Kentucky Hospitals Likely To Close And Counties Without A Hospital In That Event!

Over the last few weeks, we have all heard a lot in the news media about how TRAITOR Trump's "Big, Viscious, Ugly Bill" will do myriad kinds of harm to America, especially to rural America, the lower and middle classes, hospitals, education, health care in general, vaccines and vaccine production, Medicaid, Medicare, WIC, SNAP or Food Stamps, agriculture, food safety, airline safety, the arts and sciences, and several other critical aspects of life in America. It will also add about 4 TRILLION DOLLARS to the budget deficit, and all of this damage is being done to provide vast unnecessary tax cuts to the rich, super rich, and corporations. Every word you have heard about the upcoming damage is true! The damage is intentional, purposeful, and will cost thousands of lives across this country in addition to the vast economic damage it will do. But in this blog post, I just want to address one aspect of that damage, the damage to hospitals and health care in Kentucky. Every legitimate news agency and policy analysis corporation is telling us the same thing. If the proposed cuts to Medicaid are approved (and it appears they almost certainly will be approved) thousands of hospitals, especially rural hospitals will be forced to close due to lack of income. Hundreds of thousands of the poorest, and often sickest Americans will lose their access to health care, and thousands of those people will die along with the hospitals which have been serving them. According to the Kentucky Center For Economic Policy, 35 hospitals in Kentucky are likely to on that list of hospitals which will be forced to close. Since I first heard that dire forecast, I have been studying the issue both on my own and in consulations with others who understand the issues and politics involved. Two of the people I have discussed this with in depth are a retired attorney who spent her career in Eastern Kentucky and comes from a very politically centered family, and a retired nurse who spent her career working in one of the poorest counties in the state which does not have a hospital at this time to lose. We all agree that there are a vast number of issues that would arise for Kentucky and the nation if this Big, Viscious, Ugly Bill" becomes law. My reading of the article which I supplied the link to above shows me that the majority of the 35 hospitals in Kentucky which can be expected to be starved out if Medicaid is cut are in Eastern Kentucky. Although I generally think of I-65 as being the border line between Eastern Kentucky and Western Kentucky, that is not absolutely accurate. We can also take the position that I-75 is the border between the two. But for the sake of somewhat original thinking on that issue, let's say that the border is an extension of the line created by the border between Ohio and Indiana. If we go to that point on the Kentucky border with Indiana and Ohio and draw a straight line from there due south to the Tennessee border, it is as good a candidate for the border between Eastern Kentucky and Western Kentucky as any other. The image below is of that map showing the locations of the endangered hospitals in Kentucky from the linked story by the Kentucky Center For Economic Policy. If you use that imaginary line from the KY/IN/OH intersection, you will find that only 12 of the endangered hospitals are west of that line. East of the line are the 23 remaining hospitals which are most likely to close due to the loss of Medicaid funding created by the "Big, Viscious, Ugly Bill". God Help Us In Eastern Kentucky If That Happens!

The counties in this list will all be without a hospital in the event Medicaid funding is cut as designed in the "Big Ugly, Viscious Bill" They are Letcher, Knott, Floyd, Martin, Lawrence, Elliott, Carter, Rowan, Greenup, Lewis, Breathitt, Jackson, Lee, Owsley, Rowan, Rockcastle, Montgomery, Powell, Clark, Clay Fleming, These counties are contiguous are create a vast block of real estate in Eastern Kentucky which would have on local hospital. Patients in these counties would have no readily available emergency rooms, ICU's, maternity wards, or other services which require a hospital setting. To illustrate just how bizarre this possibility is let's look at some geographic possibilities which would be created. It would be possible to travel by car from Jenkins on the Virginia border to Vanceburg on the Ohio border without ever driving through a county with a hospital. It would also be possible to drive by car from Mount Vernon in Rockcastle County to Greenup in Greenup County without passing through a county with a local hospital. In addition to the loss of these hospitals, the job losses would be catastrophic in a region which is already economically distressed. Nearly all the prescribing professionals (M.D.'s, APRN's, PA's) would be highly likely to leave the region, perhaps even the state. Additionally, thousands of licensed providers such as imaging professionals, Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants, and a few other professions would be forced to leave the region in order to find work. Yes, there are a couple of hospitals which might survive such as those in Pike and Perry Counties but those two counties are on the Virginia and West Virginia borders and the drive for many patients would be just too far, too expensive, too time consuming, and thousands of low income patients would be likely to not receive regular ongoing health care. In legitimate emergencies and accidents, the concept of The Golden Hour for transport to an emergency room would no longer exist. Distances would be too great in many cases for an ambulance crew to assess, transport, and facilitate admission to a hospital for many critical patients in a timely, life saving manner. The Big, Viscious, Ugly Bill is a disaster in the making for Kentucky and many other states where multiple hospitals will be lost. The damage of this bill is deliberately designed to minimize the poor of the region, to deny them medical services as are customary in a real Democracy. It is intentional! It is criminal! It must not be allowed to take place. This bill must not be approved.

