You completely do not understand given this statement: Many of those deep-rural "hospitals" are just clinics. Sometime not even 25 beds. You'd never choose to go there for anything major on a non-emergency basis. Tennessee has world class medical centers an hour or so down the road. Yes, they serve a purpose for emergencies. Get patched up and move to a better hospital ASAP. It's ok...most have never even lived in "deep" rural areas. There is no "deep" actually. The issue is what I underlined in quoting you(beds). The Senators son : https://www.washingtonpost.com/local/virginia-politics/va-state-sen-creigh-deeds-settles-lawsuit-over-his-sons-death-for-950k/2018/10/17/f75d533e-d243-11e8-8c22-fa2ef74bd6d6_story.html On Nov. 18, 2013, a local judge issued an emergency custody order for Austin Deeds after his father expressed grave concern about his behavior, and the young man was taken to Bath Community Hospital. He waited for several hours before the Rockbridge Area Community Services Board dispatched Gentry to conduct an evaluation. The lawsuit says Gentry knew or should have known of Deeds’s history of mental illness and previous suicide attempts. Gentry did not evaluate the young man until the initial four-hour custody order had nearly expired. He determined that Deeds met the criteria for hospitalization and began calling facilities to find a placement, while the local judge extended the custody order for two additional hours. AD Of a list of more than two dozen facilities, Gentry contacted seven private facilities — although he said he contacted 10, according to the lawsuit. At least five area hospitals had beds available, the lawsuit said. Gentry tried to fax one of them, Rockingham Memorial Hospital, twice, but he used the wrong number and did not follow up. The state had long been aware of shortcomings in the mental-health services system. I was born no more than 10 miles southwest of where that happened. The importance of said facilities is an understatement.