Measles Outbreak

[Anonymous]

^^tHe measles vaccine

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:
You can have breakthrough cases even if immunized, and these may be milder. But the 93% (one dose) and 97% (two dose) failure rates are true failures.

https://www.cdc.gov/pinkbook/hcp/table-of-contents/chapter-13-measles.html

Measles antibodies develop in approximately 95% of children vaccinated at age 12 months. Seroconversion rates are similar for single-antigen measles, MMR vaccine, and MMRV vaccine. Approximately 2% to 7% of children who receive only 1 dose of MMR vaccine fail to respond to it, i.e., they experience primary vaccine failure. MMR vaccine failure can occur because of passive antibody in the vaccine recipient, immaturity of the immune system, damaged vaccine, or other reasons. Most persons who fail to respond to the first dose will respond to a second dose. Studies indicate that more than 99% of persons who receive 2 doses of measles vaccine (with the first dose administered no earlier than the first birthday) develop serologic evidence of measles immunity.

Primary vaccine failure is the failure to mount an immune response and develop antibodies, NOT a "partial response" -- a failure of response. There are more details at the link, and if you have more questions, I'd advise to read there first.

The second place to go would be an overview such as this:

https://www.sciencedirect.com/science/article/pii/S0264410X18304857

A framework for research on vaccine effectiveness

2. Vaccine failure models (Table 1)

2.1. Primary vaccine failure (“All-or-None”)

Vaccine protection and failure are two sides of the same coin, but understanding how vaccines fail is a relatively under-explored area. Traditionally, vaccines were thought to generate life-long immunity, with a small proportion of vaccinees not protected because the vaccine did not “take” (“all-or-none”). This is considered “primary vaccine failure” and is frequently associated with live virus vaccines such as measles, mumps and rubella vaccines [7].

2.2. Secondary vaccine failure

In contrast, “secondary vaccine failure” refers to waning vaccine immunity in which protection decays with time. For example, in the absence of circulating pathogen, humoral protection might be expected to wane exponentially [8], [9]. Secondary failure has traditionally been more associated with inactivated, subunit, and toxoid vaccines (e.g., pertussis, diphtheria and tetanus).

[7] S.L. Deeks, G.H. Lim, M.A. Simpson, L. Gagné, J. Gubbay, E. Kristjanson, et al.
An assessment of mumps vaccine effectiveness by dose during an outbreak in Canada
CMAJ, 183 (9) (2011), pp. 1014-1020, 10.1503/cmaj.101371

[8] M.B. van Ravenhorst, A.B. Marinovic, F.R. van der Klis, D.M. van Rooijen, M. van Maurik, S.P. Stoof, et al.
Long-term persistence of protective antibodies in Dutch adolescents following a meningococcal serogroup C tetanus booster vaccination
Vaccine, 34 (50) (2016), pp. 6309-6315, 10.1016/j.vaccine.2016.10.049

[9] P.F. Teunis, J.C. van Eijkeren, W.F. de Graaf, A.B. Marinović, M.E. Kretzschmar
Linking the seroresponse to infection to within-host heterogeneity in antibody production
Epidemics, 16 (2016), pp. 33-39, 10.1016/j.epidem.2016.04.001

That article identifies that although measles remains the classic context for primary vaccine failure, OTHER live attenuated virus vaccines (specifically, mumps and rubella) demonstrate both primary and secondary models of vaccine failure -- but not measles.

I know that you can have breakthrough cases, but I am just making this statement because you don't truly know if your friend is being about getting the measles shot unless you attended the medical appointment with them. Most people with one shot that are exposed to measles will not get a breakthrough case and around 95% of measles cases have been among unvaccinated people. The point I am making is that there is a high probability (from a statistical perspective) that your friend is lying about her kids vaccination status. It is more likely than not she is lying about her kids getting the vaccine.

You are responding to me, but I am not the poster with the friend. (FYI)

"Breakthrough cases" are not the same as "failure rate." The "breakthrough" is breaking through an immunized state, and the failure rate reflects a lack of immunization despite vaccination.

You are correct about the odds, but I'm not sure it adds much to this discussion to tell PP to suspect the friend. Part of the failure rate has to do with problems with a vaccine -- e.g., the storage temperature has to be well-controlled, or it will fail. There are plenty of cases where a clinic or pharmacy may draw up vaccines in advance (which is against protocol, but which saves time if you are very busy). Or if that family was vaccinated overseas, some areas have a known problem with temperature control along the supply chain.

Regardless, it's enough to point out that this would be a rare occurrence if vaccinated in the US to have 2 cases in the same family where the vaccine was ineffective. Mind you, there would be around a 1 in 100 to 1 in 300 chance of this happening, anyway. If your pediatrician has an average panel (around 3000 children, or around 1200 families), that would some up by happenstance in around 4 families. I don't think that's rare enough to try to force a confrontation when there is pretty much no upside.

