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More than a quarter of Louisiana’s rural hospitals at risk of closure, new report says

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More than a quarter of Louisiana’s rural hospitals at risk of closure, new report says


More than one in four of Louisiana’s rural hospitals are in precarious financial position and face the possibility of closure, according to a new report from a national health care consulting firm.

Between 26% and 30% of Louisiana’s rural hospitals fall into the “vulnerable to closure” category, according to the report from Chartis. The consultants said the threat of closure illustrates a critical weakening of the health care in non-urban areas where the need is often the most acute and many already face high hurdles to get care.

“America’s rural safety net has been in crisis for 15 years,” the report concludes. “The mission of the safety net to serve under-resourced communities is unraveling.”

The problems afflicting Louisiana’s rural health care providers are also being felt in other states. In Florida, Nebraska, Tennessee and North Carolina, 40% or more of their rural hospitals are vulnerable to closing, the report says. Nationwide, more than 400 rural hospitals are in danger of closing, about 20% of the nationwide total, the report notes.

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Almost half of rural hospitals nationwide are operating at a deficit, the report adds, a key indicator of peril. That makes it harder to serve the rural residents for whom they exist.

“The mission of these rural hospitals is to serve the underserved; no margin, no mission,” said Michael Topchik, one of the authors of the report. The problems appear to be accelerating.

“When we started looking at all those metrics we had been tracking for 15 years, we were like ‘holy cow,’” Topchik said. “Fifteen years ago, one-third were operating in the red. Now 50% are operating in the red.”

Other factors were also considered in determining whether a hospital was at risk, including patient mix and average daily census, Topchik said.

Last time Chartis performed the study, in 2020, they identified 453 hospitals vulnerable to closure, he said. Since then, 30 of those have closed.

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“Things are dire and getting worse,” he said.

The challenges are something that Dr. Brian Galofaro, chief medical officer at Our Lady of the Angels in Bogalusa, sees every day.

“Margins have always been kind of tight for rural hospitals,” he said.

Because rural populations tend to be poorer, health care providers in those areas depend more on Medicaid than many of their urban counterparts. With Medicaid as a chief source of revenue, many rural hospitals are on a razor’s edge. 

In addition to low margins, many rural hospitals struggle to attract doctors. And more and more medical school graduates are opting for lucrative subspecialties instead of the general practice physicians needed in rural areas.

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Some are attempting to address these issues.

Our Lady of the Angels hosts a rural family medicine resident program, where newly minted physicians spend three years working before they are able to go out on their own. Galofaro was the first graduate of the program. Five of its graduates have remainedin Bogalusa, he noted.

VCOM, a new medical school that opened in 2020 in a partnership with the University of Louisiana Monroe, is specifically geared to address the rural doctor shortage. Its first class is scheduled to graduate this spring. The school aims to graduate about 150 students per year.



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Louisiana shooter Shamar Elkins made chilling remarks about ‘demons’ weeks before killing his 7 kids and their cousin

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Louisiana shooter Shamar Elkins made chilling remarks about ‘demons’ weeks before killing his 7 kids and their cousin


The deranged Army vet dad who gunned down his seven children and their cousin confessed he was drowning in “dark thoughts” and told his stepdad that some people “don’t come back from their demons” just weeks before the heinous killings, according to a report.

Shamar Elkins, 31, killed eight children — five girls and three boys ages 3 to 11 — and seriously wounded two women believed to be his wife and girlfriend when he went on a shooting rampage through Shreveport following an argument with his spouse around 6 a.m. Sunday.

Shamar Elkins, 31, told family he was drowning in “dark thoughts” just weeks before he gunned down his seven children and their cousin. Facebook/Shamar Elkins

Just weeks ago, on Easter Sunday, Elkins called his mother, Mahelia Elkins, and his stepfather, Marcus Jackson, and chillingly told them he was drowning in “dark thoughts,” wanted to end his life, and that his wife, Shaneiqua Pugh, wanted a divorce, the New York Times reported.

“I told him, ‘You can beat stuff, man. I don’t care what you’re going through, you can beat it,’” Jackson told the publication. “Then I remember him telling me: ‘Some people don’t come back from their demons.’”

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Mahelia Elkins said she was unclear what problems her son and his wife, who were married in 2024 and had four kids together, were dealing with, the Times reported.

