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A man stands in front of an ambulance van.
Neal Lollar works for the nonprofit Pickens County Ambulance Service, which can deploy only one or two ambulances to serve the entire 900-square-mile Alabama county. (Taylor Sisk for KFF Health News/TNS)
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In rural areas where hospitals have shuttered, the nearest surviving facilities are long drives away, ambulance coverage is sparse, and residents in a medical emergency often find their situations even more precarious.

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