. >> reporter: dr. rajumand. >> i see 22, 25 patients a day. >> reporter: you're the only doctor here if >> i work full time monday through friday. >> reporter: most patients are elderly and 95% are now on medicare or medicaid. under the new health care senate bill, these subsidies should shriv shrivel. >> if there is a cut, it's going to really impact. >> reporter: how bad? >> very bad. >> reporter: with the nearest hospital a 45-minute drive away, residents of richland live in a medical desert. it makes the jobs of ed lynch and his small crew of emts even harder. his two ambulances service an area larger than los angeles that receive an average of 1200 calls her year. >> they can be hung up at the hospital three, four hours before they get a bed. we can go hours without coverage. >> reporter: since the hospital shut down, they've become mobile emergency rooms. >> rural georgia is dying. there used to be hospitals littering the whole state. >> reporter: it's more than just an inconvenience. with no hospital