Illustration: Sarah Grillo/Axios

The Washington Post's Eli Saslow profiles the life of Ed Garner, the only doctor serving 11,000 square miles in West Texas.

The big picture: This isn't unusual. Rural America often has high health care needs but is increasingly faced with limited health care services.

  • That's often portrayed through the struggles and closures of rural hospitals, but recruiting and keeping doctors is just as significant as the challenge of keeping hospitals from going too far into the red.

By the numbers: The federal government has designated almost 80% of rural America as "medically underserved," per the Post. While 20% of Americans live in these areas, less than 10% of U.S. doctors practice in them.

  • Rural doctors tend to be older than urban ones, and the number of rural doctors is expected to only decrease over the next decade.
  • In Texas, 159 of the state's 254 counties have no general surgeons, 35 counties have no doctors at all, and 30 counties have only one doctor.

Go deeper: The plight of America's rural health care

Go deeper

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Ex-FDA chief: Pence campaigning after COVID exposure puts others at risk — Mark Meadows: "We are not going to control the pandemic" — COVID-19 looms over White House Halloween celebrations.
  2. Health: Fauci says maybe we should mandate masks if people don't wear them — America was sick well before it ever got COVID-19U.S. reports over 80,000 new cases for 2nd straight day.
  3. World: Spain declares new state of emergency — Polish President Andrzej Duda tests positive for COVID-19.

Senate advances Amy Coney Barrett nomination, setting up final confirmation vote

Photo: Xinhua/Ting Shen via Getty Images

The Senate voted 51-48 on Sunday to advance the Supreme Court nomination of Judge Amy Coney Barrett, setting up a final confirmation vote for Monday.

Why it matters: It's now virtually inevitable that the Senate will vote to confirm President Trump's third Supreme Court nominee before the election, which is just nine days away.

Felix Salmon, author of Capital
4 hours ago - Economy & Business

Wall Street is living up to its bad reputation

Illustration: Sarah Grillo/Axios

Recent headlines will have you convinced that Wall Street is hell-bent on living up to all of its stereotypes.

Driving the news: Goldman Sachs is the biggest and the boldest, paying more than $5 billion in fines in the wake of the 1MDB scandal, in which billions were stolen from the people of Malaysia.