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Already struggling, the nation s rural hospitals face another challenge: for-profit owners Gretchen Morgenson and Vicky Nguyen and Conor Ferguson and Merritt Enright © Provided by NBC News Debbie Crouch Cook knows the peril of having a loved one fall ill when the nearest hospital is over an hour away. A nurse and medical coder, Cook lives outside Jamestown, Tenn., a 3-square-mile town of 2,000 in the northeastern part of the state. Her mom, Lottie, lives nearby and during the summer of 2019, Cook checked in to find her disoriented and acting odd. She called 911 and when the paramedics arrived, Lottie couldn t smile, a sign of stroke.

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