On Friday, June 27, 2025, I Spent Some Time With Some Of My Favorite Immigrants

On Friday, June 27, 2025, we traveled to Lexington to finally get new batteries in my wife's power wheelchair. They had been dead for about two weeks and it was a bad time. We needed a break and, for a while we got one. After spending time with the technician and his wife at the wheelchair company, getting the batteries installed, and then moving on to our favorite Vietnamese restaurant where despite living about two hour away we are regulars. We love the food, we really like the manager and his entire staff. We got done eating and then traveled to a little Asian food store for one item of a chile paste which we cook with sometimes. I will no longer name any immigrant, immigrant owned business, or other identifying characteristics of a business due to the danger which is being presented on a daily basis to ALL IMMIGRANTS by TRAITOR Trump and the Criminal Syndicate which poses as a "cabinet". We spent little time in the business and, it is my impression, that the family which owns it are American citizens. I chose the one item I was searching for, looked around the store and figured I didn't need anything else. When I walked to the counter to pay, the wife of the family was working in the store area away from the counter. Immediately, her young son who is about 7 or 8, in my estimation, moved from another spot behind the counter to the register and rang up my purchase, took my debit card and, with some help from his mother, completed the transaction, thanked me in perfect English. I was instantly taken back to my own childhood growing up in a country store in first Floyd County Kentucky and then another in Knott County Kentucky. I had also been trained to work in the store from a young age as soon as I could count change. I was flooded with memories and instantly told the little boy that I had also grown up in a store with my parents, how much I had enjoyed working in the store, and I tried to let him know, in no uncertain terms, that it is a good thing to be a young boy working with your parents in a family owned store. Yes, it is summer and school is out of session. I have no knowledge that the boy is ever in that store on a school day, or that he is ever working in any dangerous capacity, or that he is ever doing anything that makes his providing help to his parents is illegal. It is a parental choice they have and should always have to bring their children to the store with them, teach those children to work as young as they are capable of doing whatever job the parents choose to have them do. It is valuable training to help a child become a contributing citizen in the world and a worker who is committed to being a part of the working class. It is a damn fine thing to be a young boy working in a family store and I am an expert on that subject. When I was three days old, my parents carried me home from the Lackey, Kentucky, hospital and placed me on the counter in our store and, as I lie about sometimes, told me to "greet customers until you are big enough to do something else. I am proud of that boy and I am proud of his parents.

The photograph above is of my father Ballard Hicks sitting in our family owned country store at Dema, Kentucky.

Amazing Press Conference From The White House!

