Connect with us

Guest Columnists

Opinion | Does it take more than money to stay afloat?

Tim Wadsworth



“Houston, we have a problem” was a phrase coined on April 14, 1970 by John Swigert, Jr. and James Lowell on U.S.’s Apollo 13 moon flightThe Houston phrase or similar coinage has been used repeatedly by politicians, hospitals and anyone associated with the hospital industry to draw attention to the plight of rural hospitals. There are 122 hospitals in Alabama with 43 being in located in Jefferson, Madison, Morgan, Mobile and Montgomery Counties. Seven rural Alabama counties (Cleburne, Coosa, Henry, Lamar, Lowndes, Macon, and Perry) do not have a hospital. Rural Hospitals are always on the closure edge. Is it money, management, overregulation, image or lack of transparency that creates this problem?

Citizens and cities need their hospital open for jobs, economic development and health care. Are citizens doing their part? Citizens should use the available hospital and/or talk positively about their hospital instead of criticizing their rural hospital when in fact those same citizens may not even have been to that hospital. Positive images are critical for hospitals. The rural hospital may not be John Hopkins or MD Anderson, but they will meet 90 percent of the medical issues. The specialist hospital must have money and a base of patients; rural hospitals do not have either. Rural hospital medical staff can refer a patient to a trauma hospital or specialty hospital if necessary. Citizens should promote a positive image and support the hospital by their voice and money.

Alabama requires every hospital to have a fully staffed emergency room to be licensed to operate. Georgia does not. Emergency rooms are revenue losers for most rural hospitals. The option to operate a rural hospital without an emergency room should be available or reduced hours should be an option. Alabama Department of Public Health can make these changes. Reduced hours are a better option than no operational hours in rural Alabama.

In Alabama, you must have a minimum of 15 beds to be licensed hospital which must be staffed for those beds even if beds are not utilized. Many hospitals will not utilize the beds allowed but staffing costs remain. The national trend today is to have micro-hospitals in rural areas with a few inpatient beds. Patients are treated in the emergency room or hospital operated clinic and sent home. The patient can be admitted overnight for observation, stabilized and transferred to a larger and more comprehensive medical center. Reduced patient beds must be available or more hospitals will not survive due to staffing costs.

New sources of revenue should be found.   Rural hospitals could increase their revenue by utilizing those beds for nursing homes, rehabilitation centers, dental, eye clinics and rehabilitation clinics. Empty beds could be used to house immobile or unthreatening inmates to assist in responding to the federal court order that Alabama is under regarding inmate health care. Beds could be used for adult day care if Alabama’s Medicaid Program sought and received a waiver to allow for Medicaid to cover adult day care which is less costly than nursing homes. The veteran’s CHOICE program could be expanded to cover inpatient services for local veterans. Alabama’s four veteran’s medical centers could be used to provide inpatient care for local veterans and specialty inpatient care statewide.  

Rural hospitals should rent space to doctors, dentists, podiatrists, specialty practices and other primary care doctors toincrease their non-medical revenue and provide a one stop shop for medical, dental and eyeglass needs.  Many other specialty practices will not locate in rural areas due to limitations of space since only need 1 or 2 days a month are needed to sustain the level of patients in that rural area.  

Social Security Administration and other federal and state government agencies should be allowed to rent space for hearings and other governmental reasons to generate non-medical revenue. Management’s goal is to increase revenue andmaintain quality medical services. Renting space to non-hospital employed physicians or agencies should be utilized to increase revenue.


Emergency room wait time should be disclosed through social media and internet sites. People will travel to a rural hospital if their travel time and wait time are less. Hospitals need to put an emergency clock on their internet site that indicates the wait time.  If you add the wait time to the travel time, generally, it is more time effective to use your local rural hospital. Hospitals don’t tend to use this method to keep the public informed.  Bottom-line revenue will increase if their potential patients are kept informed.  

Urban hospitals are not always better.  Friendly staffs during difficult and stressful times increase revenue since the patient and family will promote a positive image and return customers. Hospitals that have doctors and employees who are friendly tend to have a better image. Management should address the issue with staff. Professionalism and friendliness will result in a better image and more revenue.

Hospitals in rural areas experience a higher mix of Medicare/Medicaid patients than do the facilities in urban areas; but rural hospitals receive a lower amount of reimbursement per patient from Medicare. The Centers for Medicare and Medicaid Services (CMS) assumes hospitals in rural areas will not experience the same labor costs for health personnel services, as do the urban hospitals. Federal law needs to change the reimbursement rate to assist rural hospitals.


