rural issues

The only hospital serving the community of rural Callaway County, Mo. — Fulton Medical Center — was set to shut down last September. When staff arrived one afternoon for a potluck goodbye party, they were met with an unexpected guest, Jorge Perez, a management consultant from Florida. He announced he'd just bought the hospital, and planned to keep it open.

When Perez spoke about the takeover four days later to a packed city council chambers in Fulton, Mo., he got a standing ovation.

The United States does not stack up favorably when compared to other nations with advanced economies when it comes to childhood poverty worldwide, according to a new report, which considered factors such as the lack of access to quality food, high adolescent birth rates and a child dropping out of school.

At an outpatient lab in Tifton, Ga., where Karen Williams gets her blood drawn, a clerk looked from her computer screen to Williams' printed lab order, then back again.

"This is not right," the clerk said, squinting at the lab order. There, the birthdate and address matched the ones on the screen, but the name displayed was a male one.

Jackie Fortier / StateImpact Oklahoma

It’s hard to get basic health care like shots and x-rays in rural Oklahoma. The federal government considers all but one of the state’s 77 counties to have a primary care shortage. The problem is driving a legislative effort to allow highly educated nurses to fill that gap — but doctors and nurse practitioners are butting heads on who is qualified to help.

Lindsi Walker sits behind a glossy wooden desk at Cordell Memorial, a hospital on Oklahoma’s western plains. She’s surrounded by pictures of her family — a stethoscope hangs around her neck.

When Dustin Gordon's high school invited juniors and seniors to meet with recruiters from colleges and universities, a handful of students showed up.

A few were serious about the prospect of continuing their educations, he said, "But I think some of them went just to get out of class."

In his sparsely settled community in the agricultural countryside of southern Iowa, "there's just no motivation for people to go" to college, says Gordon, who's now a senior at the University of Iowa.

Updated at 4:45 pm ET

President Trump thanked America's farmers for their political support on Monday and unveiled a plan designed to help revive fortunes in struggling rural areas. At the same time, the president is pursuing trade and immigration policies that could be harmful to farmers' bottom lines.

The retail economy in rural America has been rough for decades. But where thousands of stores have closed in recent years, Dollar General is thriving, sometimes at the expense of local shops. Dollar Generals are discount stores that sell goods from hand tools to hot dogs. They're reshaping the retail landscape in small towns. And making lots of friends — and enemies — in the process.

Microsoft is announcing a new effort to connect more people to the Internet. Not people far away, in the so-called emerging markets — where other American tech giants have built Internet balloons and drones. Instead, Microsoft is focusing right here at home, on the 23.4 million people in rural America without broadband access.

When you pull into Hugo, a town 100 miles east of Denver on Highway 287, you're greeted by one grocery store, one restaurant, one liquor store, one historic railroad roundhouse, two bars and a single antique store by the name of Main Street Mama's.

"I am the Main Mama, I am indeed," says Linda Orrell, who runs the shop.

Sitting on a bar stool in what used to be an old pool hall, Orrell says Hugo is pretty small — "about 825, or so, maybe 850 [people] on a good year."

The population has held steady for a long time, she says, because it's a good place to live.

For the hundreds of rural U.S. hospitals struggling to stay in business, health policy decisions made in Washington, D.C., this summer could make survival a lot tougher.

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