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Old_Baldi_Locks

Low funding, incompetent politicians blocking more funding, anti-doctor laws worded so vaguely a doctor could accidentally end up in prison for providing women healthcare, etc.


No-Homework1401

this was corrected weeks ago, that bill had an unfortunate side effect. it was never intended to jail doctors for providing healthcare. stop trying to push this narrative.


Old_Baldi_Locks

“It was corrected” so the doctors were right to be worried? Thanks for accidentally admitting they were right even though you’re desperately trying to pretend they shouldn’t have been.


No-Homework1401

No, doctors were not right to be worried. The bill in question had no intention of jailing doctors for prescribing birth control. The bill was made into a law on a Friday and the following Monday it was corrected. The sky isn't falling. It was an accident and it was corrected. You would know this if you did a single shred of investigation rather than look at headline and get upset. People are human. People make mistakes. People correct mistakes. There isn't a boogie man out to get you because you wear striped socks.


Old_Baldi_Locks

It doesn’t matter what the intent was, it would have jailed them. Turns out nobody who writes those laws is competent at that job either, and certainly not competent enough to regulate doctors.


No-Homework1401

>It doesn’t matter what the intent was, it would have jailed them. Which is precisely why it was immediately corrected. This isn't a conspiracy. It's since been fixed. You're upset at nothing. If those lawmakers are so incompetent, go do it yourself.


Old_Baldi_Locks

So the. They were correct to have a problem with it. You’re welcome. “If those lawmakers are incompetent” they are, they proved it, just like their supporters proved they’re too stupid to evaluate a candidate properly.


No-Homework1401

bro


Ok-Till-8905

Your definition of corrected is peculiar! Providing arbitrary immunity against prosecution is not a correction. We can debate that but let’s assume I’m a doctor. Ain’t no way I would risk being prosecuted to the whims of politicians. Also it is a fact that not prosecuting a LAW does not make the act of not prosecuting law…it’s simply a policy. And a policy can change. Bottom line is anyone can bring suit and the court would have to disregard any claims to immunity. This is a fact: the law still stands in Alabama. Now there is a bill in Alabama granting immunity. This is factually not the same as said law being “corrected” that codifies stored embryos are afforded the same legal protection as children under the state's Wrongful Death of a Minor Act of 1872. Bottom line is this: this is complete and utter foolishness. Very telling that anything had to be “corrected” in the first place and your nonchalant attitude about it. As if you ok with politicians and courts acting so haphazardly as to require corrections. lol.


Strykerz3r0

This due to intentionally bad (I hope) writing. Same thing is happening in other red states. The laws are worded so vaguely and poorly, doctors aren't going to risk it. Too bad ALGOP isn't as good at their jobs as the doctors (or virtually anyone else).


No-Homework1401

No it isn't due to intentionally bad writing, it's because the boomers in charge of running Alabama are old as fuck and dumb I don't understand why you people are so upset at this, it was an accident at best, a careless mistake at worst. It's since been corrected and NO ONE was jailed for it.


Propofolklore

This is literally the worst understanding of deep systemic problems with the state-created limits to good healthcare provision


No-Homework1401

In what way is my comment incorrect


mrxexon

It's unfortunate that Alabama doesn't have the same zeal for good healthcare as it does for football. :(


macaroni66

We didn't expand Medicaid and the good doctors that are here are hard to find. Hospitals closing. It's a total mess.


ctesla01

.. and the article didn't even give credit to the state that beat us out.. maybe Ole Miss?..


adactylousalien

Negative. It’s Georgia this time.


ctesla01

I'm sorry..


SignalAppointment694

Remember this next time we put Mee Maw in again!! Time to put the whole administration on the porch! Alabama Strong.


whathuhmeh10k

According to the Forbes survey, “Alabama employers cover the lowest percentage of employees’ annual health insurance premiums on average.”...and this is how you get crap coverage.


schoolnurseadvocate

https://www.reddit.com/r/HuntsvilleAlabama/s/ITOWTVPdwd


captainpoppy

said no one. We have two medical schools, and some of the best nursing programs in the country, but we have too many rural areas with no access to healthcare, and the hospitals we do have almost all run primarily on profit first, administration second, doctors 3rd, patients 4th, and everyone else last.


mhks

I think the rural argument doesn't really fly as every state in the country (outside the Northeast) have large rural areas. I think the issue is the second part you mention, plus how politically AL is doing everything it can to ensure it can't get good medical care


No-Homework1401

People in rural areas choose to live there and refuse to leave. They also own the majority of the land in those rural areas and refuse to sell it. You can't legally build on their land nor can you force them to move.


captainpoppy

Some people choose to live there. Others don't have anywhere else to go. There are also just as many poor rural people who don't own huge swaths of land. Probably more so. Where are they going to go? There aren't manufacturing jobs in cities anymore, and they don't always have skills needed for office work. If only life was as easy for everyone as you seem to think it is.


