Glenwood really is a blink you will miss it kind of rural city.
Only a few hundred people live here, even on busy days it is sleepy.
But at one time it was home to the only Hospital in the county, an area of almost 800 square kilometers.
“That was our kind of, our, lack of a better term, claim to fame was the hospital.”
Then three years ago the facility closed its doors and with that the city lost its biggest employer.
"It’s devastated, economically, I mean just took away our life blood, you know just beginning of a domino effect."
"You know a small town says, you know, a larger town if you lose 120 jobs you know,you could probably overcome it but here it’s just hard to do that.”
But for the residents many who are elderly and poor , it’s the loss of healthcare that hit the hardest.
“All the doctors have gone, we don’t have a doctor here. So yeah, yes, it would be good if we did have something.”
About now where they drive away is Metter, there the county hospital is still open,but state officials say it’s financially stressed, like hundreds of other rural hospitals across the U.S.
It’s facing serious challenges.
In the state of Georgia there are two hospital beds for every thousands people,but in rural communities, it’s a very different picture.
Hospitals have a hard time attracting doctors.
Many of the patients don’t have insurance and simply can’t pay their bills,and Medicaid, a social welfare program, designed to help the poor hasn’t been expanded here.
All of that means that hospitals that are still open are struggling to get by.
“You know we have a lot of folks that come in for heart attacks or strokes.”
Hospital CEO David Flanders is working hard to turn things around,and says serving the community is about more than healthcare.
You need a great hospital to be able to prosper a community and that’s kind of our mission,and that’s kind of everybody that works here wants to take care of patients.
They want to see this hospital survive and you know they don’t do it for monetary reasons for sure.
They do it because they’re there genuinely concerned about the patients and the people in this community."
According to the National Rural Health Association, a third of the U.S. rural hospitals are in danger of closing for good,leaving the US as most vulnerable without timely access to healthcare.
For many the situation is the difference between life and death.