Bigger cities like Lubbock can unintentionally suck health care resources and professionals from smaller towns, creating what one local expert calls the “doughnut effect.”
pushing rural residents out, such as a lack of economic benefits or job and education opportunities.
“Rural hospitals are often the biggest economic driver for many rural communities,” said Adrian Billings, an Odessa doctor with the Texas Tech University Health Sciences Center. “So when one closes, doctors and other employees will move to another community that does have a hospital.” Erin Gonzales somewhat followed that track as a nurse practitioner. She grew up in her mother’s Muleshoe clinic before moving when she was 18 to a few small towns in West Texas, then to New Mexico. She moved back home a few years ago, when her mother was ready to retire.
“When hospitals close and health care facilities start to conglomerate, that’s the corporatization of medicine,” Gonzales explained. “It’s to a point where it’s easier for us, as providers, to not run private practices or keep our doors open because you need so much.” It’s harder, Billings said, to recruit urban students to live a rural lifestyle. Urban students are accustomed to certain luxuries, such as 24-hour stores and international airports. A young student choosing to leave a lively city with entertainment around every corner to a quiet small town that doesn’t have a movie theater can happen. But it’s rare.
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