This is an opinion cartoon.

“In the three weeks since Pickens County dropped down to one ambulance, two women died after waiting an hour for paramedics to arrive.”

That’s the first line of Savannah Tryens-Fernandes’ report on Alabama’s ‘ambulance desert.’

It’s an enlightening report. Read all of it here.

Let’s cut to the chase: Many of Alabama’s rural healthcare issues could be fixed with one stroke of the pen by Gov. Ivey. Expand Medicaid. To include the working poor people of Alabama. Rural Alabama. The places that need at least one more ambulance. Or one more doctor. To save a life. Or two.

Medicaid expansion is frowned upon by Ivey because it’s an Obamacare thing. And because it works. Why not just embrace it and call it yours? That’s how politics works, right?

So, let’s do this: Call it IveyCare. Or TrumpsterCare. What Alabama has now is WeDon’tCare. Maybe we just need NobodyCares.

Medicaid expansion would help cure a lot of ills in this defiant state. If nobody cared who got the credit.

The ‘one ambulance’ problem in Pickens County is a mixed bag of Alabama dysfunction. Read on …

Excerpts from This Alabama county is now down to just one ambulance: ‘It costs lives’

“Pickens County moved to only one ambulance on Oct. 25. The reduction in ambulance service is just the latest in a downward spiral, as rural communities across Alabama watch emergency rooms and hospitals shutter, and as pediatricians, dentists and maternity care have disappeared in over a third of the state’s counties.

“Sullivan McCrory said her team of paramedics has had to triage callers ever since the move to one ambulance. She said it’s not unusual to get two to three calls all within an hour, forcing them to decide where to go based on which call is most life-threatening.

“All I know is people are suffering,” she told AL.com. “What can you do when you have one ambulance in a county with over 19,000 people in it?”

“In 2022, Alabama passed a law deeming emergency medical services and ambulances an essential service, saying “emergency medical services are an essential public service and a part of the health care safety net for many residents of this state.”

“Alabama is one of 37 states to pass such a law. But unlike most other states, Alabama does not require the state government to fund the service.

“U.S. Rep. Terri Sewell represents Pickens County in Washington. Her office said typically the only source of federal funding for those services comes from Medicare reimbursements. She has introduced two bills in the House since 2021 to increase rates for both ambulances and rural hospitals to help them stay operational. But neither bill has received a vote.

“Congresswoman Sewell and our whole team have spent years pushing for congressional action to address these ambulance shortages at the federal level,” said Christopher Kosteva, Sewell’s Communications Director, in a statement to AL.com. “This issue has been exacerbated by the state’s refusal to expand Medicaid, which has put an enormous strain on the resources of rural health care providers.”

“When asked by AL.com if any emergency support could be provided by the state to keep an ambulance running, a spokesperson for Gov. Kay Ivey’s office said “we continue monitoring and are aware of developments in Pickens County, but at this time, you may wish to reach out to local officials.”

Read the whole report right here: This Alabama county is now down to just one ambulance: ‘It costs lives’

True stories and stuff by JD Crowe

The mysterious ‘Bubble Guy’ of Fairhope and the art of bubble Zen – al.com

How I met Dr. Seuss

Robert Plant head-butted me. Thanks, David Coverdale

I was ZZ Top’s drummer for a night and got kidnapped by groupies

Check out more cartoons and stuff by JD Crowe

JD Crowe is the cartoonist for Alabama Media Group and AL.com. He won the RFK Human Rights Award for Editorial Cartoons in 2020. In 2018, he was awarded the Rex Babin Memorial Award for local and state cartoons by the Association of American Editorial Cartoonists. Follow JD on Facebook, Twitter @Crowejam and Instagram @JDCrowepix. Give him a holler @jdcrowe@al.com.

ATMORE, Ala. — An Alabama man convicted in the 1994 killing of a hitchhiker cursed at the prison warden and made obscene gestures with his hands shortly before he was put to death Thursday evening in the nation’s third execution using nitrogen gas.

Carey Dale Grayson, 50, was executed at the William C. Holman Correctional Facility in southern Alabama. He was one of four teenagers convicted of killing Vickie DeBlieux, 37, as she hitchhiked through the state on the way to her mother’s home in Louisiana. The woman was attacked, beaten and thrown off a cliff.

Alabama began using nitrogen gas earlier this year to carry out some executions. The method involves placing a respirator gas mask over the face to replace breathable air with pure nitrogen gas, causing death by lack of oxygen.

Alabama Corrections Commissioner John Q. Hamm said the nitrogen flowed for 15 minutes and an electrocardiogram showed Grayson no longer had a heartbeat about 10 minutes after the gas began flowing.

Like two others previously executed by nitrogen, Grayson shook at times before taking a periodic series of gasping breaths.

The victim’s daughter told reporters afterward that her mother had her future stolen from her. But she also spoke out against the decision to execute Grayson and “murdering inmates under the guise of justice.”

The curtains to the execution room were opened shortly after 6 p.m. Strapped to a gurney with a blue-rimmed gas mask on his face, Grayson responded with an obscenity when the warden asked if he had any final words. Prison officials turned off the microphone. Grayson appeared to speak toward the witness room where state officials were present, but his words could not be heard. He raised both middle fingers at the start of the execution.

It was unclear when the gas began flowing. Grayson rocked his head, shook and pulled against the gurney restraints. He clenched his fist and appeared to struggle to try to gesture again. His sheet-wrapped legs lifted off the gurney into the air at 6:14 p.m. He took a periodic series of more than a dozen gasping breaths for several minutes. He appeared to stop breathing at 6:21 p.m., and then the curtains to the viewing room were closed at 6:27 p.m.

Grayson was pronounced dead at 6:33 p.m.

