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Rural hospitals in crisis, Castor and federal workers on the shutdown, Autism Certified Cities

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DeSoto Memorial is one of only about 24 government-owned hospitals in Florida.
Suncoast Searchlight

Guests include the Florida Hospital Association's Mary Mayhew and U.S. Rep. Kathy Castor. The topics: saving small-town hospitals, real impacts of government gridlock and Clearwater’s inclusive mission.

Florida’s small-town hospitals are fighting to survive. In DeSoto County, the only hospital for miles around could soon be sold or merged — a story that raises tough questions about access, quality and the future of rural health care.

Florida Hospital Association CEO and president Mary Mayhew joins the conversation to explain what’s behind the financial strain and why it matters to patients across the state.

Meanwhile, the federal government shutdown has entered its fourth week, and frustration is growing. Democrat congresswoman Kathy Castor talks about what’s keeping lawmakers apart as thousands of Floridians miss paychecks and federal services grind to a halt.

We also hear from reps for air traffic controllers and Social Security staff on firsthand consequences — people working without pay, juggling bills and feeling caught in a political tug-of-war.

And in Clearwater, there’s a different kind of transformation underway. It hopes to become Florida’s first Autism Certified City, training city workers, teachers and businesses to better serve neurodiverse residents and visitors.

Big questions for rural hospitals

(0:00) When a small-town facility struggles, every resident in the vicinity feels it. It’s a crisis being felt in DeSoto County, where the region’s only hospital faces the possibility of a sale or merger. Florida Hospital Association president and CEO Mary Mayhew sits down to discuss the pressures, including funding cuts and consolidation trends.

GUEST:

  • Kara Newhouse, Suncoast Searchlight reporter
  • Mary Mayhew, Florida Hospital Association CEO and president

Politics, paychecks and the shutdown

(12:03) The federal shutdown is stretching into its third week — and frustration nationwide is rising as the Senate’s stalemate continues on passing a budget resolution. U.S. Rep. Kathy Castor, a Democrat from Tampa, joins the show to weigh in on the impasse and what it means for federal workers and families in Florida.

GUEST:

  • U.S. Rep. Kathy Castor, D-Tampa

A kinder, calmer Clearwater

(21:00) The beach burg is on track to become the state’s first Autism Certified City, aiming to make life — and vacations — easier for neurodiverse families. We talk about what inclusion looks like in practice. How could this reshape travel, tourism and daily life?

GUESTS:

  • Matt Spence, Learning Independence for Tomorrow (LIFT) executive director
  • Myron Pincomb, International Board of Credentialing and Continuing Education Standards
  • Lindsay Knight, frequent tourist in Clearwater and Orlando

Feeling the squeeze

(35:56) We jump back to the shutdown, which is becoming a daily reality for thousands of federal employees in the Tampa Bay area. A pair of local union leaders talk about the challenges, safety concerns and human impact, from skipped bills to on-the-job stress.

GUESTS:

  • Dan McCabe, National Air Traffic Controllers Association Southern Regional vice president
  • Shonda Johnson, American Federation of Government Employees Council 220 vice president

I am the host of WUSF's Florida Matters Live & Local, where I get to indulge my curiosity in people and explore the endlessly fascinating stories that connect this community.
As the executive producer of WUSF's Florida Matters Live & Local, I aim to create a show and podcast that makes all Floridians feel seen and heard. That's also my assignment as a producer for The Florida Roundup. In any role, my goal is always to amplify the voices often overlooked.
As an engagement reporter and producer for WUSF's Florida Matters Live & Local, my goal is to bring Floridians on our show and connect their stories with the greater community. I want our listeners to not just feel like the show is for them, but literally about them, and hope they feel inspired to reach out and tell us about their lives.
Lily Belcher is a WUSF Rush Family Radio News intern for fall of 2025.