Just a few hours ago in the White House briefing room, the most amazing press conference in the history of the world took place. The White House press secretary released a surprising and exhilirating list of new developments from the ever expanding and limitless brain of "the stable genius" Donald Trump. After a discussion of how the American bombing of three Iranian nuclear development sites had made more progress toward lasting peace for the entire foreseeable history of the world than any other leader ever made, the press secretary stated that this action is guaranteed to be the final action necessary to guarantee that Donald Trump will be awarded the Nobel Peace Prize. She added that this "peaceful bombing" will be followed by the agreement from Ukrainian President Zelensky that he has realized he "should not continue his war of aggression against Russia and will reccomend that the Ukrainian parlaiment offer a peaceful solution to the crisis which he caused and will also reccomend that Ukraine do as it should have long ago and rejoin the Russian nation". All of this action in the interest of world peace was created by our Supreme Leader Donald Trump. She also discussed other developments which have been made in recent weeks by Donald Trump which will reveal totally that most of the rest of the world "don't know what the fuck they are doing". Those developments included in her discussion listed Donald Trump's highly effective and inspiring attendance at the meeting in Canada of the G7 in which in her words, "He was lauded, praised, congratulated, and cheered by those lesser members of the G7 for his incredible work to advance the world into the full enjoyment of the 21st Century." Then she went on to say that since Donald Trump has secured peace in the Middle East, increased the likelihood that Ukraine will agree with Russia and Putin to end their war of aggression against Russia and they will be simultaneusly readmitted into the Russian nation on the same day that Canada becomes the 51st state of the United States. Her press conference went on to disclose that Donald Trump has "a lot more free time on his hands now since the world is at peace and he is working on other things of great interest to the world." She added that "a lot of the lying media claim that all Mr. Trump does is play golf but what they don't realize is that being on the golf course gives him a lot of time to use his awe inspiring intellect to work on other issues." Shestated that just in the last few days he had been eating a piece of cherry pie just as George Washington, our tenth or twelfth worst president, had eaten cheerry pie so does Donald Trump. "But while Mr. Trump was eating his pie, he found a perfectly round seed in it. And, after firing the White House Chef and sou chef, he thought further on the subject and was reminded of how so many second class math professors at places like Harvard, Yale, MIT, and Notre Dame mistakenly believe that the thing they call Pi doesn't have an end to and think it could have a million digits. What a waste of numbers is what he said. Then he thought some more and figured out that the kind of Pi you can't eat only has four digits after the three. Those four digits, and we don't mean fingers here,are 4547 and that's the end of that." She went on to say that it is a cinch that Donald Trump will become the only person in the world to receive both the Nobel Peace Prize and the Nobel Prize in Mathematics. When one of the left wing sissy reporters from CBS reminded the press secretary that there is no Nobel Prize in Mathematics, she said "There will be one now because Donald Trump has straightened out this mess about the kind of Pi you can't eat which has been going on unstopped for 1400 years ever since some of those fools like Archimedes and Fig Newton started spreading that lie so they could make money from it." Yes, this is Satire!

An Aphorism For Today's Times!

THERE IS NO SUCH THING AS A USELESS PIECE OF INFORMATION! THERE IS ONLY INFORMATION FOR WHICH YOU DO NOT CURRENTLY HAVE A USE!

So far as I know, I actually invented that two sentence aphorism. At least, I am the first person I ever heard use it in public. I have always loved information and I actually grew up reading nearly all of a set of World Book Encyclopedias which my parents bought for me. Before they bought that particular set, I read an earlier, less complex set of encyclopedias which they had bought for my sister who was eight years older. I have no idea when the first occurence was in which that phrase popped into my head. It must have been some situation in which a previously obscure bit of trivia had been floating in my brain without a purpose and suddenly a situation arose when I could drag it out of the dark and dusty synapses and foist it upon someone else. But the situation in which I was reminded just last night of that wonderful aphorism occurred during a conversation by phone with a relative in which we were discussing the terrible political disaster in which the United States now finds itself with TRAITOR Trump and his Criminal Syndicate which poses as a "cabinet". The person with whom I was talking brought up the name of the Right Wing Radical Repugnican Congressman Thomas Massie of Kentucky. I brought up the fact that Congressman Massie, one of the most extreme Right Wing Radical Repugnicans in congress in a time when the Repugnican delegation is the most extreme in the history of the nation, is currently in agreement with Congresswoman Axexandria Ocasio-Cortez, one of the most liberal members of congress, that the attack which TRAITOR Trump ordered against nuclear sites in Iran is unconstitutional. My relative then stated that they think Massie has ulterior motives to which I agreed but stated that in my opinion he is seeking an opportunity to try to get himself into the White House and is actually intelligent enough to pull off that crime. I then asked my relative if they knew where Congressman Massie's college degree was achieved. My relative, who had no idea where Massie got his degree, stated that they just want to "ignore Massie" which I consider one of the most asinine statements I ever heard. I made an honest attempt to make the point that Massie and his wife both hold degrees from MIT, which proves they are both smart enough to pull off a robbery of an American election, especially if we consider that TRAITOR Trump, one of the stupidest people alive, can pull it off. My relative still insisted that they just want to "ignore Massie" and that it doesn't matter where he got his degree. At this point, I insist that the aphorism above is definitely applicable in such a situation especially when we combine it with another from Sun-Tzu whcih states that If you know the enemy and know yourself, you need not fear the result of a hundred battles. If you know yourself but not the enemy, for every victory gained you will also suffer a defeat. If you know neither the enemy nor yourself, you will succumb in every battle.” Both I and my relative consider Congressman Massie to be an enemy of both Democracy and the United States. Yet my relative is willing to state that they are willing to ignore that enemy and to disregard a very pertinent piece of information about him, the fact that he holds a degree from one of the most prestigious universities in the nation. That degree, that piece of information, makes Congressman Massie more dangerous than if he had just barely skated through a university studies degree at Podunk Community College. I am perpetually baffled in today's world to see fairly well educated people such as my relative who are willing to attempt to disregard any piece of information about the key people who pose the greatest danger to our country since World War II. GOD HELP US ALL!

