Southeast
Hospital closure in rural North Carolina underscores health care's place as a top issue in battleground state
- Martin General Hospital in Williamston, North Carolina, is one of more than 100 rural hospitals that have downsized or closed over the past decade.
- The lack of available health care could signal trouble for President Joe Biden’s re-election campaign, which highlights his health care accomplishments as he and former President Donald Trump compete for votes in the state.
- County and state officials say they’re working to reopen Martin General Hospital as a standalone emergency room.
Weeds have punctured through the vacant parking lot of Martin General Hospital’s emergency room. A makeshift blue tarp covering the hospital’s sign is worn down from flapping in the wind. The hospital doors are locked, many in this county of 22,000 fear permanently.
Some residents worry the hospital’s sudden closure last August could cost them their lives.
“I know we all have to die, but it seems like since the hospital closed, there’s a lot more people dying,” Linda Gibson, a lifelong resident of Williamston, North Carolina, said on a recent afternoon while preparing snacks for children in a nearby elementary school kitchen.
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More than 100 hospitals have downsized services or closed altogether over the past decade in rural communities like Williamston, where people openly wonder if they’d survive the 25-minute ambulance ride to the nearest hospital if they were in a serious car crash.
When Quorum Health shut down Martin County’s 43-bed hospital, citing “financial challenges related to declining population and utilization trends,” residents here didn’t just lose a sense of security. They lost trust, too, in the leaders they elected to make their town a better place to live.
People like 73-year-old Bobby Woolard say they don’t believe any politicians – from the local county commissioners to the presidential candidates who will pass through this swing state with big campaign promises in the coming months – care enough to help them fix the problem.
The vacant Martin County General Hospital sits abandoned behind a chain since being closed in August 2023 in Williamston, North Carolina, on April 10, 2024. (AP Photo/Karl B DeBlaker)
“If you’re critically ill, there’s no help for you here,” Woolard said on a sunny April afternoon while trimming his neighbor’s hedges. “Nobody seems to care. You got a building sitting there empty and nobody seems to care.”
TROUBLE FOR BIDEN’S HEALTH CARE CAMPAIGN?
The sentiment in this sharply polarized and segregated eastern North Carolina county could hint at trouble for President Joe Biden, who has made health care a key part of his re-election campaign against Republican rival Donald Trump.
His TV campaign ads hone in on Trump’s promises to diminish the Affordable Care Act. On social media, Biden regularly reminds followers of the law he signed that caps the cost of insulin. And in North Carolina, the campaign is narrowly focused on promoting Democrats’ successful efforts to expand Medicaid, which will extend nearly-free government health insurance to thousands of people and reduce the indigent population for hospitals.
Biden and Trump are fiercely competing for the state, which also features the most prominent governor’s race of the year. Martin County, where Williamston is located, voted for Trump in 2020.
“Health care is on the ballot this year, and voters will remember that when they reject Donald Trump in November,” said Dory MacMillan, the Biden campaign’s North Carolina communications director.
But Biden’s achievements might not be enough for crucial voters living in towns like this one in North Carolina, where people have a hard time just getting emergency care when they need it.
Nationally, emergency room wait times have ballooned, with the average emergency room visit taking nearly three hours last year, according to the Centers for Medicare and Medicaid Services. Health care systems are also grappling with a health care worker shortage that worsened after burned-out employees emerged from the pandemic.
Those problems are particularly pronounced in rural communities, where more than 68 hospitals have closed in the last decade. The closures slowed down during the COVID-19 pandemic, when the federal government doled out billions of dollars in extra funds to hospitals. But with that money spent, hospital closures might tick up again, said George Pink, the deputy director of the University of North Carolina’s Sheps Center’s Rural Health Research Program.
Often, it’s emergency room care that residents miss the most, Pink said.
“If you’re having a heart attack, if you’re having a stroke, if you’re giving birth, all those are the kinds of life events where you need access to emergency care quickly and properly,” Pink said. “Those communities that have lost their rural hospitals, they don’t have that.”
A SYSTEM ‘AT RISK’
Months before Williamston’s hospital closed, an outside consultant sent a dire warning about emergency care in the county.
The county’s volunteer first responder system was ineffective and long response times that stretched past 15 minutes in some areas were putting “lives at risk,” the consultant told the county’s commissioners last April.
The system was “in desperate need for vision, direction, guidance, command and control, and additional financial support,” the consultant advised the county, according to meeting minutes.
Since Martin General Hospital shut down, things have only gotten worse.
Longer drives to hospitals outside of the county mean ambulances and their crews are tied up for hours sometimes on a run, said Capt. Kenny Warren of the Williamston Fire and Rescue.
