Rural Healthcare

Brian Seifferlein / Harvest Public Media file photo

The statistics are clear: Rural America is deeply impacted by the opioid crisis, especially farmers and farm workers. What’s not so easy is figuring out what to do about it, three national agricultural leaders said Sunday, though they all said the real onus is on local communities.

The tax reform proposal could benefit small-town businesses, but it could also undermine programs that support rural hospitals if the national debt grows.
File: Grant Gerlock / Harvest Public Media

Many rural businesses and farms will benefit from the tax overhaul passed Wednesday by Congress. But there’s a catch: If the changes fail to spur economic growth as intended, programs that rural areas rely on could be on the chopping block.

One provision in the massive bill, which President Trump has yet to sign into law, allows small business owners to deduct 20 percent of their business income. It also expands the deduction for small business investment — a popular provision among farmers, who can write off the cost of things like a new tractor.

Sarah Scantling gave birth to her daugher Abilene in Dryersburg, Tennessee, 30 miles from their home in Pemiscot County, Missouri.
Bram Sable-Smith / 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.

Montra Beeler may not be all that all, but she fills a huge role in the understaffed fire department in Cedar Vale, Kansas.
Frank Morris / for Harvest Public Media

If you pull a fire alarm in any large U.S. city, it's likely that paid firefighters waiting at a nearby station will quickly respond. But seven out of 10 American firefighters are volunteers. They cover vast sections of the country, making up an aging network that is increasingly understaffed and overworked.

Earl Bullington is an advisor for Focus Bank, which rescued the struggling Pemiscot County (Missouri) hospital in 2013.
Bram Sable-Smith / for Harvest Public Media

$1.25 million.

That’s the size of the bill that could have shuttered the only public hospital in rural Pemiscot County, Missouri in August 2013.

$750,000 for payroll. $500,000 for a bond payment. $1.25 million total. One August day in 2013, the hospital’s CEO Kerry Noble had to face facts: The money just wasn’t there. It took an emergency bailout from a local bank to keep their doors open. For now.

Connor Tarter / Flickr/Creative Commons

New data from the Centers for Disease Control and Prevention show a new dimension to the urban-rural divide: death rates related to cancer.

Cancer death rates are falling nationwide, but they remain higher in rural areas (180 deaths per 100,000 persons) than in cities (158 deaths per 100,000 persons), according to the CDC’s Morbidity and Mortality Weekly Report.

Mayor Mike Seibert of Joplin, Missouri, leads the grand opening ceremony of the Kansas City University of Medicine and Biosciences campus in June.
Alex Smith / For Harvest Public Media

Twenty-four-year-old Kalee Woody says that when she was growing up in Bronaugh, Missouri, she saw the small town slowly fading. Businesses closed, growth stagnated and residents had to drive to other places to see a doctor.

It is a town that, like many towns in rural areas of Missouri and other Midwest and Great Plains states, is recognized by the federal government as having a shortage of healthcare providers.