Thoughts On Reading (Fully) Books I Don't Like

Many times on this blog, I have written about books, buying books--especially used books, reading books, reviewing books, and sometimes about books which I have not liked at all. But I'm a bit funny about how I deal with beginning a book I turn out to not like compared to how many other readers deal with such books. I almost never throw a book out without finishing it even when I have decided that I don't like it, that it is garbage, never should have been printed, and is almost totally a waste of time for everyone who has ever been involved with it including both myself and the author, the publisher, the printer, the printer's devil to use an old typesetting term, the mail man or woman who dropped it off in my mail box, the low paid and under respected worker at the Goodwill Store where I might have bought it, right down to the eventual garbage man who will dump it along with the other contents of a can into the yawning and cavernous jaws of a garbage truck. Yet, I like to acknowledge the fact that the author who spent the time to write it, get it accepted for publication, and sold made a commitment to do the necessary work to produce whatever 100, 200, or 2,000 pages of drivel I have attached to myself and my psyche much like the man or woman working on a county road gang has been a participant in the process of attaching a ball and chain to their leg and placing a Pulaski or weed blade in their hands. I have also made a commitment to the author, publisher, editor--if there was one half asleep at a desk the day they approved that particular epistle for publication, and that same belittled and beleagured Goodwill employee who rang it up, added the tax, and then had the gall to ask me if I wanted to round up so the same corporation who is robbing that person of their services and scrape extra money from me so they can move on to the next belittled and beleagured employee who has no other employment options at the time. If the author took themselves seriously enough to do the work to produce the book, put in on the market, and hope for its success much like a poor mother wishing her very ordinary child can become president some day, I owe that author the common decency to shut my mouth, put my negative opinions in my pocket, grit my teeth, and ride this flea bitten nag of a book to the end of the line where it may or may not be noted with the words, "The End", "Fini", or simply "Sucker, You Had It Coming". Authors are a weird lot say I who have also launched a couple dozen short stories into the world without ever herding them and a few others into the covers of book much like poor, bedraggled cattle into a muddy, dung spattered holding pen until the truck arrives to take them to the stockyard. Why on God's green earth, you are probably asking yourself, did I feel the need to take the time to give this nod to all the poorly educated and trained scribblers who have created so many overpriced wastes of paper and printer's ink? The answer is that I am currently involved in reading two books simultaneously which I would not have been willing to pay fifty cents for the pair if I had known in advance what they contained...or failed to contain. I am always reading at least one book, generally two or three at a time, because my wife and I are engaged in a long term habit of reading a novel together which I usually read aloud day after day as she washes the dishes. Then I rinse those dishes. We have also for a year or two been reading one short story from some collection or other in the evenings after supper. Thank God, as I have been involved in reading two bad books at the same time, we have also been reading a collection of short stories which is composed of 28 fine stories by 20 or so authors of some repute. Without that short story of quality each day, I would be pulling my hair out. Thank God for Guy de Maupassant, O. Henry, Richard Connell, Frank R. Stockton, and Jack London.

Ned Pillersdorf Is Running Against Hal Rogers For Congress!

On Friday, July 4, 2025, in Rosenberg Square in Prestonsburg, Kentucky, attorney Ned Pillersdorf, the husband of former Kentucky Supreme Court Justice Janet Stumbo will announce his entry into the Democratic primary election in opposition to long time Congressman Hal Rogers, who at 89 is one of the longest serving members of congress, and perhaps one of those most likely to be unable to successfully complete another two year term. Kentucky's 5th district contains most of the ten poorest counties in the state, and has one of the highest percentages in the nation of recipients of both Medicaid and SNAP, commonly referred to as Food Stamps. The district is also the site where in 1964 President Lyndon Johnson launched the War On Poverty. The district is also sometimes the bearer of the brunt of the heartless jokes about how "we declared a War On Poverty and poverty won". It is also the disrict in which former Congressman Carl Perkins spent his career working tirelessly for the betterment of all Kentuckians. Ned Pillersdorf has also spent his entire legal career working tirelessly in the district for the betterment of all Kentuckians without having ever spent a day in public office. Pillersdorf is the attorney who put together the coalition of pro bono lawyers who won thousands of appeals of highly unjust deprivations of Social Security benefits to the former clients of jailed attorney Eric C. Conn. He is also the attorney who represented the dismissed employees of Blackjewel Coal in their battle to receive unpaid wages when the company folded without warning. No one in the last 40 years has done more for Eastern Kentucky and its people. Every person who has benefitted from the work of Ned Pillersdorf should be in Prestonsburg on July 4, 2025, to support the man who has supported you in your times of greatest need, always been there when injustice was running rampant, when the wrongly persecuted workers of Kentucky were facing the loss of everything they ever owned, when widows and orpans were in danger of losing pension benefits from their deceased fathers, and anytime injustice was continuing to preserve poverty in the 5th district of Kentucky. I look forward to the day when Ned Pillersdorf will be sworn in as Congressman Pillersdorf and the US House can once again have a Democratic majority.

