As of Saturday morning, Georgia had almost six
thousand confirmed cases of the virus, which had killed a hundred and ninety-eight people in the state*. More people—thirty—had died in Dougherty County, the state’s twenty-seventh most populous county, than anywhere else in Georgia. While Dougherty is served by a well-regarded hospital, nine Georgia counties, most of them also in the southern part of the state, not only lack hospitals but have no practicing physicians at all, according to Monty Veazey, the president of the Georgia Alliance of Community Hospitals. Eighteen have no family-practice doctors. Thirty-two have no internal-medicine doctors. Seventy-six counties have no ob-gyn. A number of these counties have long sent their neediest patients to Phoebe Putney, and they will continue to do so.
Tripp Morgan, a forty-seven-year-old vascular surgeon who grew up outside of Albany and still lives there, worked at Phoebe Putney until moving to a private practice last year. In addition to his medical practice, he co-owns a brewery and a C.B.D. processing facility, where he proofed a formula for emergency hand sanitizer; he then used the brewery’s fermenters to produce some forty thousand gallons of it.
“The thing people don’t understand about South Georgia is it’s so rural,” Morgan told me. “There’s a Third World country up underneath a First World country.” He compared what was happening to the area now, and what was about to happen, to the arrival of Hurricane Katrina in New Orleans. “We have an older population, and a lot of them live together in smaller areas,” he said. “We’re down here in the ‘bacon belt,’ with high levels of cardiovascular disease.” Georgia is one of fourteen states that has not expanded Medicaid to poor residents under the Affordable Care Act, and the state spends
less than twenty-five dollars per person on public health annually. (By comparison, New York spends eighty-four dollars per person annually on public health.) Morgan added, “When it eventually burns out in Albany, you’ll see it bloom in the surrounding areas, some of which have far fewer resources.”