Sarah Jane, Janice, Kansas discussed on 1A

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That has the have you seen that thinking evolve on that too? Maybe being opposed to the expansion in announcing the hospital closing. And then now saying that oh, this could actually be good for us. Yes. And only thing I can talk about is just my group of friends, I go with the majority of them. I can see the that. That's something. We should probably think about doing. So I think. Kansan Zor figuring that out. Oh, I should have gone. The other way to show you something else. It's not too late. We'll go this way on the way downtown. That was Janice few inns in fort, Scott, Kansas speaking to one as James Morrison joining us in studio to discuss what's happening in Kansas and elsewhere is Sarah Jane, triple she's a senior correspondent with Kaiser health news. Sarah, welcome to one A. Thank you. Great to be here. Sarah. Jane, your reactions to what we just heard. You're a native Kansan you were telling me earlier, right? That's right. I grew up in southeastern Kansas, which is known as one of the most. An unhealthy parts of the state by any healthcare outcome measures, low income uninsured Hyon higher uninsured rates and the rest of the state and so forth. I grew up in Parsons, Kansas. So when you flying to conceal you drive down south you pass through fort Scott to get to my hometown. Talk about the impact to a community when a rural hospital close as we heard some of the things from Janice and what she's noticed, but what other kinds of impacts. Should we bear in mind? I think the biggest thing that you heard in Genesis tape is the idea of drive around town and looking at the big lawyers peerless is fort Scott employer too, big one. But it only has a few hundred employees. So that's the largest employer. In town. Hospitals are often either the largest or second or third largest employer in a rural community. So that translates immediately into economic impact. There was a twenty fifteen study that noted that on average ninety nine jobs are lost on average about five point three million in salaries are lost when a hospital closes you. See unemployment rates, go up. There was a twenty two thousand and six study that noted that unemployment rates went up one point four percent in these communities, the that impact immediately because you see doctors moving out of town you see lots of for sale signs on the houses. And then there's the trickle down effect. She mentioned. Nd that price chopper's closing price. Chopper may or may not be closing because the hospitals closing, but they weren't making enough money there, the revenues, and you see that happening across the country and across the state, and and there's that impact then there's the emotional impact in these communities when the hospital is the place where almost all the children are born in a family or all the children in our family are born it has a very emotional connection for that family. And you almost always know somebody who's working at the hospital who is Ben to the hospital. It's it's kind of a foundation, sir. Why wire these hospitals closing why is this happening? Well, I think some of the factors are predictable. Right. You have towns that are shrinking incised slowly, you have a loss of income from that. You also have a lower median income in many of these communities than in the urban counterparts. There's a larger elderly population as well. Then there's also some interesting trends that you might not expect there's a term I learned a few weeks ago called out migration. And that's when actually Janice mentioned this when she was speaking to James they. Don't necessarily go to the hospital that much so they'll bypass the local hospital because they know that in Kansas City. There is expert children's hospital or they'll go out to another hospital. That's a critical access hospital that may have a more services because they had some more surgeons or something they may have orthopedics cardiology that this other rule hospital that it's near closing or about to close or has closed cut the services because they were trying to save money. So there's this out migrating trend. There's also the trend of higher deductibles on insurance. I've talked to some people who say, you know, our deductibles went up to twenty five hundred dollars, and I just can't afford to go to the doctor anymore..

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