r/news
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u/PsilocybeApe
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5d ago
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Citing staffing issues and political climate, North Idaho hospital will no longer deliver babies
https://idahocapitalsun.com/2023/03/17/citing-staffing-issues-and-political-climate-north-idaho-hospital-will-no-longer-deliver-babies/13.7k
u/sentinelk9
5d ago
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It's worse than it seems
As an ER doc here's what will happen: the patients will still show up to the ER in labor and we will have to deliver them as you can't(reasonably) transfer a patient in labor.
So they'll be delivered by doctors who aren't trained to deliver in high risk situations, in an environment not designed for high risk deliveries, now with no system left to back them up when everything goes down the tubes (speaking from experience doing high risk deliveries).
People won't stop having babies, they'll just have worse outcomes now. The idea that they will magically find their way to a hospital system capable of doing it safely is laughable
This is why politicians and courts shouldn't decide medical care. Doctors should. Because, you know, that's what we are fucking trained to do.
Have the politicians come in and deliver the babies if they claim to know so much
Or better yet, sue the politicians(instead of the doctor or hospital) when there is a bad outcome - because they are the ones that caused it
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u/iopihop 5d ago •
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This is why politicians and courts shouldn't decide medical care
can you add insurance companies and admins to this list as well? Seems they are completely driven by finances vs. the health of people.
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u/sentinelk9 5d ago
100% that's another thing that gets my blood pressure up. Topic for a different post!
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u/gakule 4d ago
Hey doc, high blood pressure is bad for you.
This is not medical advice!
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u/Mathematic-Ian 5d ago •
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I grew up just outside this town. I have been treated at this hospital, I know people who were delivered in this hospital. It barely has an ER. The actual year-round residents in this area are overwhelmingly below the poverty line. The nearest hospital isn’t just an hour away, it’s an hour away on curvy two-lane highways that get entirely snowed or frozen over during a good five months out of the year. There is a bridge that bottlenecks the only route out of town to that other hospital, and car wrecks on it will regularly shut down traffic for hours.
My stomach fucking dropped when I saw the hospital name. People are going to die. People I know are going to die. Fuck this
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u/hollyjazzy 4d ago
It really sounds as though politicians in some states hate women and children, with this kind of behaviour. I really feel for anyone in this town.
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u/floandthemash 5d ago
NICU RN and this was my first thought as well
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u/Syd_Vicious3375 5d ago
The nurses in my delivery room were the absolute heroes of my day. They kept me focused and calm. They led me and I followed them to the finish line. I can’t imagine going in scared to death and having nobody suitably trained to ground me.
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u/MacAttacknChz 5d ago
As an ER nurse, we are not internally calm in situations with pregnancy and delivery. We do our best to be outwardly calm, but that's a situation that sends us into panic. We usually deal with labor by wheeling patients upstairs to the L&D wing as fast as possible. And it's not just the nurses. The majority of my arguments with physicians (I don't like to argue bc we're all on the same team) has been regarding pregnant or postpartum patients, especially ones whose pain was not taken seriously.
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u/DigitalPelvis 5d ago
It was amazing to me how little the ER doc I saw after my first pregnancy knew about pregnancy/postpartum. I was discharged four days after a c-section, and went back two days after that with a 102 fever. ER doc had no clue what pain meds I could have, what impact any of it might have on breastfeeding…I was very thankful when my OB turned out to be the one on call that might.
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u/DefinitelyNotAliens 5d ago
My sister was low risk on both pregnancies. No warning signs. All good. Easy pregnancy.
My nephew had low Apgar tests when he was born and was generally... not good. High bilirubin, flopped when arms and legs were picked up, etc. Ended up in NICU because of generally not thriving.
He would've been fine long enough to transfer to a NICU, had he been born somewhere without one. He's turning 16 in a week. Dude is already like 6'2". Big kid.
But, other babies wouldn't have been just fine. They wouldn't have had time to find a NICU and be turning 16 in a week and be an unending punk of a kid. There was no warning signs that he wasn't going to be fine before he wasn't. Everything up until then was good.
People won't know things are going wrong until it is going wrong. Going to end awfully for kids that aren't as lucky as my nephew that he had a great NICU on staff and even if he hadn't - he wasn't an all-out emergency from minute one.
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u/LilRach05 5d ago
Also the folks who can get care in neighboring areas will put a heavier burden on those areas and cause delays in care and worse outcomes in those areas as well
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u/teenagesadist 5d ago
I'm not really sure what those politicians should do, because it ain't doctoring, and it sure as hell ain't politicking.
