Read on Twitter
a nice way of saying "exurbs & farm/oil regions have been free-riding on urban hospital capacity for decades because they& #39;d have to actually tax land barons to build their own & god knows they& #39;d never let that happen" https://twitter.com/SouthernHomo/status/1245323096120320000">https://twitter.com/SouthernH...
also, local rural elites HATE having good hospitals around bc you know what happens when you have a good hospital?
doctors, nurses, & techs move in
creepy, gross, white-collar ppl who do weird shit like "vote for local services & infrastructure & property taxes to pay for them"
doctors, nurses, & techs move in
creepy, gross, white-collar ppl who do weird shit like "vote for local services & infrastructure & property taxes to pay for them"
that& #39;s why so many rural areas& #39; doctors are recent med school grads from overseas who are basically just there bc of programs that forgive med school debt and/or help with visas in exchange for working in underserved areas
it& #39;s not JUST a deal to help out MDs with otherwise precarious lives.
it& #39;s also a deal to keep rural good ol boys in power.
Those MDs stay just long enough to fill out their end of the debt/visa bargain & then leave for greener pastures.
That& #39;s not a bug. That& #39;s THE POINT.
it& #39;s also a deal to keep rural good ol boys in power.
Those MDs stay just long enough to fill out their end of the debt/visa bargain & then leave for greener pastures.
That& #39;s not a bug. That& #39;s THE POINT.
How do I know this?
Because this is exactly how land barons destroyed farm workers as a political force, too.
Make sure they& #39;re mostly foreigners & keep them moving. It& #39;s a divide-and-conquer tactic & it WORKS.
Because this is exactly how land barons destroyed farm workers as a political force, too.
Make sure they& #39;re mostly foreigners & keep them moving. It& #39;s a divide-and-conquer tactic & it WORKS.
I happen to have a lot of personal experience with how small-town local elites burn their own counties to the ground for personal gain.
Read this whole thread if you want a good laugh. https://twitter.com/SarahTaber_bww/status/1236049176443654149">https://twitter.com/SarahTabe...
Read this whole thread if you want a good laugh. https://twitter.com/SarahTaber_bww/status/1236049176443654149">https://twitter.com/SarahTabe...
The last thing rural elites want is any significant concentration of white-collar workers in voting distance of "their" county & state-level offices.
THAT& #39;S why rural areas have shitty healthcare infrastructure.
It& #39;s not because of cities.
THAT& #39;S why rural areas have shitty healthcare infrastructure.
It& #39;s not because of cities.
In real life, brain drain & poor infrastructure are almost never just because of an irresistible suction force from the place that brains drain TO.
There& #39;s a lot more push than pull involved.
There& #39;s a lot more push than pull involved.
But the only explanation most folks ever seem to hear for poor rural healthcare is "The cities steal money & skilled workers from us!!!"
That explanation is bogus.
It& #39;s a political talking point. It& #39;s an excuse.
It& #39;s how good ol boys manage to both terraform rural areas to be their own personal low-tax fiefdoms, AND get to play victim when, god forbid, there are consequences.
It& #39;s a political talking point. It& #39;s an excuse.
It& #39;s how good ol boys manage to both terraform rural areas to be their own personal low-tax fiefdoms, AND get to play victim when, god forbid, there are consequences.
they& #39;re all about personal responsibility until they need a bed at a hospital someone else built & paid for
We absolutely, 100% have a problem with healthcare infrastructure in rural areas.
And the only way we& #39;re actually going to fix it is by being honest about how it happened.
Not scapegoating cities, not pre-wrapped excuses from the local powers that be. Real accountability.
And the only way we& #39;re actually going to fix it is by being honest about how it happened.
Not scapegoating cities, not pre-wrapped excuses from the local powers that be. Real accountability.
You simply cannot have this level of rural decay without somebody knowingly, deliberately running a place into the ground.
DO NOT let rural leadership keep passing the buck. They& #39;re grown-ass men and they own this as much as anyone else.
DO NOT let rural leadership keep passing the buck. They& #39;re grown-ass men and they own this as much as anyone else.
