Bigger cities like Lubbock can unintentionally suck health care resources and professionals from smaller towns, creating what one local expert calls the “doughnut effect.”
pushing rural residents out, such as a lack of economic benefits or job and education opportunities.
“Rural hospitals are often the biggest economic driver for many rural communities,” said Adrian Billings, an Odessa doctor with the Texas Tech University Health Sciences Center. “So when one closes, doctors and other employees will move to another community that does have a hospital.” Erin Gonzales somewhat followed that track as a nurse practitioner. She grew up in her mother’s Muleshoe clinic before moving when she was 18 to a few small towns in West Texas, then to New Mexico. She moved back home a few years ago, when her mother was ready to retire.
It’s inevitable that her patients would start to feel like family. Which makes it difficult for her to see their community lose resources. He said rural health care students are most likely to be the ones to go back to their hometowns or another small town when they graduate. McBeath, who retired from the Texas Organization of Rural and Community Hospitals in 2021, said a big part of the problem is that rural hospital expenses often exceed the revenue. Since rural populations are often elderly or low income, rural hospital patients are typically uninsured or rely on Medicaid. Both options can leave hospitals operating in the red and at risk of closing.
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