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u/PsilocybeApe 5d ago
For context, that area of North Idaho has terrible winters and worse roads. The article says it’s a 45 minute drive to the next hospital (in CDA). But that’s hospital to hospital. Bonner General serves the entire county and most of the adjacent northern county. Some people will have to drive 2-3 hours on snowy, dirt roads while in labor.
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u/Kiki_Deco 5d ago
I wondered about that drive estimate, but even 45 minutes is a long drive when I labor trying to get to medical care.
I hope this doesn't see the loss of life from this but unfortunately I think we will.
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u/george2597 5d ago
It's even worse than 45 minutes. The article states the next hospital is 46 miles, not 46 minutes.
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u/datpiffss 5d ago
Unless you’re on the highway the entire way, 46 miles in 45 minutes is verrry different.
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u/Tom22174 5d ago
and we are talking about a winter conditions worst case scenario so even on the highway that's an unachievable timeframe.
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u/SandManic42 5d ago edited 5d ago
If you live in Sandpoint or Priest River, CDA is probably closest to you. It's about an hour drive in good conditions. In snow and ice it could definitely take 2-3 hours.
Edit: Spokane is going to be closer for some, but even that drive took me almost an hour to get to a hospital from Priest River, and I was going over 100 to get there.
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u/thisismyaccount57 5d ago
I think Newport WA has a hospital that is only 10-15 from Priest River. Probably "out of network" for most people living in ID though because our healthcare system is a joke. Why guarantee healthcare to citizens when it will hurt the United Health and Cigna shareholders? Only about 45,000 people die in the US every year due to lack of basic healthcare availability, but David Cordani (Cigna CEO) makes 20 million dollars per year. These people have blood on their hands and don't give a fuck because they get rich.
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u/RebornPastafarian 5d ago
Spokane is closer, but will an out-of-state hospital be in their insurance network?
Gosh I love the american healthcare system.
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u/KiniShakenBake 5d ago
Active labour is considered an emergency and I believe there are ACA rules about requiring that the bill be considered in-network for cost share when treating an actual emergency or one for which the patient is admitted.
So three laws at the federal level govern hospitals and health plans in labour and delivery services and payment obligations: the hospital cannot turn away a mother in active labour, period, if they are an emergency room, because labour is an emergency under ACA.
Because labour is an emergency, the ACA also prohibits insurance companies from charging more for out of network hospitals and the surprise billing act prevents the hospital from billing the parents more for their time there.
And because the patient delivered in a hospital, they are now considered under the federal law protecting their right to a 48 hour stay, which could happen at an in-network hospital once they are stable but cannot be denied, nor charged at a higher rate than the delivery portion.
So... It is patchwork but seems to say that your concern is irrelevant under federal law.
For federal law concerning newborns and mothers: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/nmhpa_factsheet
For ACA and the access and use of out of network emergency rooms: https://www.healthcare.gov/health-care-law-protections/doctor-choice-emergency-room-access/
And the fact that active labour and delivery is an emergency and the newly.born infant is also entitled to emergency care until stable: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE19012.pdf&ved=2ahUKEwiC54Hoy-j9AhXLJUQIHS_8AWAQFnoECAUQBQ&usg=AOvVaw1PbM5994BDnf-h7rUZHz5t
And this one sorta pulls it all together. https://www.dol.gov/sites/dolgov/files/ebsa/about-ebsa/our-activities/resource-center/faqs/nmhpa.pdf&ved=2ahUKEwiWg56qzej9AhVIBzQIHZoMAf44FBAWegQIIBAB&usg=AOvVaw3Vw2jbpG0_bV8_AmISwCG1
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u/royalsanguinius 5d ago
America already has an atrociously high childbirth mortality rate for a developed country, and it’s probably even worse as is in rural places like this (just a guess on my part so don’t take that at face value please), and decisions like this will absolutely make that even worse.
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u/meatball77 5d ago
The maternal mortality rate in the US is really interesting if you take each state as a country. California's is similar to European countries while Mississippi on the other hand. . . .
I saw an article somewhere that put it all in a graph (haven't been able to find it since)
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u/george2597 5d ago
Minor correction. The article says 46 miles, not minutes. Likely much much longer than 45 minutes especially during winter months.
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u/PsilocybeApe 5d ago
I grew up in Idaho schools. Me don’t read to good
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u/george2597 5d ago
No worries. Utah myself sadly, so I don't think I got it much better.
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u/spovax 5d ago
And the. They’ll be at a cda hospital with the same problems. More likely they’ll be transferred to Spokane, surprise in Washington, which is about 1.5 hospital to hospital.
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u/PsilocybeApe 5d ago
WA has to subsidize ID in so many ways…
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u/evergleam498 5d ago
Washington should set up a toll road at the border crossing.
