Single Payer Could Stop The Rural Hospital Closure Crisis
America’s rural hospitals are closing down at an alarming rate. According to the North Carolina Rural Health Research Program, there were seventy-two rural hospital closures between 2010 and 2016, close to double the number that closed between 2005 and 2009. Hundreds more are teetering on the brink of closure. Consequently, rural America faces a serious healthcare delivery challenge, which is made all the more urgent by the fact that rural residents tend to be much sicker to begin with. They have higher rates of chronic conditions and greater psychological distress. Rural counties have higher death rates from unintentional injuries, more motor vehicle injuries, greater premature mortality (below age 75), higher suicide rates amongst men, and higher infant mortality rates.