That is why herd immunity is so important.

There is also the possibility that the 93% claimed protection is simply exaggerated, and has been able to stand because it hasn't been truly tested in the wild in a long time.

Do I detect the slight piquant flavor of ... "indoor plumbing?" And "personal hygiene?"

Oh, don't tell me -- you're a big believer in it was all due to "malnutrition," huh?

I actually dug into the 93% claim, and surprise the CDC doesn't source that very well. As far as I can tell it comes from this: https://pmc.ncbi.nlm.nih.gov/articles/PMC5557224/

This was a 2 year study in Rome, and from that they've extrapolated that the 93% is some universal and reliable value.

But it gets more and more hilarious.

The most hilarious part is that the people who only took one dose are far healthier than either the 2 dose or no dose cohorts.

The next most hilarious thing is that they didn't randomly assign anyone to the 0-2 dose groups, so there is some very obvious social stratification going on. The no dose cohort is rife with STDs and parasites for instance...

The last hilarious thing is they did their analysis in SPSS (Statistical Package for the Social Sciences) and then didn't actually control for any social variables.

You don’t randomly assign people to not get a vaccine that prevents life threatening health issues. That is unethical. Also there doesn’t need to be a control group to evaluate the efficacy of the vaccine you can take blood samples for immune titers before and after people get the vaccine. Taking an immune titer for the MMR vaccine before the first dose, immediately before the second dose and a few months after the second dose is more than sufficient to determine the percentage of people after 1 and 2 doses that don’t get a sufficient immune response from the vaccine.

This response about randomization is ridiculous. Under your logic we should not approve any vaccines unless challenge trials are conducted where people are intentionally exposed to dangerous pathogens, with a double blind placebo vaccine group as a control arm.

You could benefit from learning how they test new vaccines. My daughter was part of a dengue study. She was infected as part of a non-vaccine control group. The flu control group had to be hospitalized for 2 weeks. They infect healthy people.

. That seems highly unethical and goes against standard vaccine studies, no? (Except under RFK Jr.)

This is how new vaccines studies are done. It was pre-RFK Jr.

[Anonymous]

That some MAGA moron who probably only spent 20 minutes watching some anti-vaxxer nutjob conspiracy podcaster literally thinks they now know more than the collective knowledge of thousands of PhD infectious disease, virology, vaccine experts is peak delusion and entitlement.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

[Anonymous]

Poors don't pay as much.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

The article is VERY clear - his idiot parents chose to take him home - "If all they're doing is antibiotics, maybe he'll be more comfortable at home, and we don't have to put him through this" over medical advice.

And what medical care do you think we have on tap for a wholly preventable and usually rarely seen disease? Measles has no cure.

I am furious on behalf of this kid. This is a GD shame and in any normal society his parents would be publicly shamed if not arrested for causing this injury to their child.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

It says that they suggested she take him to the larger hospital but that he was so distressed they thought it better to take him home. Crazy stupid.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

It says that they suggested she take him to the larger hospital but that he was so distressed they thought it better to take him home. Crazy stupid.

Either the doctors at the smaller hospital medically determined he needed to be transported or not. Considering she actually took him later to the larger hospital, it appears the smaller hospital didn’t facilitate the transfer. Telling a parent who is ignorant to go to a larger hospital when the mri didnt show anything is useless. The kid isn’t eating and screaming in distress. Why didn’t he get better card in smaller hospital or medically transported to larger hospital? Expecting a parent to explain everything when they drive him to to the larger hospital and go to the ER doesn’t make sense.

If he were released against medical advise there should have been an emergency CPS call made and the child should have been prevented from leaving. Or the smaller hospital should have arranged for him to be transferred by ambulance.

I think the parents are morons for not vaccinating but something is missing from this story.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

It says that they suggested she take him to the larger hospital but that he was so distressed they thought it better to take him home. Crazy stupid.

Either the doctors at the smaller hospital medically determined he needed to be transported or not. Considering she actually took him later to the larger hospital, it appears the smaller hospital didn’t facilitate the transfer. Telling a parent who is ignorant to go to a larger hospital when the mri didnt show anything is useless. The kid isn’t eating and screaming in distress. Why didn’t he get better card in smaller hospital or medically transported to larger hospital? Expecting a parent to explain everything when they drive him to to the larger hospital and go to the ER doesn’t make sense.

If he were released against medical advise there should have been an emergency CPS call made and the child should have been prevented from leaving. Or the smaller hospital should have arranged for him to be transferred by ambulance.

I think the parents are morons for not vaccinating but something is missing from this story.

