The Des Moines Register

“Some critical access hospitals, including those in Iowa, are surviving, if not exactly flourishing, because they’re based in states that elected to expand Medicaid coverage under the Affordable Care Act, ensuring that more patients have the coverage needed to pay their hospital bills. Unfortunately, the Congressional Budget Office expects that some states will consider dropping Medicaid expansion as the federal money that pays for much of it evaporates with the possible dismantling of the Affordable Care Act.

“This would not only threaten rural Americans’ access to life-saving, emergency medical care, it would cripple the ability of rural communities to retain residents and attract new industries.

“Maggie Elehwany of the National Rural Health Association isn’t overstating things when she says the health care reform bill now being considered in the Senate would be “a death sentence” for many rural Americans. “These hospitals are hanging on by their fingernails,” she told CNN.”
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