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Alabama small rural hospital shows effective use of telemedicine.

On the surface, there’s little about Whitfield Regional Hospital that would make it a safety net for Alabama’s sickest Covid-19 patients. It has a small ICU with eight beds, and no critical care doctors on staff. The rural hospital has spent decades focused on caring for the community surrounding Demopolis, population 7,000, in the heart of the state’s Black Belt.

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Alaska’s Covid Crisis, Doctors Must Decide Who Lives and Who Dies

ANCHORAGE — There was one bed coming available in the intensive care unit in Alaska’s largest hospital.

It was the middle of the night, and the hospital, Providence Alaska Medical Center in Anchorage, had been hit with a deluge of coronavirus patients. Doctors now had a choice to make: Several more patients at the hospital, most of them with Covid-19, were in line to take that last I.C.U. spot. But there was also someone from one of the state’s isolated rural communities who needed to be flown in for emergency surgery.

Who should get the final bed?

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Many health workers at big U.S. hospital chains with vaccine mandates are getting shots.

Hundreds of sought-after nurses are leaving some U.S. hospitals that have established vaccine requirements for all employees, involving some protests and legal opposition. But most workers, especially at large hospital chains, appear to be complying with the policies.

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Wyoming, with low vaccination rates, faces hospital staff as well as bed shortages

 

The coronavirus is raging in the northern states of the Mountain West, especially Wyoming, where the Delta variant is tearing through one of the least vaccinated populations in the country.

Wyoming is tied with its neighbor Idaho for the second-lowest vaccination rate of any U.S. state. Each has fully vaccinated 41 percent of residents, compared with 56 percent nationally. And newly reported virus cases are at their highest levels since November in Wyoming and neighboring Montana.

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