But a relative of one of the wounded women said the couple was in the middle of separation proceedings and was due in court on Monday.

They had been arguing about their relationship coming to an end when Elkins — who was later killed by cops — opened fire, Crystal Brown told the Associated Press.

The killer father worked at UPS and served with the Louisiana Army National Guard from August 2013 to August 2020 as a signal support system specialist and fire support specialist, according to the Times.

A UPS coworker described Elkins as a devoted dad, but said he often seemed stressed and would pull his hair out, creating a lasting bald spot, the publication reported.

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Elkins worked at UPS and served with the Louisiana Army National Guard from August 2013 to August 2020 as a signal support system specialist and fire support specialist. Facebook/Shamar Elkins

Elkins’ mother noted that she had reconnected with her son more than a decade ago after leaving him to be raised by a family friend, Betty Walker. She had Elkins when she was a teenager and struggling with a crack cocaine addiction.

Walker said that she did not witness the shootings on Sunday morning but knew that Elkins shot his wife several times in the head and stomach, the paper reported.

She last saw the deranged father when his family came over for dinner just last weekend — but noted he did not appear off at the time.

“I was getting up this morning to make myself some coffee, and I got the call,” Walker recalled. “My babies — my babies are gone.”

Elkins also had two previous convictions, including for driving while intoxicated in 2016 and for the illegal use of weapons in 2019, the outlet said.

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In March 2019, a police report detailed that the National Guard vet had pulled a 9 millimeter handgun from his waistband and shot at a vehicle five times after a driver pulled a handgun on him — with one of the bullets being discovered near a school where children were playing.

Most of the victims were shot in the head while they slept. AP

The victims killed by Elkins have been identified as Jayla Elkins, 3; Shayla Elkins, 5; Kayla Pugh, 6; Layla Pugh, 7; Markaydon Pugh, 10; Sariahh Snow, 11; Khedarrion Snow, 6; and Braylon Snow, 5. Seven of the eight were his own children, and the eighth was their cousin. They were all found dead inside their home in Shreveport.

Most of the victims were shot in the head while they slept, Shreveport Police Department spokesman Christopher Bordelon told NBC News.

One child was killed on the roof while trying to escape, police said.

Elkins, who was later killed by police during an attempted carjacking, also shot and wounded two women — the mothers of his children — during his murderous rage.

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He shot his wife in the face at the home with the eight kids, Bordelon told the outlet. The other injured victim is believed to be Elkins’ girlfriend, who was shot in a separate house nearby, the police spokesperson added.

Elkins shared four of the slain children with his wife and three with the other injured woman, according to Brown.

If you or someone you know is affected by any of the issues raised in this story, call the National Domestic Violence Hotline at 1.800.799.SAFE (7233) or text START to 88788.



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At least 8 children killed in shooting in Louisiana, US

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At least 8 children killed in shooting in Louisiana, US


Yasin Gungor

19 April 2026Update: 19 April 2026

At least eight children were killed and two others were wounded in a shooting in the US state of Louisiana, local police said Sunday.

Shreveport Police Department spokesperson Christopher Bordelon said officers responded to the shooting just after 6 am (1100GMT), following a domestic disturbance call.

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The age of the deceased ranged from one to 14 years, he said, adding that the incident involved at least 10 individuals across four separate locations.

The suspect attempted to flee by carjacking a vehicle and driving to neighboring Bossier City, where police located and shot him dead.

Bordelon said Shreveport police officers pursued the suspect’s vehicle into Bossier, where three officers discharged their firearms, killing him. He said investigators believe the suspect was the only person who opened fire at the locations.

Shreveport Mayor Tom Arceneaux described the attack as “maybe the worst tragic situation we’ve ever had,” adding: “It’s a terrible morning.”

No immediate information was available about the condition of the injured.

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‘Growth pays for growth’: Entergy’s Fair Share Plus model to save Louisiana customers $2.8 billion

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‘Growth pays for growth’: Entergy’s Fair Share Plus model to save Louisiana customers .8 billion


As Louisiana becomes a destination for multibillion-dollar technological investments in the rapidly-expanding data center sector, leaders, including President Trump and Governor Landry, have developed strategies to support that growth without



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