No-Homework1401

There are people RIGHT NOW living in New York City that were born in Guinea. The great thing about the United States is that there's 50 different states to choose to live in and citizens are allowed to move around freely as they so choose. People can move. Life is nothing more than consequences. Everyone makes choices, all choices have consequences. The population living like this is TINY. You would know this if you've ever visited rural Alabama.


captainpoppy

I have family from Rural Alabama. I grew up spending summers in Rural Alabama. Thanks though. And yes, people have immigrated here from other countries. That doesn't mean citizens in our own state don't deserve healthcare. Like... Wtf even is your point?


No-Homework1401

My point is if people want to live in Pellham, where the closest OBGYN to them is DCH or UAB, then fucking let them. They know what they're getting into and they don't need people like you to tell them that they need to move the big city. They understand the risk and actively decide to live there regardless. Let people live their lives, holy shit.


captainpoppy

Oh wait. You're calling Pelham rural. Ok. Yeah. Pelham is a big time city compared to where I'm talking about.


fedaykin91

Pelham is a suburb of birmingham, not a rural town. Of course, people go to Uab from there. You do not know what you are talking about.


[deleted]

[удалено]


space_coder

You never actually been to Pelham.


Propofolklore

Lmao


lifeisweird86

Yep. We will be retiring to Alabama because it's ideal (for us). Low population, low cost of living, low property cost, and taxes. We've dealt with living in the metro-Atlanta area for nearly our entire adult lives, and we're just sick of everything involved with it. And really, we're just sick of people in general. We just want a bit of land with no neighbors in sight.


RadiantAge4271

Are you from Alabama?


Propofolklore

There are two allopathic and two osteopathic medical schools in Alabama.


tcbymca

No surprise that when the army is training on providing medical aid in devastated areas, they just come to Alabama.


KeheleyDrive

But we are well protected from naughty books in the library and scary drag queens.


ecwagner01

Yeah-ah, I can I get an Ay-men from the congregation? /s


Hot-Tailor-4999

The politicians and business owners do not care of we live or die. It is right to rebel against them.


space_coder

Even at the "second-worst", Alabama still scored an 87 out of 100 and I rarely take anything coming out of Forbes seriously. That said, it could be due to: * Alabama being mostly rural with only four metropolitan areas served by three region hospitals and one local one (UAB, HHS, MIHS, Baptist). * Doctors tend to not only want to practice where the most patients are, but also where there's more than a MacDonald's, Waffle House, and Dollar General. * Alabama's government decided not to expand medicaid so there is a huge number of working Alabamians that are in the gap between Medicaid and ACA coverage. * Alabama legislature are constantly practicing medicine without a degree and interfering with the medical professionals ability to provide healthcare as needed.


Residual_Variance

Higher scores are worse on this measure.


space_coder

Damn it. Next thing you'll tell me is that I'm not that good at golf.


shemmy

everything else u said was pretty much valid tho


Numerous_Shop_814

Same goes with golf, lower number the better. Do with that as you will.


sleepsbk

Makes sense. Physicians would rather live in more urbanized areas to work for more pay, plus locals in rural areas don’t want outsiders from other states moving in and changing their way of life. Many rural hospitals and centers are closing and the states’ poverty levels contribute to people having shitty Medicaid the state provides, shitty employee insurance, or no insurance at all.


Cynical-Wanderer

But hey… you’ve just ensured police bodycam footage isn’t public record and have been making librarians lives hell for a while now! Oh, and apparently you’ve removed monetary caps on political donations as long as the donation is from a ‘friend’. Good legislation there! Who cares that IVF is illegal now and abortion is under attack. We’ve screwed the libraries! Whoohoo. A catastrophic mess in a state that should be doing well… except for the leadership not giving a shit. I mean, really. Threatening to keep Biden off the ballot because the date of the DNC convention is after 8/15? The RNC convention has been after 8/15 every time this century. 2004, 2008, 2012, 2016, 2020… and this is the BS you pull on a sitting president? That’s the crap 5 year olds pull at recess. Please Alabama… vote these fools out. I don’t care if you put in conservatives… just make them real conservatives, not these power hungry, fear mongering idiots. Please elect people who actually want to solve Alabama’s problems. Because they are getting worse every single year.


defnotajournalist

If I was a doctor the last place in the entire country I’d be willing to practice medicine would be Alabama. The general tenor towards science is downright antagonistic.