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u/profigliano 5d ago
Idahoans also come over here to buy our legal weed so they'd be big mad
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u/Melancholy_Rainbows 5d ago
Dr. Amelia Huntsberger, an obstetrician-gynecologist at Bonner General Health, said in an email to States Newsroom that she will soon leave the hospital and the state because of the abortion laws as well as the Idaho Legislature’s decision not to continue the state’s maternal mortality review committee.
So not only are they increasing the risk of maternal death, they’re going to cover their eyes and plug their ears so they have a pretense of not knowing why.
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u/theseanbeag 5d ago
In Ireland, our abortion laws led to the death of a young lady because doctors thought they'd be breaking the law to perform one. Can't imagine being put in that kind of position.
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u/Melancholy_Rainbows 5d ago
For those unfamiliar with this story, here's a Wikipedia article about it.
The funny-sad thing about this is I've had forced birthers actually argue it wasn't the lack of access to an abortion that killed her.
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u/Galaxy_Ranger_Bob 5d ago
The funny-sad thing about this is I've had forced birthers actually argue it wasn't the lack of access to an abortion that killed her.
I've had people from the anti-abortion crowd say, too my face, that the woman deserved it.
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u/AWrenchAndTwoNuts 5d ago
I have found that those particular people also have a face that not only screams, but screams to be punched.
Everyone has a limit and these people like pushing and pushing and pushing.
Then they are absolutely shocked when they push too far and get a bloody lip.
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u/Neravariine 5d ago
Qualified medical staff are leaving the state. Women will attempt to just give birth at home or be forced to(even run to dangerous FB mom groups that say don't get induced even if you've been pregnant for 10 months). Potential complications may kill the mother and child or lead to the child developing life-long disabilities. These children will be seen as "burdens" on the state and cost more to take care of.
Politicians who claim to want to not want people being a drain on the system end up just creating more. And quick disclaimer these children are people and deserve support to be the best they can be. I'm writing this post in an extra cynical way because that is how those same politicians think of people.
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u/thereisnodevil666 5d ago
They're trying to make fucking meningitis and HPV vaccines illegal to enforce or suggest in schools too alongside a bunch of medications QAnon can find insane theories about. Way more layers of horrible health outcomes created by elected subhumans than just pregnancy related stuff happening in these GOP run shitholes. They are an actual threat to quality of life for all of humanity.
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u/THE_CODE_IS_0451 5d ago
They're a death cult. They think the Rapture is coming and they're trying to accelerate to it.
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u/TheRealOneTwo 5d ago •
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cost more to take care of.
Not if Republicans have anything to say about it. Once you are born they don't give a shit about you
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u/BoneHugsHominy 5d ago
Coming Soon: Red States packing disabled children and orphans on planes and dumping them in Martha's Vineyard.
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u/billpalto
5d ago
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"highly respected, talented physicians are leaving the state, and recruiting replacements will be “extraordinarily difficult.”"
The rabid politicians in Idaho are in charge of health care now. Talented physicians are leaving the state.
Heckuva job!
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u/nonprofitnews 5d ago
This American Life interviewed an OBGYN from this exact hospital just a few weeks ago and she laid out how difficult her life had become. How she loved her job and her community but just couldn't find a way forward. It ended on a bit of a cliffhanger but it sounds like she decided to quit after all.
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u/JBupp 5d ago
Yes, she did.
Dr. Amelia Huntsberger, an obstetrician-gynecologist at Bonner General Health, said in an email to States Newsroom that she will soon leave the hospital and the state because of the abortion laws as well as the Idaho Legislature’s decision not to continue the state’s maternal mortality review committee.
“What a sad, sad state of affairs for our community,” Huntsberger wrote.
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u/fighterpilottim 5d ago
They banned abortion AND stopped reporting on maternal mortality? They’re trying to hide the impact of the abortion ban. I shouldn’t be surprised, but that small part of me that still assumes people are fundamentally honest gets me more than it should.
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u/Rubberbabybuggybum 5d ago
Kansas put abortion on the ballot and it was approved in a landslide.
They know this “policy” and I use that word loosely, is pure bullshit.
But their evangelical base fucking LOVES this shit.
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u/fighterpilottim 5d ago
Kansas will never put anything to the popular vote again after that one. Too bad.
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u/sst287 5d ago
“If you don’t counted the dead moms, there is no dead moms…”
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u/theAlpacaLives 5d ago •
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One party has decided it is unpatriotic to allow any investigation, data-keeping, or accurate reporting on any problems that make us look bad. That same party also loves talking about how the other party is "sticking their heads in the sand." We're such a bunch of idiots.
