doesn't step in to be the payer of last resort, this is what happens. And it will continue to happen.
That's how business works.
Hospitals are not government. Nor should they be. We need to get them further removed.
when i think about, i have, i dont know, 5 hospitals at least inside of 50km, one at 2km - on the other hand, they are non profits.....
Keep voting against your best interest and we’ll see more and more of this. If things don’t change soon in this country for the working people of this country, people will soon take to the streets. We have a new election in 2020, don’t listen to the propaganda and the fear mongering vote for change, big bold changes.
Mostly in red states, I’ll send my thoughts and prayers ...
@NORTHWOODSPREPPER1 Except the vast majority of these hospitals shutting down are in rural areas in red states. I live in a city. There are at least three very large hospitals just within 5 miles of me in either direction. And clinics? There are dozens. The likelihood of me ever having to drive 100 miles for emergency medical care is astronomically low. And yet you think it's ME who's going to hurt for emergency care? In a city of 100,000 people? Really??
The free market will provide
If only we had a free market. One can hope and dream that they'll deregulate and allow innovation and opportunity to make healthcare cheap, but unfortunately we are heading more and more towards the collectivist mindset of "SAVE US GOVERNMENT."
I"m so glad PPACA allowed them to keep their doctor and policy. It also saved them $2500 a year in premiums. I know because that's what the president promised. He certainly wouldn't lie.
That desert landscape can be used for solar panels and people would be able to have more jobs in a growing market.
STEM Scientist You start the businesses
It's not that hard to move any where else in the world. I feel their pain but yet they choose to stay. Why?
Can't afford to move? Can you afford to *stay*?
That's our problem. Entire county no hospital. In red river county tx. 45 min to the nearest hospital
Yeah ! but you have the right to work for $10 an hour and live on flood plains. TheReaper!
So just move out of there and into a city where healthcare exists. Nobody forcing you to live in some remote desolate area. There's a reason why people don't move to towns like these!
Developing countries are building govt/nonprofit medical posts in their rural area, dont tell me americans are losing their ...
don't they have public hospitals in the U.S??
Arushad Ahmed publicly ran or publicly funded?
Edit: there are but they tend to be in major cities
Share holders don't care that your daughter suffered because of the hospital's closure.
I'd move... As hard as it would be. I have to be near a hospital and doctors since my son is autistic. I'm not able to just live in the middle of nowhere away from medical care.
Why is there a couch in front of the door
To stop the wendigo!
How much do we spend on foreign aid? How much of it could go to our own people?!?!
Pahrump is closer & we have a Hospital
& Doctors
your about a half hour away
How can I state this clearly in Canada or Northern Europe where I live that baby would not be brain damaged .
I mean ... I guess if you want to take pride in your country having such low level of intelligence that this child would be considered normal .... go ahead.
That women looks like a good wife
It's just sad.
This so sad. Women are at risk everyday.