YetAnotherFaceless

Has praying the illnesses away not worked? Strange!


ttircdj

Realistically, the only good hospital in Alabama is UAB in Birmingham. With so many rural counties that I’m pretty sure that nobody in their right mind would want to live in if they had the ability not to, it’s understandable that even UAB couldn’t save us in the rankings. Who’s last, Mississippi?


NdN124

Georgia surprisingly. UAB has a charity care program too. As long as you make less than $50K a year, you can get discounts on medical procedures and checkups. People nder the FPL gets free care.


ttircdj

That’s shocking. I moved to Atlanta specifically for healthcare a year ago (HIV). Emory is one of the top facilities in the world, but health insurance over there is awful.


space_coder

Georgia is worse than Alabama simply because approximately 57% of that state's population reside in the Atlanta metropolitan area (29 counties). That means remaining 130 counties are rural and have the same level of healthcare as rural Alabama.


Specialist_Product51

North Carolina entered the chat 


shemmy

not even close to being the only good hospital


ttircdj

What else is there? Brookwood seems to have fallen off a cliff. Maybe St. Vincent’s?


shemmy

yeah. grandview. 2-3 good privates in montgomery and mobile has a handful including usa. but lots of other medium sized facilities like dch in tuscaloosa that are fine hospitals.


schoolnurseadvocate

Really need state leaders willing to look at the issues with the 31 Health Care Authorities in the state and CON laws. As a citizen, I have tried https://apnews.com/article/open-records-government-transparency-lawsuits-sunshine-week-58becea049a4eb5fac688e8aee1aac0e


StickmanRockDog

With the shit they pull, it figures. Who’d they beat? Who’s last?


TitlicNfreak

Arkansas. Hold my sister.


rocketcitygardener

Moved to Huntsville 6 years ago and am still dumbfounded by lack of good choices - in the largest city in the state. I'm sure there are good docs here but they're so overbooked that they don't take new patients.


schoolnurseadvocate

https://www.reddit.com/r/HuntsvilleAlabama/s/yu6SGWlP4r


rocketcitygardener

Forgot about that post, thx.


leahm087

Was that score on a curve?


Lifeinthesc

Eat shit, drink shit, and smoke shit. Not even the best run healthcare system in the world can undo what people willingly do to themselves every day. Life style will always beat medicine. And I am in healthcare.


NdN124

Because things like car accidents, injuries, infections, cancer or congenital diseases are choices that don't require medical assistance right?


Lifeinthesc

Heart disease, smoking, and diabetes make up 75% of deaths. All driven by lifestyle.


NdN124

So 75% of the people that go to the hospital die from lifestyle choices? Also diabetes can be congenital . No sick kids or car accidents?


Lifeinthesc

Yes everyone dies.


SwirlTeamSix

Well, I am shocked! Shocked, I tell ye!


SicilySweetheart

Who cares? Gotta make time for being angry minorities exist /s


No-Homework1401

This is very misleading. Alabama is VERY rural state. There are hundreds of miles of nothing. People live where there is nothing and have been for generations, they simply refuse to live anywhere near people. These people also understand that they don't have access to medical care, that was part of the deal. They knew when they moved out to the middle of nowhere that they would be left alone and they would be on their own, that's how they choose to live. There's lies, damn lies, and statistics. Let people live how they want to live.


NdN124

Most of the people that I know that live in those areas didn't move there, they were born there. A lot of those rural areas have declining populations because people are leaving when they find opportunities to. Some refuse to leave while others can't afford to leave. The cost of living is extremely low and they have low paying jobs.


No-Homework1401

This entire comment is 100% correct. Keep in mind, humans have free will. You cannot force someone to move closer to emergency services in the United States. If someone wants to live in bumfuck, Alabama, they are 100% in their right to do so.


Mediocre-Magazine-30

mysterious foolish sip quiet crush saw wakeful follow deliver placid *This post was mass deleted and anonymized with [Redact](https://redact.dev)*


Haunting-Fly-5222

was this ever a question lol


5400feetup

Is it not enough or the practitioners are bad?


NdN124

There's not enough access to medical care in rural areas, not enough doctors and other staff. the medicare and medicade system is under funded in Alabama resulting in low income earners being removed from programs.


Wrapscallionn

Crappies thing about it, to me, is the fact that hospitals / doctors/ insurance won't bill you til YEARS AFTER . Just got a 800 dollar bill today from 2022.


bigchiefwellhung

It’s great for poor families that conservatives control the state. Sure is.


SufficientOnestar

Health care or insurance paying?


