By Holly K. Hacker and Brett Kelman and Daniel Chang for KFF Health News

Data visualizations by Lydia Zuraw

LOUISVILLE, Tenn. — When a big storm hits, Peninsula Hospital could be underwater.

At this decades-old psychiatric hospital on the edge of the Tennessee River, an intense storm could submerge the building in 11 feet of water, cutting off all roads around the facility, according to a sophisticated computer simulation of flood risk.

Aurora, a young woman who was committed to Peninsula as a teenager, said the hospital sits so close to the river that it felt like a moat keeping her and dozens of other patients inside. KFF Health News agreed not to publish her full name because she shared private medical history.

“My first feeling is doom,” Aurora said as she watched the simulation o

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