Many medical students agree to serve in a rural area in exchange for tuition reduction and scholarships. All agreements have reimbursement agreements. However, the agreements need to have movement restrictions too. Generally, another hospital or medical group can still recruit that physician and pay the reimbursement amount making the agreement non enforceable. Training doctors in rural areas only to be hired away by urban area medical groups should be restricted if the physician transfer agreements are utilized.

Thirty (30) days’ notice to the Alabama Department of Public Health is the only notice required to close a hospital. No notices to the mayor or chairman of county commission are required. It is impossible to find a buyer for a hospital if only 30 days’ notice is required. If you close a hospital it must be inspected and brought up to current standards. The cost would be prohibitive. Ninety days’ notice should be required.  

Image, friendliness, non-medical revenue, higher reimbursement rates, time knowledge, less staffing costs, restrictions in rural physician agreements should be utilized.  Reducing regulations to allow no emergency room or reduced hours, less than 15 beds and unused space utilization should be considered to increase revenue and reduce costs. If the rural hospital must be closed or sold, require 90 days’ notice before closure.

There is no one change that will reduce rural hospital closures. Steps must be taken other than saying “Houston, we have a problem.”



Guest Columnists

Opinion | A lesson in civility

Larry Lee



As already mentioned here, Sunday afternoon Feb. 9, I participated in a League of Women Voters forum in Dothan to debate the pros and cons of Amendment One.  I opposed the measure.  Senator Greg Albritton from Atmore supported it.

I had done my homework and so had he.  We both spoke with passion and conviction.  There was no doubt we were on opposite sides.

However, we were friends when we got there and we were friends when we left.

I respect Greg and the fact that he was duly elected by the majority of voters in his senate district.  He certainly has a right to his viewpoint and his opinions.  I have no doubt he feels the same about me.

Our exchanges were lively and even interspersed with moments of laughter and good will.

In other words, we were civil.

And as I drove back home to Montgomery, I couldn’t help but think of how what had just played out was in such stark contrast to what we see far too often in politics these days, especially in Washington.  Both civility and respect have become four letter words in the nation’s capital where if someone disagrees with you they are usually ridiculed, berated and the object of insults.


We are destroying what is most dear to this republic. The presumption that as a whole we are better than the sum of all our parts.  That all citizens should be treated with dignity, not chastised because they don’t think like we do.

I understand better than most that 2020 is an election year and that in such times, passion often replaces common sense.  But even so, even that does not condone so much of the junk we see on TV and Facebook right now.

It is shameful.


Of course, I will vote NO on amendment one.  And Greg will vote YES.

But to me, the larger lesson of this forum was not so much about the pros and cons of this legislation as it was that civil discourse and disagreement can–and should–be conducted with civility.

When it is not, we are all diminished.


Continue Reading

Guest Columnists

Opinion | President Trump has the best week of his Administration

Bradley Byrne



Last week was President Trump’s best since moving into the White House.  After giving a well-received State of the Union address, the President was acquitted by the United States Senate, announced the killing of a major terrorist, and received a great jobs report.  On the other hand, Democrats suffered several significant embarrassments.

It began Monday at the first-in-the-nation Iowa caucuses.  Despite months of work to manufacture enthusiasm, Democrats experienced extremely low turnout across the state.  Things went from bad to worse as a host of errors prevented the counting and reporting of votes!  Of course, it isn’t hard to see why the people of Iowa were not eager to support Democrat priorities.  Socialist policies like the Green New Deal, Medicare for All, and confiscation of firearms are radical and dangerous, and most Americans reject them.

 In contrast, the very next day, President Trump presented a clear vision for keeping America great in a rousing State of the Union speech.  I left my seat many times to applaud the President and his many guests, each of whom had inspiring stories.  Two of hi s guests were Stephanie Davis and her daughter Janiyah from Pennsylvania.  Janiyah had been on a waitlist of over half a million students to receive a scholarship to go to a better school.  President Trump shocked the crowd by awarding her a scholarship right then and there!

The story of Janiyah was especially important to me because the President called on Congress to pass my bill, the Education Freedom Scholarship and Opportunity Act, so that one million American children could have the same opportunity for a scholarship!  I developed this bill with Education Secretary Betsy DeVos and Senator Ted Cruz.  President Trump is right that no parent should be forced to send their child to a failing government school, and I am proud to lead this important Trump administration priority.

The State of the Union ended on an embarrassing note for Democrats as Speaker Pelosi ripped up her copy of the President’s speech.  This petty, undignified tantrum plainly displayed the level of “Trump Derangement Syndrome” that she and her cohorts suffer from.  They simply cannot stand to see President Trump succeed.  They are in crisis after their impeachment plan failed.  In fact, it backfired and lost support as their rigged process was exposed.  Realizing her mistake, Speaker Pelosi appealed to Facebook and Twitter to have videos of her ripping the speech taken down!

