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'Crisis brewing' in Trump Country as hospitals shutter at alarming rate, top ER doc warns 23 hours ago<


There is a healthcare crisis brewing in the nation's heartland, as evidenced by a landmark study conducted by the RAND Corporation in conjunction with top national emergency physicians <



The study from the Arlington nonprofit research institute found that emergency rooms (ERs) are no longer the safety net but the proverbial "front door" to the U.S. healthcare system, particularly after a 1986 law passed requiring ERs to stabilize patients or deliver babies from women in labor regardless of their ability to pay. That has led to instability and hospital closures across the heartland, including in states where a dozen or more have closed, like Texas, Okla-homa, and Tennessee. States like West Vir-ginia, Pennsylvania, the Carolinas and Alabama have also been affected. "This RAND study is the first ever that points<


"This RAND study is the first ever that points to this crisis, which is that the emergency departments and the care that patients receive in them usually is so critical that, especially for time-sensitive conditions that patients can have, just the fact that you have to travel as far as you might have to, or that even in some cases if a hospital is close to you, but it still doesn't have the resources to operate effi-ciently," said Dr. Randy Pilgrim, an ER doctor and chief medical officer for emergency room services company SCP Health in Atlanta.