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u/ChasmDude 5d ago
We talk so much lately about authoritarianism appearing in the censoring of cultural products like books, but prohibitions on gathering data and doing rigorous research in the name of understanding public policy issues is almost as scary.
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u/Bwob 5d ago
Okay, but in their defense, rigorous data gathering and analysis makes almost all of their policy positions look really really bad.
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u/MelancholyMushroom 5d ago
That’s ok. Churches can pick up the slack. No more hospitals? Let Gods zealots pick up the slack… join your local cult today for “protection” and guidance.
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u/tripwire7 5d ago
I remember talking to a pastor online with this very view. He was against abortion, but also against providing government healthcare to expectant mothers. His reasoning was “You think government is the only solution. I’m saying it’s not,“ then gave an example of his church providing for an unmarried pregnant woman who needed help.
So I asked him if churches could provide healthcare for all uninsured pregnant women, then why weren’t they doing that already? He had no answer.
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u/reefer-madness 5d ago edited 5d ago
These 'protectors of life' should put their faith where there mouth is and shadow mid-wives. Watch how fast their face sinks when they have to deal with stillborn fetuses, women who are crying and bleeding profusely or on the verge of death themselves. Teach them how their beliefs cherish one life and neglect another.
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u/Chumphy 5d ago edited 4d ago
Pretty much it. Then there’s going to be nothing but “mid-wives”, “doulas”, and an increased child mortality rate.
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u/MegBundy 5d ago
I just listened to that yesterday. She sounded like a cool person and a talented doctor. They really fucked it up if she decided to leave.
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u/Saneless 5d ago
And that's just one leaving. Others won't even begin their career there
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u/JoshDigi 5d ago
I thought of that episode too. She knows there will eventually be no decent doctors left in red states like Idaho
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u/corran450 5d ago
No teachers either. All according to plan.
“Some of you may die, but that’s a risk I’m willing to take.” -GOP
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u/WalkingCloud 5d ago
People may assume they’re just leaving as some kind of protest. However what was interesting from that episode was that one of the main personal concerns (e.g. aside from the added danger to their patients) was actually how difficult it was to avoid breaking the law simply through doing their job.
The laws are so broadly [poorly] written that until the courts set some precedents through lawsuits/prosecutions, nobody really knows exactly where the lines are procedurally. And naturally, nobody wants to be the one finding out through being prosecuted as part of the precedent setting court cases.
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u/RevB1983 5d ago
Are these the death panels the Republicans were warning about all those years back?
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u/MechaSandstar 5d ago
2008 republicans: they want you to die, grandma!
2023 republicans: we want you to die, grandma.
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u/sllop 5d ago
Don’t forget 2020.
Makes this look basic
“People want to die for the economy” or whatever the fuck that shitheal said
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u/mjohnsimon 5d ago
More like "If Granny has to die for the economy, then so be it!"
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u/plipyplop 5d ago
"Look, all I ask is for you to sacrifice for my benefit. Ok?"
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u/uptoke 5d ago
For the benefit of society, right?
No, no, just a handful of people with already exorbitant wealth.
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u/iamquitecertain 5d ago
"Some of you may die, but that is a sacrifice I am willing to make"
You know your side is bad when it's unironically more evil than a satirically evil cartoon character
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u/BuddhaFacepalmed 5d ago
Also, "Who cares if children get sick?! It's not like Covid is bad for children??"
The children:
Multisystem inflammatory syndrome in children (MIS-C) is a serious condition in which some parts of the body — such as the heart, lungs, blood vessels, kidneys, digestive system, brain, skin or eyes — become severely inflamed. Evidence indicates that many of these children were infected with the COVID-19 virus in the past, as shown by positive antibody test results, suggesting that MIS-C is caused by an excessive immune response related to COVID-19.
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u/xylem-and-flow 5d ago
I just listened to a This American Life episode (792 “when to leave”) that amongst other stories, talked about physicians trying to determine when they could no longer practice with patient’s best care in mind, and when they themselves had to leave the state they practice in. Great/sad listen.
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u/-Ernie 5d ago
Another poster up thread noted that episode was about this exact hospital and maybe the same doctor.
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u/Green-Umpire2297 5d ago
I would not want to be an obstetrician in any of these states. I would leave for sure. Even if I wasn’t respected or talented.
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u/fuzzywolf23 5d ago edited 5d ago
California will gladly hire each and every one of them. We've got some rural towns they would feel right at home in that need doctors, too
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u/jerm-warfare 5d ago
Same here in Oregon and we won't tell you how to do your job. Plenty of beautiful rural areas just like Idaho for a small town doctor to love.
