SELMA – One of the primary themes at a town hall hosted by Rep. Terri Sewell (D-Birmingham) on Monday night was health care, which is also one on which that House Democrats campaigned in this year’s midterm elections.

Although Democrats nationally had success in the midterms, in Alabama they were unable to capitalize electorally on health care, especially given the emphasization Tuscaloosa Mayor Walt Maddox gave to expanding Medicaid in his failed gubernatorial bid.

Nonetheless, Sewell argued before a crowd assembled at the Selma Interpretive Center for her town hall event in downtown Selma that Medicaid expansion was a priority and she decried the unwillingness of Alabama policymakers to agree.

“States like Alabama were not supposed to be able to opt out of expanding Medicaid,” Sewell said. “The last two governors have not done that. It’s horrible. The reality is the fact that we have not expanded Medicaid means rural hospitals are under threat. Alabama has a bare-bones Medicaid system. They pay less than 10 percent on a dollar for the services for Medicaid.”

According to Alabama’s lone Democratic member of Congress, the closure of rural hospitals was the result of not expanding Medicaid.

“We have missed out on millions – actually billions of dollars in the state of Alabama in not expanding Medicaid,” Sewell said. “We could use that money, and the fact that we don’t have that money means that so many of our rural hospitals are under threat of closing. I don’t have to tell the Black Belt.”

Sewell referenced the John Paul Jones Hospital in nearby Camden, which was on the verge of closing in 2017 but got a last-minute reprieve after an agreement was made with UAB earlier this year.

She took aim at Gov. Kay Ivey, a native of Camden, for not doing more to save the Wilcox County hospital.

“We saved [John] Paul Jones Hospital, but we did so with the help of UAB,” she said. “Now, that’s not a model that can be done to scale. What I did is I begged UAB because our own governor, who is from Wilcox [County], would not help us to save Wilcox County’s hospital. That’s unacceptable, by the way. And I’m not telling her anything that I wouldn’t tell her to her face and have told her because when you’re a daughter of the Black Belt, you have to understand that you have got to take care of home.”

Sewell told those in attendance she went to UAB Health System CEO William Ferniany and warned if Camden’s John Paul Jones Hospital closed, hospitals in Selma and Demopolis could be threatened, and that might result in everyone “bum-rushing” UAB for health care.

“Rural hospitals are on the chopping block and the number-one priority for me is keeping the doors open and making sure access is there, but also making sure quality is there,” she added.

@Jeff_Poor is a graduate of Auburn University and is the editor of Breitbart TV.