I was proud to be a leader in that fight against the sham impeachment.  Thursday, a day after the President was exonerated, I was among a handful of House members invited to the White House to celebrate.  It was an amazing honor and surprise to receive President Trump’s personal thanks for fighting by his side throughout this process.

Later Thursday, the President announced that an American airstrike had killed Qassim al-Rimi, a terrorist and the leader of al Qaeda in the Arabian Peninsula (AQAP) in Yemen.  AQAP claimed credit for the December 2019 shooting at the Pensacola Naval Air Station that took the lives of three servicemembers, including Ensign Joshua Watson from Coffee, Alabama.  President Trump has made clear that our enemies will pay for taking American lives, and terrorists across the globe now know that he isn’t messing around.


Finally, an excellent January jobs report was released.  Employers added 225,000 jobs as the economy continues to strengthen.  Importantly, wages for working Americans are rising.

Put it all together and its obvious why the President’s approval rating is at the highest levels of his administration.  Clearly the Democrats’ misguided prioritization of an unpopular impeachment scheme has them in dire straits.  I vow to keep fighting with the President against radical socialism and to support his America First agenda.



Continue Reading

Guest Columnists

Opinion | Positive results from the Alabama Department of Labor

Fitzgerald Washington



With the closing of the past decade, and at the beginning of a new one, economic conditions in Alabama couldn’t be much better.  We at the Alabama Department of Labor have been busy wrapping up statistics and facts for 2019, and we’re happy to share those positive results with everyone.

If you’ve noticed the news reports over the last year, you’ll know that Alabama is currently experiencing a period of record growth and success.  In 2019, we announced brand new economic records nearly every single month. We closed out 2019 with the lowest unemployment rate on record – 2.7 percent! In fact, until last year, Alabama had NEVER experienced an unemployment rate below 3.0 percent. We hit that mark three times last year.  Nationally, our unemployment rate decreased more than any other state (over the year).

With that record low unemployment rate, it’s no surprise that we also have record high employment – meaning more people are working today in the state of Alabama than EVER BEFORE.  In December, more than 2.2 million Alabamians were counted as having a job, representing a yearly increase of nearly 84,000 people.   Every single month in 2019 saw a brand-new record high level of employment.  So did our labor force. That means that more people were in the workforce than ever before.  That’s significant because it shows that people believe there are jobs to be had.  And, #wehavejobs.  We have a lot of jobs.

Last year, our economy supported more jobs than it ever has at any point in time in our history.  Employers reported more than 2.1 million jobs in November and December.  Over-the-year job growth reached record highs, and we met or surpassed the national job growth rate for 11 out of the last 12 months. Alabama employers continue to post jobs on the state’s online jobs database,  More than 210,000 jobs were posted on the site last year, and nearly 800,000 people visited it.

For four years in a row now, we’ve soundly beaten economists’ job growth projections.  In 2019, economists projected Alabama would gain 22,000 jobs.  We gained 75,000. (Based on year to date growth, January 2019 – December 2019.) For 2020, they’ve projected a gain of 29,000 jobs.  We’re hopeful we can beat those projections for yet another year. By the way, the jobs we’re gaining aren’t just any jobs.  The majority of the growth was in the professional and business services sector, which includes professions like engineers, architects, and computer systems designers.  Wages in this sector reached a record high last year, notching a more than $20 weekly wage increase (over the year).  At least seven sectors and subsectors saw record high weekly wages last year, and overall wages, also at a record high, experienced a nearly $9 increase.

Despite all these positive indicators, we know we still have plenty of work to do. Even with record low unemployment rates, there are still some 60,000 Alabamians who are unemployed.  Our mission is to connect every Alabamian who wants a job, with an employer who needs a worker.  We won’t slack on that mission now.  We know our job will never get easier.  In fact, as the economy improves, our job in some ways becomes harder.  We still have companies locating in Alabama that need workers, and we have an obligation to provide a qualified and trained workforce.  With that in mind, we’re working on the following goals:

  • First, we are committed to helping Governor Kay Ivey realize her goal of adding 500,000 highly-skilled employees to the workforce by 2025.

