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Jane Pauley is off today maraca and this is Sunday morning. Not to spoil your day, but a critical part of America's healthcare system is in critical condition and far from the big cities with big-name hospitals. Countless small town residents are paying the price. Lee Cowan will report our cover story. Given the high price of healthcare hospitals way out in rural America just fine financially.

I got 130 employees here that I'm going to have to tell they have no future. Well, think again. You have about $7000 would go to hell for the next 15 minutes. Hospitals are shutting the rate of about one a month, yours be next liter Sunday morning, now serving in any number of American homes recipes created by a woman who is a real trailblazer Alina Cho has paid her a visit. Recipes that are so easy to remember before re-drum and became one of America's top chefs she thought might work in TV news wanted to be Jane probably yes. Jane probably on my mom's kitchen television drama and you could say she found that her recipe for success. The Pioneer woman on Sunday morning. Steve Hartman has a story of an accidental encounter.

Jim Gaffigan admits he's addicted to the news we remember the big.com bust and more all coming up when our Sunday morning podcast continues. You might say that these days. The term critical condition doesn't just apply to the sickest of patients in the hospital the words could also apply to a number of our small towns that suddenly have no hospital at all. Our cover story as reported by Lee Cowan no such thing. Every place is isolated to place phone one road around Reno with more than 200 miles north of Vegas 200 miles to the south budget between what to those who call it home.

The scenic.the desert landscape. Once had everything they needed. Generally concerns about living in a place as remote is this really it had a store and a gas station I was five and the mayor. That's her newborn daughter Kimberly Justin that's her firstborn to half-year-old next week here before you moved here were her husband got a great job offer sure six weeks before she found out she was pregnant. He also found out total but struggling hospital. It's only hospital shutting I'm frustrated.

I am mad I cry. I'm upset about it because we live less than a mile away from the hospital. It was only more worrisome, when, shortly after she was born later was diagnosed with pervasive catastrophic form of epilepsy. She's just like any other typical kid in our days just like any other day except for when she has seizures. She is at about 400 was there anybody within a reasonable distance can help. Seizures are bad enough about every six weeks or so just to make a mad dash to the closest hospital, which is across-the-board in California 100.

Never forget it was in the middle of the night so it was dark and I can see her so I did stop quite extant to just check and make sure she was still breathing.

I was sobbing away. It is the worst feeling in the world. When Mingus weaves you to she came here with her husband Kurt for a high-paying job at the nearby solar energy plant and if they retire here one day we knew that there was hospital here and there was a few physicians and we felt comfortable at the time, but after the hospital closed everything tree shut the doors in the morning. There was rumors no one thought they were real. Now, now, we thought that won't that doesn't happen grout in the middle of nowhere. Kurt, who had diabetes, tried not to think about until one night when he suddenly felt very he woke up and I thought he was having a heart attack. He was gasping for air. He tried to get up but he is just too sick, suffering a serious complication from diabetes.

The condition it's normally survivable with prompt medical attention but in this case, prompt meant getting a helicopter, not particular nights helicopter was 45 minutes out before they can get to the airport and in that time he went into cardiac arrest have the hospital here been open with the Savior.

I would like to think so. You it's a grim tale repeating itself all across the country since 2010 99 rural hospitals like that monotone of a have closed. That's almost one a month, basically about half of rural hospitals are losing money every year. It's a large number Mark Holmes has been studying the decline for more than a decade. Prof. of health policy and management, University of North Carolina is there an end in sight. So every time that I've said think were through the worst of it. We been surprised and always have to wonder who's next. The plug pulled on yet another Tennessee hospital, there is only hospital is shutting down several closing its devastating cross-sectional is now facing very real risk will have no local hospital turned to two hospitals closing for good cause is population and some of those towns is dwindled to a size that can't support hospital anymore. You others hospitals reader mismanaged the end up as table scraps and mega mergers Medicaid expansion help. Some stay open home says not all. And even so. Reimbursement rates are often too low for hospitals to breakeven.

Whatever the call, the impact on the community is almost always say hospital closes the emergency room dries up all the other services that went with that home health, pharmacy, hospice, EMS Bailey town as well. Now you're left with a medical desert. That's exactly the fate residence of Pauls Valley, Oklahoma worried about the town about 60 miles south of the city has one hospital but the previous management company had brought it into bankruptcy know know where you are. I know where you are to so let me day we visited the city running to save Frank Avenue was working the phones to find a generous donor to keep it open. I got 130 employees here that I'm going to have to tell they have no future literally day by day. It's minute by minute, which many of you have been great about $7000 would go to hell for the next 15 minutes. It's not enough to really make a difference. We all need hospital townspeople rally specially treated like Suzanne Bley. She and her husband pitched in their retirement gamble, but to them matrix and we got to combat how much we should get well hospital we don't have to worry about retirement. Employees were just his passion. Linda Rutledge worked in the hospital cafeteria 20 years baked over a thousand cookie bake sale lot writing on what happened in like services massive free health pop up at the fairgrounds.