“A call that used to take us 20 to 30 minutes is now taking an hour to two hours, depending on where we’ve got to transport to,” Warren said. He added that the agency is staffed with emergency medical technicians, but not paramedics who are trained to provide more advanced care to patients in emergencies.
Warren, however, said he doesn’t think anyone has died as a result.
“Most of the outcomes probably would have been the same anyway,” he said.
In December, first responders arrived on a Williamston street within three minutes of receiving 911 calls that several shots had been fired and a young man might be dead.
They tried unsuccessfully to get a medical helicopter to transport the 21-year-old gunshot victim. The closest option was a six-bed hospital, a 21-minute ambulance ride away. All told, it would take 34 minutes from the time of the 911 call to get him there, according to police dispatch logs. He was transferred from that hospital to a higher-level trauma center where he died a few days later.
The scene of the shooting was just four minutes away from Martin General Hospital’s site.
‘DO YOU REALLY CARE?’
More than a dozen Williamston residents interviewed for this story blamed the Martin County Board of Commissioners for failing to prevent the troubled hospital from closing.
Last month, Williamston resident Verna Perry told commissioners that her sister made a 25-minute drive to the closest hospital only to find out she would not be able to get the treatment she needed there.
“Do you really care, commissioners?” Perry asked. “If you cared, you would do something to get us a hospital here.”
Kaitlyn Paxton was seeking treatment for her asthma at Martin General Hospital’s emergency room the day it shut down. She watched staff wheel out patients on stretchers to transfer them to other hospitals.
Since then, she’s had a hard time finding primary care doctors and specialists to replace the ones who left once the hospital closed.
“As far as everyday doctors and appointments, from my personal experience it has been a nightmare trying to find someone,” she said.
She’s used the federally qualified health center, called Agape Health, which is one of a few facilities in the county still offering primary care. More than a thousand of these health centers operate across the U.S. They receive federal government funds and take patients on a sliding pay scale, regardless of their insurance status or ability to pay.
Agape Health added Saturday hours because of an influx of new patients after Martin General closed, said clinic CEO Dr. Michael McDuffie. Last month, Agape reopened one of the orthopedic clinics that shut down along with the hospital.
McDuffie wants to reopen Martin General next, even if just as a stand-alone emergency room.
“It could mean life or death,” McDuffie said. “They need an emergency department here so that it could at least stabilize them.”
The county, which still owns the hospital and land, is consulting with state officials and federal Health and Human Services agency representatives to determine whether the facility can reopen as a Rural Emergency Hospital, said interim County Manager Ben Eisner. Gov. Roy Cooper helped to usher in a new state law that allows North Carolina’s rural hospitals to make the transition.
The Rural Emergency Hospital program was developed by Congress, signed into law by Trump and finetuned by the Biden administration. The designation allows rural hospitals to unlock millions of federal dollars and beef up Medicare payments if they stay open to provide 24/7 emergency care.
“The simple question we’re trying to answer is how do we go from closed to open in a way that makes sense for the citizens of Martin County,” Eisner said.
If successful, Martin County would be the first hospital in the country to reopen its doors after closing with the new federal designation.
“It’s a top priority for us, we live it every day as a community,” Paxton said of getting the hospital reopened. It’ll be top of mind for her when she votes in the presidential election this fall.
Even still, she said: “I do not think it is a top priority for any of them at all – president, senators – any of them.”
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Southeast
Family member of American killed by Cuban forces in boat shootout says he was on ‘diabolical’ mission
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The brother of an American citizen killed in a brazen boat clash with Cuban forces says his sibling was consumed by an “obsessive and diabolical” push to free the island and that “no one knew” what he was planning.
American citizen Michel Ortega Casanova, who worked as a truck driver, was one of 10 passengers on a Florida-registered boat that allegedly opened fire on Cuban soldiers in an attempt to infiltrate the island.
A Monroe County Sheriff’s Office incident report obtained by Fox News noted the boat’s owner reported it stolen Wednesday after hearing about the Cuba shootout on the news.
The owner, who did not speak English, told deputies his 24-foot vessel went missing, and he suspected an employee named Hector — who had two young daughters in Cuba — may have taken it.
U.S. Secretary of State Marco Rubio addressed an incident involving Cuban forces and a speedboat Wednesday before returning to Washington, D.C., after meetings with Caribbean Community leaders at Robert L. Bradshaw International Airport in Basseterre, Saint Kitts and Nevis. (Jonathan Ernst/Pool/Reuters)
Ortega Casanova, who lived in the U.S. for more than two decades, was one of four killed in the attempt. He is survived by his wife, mother, brother, two sisters, daughter and unborn grandchild.
