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In this April 25, 2014 photo, a pedestrian passes the closed emergency room of Flint River Community Hospital in Montezuma, Ga. Flint River Hospital had for years reported it was saddled with unpaid bills and underpaid by government-run insurance programs for the poor and elderly. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

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In this April 25, 2014 photo, a sign points the way to Flint River Hospital which closed its emergency room last year, in Montezuma, Ga. Residents must now drive 20 or 30 miles on slow country roads to the nearest hospital. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

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In this April 25, 2014 photo, Gary Roberts, left, cuts the hair of Charles Allen, both lifelong residents, in his barber shop in Montezuma, Ga. Roberts once worked at the now closed Flint River Hospital. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

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In this April 25, 2014 photo, the emergency room of Flint River Community Hospital sits closed in Montezuma, Ga. Analysts say that rural hospitals are struggling nationally because they typically serve small populations of customers more likely to be older, uninsured or enrolled in government health care programs that do not fully pay their bills. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)