DeBlieux’s mutilated body was found at the bottom of a bluff near Odenville, Alabama, on Feb. 26, 1994. She was hitchhiking from Chattanooga, Tennessee, to her mother’s home in West Monroe, Louisiana, when the four teens offered her a ride. Prosecutors said the teens took her to a wooded area and attacked and beat her. They returned to mutilate her body.

A medical examiner testified that her face was so fractured that she was identified by an earlier X-ray of her spine. Investigators said the teens were identified as suspects after one of them showed a friend one of DeBlieux’s severed fingers and boasted about the killing.

DeBlieux’s daughter Jodi Haley spoke with reporters at the media center on prison property after the execution. Haley was 12 when her mother was killed, She said her mother had her life and future stolen from her.

“She was unique. She was spontaneous. She was wild. She was funny. She was gorgeous to boot,” Haley said of her mother.

She said Grayson was abused in every possible way in his youth but “society failed this man as a child, and my family suffered because of it.”

“Murdering inmates under the guise of justice needs to stop,” she said, adding that “no one should have the right to take a person’s possibilities, days, and life.”

Gov. Kay Ivey said afterward she was praying for the victim’s loved ones to find closure and healing.

“Some thirty years ago, Vicki DeBlieux’s journey to her mother’s house and ultimately, her life, were horrifically cut short because of Carey Grayson and three other men,” Ivey said in a statement. “She sensed something was wrong, attempted to escape, but instead, was brutally tortured and murdered.”

Grayson’s crimes “were heinous, unimaginable, without an ounce of regard for human life and just unexplainably mean. An execution by nitrogen hypoxia (bears) no comparison to the death and dismemberment Ms. DeBlieux experienced,” she added.

Grayson was the only one of the four teenagers who faced a death sentence since the other teens were under 18 at the time of the killing. Grayson was 19.

The execution was carried out hours after the U.S. Supreme Court turned down Grayson’s request for a stay. His final appeals had focused on a call for more scrutiny of the nitrogen gas method. His lawyers argued the execution method causes “conscious suffocation” and that the first two nitrogen executions did not result in swift unconsciousness and death as the state had promised.

Hamm said he thought some of Grayson’s initial movements were “all show” but maintained other movements exhibited by Grayson and the two others executed by nitrogen gas were expected involuntary movements, including the breathing at the end.

No state other than Alabama has used nitrogen hypoxia to carry out a death sentence. In 2018, Alabama became the third state — along with Oklahoma and Mississippi — to authorize the use of nitrogen gas to execute prisoners.

On June 12, it was announced that the Alabama men’s basketball team would be competing in the Players Era Festival in Las Vegas during Thanksgiving week this coming basketball season. The Players Era Festival is the first-ever NIL-based multi-team event for college basketball.

No. 8 Alabama joins No. 7 Houston, No. 24 Rutgers, Notre Dame, San Diego State, No. 14 Creighton, Oregon and No. 23 Texas A&M as the schools participating in the inaugural event. Each team will play two games and the head-to-head record, point differential, points scored and points allowed will all be factored in creating the seeding for a seventh place, fifth place, third place and of course championship game.

Total NIL Activities and Compensation:

The Crimson Tide’s two initial games will be against Houston on Nov. 26 and then Rutgers on Nov. 27.

Who: No. 8 Alabama (4-1, 0-0 SEC) vs. No. 7 Houston (2-1, 0-0 Big 12)

Who: No. 8 Alabama (3-1, 0-0 SEC) vs. No. 24 Rutgers (4-0, 0-0 Big Ten)

When vs. Houston: Tuesday, Nov. 26 at 8 p.m. CT.

When vs. Rutgers: Wednesday, Nov. 27 at 10 p.m. CT

Where (Both Games): MGM Grand Garden Arena, Las Vegas, Nev.

Radio (Both Games): Crimson Tide Sports Network (Play-By-Play: Chris Stewart, Color: Bryan Passink). The pregame show will begin one hour prior to tipoff.

TV (Both Games): TBS

Series vs. Houston: Tied 3-3 with the first matchup occurring on Dec. 28, 1956

Series vs. Rutgers: 0-0

Last meeting with Houston: The Crimson Tide outlasted Houston with a 71-65 victory. Future No. 2 overall NBA Draft pick Brandon Miller went 0-of-8 from the field, but future No. 21 overall pick Brandon Clowney saved the day with 16 points on 7-of-12 shooting while also recording team-highs in rebounds (11) and blocks (2).

Last meeting with Rutgers: Never

Last time out, Alabama: Following its first loss of the season on the road against then-No. 13 Purdue, the Crimson Tide brushed it off against No. 25 Illinois on Wednesday night by defeating the Fighting Illini 100-87. Preseason All-American point guard Mark Sears didn’t score a single point but the renowned Alabama depth more than made up for it as forward Grant Nelson tallied 23 points and guards Labaron Philon, Aden Holloway and Latrell Wrightsell Jr. each put up 16-plus points.

Last time out, Houston: Like Alabama, the Cougars also stormed back from its first loss of the season with a dominant 91-45 win over Louisiana. Terrance Arceneaux (14 points), Milos Uzan (13), Mercy Miller (12), Emanuel Sharp (11) and J’Wan Roberts (11) each putting up double figures. Sharp and Miller each logged four steals boosting the team total to 17.

Last time out, Rutgers: The Scarlet Knights extended their undefeated start to the season with a 74-63 win over Merrimack. Rutgers’ top-tier freshmen duo of Ace Bailey (23 points) and Dylan Harper (14) combined for nearly half of the team’s points. They also led in the rebounding category as Bailey grabbed 10 while Harper had eight and Harper’s six assists were also a Rutgers-best.