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u/DerpyDaDulfin 5d ago
Bro you're telling me. As a Californian who is visiting my mom in Eugene I swear this town is a slice of paradise.
Incredible food, cozy rural communities surrounding the city, and a deeply nerdy counterculture. Pretty sure I'ma move here.
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u/Don_Quixote81 5d ago
Wait, so you're saying educated people might leave if state governments enact imbecilic laws? Who could have predicted this?
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u/Nemeris117 5d ago
Even more so, it was already difficult to entice doctors/highly trained professionals to move to and live in these ass backwards red states to begin with.
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u/OldJournalist4
5d ago
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Shockingly, health care providers are fleeing a state that proposed making administration of a vaccine a crime
Who could have seen this coming?
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u/Wurm42 5d ago
The doctors don't have much choice. The national standards of care haven't changed. If right-wing state legislators require doctors to deviate from those standards of care, the docs are risking malpractice lawsuits and even losing their licenses if they keep practicing in that state.
If Idaho thinks it's bad now, wait a year. When malpractice insurance comes up for renewal, Idaho doctors will find that the price has skyrocketed, or it's just not available for their specialties in Idaho anymore. That will force docs to close their practices and move out of state.
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u/Snapingbolts 5d ago •
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I can already hear right wing talking heads screeching about how "woke" malpractice insurance has become.
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u/Wurm42 5d ago
Yeah, that fits. These days, "Woke" is anything MAGA Republicans don't like.
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u/KingLeo23 5d ago
Yeah so go against standard of care = civil liability, perform standard of care = criminal liability. What fucking idiots do you suspect to continue to work in this environment?
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u/Prophet_of_Entropy 5d ago
the conservatives expect faith based healers to step in and fill the void, that and the rich can always travel to get the best healthcare, they always have. and if god loved you, youd be rich, so the suffering is your fault.
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u/me_again 5d ago
Idaho has made a number of treatments a felony. No amount of malpractice insurance will keep doctors out of jail if a sufficiently aggressive and stupid DA wants to make an example of them, and they know that.
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u/defaulthtm 5d ago
Nurses need to carry malpractice insurance as well. Labor and Delivery nurses particularly. Nurses will follow the doctors out of the state. It’s too easy to switch to travel nursing and make large amounts of money compared to staff nurses.
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u/MrT-Man 5d ago
“a person may not provide or administer a vaccine developed using messenger ribonucleic acid technology for use in an individual or any other mammal in this state.” lol
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u/mt-beefcake 5d ago
The sad part is, they don't even know what any of that means. Like how the fuck has politics come to this? Also I'm sure when the vac came out, the people responsible for this bill got it before anyone else had the oppurtunity. Ffs it's maddening.
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u/TerribleGramber_Nazi 5d ago
As a lib, I feel so owned right now
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u/ofAFallingEmpire 5d ago
If you were a lib in Idaho, you likely would.
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u/darth_tater_breath 5d ago
Idaho lib here :( it sucks because the crazy politics is literally getting worse because imports from California, Texas, and elsewhere are way more extreme than our local variety of conservative... being a lcol state, we are being overrun, and it's not sustainable. I sincerely fear this states future tbh.
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u/silverwillowgirl 5d ago
Oof I'm sorry. Californian here, and indeed my most racist conservative relatives were the ones that decided to take off to Idaho.
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u/codeByNumber 5d ago
This is why my eyes almost roll out of my head when people in conservative states say shit like “The commiefornians are flooding the state and bringing their politics with them!”
Except the people “fleeing” ca to move to these red states are more conservative than the locals.
So ya, I guess they are bringing their politics with them. Just not the ones they think.
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u/bandit69 5d ago
It's interesting to wonder if the administrators are that stupid or just that cruel.
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u/DragonPup 5d ago
Idaho has one of the most restrictive abortion bans in the country, with affirmative defenses in court only for documented instances of rape, incest or to save the pregnant person’s life. Physicians are subject to felony charges and the revocation of their medical license for violating the statute, which the Idaho Supreme Court determined is constitutional in January.
Wow, I cannot figure out why doctors and nurses don't want to work in Idaho.
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u/edgar_alan_bro 5d ago
I was hearing the this American Life Episode on this specific thing so even though it says "documented instances", yes theree are exemptions where the doctor has to document exactly what's happening for the exception but then they have to to in front of a court in a trial to prove to a jury that what they did was not an illegal abortion. So they have to take their chances that someone on that jury can somehow know enough basic medical concepts to not find them guilt of an abortion.
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u/Pour_Me_Another_ 5d ago
And they have to do that for every occasion they have to provide that care. Easier to move to a state that allows the practice of medicine.
