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Marketplace All-in-One

What the rural healthcare crisis looks like in Alabama

Marketplace All-in-One

Marketplace

Business, News

4.51.4K Ratings

🗓️ 8 June 2026

⏱️ 7 minutes

🧾️ Download transcript

Summary

There are about 700 hospitals at risk of closure across rural communities in the U.S. Financial headwinds are mounting, with disappearing federal subsidies and cuts to Medicaid. Alabama is a state familiar with hospital closures and at risk for more. This morning, host Kimberly Adams visits Thomasville Regional Medical Center, a hospital that looks frozen in time but has been closed for almost two years, to learn what happens to a community's economy and access to healthcare when vital resources disappear.

Transcript

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0:00.0

What the rural health care crisis looks like in one Alabama town.

0:06.5

From Marketplace, I'm Kimberly Adams. According to the Center for Healthcare Quality and Payment

0:12.0

Reform, there are about 700 hospitals at risk of closure in rural communities around the U.S.

0:18.6

25 of those hospitals are in Alabama, a state already familiar with that risk, and what

0:24.5

happens to a community when it becomes a reality.

0:31.6

So this is wild.

0:33.2

There's still the paper on the exam chair.

0:37.9

It's almost as if we're walking through just early in the morning before it's about to open.

0:43.2

This is the Thomasville Regional Medical Center, or perhaps we should say was, because right now,

0:50.0

the bright reception areas, brand new surgery facilities, and the only in-house MRI machine for dozens of miles are all empty.

0:58.6

Good morning, Mr. Mayor. Nice to meet you.

1:01.2

Thank you so much for meeting us today. I appreciate it.

1:03.3

Sheldon Day, the mayor of Thomasville, is our tour guide.

1:06.7

We're about an hour and a half north of Mobile in Alabama's 7th Congressional District,

1:11.3

an area with some of the lowest life expectancies in the entire country,

1:15.7

which is why Day says Thomasville needs its hospital.

1:19.8

We have a primary care clinic here with all the bells and whistles.

1:24.9

We were the only hospital in the region that did 3D digital mammograms.

1:28.5

The only thing you're missing is patients.

1:32.5

The medical center closed in 2024, less than five years after it opened.

1:37.2

The COVID-19 pandemic was a major factor.

1:40.5

Like so many hospitals around the country, Thomasville Regional shut down elective and non-essential care,

...

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