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JD Crowe: People are dying in Alabama's ‘ambulance desert’

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JD Crowe: People are dying in Alabama's ‘ambulance desert’


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.

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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 …

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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.”

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“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’

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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

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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.





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Indiana Fever take Alabama Jessica Timmons in third round of WNBA draft

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Indiana Fever take Alabama Jessica Timmons in third round of WNBA draft


Tennessee Volunteers forward Alyssa Latham (33) fouls Alabama Crimson Tide guard Jessica Timmons (23)Thursday, March 5, 2026, during the SEC Women’s Basketball Tournament second round game at Bon Secours Wellness Arena in Greenville, South Carolina. Alabama Crimson Tide won 76-64.

(Alex Martin/Greenville News, Alex Martin/Greenville News / USA TODAY NETWORK via Imagn Images)



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Alabama transfer guard reportedly announces commitment decision

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Alabama transfer guard reportedly announces commitment decision


Former Alabama guard Jalil Bethea has officially committed to Pittsburgh, per Rivals’ Joe Tipton.

Bethea struggled to make a consistent impact throughout his one and only season at Alabama. The former Miami transfer averaged 3.9 points, 1.7 rebounds and 0.5 assists this past season, as Bethea could potentially play a much larger role throughout his time at Pitt next year. Bethea averaged just eight minutes per game this season as well, as the former Crimson Tide guard will now turn his full attention towards a fresh start with the Panthers. 

Bethea was ranked as the No. 3 shooting guard and the No. 7 overall player from the class of 2024, per the 247Sports Composite rankings. He was listed as the No. 1 overall player out of Pennsylvania as well, as a return to his home state could undoubtedly be exactly what Bethea needs to turn his career around during the 2026-27 campaign. 

Following the commitment of Bethea, Aiden Sherrell and Taylor Bol Bowen are the lone Alabama players in the portal who have yet to announce a transfer decision.

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Lawrence County crash kills mother and 2 children, injures 2

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Lawrence County crash kills mother and 2 children, injures 2


