Advocates working to fix problems with rural health care say Alabama is ground zero nationally. Studies say Alabama has the highest infant mortality rate in the U.S. The state also leads the nation for diabetes. Alabama is also home to Gadsden which had the lowest life expectancy in the nation in 2016. Despite all this, rural hospitals in the state receive among the lowest reimbursements nationally from Medicare. That’s blamed for eighty percent of Alabama’s hospitals that are operating in the red.