Reasons cited for the closures happening nationwide include declining birthrates, staffing shortages, increased costs, and Draconian antiabortion laws. An observer noted that hospitals that appear highly likely and easiest to close are often those most reliant on Medicaid, which reimburses at lower rates than commercial insurers, and obstetric unit loss, specifically, is more common among those units that serve a larger share of Black patients.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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