This is not the hospitals fault. You cannot fix stupid and most states have strong religious freedom laws that make child medical neglect legal if you are doing it for religious reasons. If she cried discrimination they hospital would end up paying a ton of money for basically no reason and the kid still would have died. Prioritizing the kid with crazy parents takes time and resources away from the rest of the patients at the hospital who are actually willing to treat their illness.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

You know Trump has closed rural hospitals and many rural/southern hospitals have a doctor shortage because doctors with H1B work there for low pay and have been sent home by ICE.

The parents should be arrested or their wages garnished forever.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

You know Trump has closed rural hospitals and many rural/southern hospitals have a doctor shortage because doctors with H1B work there for low pay and have been sent home by ICE.

The parents should be arrested or their wages garnished forever.

Which ones were closed?

And by Trump?

Source please.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

It says that they suggested she take him to the larger hospital but that he was so distressed they thought it better to take him home. Crazy stupid.

Either the doctors at the smaller hospital medically determined he needed to be transported or not. Considering she actually took him later to the larger hospital, it appears the smaller hospital didn’t facilitate the transfer. Telling a parent who is ignorant to go to a larger hospital when the mri didnt show anything is useless. The kid isn’t eating and screaming in distress. Why didn’t he get better card in smaller hospital or medically transported to larger hospital? Expecting a parent to explain everything when they drive him to to the larger hospital and go to the ER doesn’t make sense.

If he were released against medical advise there should have been an emergency CPS call made and the child should have been prevented from leaving. Or the smaller hospital should have arranged for him to be transferred by ambulance.

I think the parents are morons for not vaccinating but something is missing from this story.

You are trying way too hard to excuse the parents. The rest of us read the same article and all understood that they went against medical advice. You think the hospital is a fault because they didn't call CPS?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

You know Trump has closed rural hospitals and many rural/southern hospitals have a doctor shortage because doctors with H1B work there for low pay and have been sent home by ICE.

The parents should be arrested or their wages garnished forever.

Maybe legal to charge them under SC state law. In many states parents can't be charged for medical neglect due to religious beliefs. https://childrenshealthcare.org/policy-legal/

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

You know Trump has closed rural hospitals and many rural/southern hospitals have a doctor shortage because doctors with H1B work there for low pay and have been sent home by ICE.

The parents should be arrested or their wages garnished forever.

And, because it was nearly irradiated by the vaccine, your average doctor doctors under a certain average doctor is not super familiar with the symptoms.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Mom of the year

https://www.independent.co.uk/news/health/measles-encephalitis-south-carolina-anti-vaccine-b2918500.html

‘I still wouldn’t have given my son the vaccine’

This kid is 1000% on Medicaid as neither parent works.

And this is easily a million dollar hospital stay as this kid is getting all sorts of expensive stuff in that ICU (plasma exchange, etc).

A million dollar hospital stay paid for by the tax payers of South Carolina because of their refusal to get a $50 MMR vaccine.

Of course she should have gotten her kid the measles vaccine, but the article details that she took him to a local hospital when he first got sick and they did an mri that didn’t show anything and the hospital just said he needed antibiotics. The mother said he was screaming and not eating and the hospital let her take him home yet maybe suggested going to a larger hospital. But the article isn’t clear why he wasn’t medically transported to the larger hospital and released him to go home.

He didn’t get better so she took him to his pediatrician who said take him to the larger hospital. Not let’s call an ambulance and transport him. So the parents drove him.

The whole situation is bizarre. Not vaccinating but then his medical care. Why didn’t he get aggressive care when he was first hospitalized?

You know Trump has closed rural hospitals and many rural/southern hospitals have a doctor shortage because doctors with H1B work there for low pay and have been sent home by ICE.

The parents should be arrested or their wages garnished forever.

Which ones were closed?

And by Trump?

Source please.

Why can’t MAGA Google?! For your edification…

https://www.cnn.com/2025/09/22/politics/rural-healthcare-one-big-beautiful-bill

https://www.theguardian.com/business/2025/nov/20/hospitals-shutdown-trump-healthcare-cuts

https://arkansasadvocate.com/2026/01/09/hospital-in-south-arkansas-closes-maternity-ward-adding-to-regions-shortage/

https://stateline.org/2025/09/05/trumps-new-law-will-limit-payments-to-hospitals-that-treat-low-income-patients/

https://www.massgeneralbrigham.org/en/about/newsroom/press-releases/increase-of-h1-b-visa-fees-will-impact-rural-and-high-poverty-counties

https://www.al.com/news/2025/11/rural-alabama-medical-center-ending-inpatient-services-laying-off-90-people.html?outputType=amp



MAGA spin: https://ccf.georgetown.edu/2025/10/21/trump-administration-severely-limits-funding-for-rural-hospitals-and-clinics-from-rural-health-transformation-fund-capped-at-15/