After a rural hospital closes, delays in emergency care cost patients dearly.
the operator tells Fort Scott’s emergency line about a minute after taking the call. Then she says she will beWhen Linda Findley sat at her kitchen counter in late May and listened to the 911 tape, she blinked hard: “I didn’t know that they could just refuse. … I don’t know what to say about that.
Though air ambulances can transport patients quickly, the dispatch system is not coordinated in many states and regions across the country. And many air ambulance companies do not participate in insurance networks, which leads to bills of tens of thousands of dollars. In Fort Scott this February, the hospital’s closure meant people didn’t “know what to expect if we come pick them up,” or where they might end up, said Fort Scott paramedic Chris Rosenblad.
Those miles can harm a patient’s health when they are experiencing a traumatic event, Davis said. They also prompt other, less obvious, problems for a community. The travel time keeps the crews absent from serving local needs. Plus, those miles cause expensive emergency vehicles to wear out faster. And Bourbon County, with its 14,600 residents, faces the same dwindling tax base as most of rural America., about 3.4 percent fewer people live in the county compared with nearly a decade ago. Before the hospital closed, Bourbon County paid Mercy $316,000 annually for emergency medical services. In April, commissioners approved an annual $1 million budget item to oversee ambulances and staffing, which the city of Fort Scott agreed to operate.
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