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
Crops bountiful on NC farms in ’25, but recovery from ’24 still lags
The news about crops out of North Carolina farms is good this year: the corn is tall, the soybeans leafy, the cotton fluffy and the apples ripe.
Compared to last year’s disastrous summer, when it seemed flooding was the only relief from extreme drought, this summer has left farmers feeling hopeful. In Wayne County, extension agent Daryl Anderson says this is the best corn crop the county has seen in 50 years.
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That’s a major turnaround from last year, when dry conditions decimated cornfields from the coast to the mountains.
Still, no year in the fields is free of struggle. Rainy weather, delayed relief payments, market conditions and dramatic federal policy shifts have kept farmers on their toes.
It’s been a wet year — at times, too wet. Tropical Depression Chantal flooded fields in Central North Carolina in early July. Unusually wet conditions all summer hurt the tobacco crop across the state.
Plus, state relief money for the tribulations of 2024 is coming slow. The legislature just approved an additional $124 million to address last year’s agricultural disasters, but farmers still haven’t received the money originally allocated to the Ag Disaster Crop Loss Program in March.
For Henderson County extension director Terry Kelley, the money is an urgent matter. In Kelley’s neck of the woods, apple farmers are still recovering from the devastation Helene wrought on their orchards. Finances are starting to spiral out of control for many.
“Our farmers are really anxious to get that money,” Kelley told Carolina Public Press.
“They’ve got bills due from last year. They’ve used their credit up to their limit and beyond. We need that money. It’s been a long summer of waiting.”
Though Helene upped the ante in the West, Kelley’s anxieties are felt across North Carolina. In Bladen County, where many 2024 crops were devastated by Tropical Storm Debbie, extension agent Matthew Strickland says there’s been a dearth of information about how the program works.
“We are not sure when those payments will be issued and exactly how they will be calculated,” Strickland said. “We were told they’d go out mid-summer. There’s been no update. Who knows when they’ll go out? Nobody really knows.”
The financial pressure extends beyond those delayed relief payments. North Carolina farmers find themselves at the whim of unexpected shifts in both the market and federal policies.
Though both quality and yield are high for field crops this year, the price of those crops at market is low. Meanwhile, input costs continue to rise. This makes for an unsettling financial equation for farmers.
Plus, President Donald Trump’s tariffs have made American crops less desirable overseas, according to Strickland. Before recent tariff hikes, lots of North Carolina corn, soybeans and tobacco made its way to China. Now, not as much.
“With the political trade wars, we’re really worried when it comes to our soybeans and tobacco,” Surry County extension agent Ryan Coe told CPP. “A lot of farmers are still waiting to see what’s going to happen. We don’t have a crystal ball.”
The tariffs haven’t been all bad, though. While some crops suffer, others have found opportunities. Kelley says the lack of Mexican tomatoes on the market has created a higher demand for local Henderson County tomatoes, for example.
Labor, too, is giving farmers pause. Many rely on legal migrant workers, but the Trump administration’s strict immigration policies have tightened the market.
“It’s more difficult now to get labor, even with legal workers,” Kelley said. “It’s not available as it once was, and it’s terribly expensive.”
That’s because wages for migrant workers on legal H-2A visas continue to rise. In North Carolina, farmers must now pay migrant workers $16.16 per hour. This number is called an Adverse Effect Wage Rate, and it’s designed to ensure that wages for American workers don’t fall.
There’s a chance, however, that going forward, North Carolina farmers may have a bigger say in American agricultural policies.
The U.S. Department of Agriculture is moving major operations to Raleigh, in an effort to bring the department closer to the nation’s farming hubs. Some North Carolina farmers are excited about it.
“Having the USDA in this area will be good for all farmers in North Carolina,” said Mikayla Berryhill, an extension agent in Person County, where farms were flooded by Chantal’s heavy rains. “We will be able to show them what specific problems we have here in North Carolina and get help with those.”
In the meantime, it looks like it will be a bountiful harvest of crops here in North Carolina. This fall’s agritourism attractions, from corn mazes and county fairs to hay rides and apple markets, should reflect that agricultural resilience.
This article first appeared on Carolina Public Press and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Crops bountiful on NC farms in ’25, but recovery from ’24 still lags 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: Centrist
The content presents a balanced and factual overview of agricultural conditions in North Carolina, highlighting both challenges and positive developments without evident partisan framing. It discusses impacts of federal policies, including tariffs and immigration enforcement under the Trump administration, in a straightforward manner without overt criticism or praise. The article focuses on practical issues affecting farmers, such as weather, market conditions, and government relief efforts, maintaining a neutral tone throughout.
News from the South - North Carolina News Feed
Federal tax credits, other awards spur development of more than 5,000 affordable apartments in NC
SUMMARY: North Carolina is addressing its affordable housing shortage through federal tax credits, tax-exempt bonds, and state loans to build and rehab 5,012 affordable apartments valued at nearly $1.5 billion across over two dozen counties. The N.C. Housing Finance Agency selected 50 projects from 74 applications, including units for families, seniors, and people with disabilities. The Workforce Housing Loan Program, crucial for rural and moderate-income areas, received $34.7 million for 28 projects but faces uncertain future funding. Advocates warn that without its restoration, developments may concentrate in urban areas, limiting rural housing options and disaster recovery efforts. The initiative supports thousands of jobs and significant tax revenue.
The post Federal tax credits, other awards spur development of more than 5,000 affordable apartments in NC appeared first on ncnewsline.com
News from the South - North Carolina News Feed
Epstein victims, family members speak exclusively with NBC
SUMMARY: Survivors of Jeffrey Epstein and their families are meeting with lawmakers, demanding justice and the release of all DOJ files related to Epstein. Despite the Trump administration claiming no new information exists, survivors say they have been ignored and unprotected. The House Oversight Committee released over 30,000 pages of Epstein files, mostly public already, while a bipartisan petition seeks full disclosure. Survivors emphasize the need for accountability and urge President Trump to rule out a pardon for convicted co-conspirator Ghislaine Maxwell, who is serving a 20-year sentence but was recently moved to a lower-security prison. They seek justice and protection for victims.
Survivors of the late sex offender Jeffrey Epstein and family members of those women are spending two days talking with lawmakers. Members of Congress are pushing for the DOJ to release all files related to Epstein — despite the Trump administration saying there’s nothing new in those files. In an NBC exclusive, one group of survivors shares what justice would look like for them
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