A great to set up by a nonprofit medical originally founded to serve Third World countries with Crystal Jerry COO says hospital] 1992, force the organization to address the medical needs of the underserved whole today hello seven states with patients that have come to this event so seven different states in the car, driven 200 miles to get here today just to be of service to the local area for 40 some wind up here overnight just to have the insurance to accept you are. For others, like Liana's to you this is the closest thing, emergency room or local hospital which used to go to when she had debilitating migraines also usually before hospital closes entirely. Administrators will try cutting back on nonemergency services like maternity wards happened so often that more than half the rural communities in this country now no longer have labor and delivery units leaving expectant mothers facing long drives at the worst of times, but in Lincoln, Kansas, population 2200 tried something different just the only hospital for miles decided to invest in obstetric care. Instead, the thinking being that babies can be a growth industry, and Justice Curry County hospitals young CEO Ben Anderson hoped they stay they bring the rest of the family to mom's came here and had a great experience in the city know. Be my self position to care. My husband is an internist were all coming to you. There is lots and that's just what Dr. Drew Miller bulletin board outside his office with pictures of the future patients you brought into this world almost 500 in the last eight years from all across the state. That's the most rewarding thing is that their families multiple generations as stories of people and deliver their babies are the great grandma that's what I love about what will they.

Another thing there are no high-priced specialists employed in OB/GYN. This hospital is staffed entirely by physicians trained in full-spectrum family medicine instead we determine that we only have $70 spent in a rural critical access hospital on medical stuff cover so it's important that everyone's trying to do the same thing that's important. Everyone's willing to do the thing for these rural doctors can include doing a colonoscopy in the OR in the morning to skin lesion in the clinic in the afternoon.

It's a flexible, can-do approach to rural medicine as These hospital doors open, at least for now. This last year we had the first profitable year and probably two or three decades writing very close.

We don't have margin from the state that razors in hospitals like the one back in Pauls Valley, Oklahoma had written for 20. So we just left the meeting was we were there.

Is that frantic CEO we met earlier Frank Avenue on can only live on borrowed time for so long, but brought the staff together to share some new were going to sorry hospital was closing immediately. Not sure people really understand what's going on. The stories got a get out. People have to see the faces of folks in this community and in the employees what the vendor people die because this hospital will be open any marrow back in Nevada understands those risks first-hand. After 1 Excruciatingly Long Dr. to a hospital with Alayna that had you reversible consequences. She fell into a seizure that lasted three hours long it lasted the whole entire trip, so she has brain damage from not she wasn't breathing correctly. She lost oxygen so I think people want to wonder if it's that bad, you're so far away from hospital help. Basically all the time why not move it would be great if we had the money to be able to move we make enough to live, but not really enough to save up to be able to make that move.

As for Elaine Mingus with her husband now gone. The rural life. They love so much is going to like so many who live in small town America. She's at a loss for what to do next when you stay here knowing there's no hospital.

My home is here. I feel like my husband here rethinking what you do want you to stay no now serving in many a home on the range breakfast recipes perfected by a true trailblazer Alina Cho has been watching Ree Drummond in action.

It's fine a.m. record heat try to get everything done for Mr. running run about 100,000 is herding cattle for generations here in Pa. Oklahoma, near Tulsa by 9 AM Cowboys are starving and reading is orange with homemade breakfast burrito actually famous recipe because we running down my top rated show on the network can take better change Level and access ability. I'm not going to send him anything beyond their skill ingredients that are pretty easy to get to remember nothing fancy :-( and she's stinky and her sick teacher trying to let people want to write.

Usually either better or cream. I'm not really an mom for her family, who has her fans now shy about her love letter hands on learning yes legendary Broadway star. I don't know what it really sounds like her Russian other sounds incredible, so we ask side like I know where Ree's life on areas.

Documents when land is out. When she feeds the family camera crew is there to catch it. Ree also wrote selling them market reads like a Harlequin novel. So when you're out at a local bar with some friends, but it's really wise for me to a lightning bolt. There is a lot of kissing. She started chili he just with different anyone that I had ever been around for though they grew up just an hour away from each other. She took ballet and lived next to a golf course been on a horse, maybe twice now on a trail ride. She calls him the Marlboro man you know she was a vegetarian. When you matter. I mean, I could've been a dealbreaker. It would've probably would've been just know where we can survive. You could say this all began with a recipe for state which reposted on or near women blogging 2007 recipes became so popular she wrote a cookbook actually all New York Times bestsellers, is a pioneer woman magazine goods at Walmart.

