News from the South - North Carolina News Feed
Harnett Co. NC copes with recent loss of hospital maternity unit
Nearly 2,000 women in Harnett County give birth each year. But the county’s only hospital no longer has a space fully equipped for them to deliver.
Betsy Johnson Hospital in Dunn closed its maternity care unit in 2023, citing financial trouble.
Harnett County women must now travel to seek care, or give birth in an unequipped emergency room. Both scenarios leave both women and their children at risk.
The closure of the labor and delivery unit at Betsy Johnson Hospital — owned and operated by Cape Fear Valley Health — marks the 10th such closure in North Carolina over the last decade.
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Twenty percent of those closures are at the hands of Cape Fear Valley Health. The health system shuttered another maternity unit in south-central North Carolina in 2018.
It’s a growing problem that was previously detailed in Deserting Women, a three-part Carolina Public Press investigation in March that examined state data on every North Carolina hospital over the last decade. CPP found that hospital systems have systematically centralized services in urban areas while cutting them in rural ones.
Because the Harnett County closure occurred after the period covered by the data used in that report, it was not included in the series. But this case is no different from the others.
Women who once would have sought care locally at Betsy Johnson are referred to the health system’s flagship facility in Fayetteville, Cape Fear Valley Medical Center, according to DHHS.
That’s a 45-minute drive.
Larger facilities, like the one in Fayetteville, can stomach the financial losses associated with maternity care and treat higher-risk births, which bring in more money.
For women in labor, however, that 45-minute journey can feel like an eternity. It means navigating major highways, some of which are plagued by construction work and persistent traffic woes. Doing this during contractions means worrying about whether they’ll make it in time, and facing the very real possibility of giving birth on the side of Interstate 95.
For those without reliable transportation or who experience complications, the distance becomes even more dangerous.
A new maternity desert for North Carolina
This closure cements a new maternity care desert that was already growing in the region surrounding Harnett County.
In nearby Hoke County, two hospitals are present, but neither provides labor and delivery services.
Hospitals in Johnston and Sampson counties have both reduced service in recent years, according to the License Renewal Applications each hospital submitted to DHHS.
And just five years before the closure in Harnett County, Cape Fear Valley Health shuttered its maternity service in Bladen County at Cape Fear Valley Health Bladen County.
As a justification of that closure, the health system cited the extensive damage caused by Hurricane Florence.
These individual closures and reductions in service amount to a wider gap across the region. Cape Fear Valley Medical Center in Fayetteville, which sees more than 5,000 deliveries per year, now receives maternal patients from Harnett, Hoke and Bladen counties.
The financial math in Harnett
Cape Fear Valley Health says the closure at Betsy Johnson is a result of “declining demand for maternity services, recruitment challenges and financial realities.”
Framing service closures as a financial inevitability is a common refrain for hospital systems.
Maintaining specialized, 24/7 staff, up-to-date equipment and adequate space for a labor and delivery unit generates substantial expenses. If a hospital begins to see declining numbers of births, due to an aging or shrinking population in the area, per-birth costs increase dramatically.
No regulatory structure exists in North Carolina to keep hospitals from balancing pesky financial equations like this by reducing, or fully eliminating, maternity and other related care, even when they previously received a certificate of need from the state to provide that care.
“While this chapter may be closing, the impact we have made together will continue to resonate in the lives of those we have cared for,” reads a press release from Cape Fear Valley Health.
“Our commitment to the health and well-being of our community remains steadfast, and we look forward to continuing to serve our community in other important aspects of (health care).”
According to the hospital, they are maintaining gynecological, prenatal and post-natal care in Harnett County.
The closure doesn’t mean babies won’t be born at Betsy Johnson. If a woman in labor cannot be transferred to Fayetteville in time, she will have to deliver in Dunn. Those deliveries will just be less safe.
“Hospitals that close L&Ds will still have deliveries in their hospital,” Andy Hannapel, a family medicine doctor for UNC Health, told Carolina Public Press.
“It will be in their emergency departments that are less well equipped to provide the care that women and families need in pregnancies and with deliveries.”
Hannapel works at a hospital in a county adjacent to Harnett: UNC Health Chatham. There, counter to the dominating trend in the state, a new maternity care center opened in 2020.
That success story proves it’s possible for health systems to overcome the financial inevitabilities associated with delivering babies. But not all have the deep pockets of UNC Health.
For now, pregnant women in Harnett County face a reality that is becoming increasingly common across rural North Carolina: longer drives, fewer options and emergency rooms that were never designed to deliver babies.
This article first appeared on Carolina Public Press and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Harnett Co. NC copes with recent loss of hospital maternity unit appeared first on carolinapublicpress.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
The content highlights the closure of rural maternity care units and the resulting public health challenges, focusing on the negative impacts of financial pressures and healthcare centralization on vulnerable populations. It critiques systemic healthcare issues while emphasizing the need for community care access, which aligns with concerns often raised by center-left perspectives advocating for expanded healthcare services and equity. However, the piece remains fact-based and does not explicitly call for specific policy changes or take a markedly partisan tone, positioning it near the center-left of the political spectrum.
News from the South - North Carolina News Feed
Bull City Future Fund plans announcement in fight against gun violence
SUMMARY: The Bull City Future Fund, launched in partnership with United Way of the Greater Triangle and the Triangle Community Foundation, aims to combat gun violence in Durham by supporting organizations that keep kids engaged and off the streets. The initiative responds to recent shootings, including one that killed a 23-year-old and another where a bullet pierced a 7-year-old girl’s bedroom wall. Since the year’s start, Durham has seen 16 homicides, with three victims under 18. The mayor emphasizes investing time, money, and policy to improve environments for youth. Fifteen organizations, including Sidekicks Academy and the Boys and Girls Club, will receive funding, announced at CCB Plaza.

