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    rural health

    NPR
    Shots - Health News
    Visitors to Mercy's Fort Scott hospital would pass a tall white cross as they drove down a winding driveway before arriving at the front door. Sisters of Mercy nuns founded the hospital in 1886, and the newest building, constructed in 2002, honors that R
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    No Mercy: How A Kansas Town Is Grappling With Its Hospital's Closure

    May 14, 2019
    People in Fort Scott, Kan., depended on their local hospital for more than a century. In December, the hospital closed. Fort Scott residents now are trying to cope with life without it.
    NPR
    Shots - Health News
    Before it closed March 1, the 25-bed Columbia River Hospital, in Celina, Tenn., served the town of 1,500 residents. The closest hospital now is 18 miles from Celina — a 30-minute or more drive on mountain roads.
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    Economic Ripples: Hospital Closure Hurts A Town's Ability To Attract Retirees

    Apr 07, 2019
    Celina, Tenn., has long lured retirees, with its scenic hills and affordability. These newcomers help fuel the local economy. But a recent hospital closure makes the town a harder sell.
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    NPR
    Shots - Health News
    Charlotte Potts, who has a history of heart problems, lives within sight of Livingston Regional Hospital. After a recent stint there, she was discharged into the care of a home health agency, and now gets treatment in her apartment for some ailments.
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    How Helping Patients Get Good Care At Home Helps Rural Hospitals Survive

    Dec 23, 2018
    Hospitals are now financially rewarded by insurers for safety and efficacy — which often results in patients spending less time as inpatients.
    NPR
    Shots - Health News
    Snohomish County Sheriff Ty Trenary. He wasn't aware of the extent of the opioid epidemic in his county until he became sheriff and realized the jail had become a defacto detox center.
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    A Rural Community Decided To Treat Its Opioid Problem Like A Natural Disaster

    Oct 28, 2018
    A rural county in Washington declared the opioid epidemic a life-threatening emergency. They use a multi-agency coordination group straight out of FEMA's playbook to respond to the crisis.
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    NPR
    Shots - Health News
    Before it was shut down last summer, this clandestine lab in Mexico's Baja California was said to be capable of making 200 kilograms of crystal meth daily.
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    Methamphetamine Roils Rural Towns Again Across The U.S.

    Oct 25, 2018
    Meth is back "with a vengeance," police say. Now made mostly by superlabs in Mexico, it is stronger, cheaper and more prevalent, cutting across demographic barriers and sparking serious crime.
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    NPR
    Shots - Health News
    Afternoon light sets in a canyon on the southern end of Colorado National Monument.
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    How One Colorado Town Is Tackling Suicide Prevention — Starting With The Kids

    Oct 23, 2018
    Eight of the top ten states with the highest suicide rates are in the Mountain West. Grand Junction, Colo. has launched an ambitious effort starting in the schools to try and address the problem.
    NPR
    Shots - Health News
    In recent years, Delta County, Colo., has been attracting new residents from urban areas who want to live the small-town lifestyle.
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    A Rural Colorado Coal County Was Struggling. Then A Tech Company Brought New Jobs

    Oct 19, 2018
    For the first time in years, Delta County in western Colorado is experiencing population growth, one indicator that rural Americans are increasingly feeling optimistic about their economic future.
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    NPR
    Shots - Health News
    Drug addiction is a big concern to rural Americans, according to a new poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health.
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    NPR Poll: Rural Americans Are Worried About Addiction And Jobs, But Remain Optimistic

    Oct 16, 2018
    What's on people's minds in rural America? A new poll shows that the addiction crisis and economic issues have people worried. But many retain an upbeat outlook about the future of their communities.
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    NPR
    Shots - Health News
    Proponents of hospital mergers say the change can help struggling nonprofit hospitals "thrive," with an infusion of cash to invest in updated technology and top clinical staff. But research shows the price of care, especially for low-income patients, usu
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    Can A Community Hospital Stick To Its Mission When It Goes For-Profit?

    Jul 19, 2018

    After 130 years as a nonprofit hospital with deep roots in North Carolina, Mission Health is seeking to be bought by HCA Healthcare, the nation's largest for-profit hospital chain.

    NPR
    Shots - Health News
    A small town in northeastern Missouri, Unionville is home to the only hospital in the surrounding county.
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    Vulnerable Rural Hospitals Face Tough Decisions On Questionable Billing Schemes

    Jul 03, 2018
    Management consultants have been buying up struggling rural hospitals, claiming they can turn their finances around. But are those strategies in the hospitals' best interest?
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    NPR
    Shots - Health News
    Getting health care to rural areas may involve tough decisions about the role of hospitals.
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    Rethinking Rural Health Solutions To Save Patients And Communities

    Feb 28, 2018
    Hospitals have long been linchpins of rural communities, providing jobs as well as health care. But policy analysts say some hospitals may have to change or close to better serve rural health needs.
    NPR
    Shots - Health News
    Jason Cleckler, CEO of Delta Memorial Hospital in Delta, Colo., says Medicaid expansion helped the hospital's bottom line.
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    Hospitals In States That Expanded Medicaid Less Likely To Close

    Jan 08, 2018
    Hundreds of thousands of people gained health insurance in states that expanded Medicaid under the Affordable Care Act. In those states, hospitals were less likely to close.
    NPR
    The Salt
    Researchers point to a number of causes for dwindling farmworkers: tighter border controls; higher prices charged by smugglers; well-paying construction jobs and a growing middle-class in Mexico that doesn't want to pick vegetables for Americans.
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    Health Risks To Farmworkers Increase As Workforce Ages

