Giving Compass' Take:

• Here are some ideas that Congress should consider to alleviate pressure in medical deserts during COVID-19. 

• What is the role of donors to support these communities?

• Read insights into effective health funding. 


A zip code has become a life or death matter. Families that live more than an hour from a hospital face a death sentence based on their address. A long ambulance ride increases the risk of death. Patients with respiratory emergencies, like the ones caused by coronavirus, are particularly vulnerable.

According to an annual survey by the American Hospital Association, more than a thousand hospitals in the United States have closed since 1975. As a result, residents in communities from coast to coast must drive more than sixty minutes to reach an acute care hospital. These places are called "medical deserts," and you can find them in every state.

If COVID-19 has taught us anything, it is that we desperately need new investment in our healthcare safety net and infrastructure. Indeed, a recent study by the COVID-19 Response Team at Imperial College London suggests that the "capacity limits of the UK and U.S. health system[s] [could be] exceeded many times over" during this crisis and warns that "even if all patients are able to be treated, we predict there would still be in the order of 250,000 deaths in Great Britain and 1.1 million to 1.2 million deaths in the U.S."

As an emergency medicine physician and chair of the health committee of Black Women for Positive Change, I call on Congress and the administration to immediately implement the following recommendations in order to save lives, before it's too late.

  1. Congress should pass legislation to create free-standing FSEDs.
  2. Convert unused spaces into temporary COVID hospitals.
  3.  Expand medical flight and ground transportation capacity.

Read the full article about medical deserts by Valda Crowder at PhilanTopic.