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u/yhwhx 5d ago
I can't see how increasing the number of women who die during childbirth is pro-life...
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u/bandit69 5d ago
As much as they like to claim, they are NOT pro life, they're just anti-abortion. Once the kid is born they don't care at all. Money to help poor children? Not on my watch!
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u/jelloslug 5d ago
They don't even care enough to make sure the mother is taken care of properly during pregnancy. All they care about is forcing their will.
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u/ExpensiveSwordfish65 5d ago
Because it's not about life or death, it's about control. Often but not exclusive using cruelty. The next time your stumped by the gop try looking at your boggle through that lens.
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u/FlashpointJ24 5d ago
"Some of you may die, but that is a sacrifice that I'm willing to make!"
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u/padizzledonk 5d ago
Bonkers Red States are seeing a massive "Brain Drain" as predicted, the same way Iran experienced when the Religious crazies took over that country
Why would anyone stay there when they can go elsewhere and practice medicine properly and not risk the death penalty or life in prison for saving a woman's life when she has pregnancy complications
The Bible thumpers will get the reference--- You reap what you sow 🤷♂️
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u/MissTeeny27 5d ago
The government: Why aren’t women having babies? We need population replacement to support the older generations
Also government: we’re going to criminalize OBGYN’s and make childbirth more dangerous
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u/Modern_Bear 5d ago edited 5d ago
The release also said highly respected, talented physicians are leaving the state, and recruiting replacements will be “extraordinarily difficult.”
Idaho has one of the most restrictive abortion bans in the country, with affirmative defenses in court only for documented instances of rape, incest or to save the pregnant person’s life. Physicians are subject to felony charges and the revocation of their medical license for violating the statute, which the Idaho Supreme Court determined is constitutional in January.
“The Idaho Legislature continues to introduce and pass bills that criminalize physicians for medical care nationally recognized as the standard of care,” the hospital’s news release said. “Consequences for Idaho physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fines.”
Dr. Amelia Huntsberger, an obstetrician-gynecologist at Bonner General Health, said in an email to States Newsroom that she will soon leave the hospital and the state because of the abortion laws as well as the Idaho Legislature’s decision not to continue the state’s maternal mortality review committee.
“What a sad, sad state of affairs for our community,” Huntsberger wrote.
Working as intended, Republicans? Your fascist laws are not only ruining the lives of women who need abortions, they also are ruining the availability of healthcare for parents who aren't looking for an abortion at all. You people are a bunch of useless idiots that ruin everything you touch. Your states are becoming increasingly poor and ignorant.
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u/zwaaa
5d ago
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Well done conservatives. Deliver your own babies. Bootstraps.
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u/Suspicious-Wombat 5d ago
Don’t worry. They also got rid of the state’s maternal mortality review committee. So nobody will know about all the women that Idaho conservatives kill.
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u/d_e_l_u_x_e 5d ago
Don’t worry they’ll just change medical licensing to allow Christian midwives to be doctors and deliver babies.
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u/lotusblossom60 5d ago
They are allowing anyone to become teachers in Florida!
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u/DicmoVolant 5d ago
My wife has literally been working with new graduate PA's that did their rotations remotely, on stuffed animals. This is often the first job they get and many of them have never actually touched a patient before. Not joking one bit.
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u/Mythosaurus 5d ago
That’s always the conservative goal: eliminate standards and regulations for publicly provided services, and allow the wealthy to simply PAY for quality care.
The wealthy will always have access to good schools, healthcare, clean water, and other signifiers of high status life. And the poor will be given rugged capitalism in the form of whatever they can scrounge up the nickels and dimes to afford.
And the cost savings of eliminating social safety nets will of course be passed on as tax breaks for the wealthy donors.
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u/red_sutter 5d ago
Time to call up the midwife and have wifey drop trou in the barn and hope she doesn’t bleed to death, just like the good ole days!
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u/grtgingini 5d ago
What I foresee coming in these red states with medical care deserts…. Women will be now getting pregnant and having babies at home with zero support but a friend nearby… All in the name of Christ because that’s how the Women did it back then
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u/banditx19 5d ago
Republicans want Handmaid’s Tale. I’m not sure why anyone would ever vote red.
Edit: in the name of Christ!
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u/letsgoridingyall 5d ago
Good doctors in red states are leaving the ob/gyn profession in droves. Mine, in Texas, shut their doors. That Idaho has decided not to track maternal mortality rates any longer should frighten women everywhere.
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u/coswoofster 5d ago
Imagine a woman in serious distress and the doctor no longer has the freedom to recommend proper care where mom and/or baby could die and efficient decision making is necessary and appropriate. I wouldn’t deliver babies either.
