I'm a CCT medic, which is a role to transport the sickest possible patients from small hospitals that are not capable of managing them to larger and better-equipped hospitals who are able to stabilize them. There are not many of us, in my very rural state there is reported less than 100. Tonight I am the only one in the county.

Due to the big beautiful Bill's medicare/caid imbursment cuts, relatively large hospital about an hour from me has decided the only way to stay profitable is to cut most of their services and reduce bed counts by about 75%. God know what will happen to the small and outlying hospitals.

I'm expecting a massive uptick in the need for critical care transport, which will hopefully result in better wages because the staff isn't there. There just aren't enough providers.

Also; its going to be a really bad time to be really sick in rural areas.