In order to meet the needs of our employers, we must continue to work hard every day to train and equip our workforce to respond to today’s challenges.  Through the Success Plus initiative, Alabama’s workforce community is committed to add 500,000 credentialed workers by 2025.  This can be accomplished in many ways; either through accreditation programs via Alabama’s Community College System, training from the state’s workforce development agency, AIDT, On-the-Job Training and Apprenticeship programs, and more.  Our 50 Career Centers, located throughout the state, provide access to all of these programs and more.  We are committed to doing our part to ensure the continued success of the state.

  • We want to increase awareness of the services available to both employers and jobseekers throughout the state.

Through targeted outreach efforts over the past several years, more and more Alabamians are aware of the free, valuable services available to them through our Career Centers.  Not only for the unemployed who are looking for work, we also provide services to those who are looking for a new career.  We can help you get the right training, or the right education, to make those dreams a reality.  For employers, we can help you narrow your search to find the perfect candidates, and even help with wage costs.  There’s truly something for everyone at your local Career Center.   Please take a moment and check us out, we’d love to help you! Find out more at


Continue Reading

Guest Columnists

Opinion | Great examples of poor leadership

Glenn Henry



Let’s talk about some great examples of poor leadership, unacceptable management, and illogical decision-making, coming from our Montgomery County School Board, Alabama State Department of Education, and the Montgomery City Council. Just a few days ago, the local School Board approved an unrealistic initiative, to increase the millage rates, concerning property taxes, to raise annual fees.

I don’t know how much more, of this type assistance, that we can stand. This is not, the type help, we need. The following are reasons that I can’t support this measure.

The city has one of the highest sales taxes in the nation, at ten-cents per dollar. The chairman of the State Legislature Education Trust Fund, has stated numerous times, that most education dollars are generated from sales taxes.

A homeowner who purchases a $150, 000 home, with a 30-year mortgage, will pay over $300,000 for total dollar payoff, due to the interest fees, exceeding the principal, or amount borrowed.

The Montgomery Public School System, is currently under state intervention, and take over status. Their accreditation status, is currently deemed, under review. The MPS has hired an attorney, and they are paying $400 per hour, so that the public is hoodwinked, into believing we need to pay them more money.

According to national data, our State Education system, is dead last in math.

Due to mandatory federal laws, concerning on-base and off-base education, for kids of military families, assigned to military installations; and Department of Defense Education Activity policies; the families assigned to Maxwell-Gunter AFB, are currently attending schools out of district. For instance, in counties such as Autauga, Elmore and Pike Road City Schools. Obviously, these military families and their children, still can’t be properly served under the current low standards, poor academics, and unacceptable conditions, and the present state of the MPS. The federal law clearly states, that sufficient and adequate education, must be provided by the Local Education Agency, which is MPS.


Many of the parents assigned at Maxwell-Gunter, include our international allies from around the globe, and some of the best and brightest minds on the planet. Some are scientists, astronauts, physicists, top engineers, fighter pilots, top military strategists, professors, and instructors. Some adult military and civilian students, at the base military professional education schools; may be from top leader military families of other countries, and persons; who may be considered royal family members, within their nations. Additionally, our education game, must be raised, due to the new creation of our U.S. Space Force. Many space families from around the globe, will surely be attending schools at Maxwell-Gunter AFB.

While the county school system does have a few magnet schools that are doing well and are suitable for attendance, most are not.

Most of the positive compliments about the school system, are coming from the educators themselves, whom are evaluating themselves. Just a few days ago, State Superintendent Dr. Eric Mackey and MPS superintendent Dr. Anne Moore; were patting themselves on their backs about progress. The Alabama State Department of Education, on their own website, show agencies under their own authority who have been; and they will be evaluating, reporting, and making decisions about themselves. I highly recommend, that a top education agency, from outside our state, not closely tied to ALSDE, and their own websites, conduct a real evaluation, before the MPS is removed from its current intervention status. Public agencies evaluating themselves, are not going to take the proper corrective, nor punitive actions against themselves, and their own entities.


AdvancEd, now known as Cognia, is under the ALSDE authority, devised a color- coded evaluation system, that gave different factors, and ranges, which no one can calculate. The factors being measured, weights assigned to each factor, formulas, baselines, equations; still can’t be verified for accuracy nor reliability, when tied to the colors. When persons create a system, and they can’t explain it, and the numbers don’t jive, it’s probably not reliable, nor credible.

The Alabama Charter School Commission is also under the authority of the ALSDE. A new charter school in Montgomery, is currently under chaos, facing lawsuits and turmoil. A one -year old Charter School in Mobile is already on the failure list. Now we have, poorly performing schools under the flagship of MPS regular schools, and charter schools. My perception is that, we are being offered more junk—not more quality schools. Someone at the ALSDE, must put a freeze, on placing more poorly performing Charter schools into our communities.