I am involved in everything… Flower that appears on this transformation population 3500 tourist destination lines around that chicken fried steak actually it is her Ree own a prosperous chunk of downtown here you can sleep likely in the hotel suites. She and lab design or heat like green in their pizzeria huge Mercantile restaurant which will remodel on November do with a little luck.

You may also be read Drummond may never get a Michelin star but this pioneer women has blazed around trail with a pinch of luck loads better and healthy serving of determination.

She says that every great idea. She's had us come from, you know, shoes, what you detest the CS. I think that where an empire being this is where you can just fit and reflect on everything three or four griddle going at one of their I've got too much to do as Joyce Kilmer might have written I think that I shall never see a poem lovely as an olive tree, but a shutdown tells us if you want to see the pride of Puglia. You'd better hurry in this part of you deletes all of trees don't just dot the landscape we define it so working here in Pooley is the heel of Italy's boot locals use words like patrimony cultural heritage when describing the I'm in the oil business effects of the real oil business.

That's olive oil, it's turned Paul Cappelli into a farmer probably feels cut the grass Greenacres from Bob who 60s in the 70s but is cut like a been an advertising executive in New York City until a few years ago when he left his job and moved to this home on the ancient Appian Way, surrounded by all of trees so it's very grassy to date.

Villa Cappelli produces about 10,000 L of all of oil, 95% of it sold in the US Supreme Court with a nightmare behind that's what it feels like a nightmare. Feels like I'm Obama was the girl my shoulder.

This is what he's nightmare looks like a disease that's killing all of trees by the millions. Just a few hours drive south in a part of Puglia called Cilento I heard you call this a olive tree Cemetery. Yes 730 just in two cases last stage hospital here Frederico Lynn Notte is an Italian government scientists to trying to stop the spread of this disease called sea level at the studio set European commission considers the plant bacteria.

One of the most dangerous in the world it's carried from tree to tree by a little bug oil from an infected tree is still safe to consume but the tree soon dries up. It is no longer able to produce all lives. This epidemic has the potential life we couldn't stop it in time to destroy completely needed on about industry of visitation within third of America's olive oil comes from Italy in Pooley produces about 40% of all of Italy's oil of the roughly 60 million olive trees in Pooley of an estimated 10 million are already infected, including some of the oldest. This is convert your sold €1500.

Yes, now it's almost completely. Lynn Notte blames globalization for spreading the pathogen was likely carried to Italy from Central America. Only about five years ago. That was the first time Cilento was detected in Europe.

What went wrong, farmers, government scientists need to be thought of every factum that you mention that asserts move the immediately but the people who believe in the beginning that so pendulous disease beer and move so quickly on the fetid day taking drastic measures down by the thousand to try to stop the spread of the disease may be thought" it hurts my heart gently told us. My grandparents raised and cared for these trees. I can't even look at them anymore 75-year-old former olive farmer abandoned his trees nearly 700 of them. His life's work trip to meet other chip of the doctors, not life.

There is no work, there's nothing you told us Sundays off to specimen splines.

This is that previously harmless bug spreading the pathogen scientists, including Maria separate already in the regional capital of body trying to understand the disease and how it spread we bacteria thought to the fact that the plans and then settle the action of the plants in the next months, but simply not explained in greenhouse conditions.

The incubation period of the disease can be about a year so a tree can be infected visually will appear and you can even test infected tree and if it's too early in incubation. When yes trying to save the old trunk sink onto what if I look for numeracy stunt varieties back in the field. Her colleague here. Frederico Lynn Notte is trying to graft disease-resistant all the varieties onto infected trunks.

This seems to be doing well. Yes, it is going very well try to save some tree you say trying to stop this is a race against time.

Yes. Is it a race that year losing hello on the moment that I really have to say yes I say Frost was always the beginning of the end. Paul Cappelli has tested his trees and there's no sign of sea level up. Not yet.

Like the Black death is coming. That's what it feels like feels like you if I look over my shoulder, I see dark clouds the bubonic plague coming towards the thumb. Olive trees way of life in southern Italy in a fight for survival. Steve Hartman this morning has a story of an accidental encounter in Buffalo new York Canisius College senior Andrew supports has a tale to tell. This is truly unique heartwarming story about a hit and run. Yet he says it all began the day he discovered this dent in his Ford Mustang is best and prettier than you saw the note.

