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Sunday, November 15, 2026Nov 15

With its two doctors planning to retire, an Alabama town patches together health care options

Terry Vester examines the throat of Joann Calloway, who recently survived a choking incident, at Vester's clinic in LaFayette, Ala. Vester and her husband are the only primary care doctors in the community. (Arielle Zionts/KFF Health News)
Terry Vester examines the throat of Joann Calloway, who recently survived a choking incident, at Vester's clinic in LaFayette, Ala. Vester and her husband are the only primary care doctors in the community. (Arielle Zionts/KFF Health News)

LaFAYETTE, Ala. — Charity Hodge had mixed feelings when she spotted a Facebook post announcing her longtime primary care doctor was ready to retire after decades of serving their rural community.

“I was like, ‘Oh my gosh, no!'” Hodge said while sitting in an exam room on a July afternoon, waiting to see the physician, Terry Vester. “Well, I’m happy for the retirement part, but that’s my favorite doctor, so I’m crying on the inside.”

Hodge, a 29-year-old customer service representative, has been seeing Vester for nine years. She had come to check in on her diabetes management and to ask for anti-nausea medication in preparation for a cruise.

LaFayette — pronounced “luh-FAY-it” by most residents — and surrounding Chambers County face high rates of disease and chronic illness. Yet Vester and her husband, Al, are the only primary care doctors in the town of 2,700 residents, surrounded by farms and other small communities.

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