Gindotto

It’s bad here for sure, especially rural, but is there anywhere in the USA it’s actually good and affordable? 🤣


NdN124

I think that small suburban towns and cities are better. They offer the best of both worlds. Lower crime rates, more and better jobs, fewer big city issues like traffic, conveniences, emergency services and healthcare nearby.


Gindotto

Yup. I left the City out West to come out here to peace and quiet. 30 minute commute I see about 4 cars. No traffic. One traffic light. 😆 We have an okay selection of rural healthcare but I’m not surprised to see the State ranked so low.


SignalAppointment694

Time to clean up our administration!! Put everyone on the porch. Start from top Mee Maw! Alabama Strong!!!


Chonkey808

You get what you vote for.


schoolnurseadvocate

Does Alabama have a Corporate Practice of Medicine (CPOM) Doctrine?: No. https://www.permithealth.com/post/the-corporate-practice-of-medicine-50-state-guide


NdN124

https://tuscaloosathread.com/police-accuse-woman-of-practicing-medicine-without-license-at-tuscaloosa-clinic/ I don't think this is a major issue I'm Alabama but I do know "doctors" have been busted for practicing without a license


schoolnurseadvocate

It is when private equity companies are running hospitals, “ Corporate Practice of Medicine (CPOM) Ban, which effectively prevents corporations and other artificial entities from practicing medicine, has been in place for over a century.”


Silver_Site2051

Alabama is plagued by a single private insurance BXBS of Alabama a monopoly in the state. Keep reimbursement rate low and you have a hard time keeping and retaining good doctors.


CameraChimera

Rural Alabama healthcare providers are so rare that the number of patients to doctors is 4x what it should be in those areas. Source: working with people trying to combat this problem.


Connect_Plant_218

Oh I bet it has everything to do with stopping Medicaid expansion and banning abortion, but the people who voted for both will never admit that…


NdN124

Not really. Alabama has always been notorious for not having good access to healthcare and poor health overall compared to the rest of the country.


Connect_Plant_218

It gets worse (and not better) when you ban access to healthcare and/or make it more expensive for the poorest people in an already very poor state.


JakeT-life-is-great

But maga republicans have plenty of time for anti women and anti gay bills so they can virtue signal what good christians they are while simultaneously worshipping the great orange donald the adulterer and rapist.


cantresetpwfuck

The minimum income to qualify for Medicaid is ridiculously low. It’s both a disincentive to work and disqualifies tens of thousands of working people from Medicaid. ETA: well, shit… I meant “maximum income”.


Telyesumpin

Our politicians keep voting to stop medicaid expansion. We could get a lot of help, but our uneducated voting block keeps these corrupt pieces of shit in office. https://www.npr.org/2024/04/10/1243825508/why-alabama-refuses-to-expand-medicaid-under-the-affordable-care-act#:~:text=Transcript-,As%20rural%20hospitals%20struggle%20to%20stay%20open%2C%20Alabama%20politicians%20remain,Act%2C%20also%20known%20as%20Obamacare. Alabama is last or close to last in everything because of our elected officials. Vote these MAGA dickheads and cocksuckers out of office. We have had republican politicians running this state for 30+ years, and nothing has gotten better for our state. That is the sole reason. Republicans do not want to help people. They get their pet projects and their kickbacks and vote against anything that could help the people of this state. Stop listening to this bullshit they keep talking about, vote them out. Get someone respected in your community to run, as a Democrat, Independent, fucking make a new party just never vote R(traitor).


greed-man

Yes....blame the poor and unhealthy for mismanaging the system. Because it is the poor who decide what Medicaid will pay. Alabama's Medicaid system is also ranked the 2nd worst in the Nation, behind Louisiana. 99% of that is because it's funding is so low, which means that we offer less services under Medicaid, and we are doing nothing to prevent rural hospitals from closing.


InevitableSolution69

I think they’re saying the opposite. The upper limit at which people can qualify for Medicaid is so low that people are forced to choose to have healthcare or a job. Because if they can’t get a job that will pay for healthcare then they’re working, likely still unable to pay for basic needs. But also considered to be making too much to get health coverage. So if you have any actual health issues you can’t afford to work because the healthcare you would loose is so so much more valuable, including potentially literally lifesaving, than the 6 3.5 hour shifts a week at minimum wage would be.


greed-man

Yes, I see that angle now. Thank you.


NdN124

That has little to do with Alabama's healthcare system.


eberkain

idk, healthcare providers like to get paid for their work, so it would seem there is a direct correlation. Hard to attract great providers when most of the state is poor and cant get affordable health insurance and the state is not helping those in need.


Hot-Tailor-4999

An opinion this bad should land you in jail