Six other passengers, all Cubans living in the U.S., were injured. It is unclear if Hector was on board.
Ortega Casanova’s brother, Misael, told The Associated Press Wednesday that his brother had an “obsessive and diabolical” pursuit for Cuba’s freedom.
“Only us Cubans who have lived over there understand [the great suffering],” Misael said.
He said “no one knew” about his brother’s plans to infiltrate the island, noting their mother is “devastated.”
“They became so obsessed that they didn’t think about the consequences nor their own lives,” Misael said.
While Ortega Casanova’s family did not recognize any of the other passengers, Misael said, “maybe [the attempt] will justify that some day Cuba will be free.”
CUBA IS APPROACHING ITS BERLIN WALL MOMENT — AMERICA MUST HELP THEM BREAK THROUGH
Cuban Coast Guard forces reported an exchange of gunfire with a U.S.-registered speedboat Wednesday. (Yamil Lage/AFP via Getty Images)
He refrained from labeling the group heroes, describing the idea as “ignorance.”
Cuban officials said many of the boat passengers, who were intercepted roughly a mile northeast of Cayo Falcones, off Cuba’s north coast, had a known history of criminal and violent activity.
Passengers Amijail Sánchez González and Leordan Enrique Cruz Gómez were wanted by Cuban authorities for their involvement in the “promotion, planning, organization, financing, support or commission of actions carried out in the national territory or in other countries, in connection with acts of terrorism,” according to the government.
Cuban politician Bruno Rodriguez Parrilla posted to X after the incident, claiming a “rigorous investigation” is being conducted to clarify the facts.
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“Cuba has had to face numerous terrorist and aggressive infiltrations originating from #EEUU since 1959, at a high cost in lives, injuries, and material damage,” Rodriguez Parrilla wrote in a post. “The defense of Cuba’s coasts, of the national territory, and of national security is an ineludible duty.”
Secretary of State Marco Rubio said the U.S. is working to determine whether the passengers were American citizens or permanent residents.
U.S. officials said at least two of the people on the bat were U.S. citizens, and another was on a U.S. K-1 visa — which is granted to fiancées of U.S. citizens for 90 days.
“We have various different elements of the U.S. government that are trying to identify elements of the story that may not be provided to us now,” Rubio told reporters in Basseterre, St. Kitts.
“Suffice it to say, it is highly unusual to see shootouts in open sea like that. It’s not something that happens every day. It’s something, frankly, that hasn’t happened with Cuba in a very long time.”
Cuban officials said the vessel’s passengers were intercepted off the country’s northern coast. (Nicolas Economou/NurPhoto)
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Rubio said the U.S. will verify the facts independently, and the U.S. Department of Homeland Security and U.S. Coast Guard are investigating.
Vice President JD Vance said he was briefed on the incident, and the White House is monitoring the situation.
“Hopefully it’s not as bad as we fear it could be,” Vance said.
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Florida’s Attorney General James Uthmeier said prosecutors will work with federal, state and law enforcement partners to start an investigation.
“The Cuban government cannot be trusted, and we will do everything in our power to hold these communists accountable,” Uthmeier wrote in a social media post.
The Associated Press contributed to this report.
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A North Carolina woman whose disappearance in 2001 triggered a 24-year search is now facing criminal charges from the year she vanished.
Michele Hundley Smith, now 63, was located Feb. 20 at an undisclosed location within North Carolina after detectives received new information about her case, the Rockingham County Sheriff’s Office said.
Smith was 38 when her husband reported that she left their Eden home Dec. 9, 2001, to go Christmas shopping in Martinsville, Virginia, and never returned. Her vehicle was never found.
An extensive investigation followed, and, despite years of investigative work, her whereabouts remained unknown until last week.
The 63-year-old woman posted $2,000 bond on a failure to appear charge related to a DWI from the month before she vanished for 24 years. (Robeson County Sheriff’s Office)
Authorities said Smith told investigators she left on her own accord and referenced “domestic issues.”
Sheriff Sam Page told Fox News Digital the sheriff’s office had no prior record of domestic incidents at the home. No criminal charges are expected in her disappearance. However, following her identification, investigators discovered an outstanding order for arrest dating back to 2001.
A missing persons flyer circulated at the time of Michele Hundely Smith’s disappearance in December 2001. (Bring Michele Hundely Smith Home/Facebook)
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In a statement, the Rockingham County Sheriff’s Office said that, after consultation with the District Attorney’s Office and further investigation, authorities identified an outstanding order for arrest for Smith for failure to appear.