Numerous community organizations will benefit from grants to help keep children busy and off the streets.
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News from the South - North Carolina News Feed
New NCDMV commissioner answers questions about fixing department's problems
SUMMARY: New DMV commissioner Paul Tine urges people to avoid visiting the DMV unless urgent, as long wait times and staffing shortages persist. Appointed for his government and business experience, Tine takes full responsibility for current problems and is committed to improvements. Since starting, he’s revamped the website, restructured pay, provided new staff uniforms, and plans to launch a streamlined queuing system to reduce wait times. Budget approval for additional staff and offices is pending; if denied, he’ll lobby the legislature. Tine encourages residents to provide feedback via the DMV website, promising to listen and respond personally.

Newly appointed North Carolina DMV Commissioner Paul Tine is promising to significantly reduce wait times and improve …
News from the South - North Carolina News Feed
What’s next for the I-26 Connector and its controversial overpass? • Asheville Watchdog
After decades of planning and debate, the North Carolina Department of Transportation has said it’s close to starting construction on the long-gestating I-26 Connector project.
But community members, including architects and planners, are still asking the agency to reconsider some of its designs, particularly a controversial and once-secretive overpass above Patton Avenue.
Though they’ve declined to attach a dollar amount to the flyover change specifically, NCDOT officials have noted that the winning design came in $190 million cheaper than any other bid. They’ve said building over Patton saves 15 months of construction time compared to an underpass, largely because it avoids having to relocate utilities in the area. In this time-is-money equation, the agency has said, it can’t afford to go ahead with the project any other way.
But critics argue that there are other ways to save money in the project, and that the NCDOT is only making matters worse by forging ahead with a design that never received sufficient public input. Criticism has come, too, over how changes in the project’s right-of-way will affect surrounding communities. And the flyover has continued to stir questions about the agency’s comportment with federal environmental law.

Top Asheville and Buncombe County officials have joined that chorus: In a letter dated May 22, Mayor Esther Manheimer and county commission chairperson Amanda Edwards asked the agency to consider reverting the flyover design to the underpass it once promised, and to listen to the community’s ideas to improve the look of the Connector and reduce its cost.

Manheimer said in an interview that she’s not asking the NCDOT to hit the brakes over the Patton Avenue issue, as she’s “heard from too many people in the community that want to see the project get done.”
“I think the community has questions, and they need to be satisfied that that really was the only other option,” Manheimer said. “Or if there is a way to return it to an underpass, I’d like to see that. The whole idea with Patton Avenue was to return it to local traffic, and it to be sort of a boulevard. That’s hard to do when it has a giant overpass going over it.”
In an email Monday, NCDOT spokesperson Stephanie Johnson said the agency is “committed to evaluating the alternatives proposed by the City of Asheville and members of the community,” as well as aesthetic improvements to the overpass.
“The feasibility of incorporating these ideas into the project will be assessed based on their impact on the project’s cost and schedule,” Johnson said.
The NCDOT agreed to an underpass design 15 years ago, after a proposal for a flyover was met with a similar outcry. In that case, too, the city and county threw their weight behind the alternative. But two years ago, the agency allowed one bidder on the project, the Archer-Wright Joint Venture, to flip the underpass to an overpass. Archer-Wright won the bid, and the NCDOT didn’t tell the public about the change until an Asheville Watchdog report revealed it in February.
The NCDOT has a timeline: New environmental studies will be done by March, construction will begin in late 2026, and right-of-way acquisition will wrap up in 2027. It’s the closest the project, conceived in 1989, has ever come to fruition — even if the debate over it has never ended.
‘You made a decision without knowing all the impacts’
In the weeks after the flyover became public knowledge, the NCDOT emphasized its position that nothing about the design change undercut its adherence to the National Environmental Protection Act. That law includes requirements that agencies pursuing projects with federal money research and disclose potential environmental impacts.

