She received her medical training at

who lack permanent legal status after their work hours; and in California, where, who often work on farms or at meatpacking plants.

“We’ve learned that we have to go to people, we have to go to where they’re at, they’re not going to come to us,” said Mandip Kaur, the health director of the nonprofit Jakara Movement.More than one-third of the nation’s rural hospitals — about 700 — are at risk of closing because of “serious financial problems,” according to a July analysis from the Center for Healthcare Quality and Payment Reform. Harold Miller, the center’s president and CEO, said one hospital closure can ripple through a rural community.“If the hospital didn’t exist, there wouldn’t be any physicians there,” Miller said. “There is no place to go and get a lab test except for that hospital. There may be no nursing home or place to get rehab or long-term care other than these hospitals.”

When a hospital does stay open in a large rural area where few people live, the facility may not see the number of patients it would need to see to be profitable, said Arrianna Planey, who researches health policy and management at the University of North Carolina.Leaders in Brownsville tried to find a buyer for the hospital. The county eventually purchased it. Braden Health, a privately held company, then took over the hospital with two conditions from the county supervisors: It must be a full-service hospital with a 24-hour emergency room and staff had to be hired as quickly as possible. Local officials say the hospital is breaking even.

Tennessee is one of 10 states — many of them in the South — that haven’t expanded Medicaid. Michael Meit, the director of East Tennessee State University’s Center for Rural Health Research, believes doing so would be an obvious solution to the problem of growing rural health disparities. More people would be covered by insurance, Meit said, and hospitals could make more money.

“They’re providing a lot of uncompensated care,” he said of rural health systems in those states.One small study did find glimmers of an effect of small LSD doses on vigor and elation in people with mild depression when compared with a placebo.

“It may only work in some people and not in other people, so it makes it hard for us to measure it under laboratory conditions,” said University of Chicago neuroscience researcher Harriet de Wit, who led the research.The potential has spurred an

to conduct early trials of microdoses of LSD for severe depression and in cancer patients experiencing despair.Meanwhile, few rigorous studies of psilocybin microdosing have been done.