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Oh no, if only this entirely predictable outcome could have somehow been... predicted?
I guess we didn't threaten enough doctors and nurses lives and families /s.
Weird. Turns out those with college education have options. Perhaps it wasn't a good idea to make villains out of them.
Nah - back then, that was a problem for tomorrow's (now today's) politicians to have to solve. So long as it worked to put Trump in power, and attempt to remain there, everything was going to be A-okay. And that's my problem with that kind of thinking: it works, but it's always only ever short-term for some reason.
Same mentality as "quarterly profits must increase, forever."
So how populated are these counties? There's quite a few with less than a hundred people, you'd be lucky with a GP in those counties. And there's even more counties with less than a thousand, perfectly reasonable to be missing a obstetrician. Definitely not ideal, but still reasonable.
This is basically a "people live in cities" post.