The 21st Century "Fireside Chat": Governor Andy Beshear's Podcast

There are very few people in America who are old enough to remember the last episode, or any other, of President Franklin Delano Roosevelt's famous Fire Side Chat which took place from 1933 until the final one in June of 1944. During the Great Depression and most of World War II, the Fireside Chats provided a link by radio, the most technologically advanced media of the time, beween the President of The United States and the American people. They allowed FDR to exert a persona of firm, steady, calm, unswerving leadership to the country during the most incredibly dangerous period of his presidency. Today, Aemrica is in just as critically dangerous a time and the White House is occupied by the most dangerous human on earth anyone could ever imagine allowing to be anywhere near even the most lowly position of power, TRAITOR Trump. We are in desperate need of a person and a media event which can provide the same kind of persona of firm, steady, calm, unswerving leadership to a country in the most dangerous times we have seen since Pearl Harbor was bombed and our participation in World War II began. Our political times today are just as much days which "will live in infamy" as those during President Roosevelt's terms. Our nation is just as endangered now as then and the danger is centered inside the White House, inside the deranged mind of the person who works on a daily basis to destroy America and American Democracy, TRAITOR Trump. But we have a leader in America who is qualified to lead the country, committed to doing anything within his power to provide that calm, steady, effective leadership to take us out of the danger zone which is daily being perpetuated by the Criminal Syndicate which poses as a "cabinet" inside the White House. That person is Kentucky Governor Andy Beshear and he is already providing the country with a form of media which can be the 21st century equivalent of FDR's Fireside Chats. That person is Kentucky Governor Andy Beshear, and the media from which can do the trick, if only enough Americans watch it each week is Andy Beshear's Podcast which is available on all forms of internet based communication. I prefer to watch the podcast on Youtube and it can be found at this link. The podcast can also be found at its internet website at this link. The podcast is roughly 50 minutes each week and broken into several regular segments, most of which appear each week with a few exceptions. The primary portion of the podcast is an interview of roughly 25 minutes with a major American political leader, corporate executive, or other important poublic figure. Such guests on the podcast have included Governor Tim Walz of Minnesota, Senator Chris Coons of Delaware, Pinterest CEO Bill Ready, Senator Amy Klobuchar, and others from both poltics and business. Other segments of the podcast include "In My Kentucky Accent" in which Governor Beshear discusses some important political issue of that particular week in his customary honest, ethical, probing, and straight forward manner. He pulls no punches, tells the truth as he sees it, doesn't seek to protect himself from all possible criticism, and says exactly what needs to be said in every instance. Another regular segment is a conversation with two of the governor's closest friends, John McConnell and Jonathan Rabinowitz. McConnell is a Kentucky insurance agency owner. Rabinowitz is an attorney and sports agent who is a managing partner for the national law firm Morgan and Morgan. Both are successful, intelligent, politically astute men who have long standing friendships with Governor Beshear, and are obviously well trusted friends. Once in a while some member of the governor's family, wife Brittany, children Will and Lila,will appear in a more casual family oriented brief appearance. The two children often educate their three elders on the slang of their peers in high school.

If you want to see Aemrica become the country is once was, an actual democracy, a safe place for any member of any special interest group to live and work, a country which is respected by the rest of the world, and a bastion of constitutional freedomes, Andy Beshear is the best person to assume the presidency and lead us out of the deliberate destruction in which we now find ourselves and our country. Watch the podcast, share it with your family and friends, and begin to work to support Andy Beshear as the best possible person to lead America out of the horrible disaster in which we find ourselves.