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u/b0nk3r00 5d ago
theocracies are shitholes most people don’t want to live in, reason #7493
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u/Tophertanium
5d ago
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Take away abortion rights, raise the price of EVERYTHING, take away confidence in the police, raise rents/interest rates, increase education costs, cut social programs, threaten entitlements and then freak out that people are stopping having children?
What did they think would happen? Why bring children into a world where there is minimal chance to the supposed pursuit of happiness?
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u/PrickReborn 5d ago
They are making their voters desperate and angry. They know that they'll direct their ire on whoever the Republican party blames for this later.
This is Weimar Germany. These people are your fucking enemies, don't get it confused.
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u/Goofygrrrl 5d ago
ER physician here, this is only going to get worse. The OB/GYN training programs in red states are now woefully out of compliance for training. These are procedures that resident physicians must know how to do. So your going to see fewer and fewer physicians willing to train in these areas and subsequently will never set down roots in these areas. Blue states are not going to be able to accept these physicians as they don’t have the required training in their field. No physicians wants to be 400k in debt and now be geographically restricted to only work in certain areas. We’re going to see significant changes in the entire medical system. The OB/GYN field is going to be turned over to non physician providers with lower standards of care and no recourse for patients harmed by malpractice. We are also seeing medical society’s refusing to hold conferences and testing events in these states, as pregnant participants do not feel safe visiting these states. These changes happening now will impact these communities for decades and these patients for generations.
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u/EdLesliesBarber 5d ago
This is happening in a lot of Midwest and southern small states but it’s coming soon to Ohio and Florida. Soon after Texas.
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u/code_archeologist 5d ago
Because it's not like OB-GYN's can't find jobs elsewhere. There is a nationwide shortage in the specialty and hospitals in more accommodating places will be more than happy to pay competitive salaries for an experienced practitioner.
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u/Kwyjibo08 5d ago
I’m sure that woman mentioned in the article can move 1hr to Spokane and get paid way better and not have to worry about getting arrested for doing her job.
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u/thereisnodevil666 5d ago
Yup. Obvious predictable repercussions. If you are a doctor who at any point might need to deal with a dangerous or child pregnancy or even prescribe a drug for anything that has miscarriage as a potential side effect, a few cases of insurance blocking prescriptions for non pregnant women based on that already, why the hell would you continue working in a state whose DAs would love to go after you?
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u/Phreakiture 5d ago
I heard this morning that Hampshire College in Amherst, MA is offering admission to students in good standing at Florida's New College, and matching tuition. Their out-of-state tuition is normally $54k, so this is a steep discount.
I also hear that SUNY Binghamton (That's State University of New York for those not from NY state) is working on a plan to court New College students, also. I expect more to follow.
The brain drain of Florida is under way.
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u/sanslumiere 5d ago
Why any OB would want to practice in a place where they can't use the entire scope of their training to prevent unnecessarily suffering and death is beyond me.
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u/The_Fry 5d ago edited 5d ago
Honestly we should all be preparing for a collapse of healthcare. My wife works at a hospital and they can’t “find anyone to work there” while demanding rotating 12 hour shifts of 3 days on 1 day off, working every 4th weekend, and having to cover empty 2nd and 3rd shifts at other physical locations, all for an easy $40k per year.
Or you can work 5 6am to 1pm shifts with a 12 hour 3rd shift every 3rd weekend. Of course you only get differential for time spent on 3rd, not for having a shitty rotation.
Even worse, people already there are grandfathered into traditional shifts and single specializations, whereas anyone new gets the shit shifts and triple specialization.
“We can’t find anyone so we’re going to increase number of shifts for everyone to pick up for the same pay”
“Why is everyone quitting!?”
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u/N1ckS4ss
5d ago
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An Open Letter To Whom It May Concern:
A week from today Idaho’s Total Abortion Ban takes effect. I don’t care what your thoughts are on abortion, but I do think it’s important for you to understand the implications of this bill.
The language of the bill prohibits the termination of any ‘clinically diagnosable pregnancy’ from the moment the egg is fertilized, except in the instances of rape and incest (with a police report), or the death of the mother.
My wife has a history of ectopic pregnancy. This is a when a fertilized egg implants outside of the uterus. It is not a viable pregnancy. It will never result in a human life. It could, however, cost a woman hers.
As a ‘clinically diagnosable pregnancy’ this would not be treated by a doctor in Idaho until she is knocking on deaths door. Irreparable damage to her body is likely and they may not even be able to save her life if she is forced to wait.
The fact is modern medicine has made the idea of a woman dying due to complications from pregnancy less likely. Taking away preventative care changes that.