When the NCDOT released its final environmental impact statement for the I-26 project in 2020, it did so based on the design that the public had seen two years earlier — including an underpass below Patton Avenue. But the change to a flyover was “typical of the Design Build process across the state,” the agency told The Watchdog in an emailed statement in February. “There are no additional impacts due to this change and the project still meets the purpose and need, therefore does not violate the National Environmental Policy Act (NEPA) guidance.”
Nathan Moneyham, the construction engineer for the NCDOT’s Division 13, which includes Buncombe County, reiterated that stance at a meeting of the French Broad River Metropolitan Planning Organization the same month.

But when the NCDOT released an updated project timeline in April, it included a “NEPA Re-Evaluation” slated for this summer.
In a subsequent interview, Moneyham conceded that the agency needed to take another look at the flyover but said the reevaluation is not a complete redo of the NEPA process.
It’s “to ensure the commitments to the (environmental impact statement) and the impacts are the same,” Moneyham said. He ascribed the need for the reevaluation largely to the fact that the project had gone through a cost-cutting process, called optimization and refinement, last year.
Derrick Weaver, the NCDOT’s deputy director of technical services, said he expects the reevaluation to find impacts similar or less than the original plan. An NCDOT spokesperson said last week that the NEPA reevaluation is on track to be done late this summer, though a separate noise study will take until March.
Gary Blank, a North Carolina State University professor who teaches the NEPA process, worked on environmental impact studies for the NCDOT as a subcontractor for two decades. In an email to The Watchdog earlier this year, he noted that the process doesn’t have to leave the public happy, just informed.
“The agency can propose whatever it wants,” he said. “Even the most dire negative impact will be upheld if an agency follows its established procedure.”
Asked recently about the re-evaluation process, he said there’s precedent for the NCDOT altering a project when considering new information about impacts.
“Revisiting NCDOT projects from new perspectives usually results in positive developments that offer better outcomes,” he said.
Joe Minicozzi, a certified city planner and the principal of the Asheville-based Urban3 planning group, was among those who fought down the flyover design more than a decade ago, and he remains critical of its return; he’s argued that there are better ways to save money on the project. He said the NCDOT’s acknowledgement that the overpass requires a re-evaluation vindicates his criticism of the agency’s opacity.
“We’re supposed to know all of the impacts before the decision is made,” Minicozzi said. “That’s the thing I can’t get my head around — you made a decision without knowing all of the impacts.”
Right-of-way owners in limbo
Not far from Patton Avenue in a West Asheville neighborhood, first-time homeowner Sammi Burke worries about the project on a much more personal scale. Burke, who bought a 100-year-old home a year and a half ago, says the maps she looked at nearly two years ago showed questionable impact on her property, if any.
“At the time, I had no real understanding of what the I-26 project was or any potential impact,” Burke said. “I think it was listed in the listing as ‘unknown impact’ to the property, so I kind of just wrote it off and said, ‘I’ll figure it out when I get there.’”
At the time she bought, maps from 2018 were the NCDOT’s latest, and in the one showing her home on Vandalia Avenue, it looked like the impact on her home would be minimal.
Burke thought a new roundabout would be near her front yard — “not ideal” but livable, she said. But the updated maps show a different route and a driveway connection point “through a significant chunk of my front yard.”
The NCDOT has said the latest plans actually reduce the total number of families and businesses whose property is in the way of the project and will have to relocate, from 85 to 68. But when The Watchdog asked for a list of property owners who had been notified and a full list of properties set to be taken, an official said the list wasn’t finalized — and that the plans were a quarter of the way done.
According to NCDOT spokesperson Stephanie Johnson, some right-of-way acquisition began in 2019, but most of the property acquisition for the main Connector sections through Asheville is expected to begin this fall and be complete by the end of 2027.
Burke said she still feels like she’s in limbo, because it’s difficult to tell exactly where the roundabout will go and what its impact will be.
“My bigger concern, in actuality, is the actual value of my home, because I’m a first-time home buyer and this was a significant investment,” Burke said. “We’re looking at what, six years of construction? Who knows what that’s going to do?”
Burke said she’s enlisted a law firm that specializes in eminent domain cases, “because I don’t know much about all of this, so I’d rather have some expertise behind me to help kind of navigate the whole process.”
At Crown Plaza Resort Asheville, located on the west end of the Capt. Jeff Bowen Bridge, President and CEO Dennis Hulsing has much more certainty about exactly what the NCDOT will take through eminent domain, but it leaves him with no less agitation than Burke has.