Lawrence County crash kills mother and 2 children, injures 2

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TEACH OTHERS THESE SAME SKILLS. IT’S A BEAUTIFUL DAY OUT AT REGIONS FIELD, THE SKIES ARE BLUE. IT LOOKS LIKE THERE ARE SOME PEOPLE OUT THERE ON THE FIELD, AND JUST A GREAT DAY TO SOAK UP THE SUN 84 DEGREES RIGHT NOW IN BIRMINGHAM AND ACROSS THE MAP. WE ARE IN THE MID TO LOW 80S FROM 84 IN WINFIELD JASPER ALABASTER. SAME THING IN PELL CITY AND ANNISTON. THE WARMEST SPOT ON THE MAP 85 THE COOLER SPOT IN THE MAP UP IN COLEMAN AT 82 AND 82 DEGREES UP THERE IN ALBERTVILLE TOO. RADAR IS DRY. HAS BEEN FOR THE PAST 6 TO 7 DAYS, AND THE REST OF THIS EVENING WILL REMAIN DRY. WILL DROP TO THE 80S LOW 80S BY 7:00, MID 70S BY 9:00, AND THEN OVERNIGHT WILL DROP TO THE 60S AND WILL WAKE UP TOMORROW MORNING IN THE MID TO UPPER 50S. SO MAYBE A LITTLE BIT CHILLY FOR SOME, BUT OTHERWISE WARM AND WARMER THAN WE SHOULD BE FOR THIS TIME OF YEAR, NOT ONLY IN THE MORNING, BUT IN THE AFTERNOON. TOMORROW TOO. WE’RE BACK IN THE MID 80S, SIMILAR TO WHAT WE WERE TODAY, WITH JUST A LITTLE BIT MORE HUMIDITY. NOW WE HAVE NOT SEEN THAT MUCH RAINFALL SO FAR THIS ENTIRE MONTH. THIS IS MONTH TO DATE. AS YOU CAN SEE, TODAY IS THE 12TH. WE HAVE UP TO 11. AND ANYWHERE YOU SEE THAT ORANGE COLOR, THAT’S WHERE WE’VE SEEN NO RAIN. THE BEST RAINFALL WE GOT WAS LAST WEEKEND, MAINLY ON SATURDAY WITH JUST A LITTLE BIT MORE EARLY SUNDAY MORNING. NOW THIS IS JUST FOR BIRMINGHAM AND IT REPRESENTS A DROUGHT. AND THAT’S NOT JUST THE CASE FOR BIRMINGHAM. IT’S THE CASE FOR MOST OF ALABAMA. THIS RED AND THE DARK RED COLORS REPRESENT ANYWHERE BETWEEN ONE AND UP TO THREE, IF NOT FOUR INCHES OF A 30 DAY RAINFALL DEFICIT, MEANING WE NEED MORE RAIN THAN WE’VE GOTTEN IN THE PAST 30 DAYS. AND THAT LACK OF RAIN PULLING A LOT OF MOISTURE OUT OF THE GROUND DUE TO THAT DROUGHT IS WHY THERE’S A RED FLAG WARNING IN PLACE FOR BOTH NORTH AND PARTS OF CENTRAL ALABAMA. FROM FLORENCE ALL THE WAY DOWN LINEVILLE CLAY COUNTY, TALLADEGA. SHELBY. JEFFERSON. JEFFERSON WALKER ALL THE WAY UP TO MARION COUNTY’S. JUST MEANS THAT THERE IS A HIGHER FIRE DANGER. SO DON’T BE BURNING ANYTHING OUTSIDE TODAY, EVEN THE NEXT SEVERAL DAYS, BECAUSE FIRE RISK IS HIGH AS THE DROUGHT CONTINUES. HERE’S A FORECAST MODEL SHOWING WHERE WE COULD SEE THE MOST RAINFALL OVER THE NEXT SEVEN DAYS. AND AS YOU CAN SEE, ALABAMA, GEORGIA, FLORIDA, NOT MUCH. NORTHWEST ALABAMA COULD SEE A TRACE OF SHOWERS AS THESE TINY ISOLATED SHOWERS POP UP MONDAY EVENING ACROSS MARION FRANKLIN LAUDERDALE COUNTY BUT EVEN THAT CLEARS OUT AS EARLY AS 10 P.M. MONDAY NIGHT. AND OVERALL, IT’S NOT A WHOLE LOT. BUT HERE’S THAT SEVEN DAY FORECAST. HIGH STICK AROUND IN THE 80S AS HIGH AS 89 FRIDAY AFTERNOON. A FEW CHANCES FOR ISOLATED SHOWERS THURSDAY THAT RETURNS SATURDAY A

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Lawrence County crash kills mother and 2 children, injures 2

Updated: 7:42 PM CDT Apr 12, 2026

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Video above: Weather forecastThree people died and two were injured, including children, in a northern Alabama car crash Saturday, according to our news partner WAFF.The Lawrence County coroner told WAFF that a vehicle driven by Ashley Hagood, 33, was hit on the side by a truck near Highway 157 and Highway 24 in Moulton.Hagood and her four children — Bryant Ballew, 13; twins Bryleigh and Brynleigh Pledger, 7; and Bentley Pledger, 10 — were inside the car at the time of the crash. Ballew and Bryleigh died at the scene, while Hagood was taken to a hospital, where she later died.Bentley and Brynleigh were taken to a hospital in Birmingham. According to WAFF, Bentley was taken off a ventilator Sunday afternoon. Brynleigh is recovering from surgery and dealing with brain swelling and bleeding, which doctors anticipated and hope the surgery will alleviate. Brynleigh also reportedly suffered seizures Saturday night.The crash remains under investigation, according to WAFF.

Video above: Weather forecast

Three people died and two were injured, including children, in a northern Alabama car crash Saturday, according to our news partner WAFF.

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The Lawrence County coroner told WAFF that a vehicle driven by Ashley Hagood, 33, was hit on the side by a truck near Highway 157 and Highway 24 in Moulton.

Hagood and her four children — Bryant Ballew, 13; twins Bryleigh and Brynleigh Pledger, 7; and Bentley Pledger, 10 — were inside the car at the time of the crash. Ballew and Bryleigh died at the scene, while Hagood was taken to a hospital, where she later died.

Bentley and Brynleigh were taken to a hospital in Birmingham. According to WAFF, Bentley was taken off a ventilator Sunday afternoon. Brynleigh is recovering from surgery and dealing with brain swelling and bleeding, which doctors anticipated and hope the surgery will alleviate. Brynleigh also reportedly suffered seizures Saturday night.

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The crash remains under investigation, according to WAFF.



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