I refuse to put a life at risk for something that could never be and today I am headed to ensure we aren’t ever put in that position.
When the the overturning of Roe triggered Idaho’s law to take effect, I immediately called my urologist and scheduled a vasectomy. I won’t play politics with my wife’s life. -Nicksass 8.19.22
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u/alilheavyT 5d ago
I’m a 25 year old female who has lived in Idaho my entire life. When they overturned Roe, I got my tubes tied a month later. Did I 100% think this was the right choice for me? Maybe not. Did I feel like this was the only choice? Yes. Both my grandmother and my mother had extremely dangerous, almost deadly, pregnancies, and I would have the same risks.
It’s not that we don’t want families, it’s that our lives are at risk if we do. I think it’s brave as fuck you made that choice, because I had to make mine to make sure I lived past 30 if pregnancy ever came my way.
This state is not pro life. It’s anti woman, anti choice, and anti family.
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u/JBupp 5d ago
“The Idaho Legislature continues to introduce and pass bills that criminalize physicians for medical care nationally recognized as the standard of care,” the hospital’s news release said. “Consequences for Idaho physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fines.”
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u/Mutapi
5d ago
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This American Life recently aired a story highlighting this issue. It featured an OBGYN struggling with how she provides care and whether to leave Idaho due to the dangerous and restrictive women’s health laws being put in place, like some of her colleagues. I believe it’s Chapter 3 of the broadcast/ podcast.
It’s an impactful listen: Episode 792: When To Leave. I wish this narrative and the real-life impacts of these draconian laws were a more mainstream part of the national conversation.
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u/mercenaryarrogant 5d ago
This is exactly what they want.
Republicans in multiple states are enacting political terrorism into laws in an blatant effort to get educators, physicians, administrators, artists, psychologists, musicians, graduate assistants writers, journalists, scientists and many others that lean heavily democrat to pack up and leave to states that actually believe in the freedom these republicans lawmakers only pretend to love.
Check out political affiliation by occupation and it’s clear that’s why they’re going after these groups. They can’t win future elections without making battleground states places many aren’t going to want to live.
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u/erinn1986
5d ago
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Divorce your Republican husbands. They do not have your best interests at heart.
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u/KindAwareness3073 5d ago
Idaho joins the race for the top of the "shithole state" list with a strong entry. TX and FL feeling pressured.
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u/ITwerkForALiving 5d ago
Mississippi ain't worried.
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u/padizzledonk 5d ago
Mississippi, Alabama and Louisiana are the Big 3 to beat this year....Who is gonna come out on top for the triple crown of "Worst Healthcare, Worst Public Education and Worst Income" this year?
Tune in to find out!
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u/BroForceOne 5d ago
As long as infants die after they are born and not before, this is acceptable by conservative standards.
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u/DragonPup 5d ago
If anyone was wondering how red Idaho's government is...
The Republican governor got 60% of the vote (the Dem got 20%)
The state house is 59/70 Republican
The state senate is 28/35 Republicans
The US House Reps are both Republican
The US Senate are both Republicans
The people of Idaho are getting the government they overwhelmingly voted for, and not all of them will survive the consequences of it.
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u/moocat55 5d ago
Look, it's the obvious fallout from very, very stupid anti abortion legislation
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u/kbrown36 5d ago
Oh so they legalized 9 month abortions there?
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u/CAESTULA 5d ago
Just watch, soon they'll criminalize losing the baby, claiming the inability to get to a hospital in time constitutes 'neglect and child abuse, resulting in death.'
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u/ConfessingToSins 5d ago
There's been people suggesting this in Florida actually. They've been talking about how it a woman miscarries she should be punished or jailed because "that can't happen unless the woman does something wrong/evil"
It's insane. Southern states are off the deep end now in a way that they haven't been since before we had to hang a war to put them back in line.
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u/whiskeyjane45 5d ago
This happened in my city a few years ago. Labor and delivery was not open for three years. There were no OBs in town. Now L&D is open and the hospital has its own OBs instead of relying on the private practices.
At the same time, all of the pediatricians, save one left. Cook children's from the city opened a clinic but they do not accept medicaid. The one pediatrician is leaving for another town. In the four years since all the OBs and pediatricians mass quit at the same time, no other pediatricians have come, save the clinic. But this is a low income area. The schools in the surrounding small towns are all title 1 schools. A lot of people are on medicaid here, so the clinic is only helpful to some people
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u/StationNeat5303 5d ago edited 5d ago
This won’t be the last hospital to go. And amazingly, I’d bet no politician actually modeled out the impact this would have in their constituents.
Edit: last instead of first