    Dec 01, 2017
    As the number of immigrants available for farm work has dwindled in California, many who are left are older, and suffer from health problems related to decades of difficult labor.
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    NPR
    Shots - Health News
    Medical debts weigh on Geneva Wilson, who keeps a chicken and rooster in a coop behind her cabin in rural southwest Missouri.
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    Medicaid Expansion Takes A Bite Out Of Medical Debt

    Nov 10, 2017
    Medical debt is down across the country. In states that expanded Medicaid under the Affordable Care Act, the reduction is sharper.
    NPR
    Shots - Health News
    Aaron Albaugh runs a cattle ranch in Lassen County, in Northern California. Living in a remote area, he says he's learned to "do without" a lot of things, including health care.
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    Rural Californians Want Price Relief From GOP Health Bill, But Most Won't Get It

    Jul 22, 2017
    GOP efforts to repeal the ACA are still in flux, and there's more talk now of trying to work out bipartisan fixes for Obamacare. But most suggested remedies won't fix the problems in remote regions.
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    NPR
    Shots - Health News
    Rural hospitals have relied on foreign-born doctors who work in underserved towns in exchange for green cards, explains James Dickson, CEO of Bisbee's hospital. But that's changing. "They cap the number of visas and we can't get doctors down here," Dicks
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    Doctor Shortage In Rural Arizona Sparks Another Crisis In 'Forgotten America'

    Jul 14, 2017
    More than 70 rural U.S. hospitals have closed since 2010, and rural areas are likely to be short 45,000 doctors by 2020. It's one more example of the nation's division between haves and have-nots.
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    NPR
    Shots - Health News
    Carol Morris, an enrollment counselor for health clinics in Shasta County, says many patients don't want to admit they qualify for Medicaid.
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    In A Conservative Corner Of California, A Push To Preserve Obamacare

    Jul 05, 2017
    A coalition of health clinics in northeast California is asking local officials to defend the Affordable Care Act. And some are, despite the area's conservative politics.
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    NPR
    Shots - Health News
    Ken Sterling, a former mayor of Hugo, was recently a patient at Lincoln Community Hospital. "There are an awful lot of people who depend on this place," he says — including people who live all over the county, and truckers and other drivers who pass by
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    A Hospital In Rural Colorado Is The Cornerstone Of Small Town Life

    Jul 01, 2017
    At the lone hospital in Hugo, a country town, staff members know most of the patients — they are friends and family. But cuts in the GOP health bill could threaten this cherished institution.
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    NPR
    Shots - Health News
    Nurses at the telemetry unit of Trinity Hospital respond to patient calls and monitor patient vital signs.
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    After Decline Of Steel And Coal, Ohio Fears Health Care Jobs Are Next

    Jun 26, 2017
    Health care jobs now outnumber manufacturing jobs in Jefferson County, Ohio. Hospital administrators worry that Republican plans to cut Medicaid will lead to layoffs.
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    NPR
    Shots - Health News
    McMahan and medical student Jesse Han head back to the clinic after a home visit.
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    In Rural Alaska, A Young Doctor Walks To His Patient's Bedside

    May 13, 2017
    Dr. Adam McMahan comes to Klukwan, a tiny town in Southeast Alaska, just two days a week. But he's come to know his patients well, and attends to more than just their medical needs.
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    NPR
    Shots - Health News
    Dr. Farooq Habib (left) and Dr. Muhammad Tauseef share an office at Los Barrios Unidos Community Clinic in Dallas. They're both from Pakistan and have both worked as pediatricians in medically underserved areas in the U.S.
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    Trump Travel Ban Spotlights U.S. Dependence On Foreign-Born Doctors

    Feb 11, 2017
    A quarter of doctors practicing in the U.S. went to medical school elsewhere. Many of these physicians practice in parts of this country that the government says need more primary care providers.
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    NPR
    Shots - Health News
    Melissa Morris outside her home in Sterling, Colo. She quit using heroin in 2012, and now relies on the drug Suboxone to stay clean. She's also been helping to find treatment for some of the neighbors she used to sell drugs to.
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    Rural Colorado's Opioid Connections Might Hold Clues To Better Treatment

    Jan 23, 2017
    Opioid abuse is rising fast among those who live in rural areas. Research suggests the drugs' illicit use there spreads rapidly via social networks, which could be part of the solution, too.
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    KNPR
    KNPR's State of Nevada
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    The Texas Doctor Who Sunk Nye County's Only Hospital

    Dec 12, 2016

    When the Nye Regional Medical Center closed in 2015, it sent shockwaves through the town of Tonopah, Nev. 

    • Listen Download
    NPR
    Shots - Health News
    Grace Hospital in Morganton, N.C., was funded in part by the Hill-Burton Act. Construction began in 1969.
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    A Bygone Era: When Bipartisanship Led To Health Care Transformation

    Oct 02, 2016
    A federal law enacted shortly after the end of World War II provided grants and loans to fund hospital construction that have left a lasting legacy.
    NPR
    Shots - Health News
    Most women get prenatal care from the doctor they expect will deliver the baby, which can make it difficult if the doctor and hospital are far away.
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    More Rural Hospitals Are Closing Their Maternity Units

    Feb 24, 2016
    Facilities for delivering babies are expensive to run and hard to staff. But when small rural hospitals close their birthing units, pregnant women must travel much farther for care.

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