Whites and middle-class blacks, have rightfully left the MPS system, and they have placed their kids in private schools, or they are home schooling their kids. Not long ago, I spoke with a white family with three kids. They were paying $45,000 per year, in costs for private school fees, and other charges. They are tax payers too. I highly recommend, that the State Legislature and Congress pass laws that will provide families, who are placing their kids in private schools; and homeschooling, be provided the per student dollar amounts; to defray some of their costs and fees. Right, now they are receiving nothing for their education tax dollars. They would have more options.

Public entities and taxpayer funded-school agencies, should not be rewarded for poor performances. Money can’t remedy poor leadership, unacceptable management, nor continued illogical decision-making.

Most devasting, rather than consolidating, and closing many poorly performing schools, the MPS is adding more poorly performing charter schools, in an attempt to justify a property tax increase. Throughout the state, persons who are supposed to be running the Charter schools have departed in the dead of night; and no one can really nail down who is in charge. In the new, local Montgomery Charter School, many teachers have quit, and many complaints have been surfacing, about 10 bosses walking around; hitching up their pants, claiming that they are in charge.

Now, we all know very well, that is too much leadership and management, within one school building, for only one school, with a principal already on station.

Hopefully, some one within the Montgomery County Commission, and the County Legislative Delegation will stop the initiative to increase millage, based on the aforementioned issues. The one thing that is the biggest issue, and challenge, is the lack of Trust from the public, concerning the MPS and the ALSDE. In the past, the Montgomery County Commission, has strongly supported the millage-rate property tax increase.  I look forward that, they will do the right thing this time.

I hope that our leaders, will begin building an education system based on core values, such as honesty, integrity, trust, accountability, responsibility and prudent decision-making.

I highly recommend, that citizens vote yes on March 3, concerning the Appointed State Education Board Amendment (SB397), legislatively referred constitutional amendment. So that we can begin to build an education system, that all will, of which, be proud.

Another example of poor leadership, is coming from our Montgomery City Council. Concerning the implementation of Occupational Taxes in Montgomery. The following reasons are why I oppose it.

The City has a ten-cent sales tax, which is the highest in the nation. Many other cities, also used the unrealistic logic, that if employees don’t live in the city; and they drive from outside the city, and work here; they should pay because they are using our city services. Every day, people who don’t live in Montgomery shop in our city, and they pay for services, and all applicable taxes just like everyone else.

Montgomery is proposing to initiate, an occupational tax on Everyone who works in the city. Numerous residents are complaining, that if the occupational taxes are imposed, the amount of their annual occupational tax fees would exceed, the cost of their total annual residential property tax bill, of around $700. That would now be $1400 annually, for the property tax bill and the occupational tax fees.

Further, if government continues to take, more and more of employee earnings, we will become slaves. Most revealing, are the reasons most people are travelling, from outside Montgomery, is because of a poorly performing Montgomery County school system.

The travelling employees have the skills, knowledge and abilities to perform in the high skill jobs. Most are well educated, and they have the proper training needed to perform those tasks. They should not be punished for that.

Many city councils, copy what other cities do, and use their poor logic. The problem is, if you copy someone else’s paper, they both receive F’s for their grades.

Montgomery City Council members, local and State School Board members, must do a better job of educating and training its citizens. Additionally, make better original decisions, to really move our city and Great State forward. I thought that with all of the new committees being formed on the local School Board, and new city committees, that new ideas would be presented.

Too many persons are being placed on committees and boards, who are great at parliamentary procedures, and they are earning an A+; although in the wrong area.  We must ask the following persons to resign, from their current positions.  Those who arrive at meetings unprepared; members not providing solutions; those making appearances at meetings with no input; members who have conducted no research; persons who agree with other members when it’s totally wrong; persons making decisions, not in the best interest of our country, state, county and city.

I fully support HB147 which recently passed in the House County Municipal Committee. The Bill would protect all workers from double taxation through occupational taxes.

As a former doctoral-level student in Public Administration, I was taught that a city’s power and authority, are derived from the State Constitution and the State Legislature. Due to the supremacy clause. The Legislature can also change, and take away power from the cities.

In closing, I Love city councilmen Charles Jinright and Glen Pruitt. However, I must disagree with them on these issues, and I must do the right thing by supporting HB147. Respectfully, I’m asking the citizenry, to do the same.

Glenn Henry is retired from the U.S. Air Force. He has been a high school teacher and university adjunct professor. He has earned numerous IT Cisco certifications. He is a Certified Professional Ethical Hacker. He lives in Montgomery with his wife Teresa.

Continue Reading



The V Podcast