• Skip to main content
  • Skip to footer

North Carolina Business Leaders for Health

  • Background
  • Get the Facts
  • Take Action
  • News
  • Videos
  • Contact

As Rural Hospitals Struggle, Some Opt To Close Labor and Delivery Units

February 5, 2020

A few years ago, when a young woman delivered her baby at Alleghany Memorial Hospital in Sparta, North Carolina, it was in the middle of a Valentine’s Day ice storm and the mountain roads out of town were impassable. The delivery was routine, but the baby girl had trouble breathing because her lungs weren’t fully developed. Dr. Maureen Murphy, the family physician who delivered her that night, stayed in touch with the neonatal intensive care unit at Wake Forest Baptist Medical Center in Winston-Salem, a 90-minute drive away, to consult on treatment for the infant.

“It was kind of scary for a while,” Murphy remembered. But with Murphy and two other family physicians trained in obstetrics as well as experienced nurses staffing the 25-bed hospital’s labor and delivery unit, the situation was manageable, and both mother and baby were fine.

Things are different now. Alleghany hospital — like a growing number of rural hospitals — has shuttered its labor and delivery unit, and pregnant women have to travel either to Winston-Salem or to Galax, Virginia, about 30 minutes away by car, weather permitting.

READ MORE

Footer

Certificate of Need (CON) Under Attack

Some lawmakers have proposed eliminating the Certificate of Need (CON) law because competition lowers health care costs. This has not been the case in states that repealed Certificate of Need (CON). For example, McAllen, Texas, Medicare costs per patient are more than twice the national average.

Why certificate of Need (CON) is critical to the future of North Carolina's future

  • Certificate of Need (CON) states have lower costs.
  • Certificate of Need (CON) ensures we have quality health care in all 100 counties.
  • Certificate of Need (CON) is critical to the long term economic future of North Carolina.

Access to Health Care = Economic Development
Contact Your Legislator Today

Take Action Now. How you Can Help.

Sign up today to learn more & show your support for Certificate of Need.

Certificate of Need (CON) provides access, quality, and lower costs to all North Carolinians. States that have repealed Certificate of Need (CON) have seen an increase in facilities in wealthier parts of the state at the expense of access in poorer parts. Certificate of Need (CON) also helps to ensure best practice and high standards.
  • Background
  • Get the Facts
  • Take Action
  • News
  • Contact

Paid for by NC Business Leaders for Health

Copyright © 2025