I wasn't expecting that.

All that came from a sixth-grader. Obviously, 11-year-olds Ira Griffin dent, but she did make it better with the note she tucked under his windshield read if you're wondering what happened to your car bus for 49 hit your car it stops here every day to drop me off. She hit-and-run sorry that Ira closed with a sketch of the getaway vehicle that's her in the back aghast at what she just witnessed.

As a result of her artistry and honesty. The bus driver was held accountable. Andrew is now getting his car fixed. I chose my mom always said that my doing the wrong thing right right but her mom refuses to take all the car admits she wasn't exactly supportive when her daughter started going all Dudley do right and I want to get out of. I wanted me.

I think that's why sometimes people don't say anything because it's easier to just walk away my data taught me how to stay kind stay compassionate all is not the right thing is always the right thing. Andrew says as well, which is why he just you know when I first saw my car. I was angry and then I saw you know and change my entire mood to know that there's people out there with the type of integrity, honesty and supplementary member for for the rest my life again. Her mom credits nature over nurture, which is clearly doing something right because raising kids stand up to you. So much is no accident, you now our Jim Gaffigan with the latest news I have a confession.

I'm addicted to the news, information on the Cohen story. I'm admitting I have a problem that's the first To recovery right. I often pass out with the TV blaring in my phone in my handmade article as a kid I hated. I don't understand why my parents would watch it. The news was the opposite of interesting leftist leadership module like someone was reading a textbook.

Now the news is the only thing that interests me. Don't tell me about your favorite show you how your show is boring. It's inconsequential. My show good news is the best characters are so complex. The storylines are filled 65 and they have been talking about the national emergency on this broadcast for 20 down there, the heroes and villains are replenished every day. Every night for cliffhanger Robert Muller may be ready to submit his find. Sometimes I try to rationalize my picture I'll tell myself I'm trying to be an important citizen of the drama is a racist mystery collar is not expected. Is there any other footage of Robert Muller. This Kelly and George Conway talk about at night. I know my wife and I talked about it night news Saturdays when I realized the gravity of my news Saturdays used to be my favorite day of the week.

Now I hate Saturday was on Saturday.

My cable needs dealers are forcing air non-news filler programs on Saturday or Sunday Sunday all important Sunday news shows expect every show to begin with previously on the news Sunday news shows like the talking dad for us new zombies against president from either public and most importantly Sunday news shows mean tomorrow, Monday 24 hours wait for Monday. What happened to my life. Our journey into the woods, takes us to a clearing in a beautifully crafted paper trail.

Our Barry Peterson has discovered world stepped back into the world is started works for printing press more than 40 years ago, rural Kentucky Road.

Small beginnings run off some of the finest poets from Kentucky understand it may take a while to get their books print. Why did it. You know you're going to wear your sometimes maybe it's two years because of the quality of work. The love of this work goes part I love. I love work here. You can use her hand. You have to use your mind is the total package type sent by him one letter at a time 1915 cross is one of them selling the pages together binding of the first editions of 3 to 500 all done by and finally quality control touch of when you stop and pause for and hold us in your house that feel this wonderful Craig Dysart are is how it sold Ellen Blasko's gallery in nearby Frankfurt resides books so for $20-$40.

Special editions go up $250. The paper is so sensual that that is something that you really want to touch and you really want to turn the pages and then the type is so beautiful laser pointers for every day of last and while sites is one of the last people in America still earning a living from making books by him a new generation is learning the ancient craft of the American Academy of bookbinding in Telluride, Colorado, one of only two such schools in the US leather coming over on the side as the sun J Sable critter IG office job skill. A skill can take years to master how much time you think you will have put just this $100 hundred dollars easily.

Prices would you ask considering the work that goes into binge over thousand dollars and then like Larkspur press okay. It's personal.

I notice that when you talk about this book almost stroking wise because I love it when else can I make the last 500 Larkspur press gravesites truly believe his work making change what happens when a reader opens. I think that if you read a book that's carefully made and well designed. You're able to get more out of it than reading a book that is just mass-produced when you're looking at beauty that helps the understanding I mow Rocca thank you for listening and please join us again next Sunday morning. Drew Barrymore all my goodness, I want to tell you about our new shout to his knees and each episode mean weekly gas and cover all the quirky find inspiring and informative stories that exist because well maybe you do to from the newest interior design trend Barbie car to the right and wrong way to wash her arm.

Also getting the things that you just kind of well probably not able to do in daytime television.

So watch out. Tristan is ever you get your podcast on the