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Glenwood really is a blink you will miss it kind of rural city.
格伦伍德是那种你眨眼就能错过的县城。
Only a few hundred people live here, even on busy days it is sleepy.
整个地区只有几百人口,即使在繁忙的日子里,它看起来也是困倦不堪的。
But at one time it was home to the only Hospital in the county, an area of almost 800 square kilometers.
曾经这里有县里的唯一一家医院,为周围大约800平方公里的居民提供服务。
“That was our kind of, our, lack of a better term, claim to fame was the hospital.”
这是我们的,怎么说呢,医院是我们这里很重要的东西。
Then three years ago the facility closed its doors and with that the city lost its biggest employer.
三年前这个医院倒闭了,县城也随之失去了最大的雇主。
"It’s devastated, economically, I mean just took away our life blood, you know just beginning of a domino effect."
从经济说,这太难以接受了,这就像拿掉了我们的生命力,开启了一个多米诺效应。
"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.”
如果一个大县城失去了120个工作岗位,他们也许能克服,但对我们小县城来说确实太困难了。
But for the residents many who are elderly and poor , it’s the loss of healthcare that hit the hardest.
失去医疗保障,对于那些经济困难且又年迈的居民来说是最为难以克服的。
“All the doctors have gone, we don’t have a doctor here. So yeah, yes, it would be good if we did have something.”
所有的医生都走了,这里已经没有医生了。确实,我们要有些医生就好了。
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.
现在大家都驱车前往梅尔特,那的县医院依旧在运行,但政府官员称该医院也像美国其他乡村地区一样,
It’s facing serious challenges.
承受着经济压力,面临巨大挑战。
In the state of Georgia there are two hospital beds for every thousands people,but in rural communities, it’s a very different picture.
在乔治亚州,平均每千人大约有两个床位,但在乡村,情景完全就不同了。
Hospitals have a hard time attracting doctors.
医院很难聘请到医生。
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.
许多患者没有保险,承担不起医疗费用,旨在扶贫的福利项目--医疗救助,也还没有普及到这个地区
All of that means that hospitals that are still open are struggling to get by.
这就意味着那些仍然营业的医院都是在勉强运行。
“You know we have a lot of folks that come in for heart attacks or strokes.”
“有许多村民因心脏病或中风住院。”
Hospital CEO David Flanders is working hard to turn things around,and says serving the community is about more than healthcare.
该医院的首席执行官大卫·佛兰德正努力扭转形式,并说到社区服务需要的不仅仅是医疗。
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.
“一个社区的和谐需要一个好的医院,这是我们的使命。每名医护人员都想要照顾好病人,
They want to see this hospital survive and you know they don’t do it for monetary reasons for sure.
都想要这家医院运作下去,当然不是因为金钱方面的原因。
They do it because they’re there genuinely concerned about the patients and the people in this community."
他们这样做因为他们真心的关心患者以及这个社区的居民。”
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.
据美国农村健康协会调查数据显示,美国1/3的乡村医院面临着永久关闭的危险,这就使得不到及时医疗救助的美国民众最易遭受疾病侵袭。
For many the situation is the difference between life and death.
对于许多人来说,这也许就是生与死之间的不同。

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Question:
How many rural hospitals are facing the risk of closing permanently?
A  1/2
B  1/3
C 1/4
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