In West Texas, the tiny hospital in Crosbyton has only two beds, and they’re not always occupied. “We rarely admit patients,” said Steve Beck, chief executive of the hospital, which is 40 miles east of Lubbock and serves a town of about 1,500 residents. The hospital has trouble keeping staff, and “we’re lacking in technology and expertise,” he said. And money. The town has hosted bake sales and garage sales to keep its emergency room and primary care services open. On paper, Crosbyton Clinic Hospital shouldn’t exist, Beck said, but it does — by “sheer determination and commitment and work ethic.” In states with many rural hospitals — like Texas, Kansas, and Iowa — hund
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