A paramedic prepares an ambulance for upcoming calls in Evergreen, Colorado. Phot: Kathryn Scott/The Denver Post via Getty Images

Ambulance services are closing in record numbers across rural America after failing to make ends meet, leaving 60 million Americans at risk of having no help in a medical emergency, NBC News reports.

The big picture: Some states are giving money to emergency medical services, but experts say it's not enough to solve the problem.

Between the lines: This is partially a staffing issue — which also drives the rural doctor shortage.

  • Rural areas tend to be populated with older, sicker and lower-income people than urban areas.
  • Not only does this create an unmet demand for health care services, but it also means there aren't many people in the community to serve — often on a volunteer basis — as emergency medical personnel.

The issue is compounded by rural hospital closures. Ambulances have to transport patients farther than they did before.

  • Since EMS programs are reimbursed per call, longer drives means less calls and thus less revenue.

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

Go deeper

Mike Allen, author of AM
Updated 3 mins ago - Politics & Policy

The first Trump v. Biden presidential debate was a hot mess

Photos: Jim Watson and Saul Loeb/AFP via Getty Images

This debate was like the country: Everybody’s talking. Nobody’s listening. Nothing is learned. It’s a mess.

  • We were told President Trump would be savage. Turned out, that was a gross understatement. Even the moderator, Fox News' Chris Wallace, got bulldozed.

Why it matters: Honestly, who the hell knows?

Pundits react to a chaotic debate: “What a dark event we just witnessed”

The first presidential debate between President Trump and Joe Biden in Cleveland on Tuesday night was a shouting match, punctuated by interruptions and hallmarked by name-calling.

Why it matters: If Trump aimed to make the debate as chaotic as possible with a torrent of disruptions, he succeeded. Pundits struggled to make sense of what they saw, and it's tough to imagine that the American people were able to either.

Trump to far-right Proud Boys: "Stand back and stand by"

Asked to condemn white supremacist violence at the first presidential debate on Tuesday, President Trump said the far-right Proud Boys group should "stand back and stand by," before immediately arguing that violence in the U.S. "is not a right-wing problem. This is a left-wing problem."

Why it matters: Trump has repeatedly been accused of failing to condemn white nationalism and right-wing violence, despite the FBI's assessment that it's the most significant domestic terrorism threat that the country faces. The president has frequently associated antifa and the left-wing violence that has afflicted some U.S. cities with Biden, despite his condemnation of violent protests.