“From my standpoint, the disappointing part is if you think about all what they’re taking — they’re taking my clubhouse, all the fitness rooms, the indoor/outdoor pool, the spa, the driving range, all of that, and 20 tennis courts and four indoor tennis courts,” Hulsing said, also noting that the nine-hole golf course will disappear because the NCDOT will take about two and a half holes.
Hulsing said the NCDOT’s initial offer was “less than 25 cents on the dollar” to rebuild what’s being taken elsewhere on his remaining property. The resort comprises 110 acres now, but Hulsing will be left with about 80 acres. The low offer may make it tough to get bank loans, Hulsing said.
As it passes through the resort property, the Connector will be elevated. Hulsing noted that guests leaving the main building will walk out to a parking lot with a view not of downtown and mountains but of a hulking interstate.
That, he says, will have a “negative impact on the remaining land,” and it’s hard to put a price tag on what it may do to business. Hulsing believes the Connector needs to be built, but he’s disappointed in the DOT’s offer, and how the agency flipped the underpass to an overpass.
“I hate that the final plan they selected went through me, and I hate worse I’m having to fight with them for what I think is right,” Hulsing said. “But if you take me and take that out of the picture, yes, it’s something that definitely needed to be done to correct the bottleneck.”

‘Yeah, we can do something’
The city and county’s insistence that the NCDOT hear out other ideas echoes the work of local designers and planners critical of the overpass. They’ve been developing alternative proposals since the flyover change was uncovered by The Watchdog. Many of their ideas emerged last month, during a weekend-long charrette — a high-intensity design brainstorm, in essence.
Minicozzi described the crowd as ranging from 20-somethings with virtual-reality headsets to contributors to the original underpass plan, who were already elder statespeople of the local design community when it seemed to win the day a decade and a half ago.
“People are really trying,” he said. “They really look for ways to try to make things better. Coming in with an attitude of ‘Yeah, we can do something’ — that spirit is back.”
Sonia Marcus, a West Asheville resident and member of the anti-flyover I-26 Citizens’ Coalition, described several core ideas during Tuesday’s City Council meeting. One includes a slight shift to the placement of the highway that local designers believe would allow it to avoid some of the utilities that the NCDOT has flagged as a costly disruption necessitating the overpass. Another would have the highway bypass Haywood Road altogether, a change Marcus argued would improve pedestrian safety in the heart of West Asheville while saving money; in its place, a frontage road within the highway’s footprint could connect Haywood to Patton Avenue.
And reducing the width of I-240, which is planned at 10 lanes in some places, to six lanes citywide could also save on construction and eminent domain costs, Marcus said.
“We also avoid turning 240 into any larger a monstrosity in our city than it already is,” she added.
The NCDOT may be poised to at least hear some of these ideas: Architect Rachel Murdaugh, a co-founder of the Citizens’ Coalition, said during Tuesday’s meeting that the group was in talks with the agency about meeting to go over the proposals.
And the NCDOT spokesperson’s statement Monday signaled a shift for the agency, which in recent months had signaled its reluctance to make any changes to the project — particularly reverting the overpass back to an underpass.
“Honestly, at this point, I don’t think there’s anything that’s going to make us change our mind, except delay the project,” Weaver said at the April 24 meeting.
Switching back to the underpass plan would add to the project’s cost, an idea the NCDOT’s top leadership is unlikely to accept.
“Our executive leadership is going to say, ‘We’re not comfortable funding that right now, so we’re going to delay the project,’” Weaver said. “And they’ll push this money out to other projects and speed them up.”
Moneyham was equally blunt.
“There’s not any wiggle room,” he said at the same meeting. “This is the plan.”
Asheville Watchdog welcomes thoughtful reader comments about this story, which has been republished on our Facebook page. Please submit your comments there.
Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. John Boyle has been covering Asheville and surrounding communities since the 20th century. You can reach him at (828) 337-0941, or via email at jboyle@avlwatchdog.org. Jack Evans is an investigative reporter who previously worked at the Tampa Bay Times. You can reach him via email at jevans@avlwatchdog.org. The Watchdog’s reporting is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.
Related
The post What’s next for the I-26 Connector and its controversial overpass? • Asheville Watchdog appeared first on avlwatchdog.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article largely adheres to factual reporting on the I-26 Connector project, focusing on community concerns, government planning decisions, and environmental regulations. However, the tone and framing show a subtle emphasis on the voices of local critics, planners, and residents who challenge the state agency’s decisions, which aligns with a progressive viewpoint advocating for community input, environmental caution, and transparency. The critical stance toward government opacity and eminent domain impacts, along with highlighting public opposition and alternative proposals, suggest a slight center-left leaning without overt ideological advocacy.
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