Word: rural
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Dates: during 1990-1999
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Secondine belongs to the middle group. A native of rural Tennessee, he always lived with a split identity, of sorts...
...than $100 billion a year on overzealous testing and unnecessary surgery, among other things. Insurance companies say patients, hospitals, doctors and thieves are cheating them out of $60 billion or more. Meanwhile millions of Americans are starving for care in the midst of plenty. Doctors have migrated away from rural areas across America, leaving families in dread fear of the tractor accident, the heart attack, the sudden illness. Another problem: the health-care system devotes so much of its resources to last-minute miracles that it neglects the more mundane realm of preventive medicine, where many terrible illnesses could...
More than 570,000 physicians practice medicine in the U.S. today, almost double the number 20 years ago. Yet huge areas -- 18 counties in Texas alone -- have none. Rural America, like many inner cities, is facing a crisis in primary care. Communities need about 35,000 more general practitioners, according to most estimates. Doctors typically prefer more lucrative practices as specialists and surgeons (who can earn more than $300,000 a year, compared with the average family practitioner's income of $96,000). The shortage of general practitioners leads to wasteful use of medical resources. Without a family doctor...
...Duke's campaign was not farfetched. He won a place in the runoff by defeating incumbent Republican Buddy Roemer, a Harvard-educated reformer whose imperious manner doomed him to a single term. Duke won blue-collar voters, largely rural, young and male. But he also made inroads into the middle class, capturing conservatives from both parties. If the election had been held just after the primary, Duke would have...
That was then. Glory days, but as the years and the story's somewhat invertebrate plot progress -- Keillor's authentically rural narrative method is infinite digression -- the pickings thin out. Like the rest of WLT's hayseeds and gallus snappers, the Shepherd Boys begin to lose listeners. In their prime, Keillor relates, they "could kill a quart like it was lemonade and and then they would jump in the sack with anything in high heels, hop out and sing 'The Old Rugged Cross,' and feel so good, they'd jump right back in." Maybe they still could, given the chance...