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The order stemmed from a DWI charge issued by the Eden Police Department Nov. 11, 2001. Smith failed to appear in court Dec. 27, 2001, for that charge, the statement said.
On Feb. 25, 2026, Smith was taken into custody by the Robeson County Sheriff’s Office at the request of Rockingham County authorities. She later posted a $2,000 bond and is scheduled to appear in Rockingham County District Court March 26, 2026.
A missing mom found alive after 23 years reveals she left due to domestic issues. (Bring Michele Hundely Smith Home/Facebook)
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On Thursday, the New York Post reported it had located Smith in a trailer in a rural community near the South Carolina state line. Smith told the outlet she is trying to make amends with her daughter and the family she walked out on decades ago.
“My daughter is forgiving me. We are in contact, so leave me alone,” she told the outlet.
Smith’s neighbors said she had “been here for years and years” and mostly keeps to herself.
“We asked why she didn’t come out of the house much, and she said her husband passed. He passed last year. … She was really sad about it. She said she was depressed and stayed inside,” the neighbor said.
Michele Hundely Smith disappeared after leaving her home in North Carolina to go Christmas shopping in Virginia in December 2001. (Bring Michele Hundely Smith Home/Facebook)
In a 2018 interview on “The Vanished Podcast,” her daughter, Amanda Hundley, said her mother’s marriage was unraveling under the weight of alcohol abuse, infidelity and escalating marital arguments.
Smith had recently lost her job at a veterinary practice after being fired for drinking on the job, Hundley said.
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“My dad didn’t like the fact that my mom hid her drinking. I knew about it, and I was the only one. And I felt, you know, I was young, and I felt obligated not to say anything to betray my mom,” Hundley said on the podcast.
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According to Hundley, her father suspected the drinking but did not fully understand the extent of it until after Smith vanished.
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“He said, ‘Do you know where she kept the bottles at?’ And I showed them we had a little red building outside, and it was full of rum bottles, the empties, the ones that she had already drunk,” recalled Hundley, who was 14 at the time.
The couple’s relationship had also deteriorated. Hundley said both her parents had affairs during the marriage. She described frequent arguments that “got physical a few times.”
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Southeast
Atlanta-area police blast parents over vodka martini packed in school lunch: ‘That is NOT apple juice’
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An Atlanta-area police department issued a blunt notice to parents after officers claimed a child brought a vodka-based beverage to school — tucked beside Doritos in a packed lunch.
The City of South Fulton Police Department sounded off about the incident in a now-viral Facebook post, warning parents to “CHECK. THE. LUNCHBOX.”
“Say Twin… Before you send them babies off to school… CHECK. THE. LUNCHBOX. Because why are we getting reports of juice boxes sitting next to… Cutwater margaritas??” the department wrote.
Officials also shared a photo of the alleged lunchbox, containing what appears to be a child’s lunch, Doritos and a Cutwater Lemon Drop Martini.
The police department shared a photo of a Cutwater canned cocktail in a lunchbox. (City of South Fulton Police Department via Facebook)
“That is NOT Capri Sun. That is NOT Apple Juice. That is a whole ‘Parent had a long night’ starter pack,” the department wrote. “Now little Johnny done pulled up to 3rd period talking about: ‘Who want fruit snacks?’ knowing good and well he got a Lemon Drop Martini in the zipper pocket.”
Cutwater Lemon Drop Martinis, as found in the lunchbox, are 11% ABV ready-to-drink cocktails made with vodka, triple sec, lemon juice and natural flavors.
They come in 12-ounce cans, similar in appearance to a soda can.
The City of South Fulton Police Department issued a statement after the apparent mishap. (City of South Fulton Police Department via Facebook)
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The department said it understands mornings can be hectic, but issued a stern notice to parents to “TIGHTEN UP.”
“Your child shouldn’t be the only one in the cafeteria with a beverage that requires an ID,” authorities wrote. “If it says 12% ABV… it does NOT belong next to a PB&J.”
Officials also provided a “quick parent checklist,” with items including: “Homework,” “Lunch packed,” and “Alcoholic beverages.”
Boxes of Cutwater Tiki Rum Mai Tai and Strawberry Margarita canned cocktails. (Gado/Getty Images)
“Check the lunchbox before the Fulton County Schools Police resource officers gotta do inventory at recess,” the department added.
It is unclear if any parents or students were disciplined in relation to the mix-up.
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Fulton County Schools did not immediately respond to Fox News Digital’s request for comment.
The City of South Fulton, Georgia, is a rapidly growing municipality located about 20 minutes from Atlanta and Hartsfield-Jackson International Airport.
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