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30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

ruralhospitals.chqpr.org

21–30 of 163 posts

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#21
post #7

There was a Reddit post that these rulers[0] were $80 from a medical supplier when they could be purchased for $6 on eBay, which is an easy explanation why healthcare here is ridiculously priced [0]: https://imgur.com/a/BSPRh

Um, wasn't that 100 for 80 dollars? That's how I read the imgur link.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#23
post #2

It’s really interesting how the US has managed to get a health system that’s extremely expensive, doesn’t cover everybody, is highly bureaucratic and complex, delivers below average outcomes and has overworked hospital staff. And somehow people defend this system because it works fine for the top few percent (especially the people in Congress) and people who have Medicare or VA.

>It’s really interesting how the US has managed to get a health system that’s extremely expensive, doesn’t cover everybody, is highly bureaucratic and complex, delivers below average outcomes and has overworked hospital staff.

Well, most of Europe' social welfare systems were wiped out by the end of 1945 and were then rebooted with forethought and precedent of what not to do. The US is an archaic hodgepodge of systems over a 100 years old and were created with no precedent to model from.

People defend this system because their lives and livelihood are tied to it. It is dumb, but without a thing like a world war to wipe the slate clean it is what we have to work with.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#24

I don't know how you can realistically look at this without thinking of the "I never thought leopards would eat MY face!!" meme. Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations, such voting in politicians who are staunchly against Obamacare, who refuse any expansion or even adequate support for Medicai…

[flagged]

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#25
post #15

I don't know how you can realistically look at this without thinking of the "I never thought leopards would eat MY face!!" meme. Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations, such voting in politicians who are staunchly against Obamacare, who refuse any expansion or even adequate support for Medicai…

I do not understand how Obamacare would resolve this issue. This seems to be related to the lack of income; how would Obamacare or Medicaid fix this?

Medicaid expansion was a key Obamacare pillar, one a number of red states opted out of.

https://www.kff.org/health-costs/issue-brief/rural-hospitals...

> Among rural hospitals in non-expansion states, median operating margins were 2.1 percent during the July 2021-June 2022 period and were -0.7 percent when excluding documented relief funds. In Medicaid expansion states, median operating margins dropped, but remained positive even after excluding documented relief funds.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#26
How much do we want to subsidize people who choose to live in less populated areas?

This will probably come up with roads and utilities at some point, also. Did we build a lot of infrastructure in less dense areas during boom times, similar to how China was recently building, with little regard for the long term sustainability costs? One day some of those currently paved roads in the country may need to be allowed to revert to dirt. If only a few people live on a long road they obviously can't pay for it themselves.

The article does mention things like farming and mining that take place in rural areas, where workers may want nearby health care. Perhaps the companies profiting from these activities should pay these costs?

There's also the idea of subsidizing elderly people who choose to live in the middle of nowhere. I'm not sure how many people would be in favor of that. It's been over a hundred years since we lived in a small town farming economy. These places have been emptying out for a long time.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#27

I don't know how you can realistically look at this without thinking of the "I never thought leopards would eat MY face!!" meme. Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations, such voting in politicians who are staunchly against Obamacare, who refuse any expansion or even adequate support for Medicai…

FYI https://knowyourmeme.com/memes/leopards-eating-peoples-faces...

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#28

I don't know how you can realistically look at this without thinking of the "I never thought leopards would eat MY face!!" meme. Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations, such voting in politicians who are staunchly against Obamacare, who refuse any expansion or even adequate support for Medicai…

I have so many rural family members that are like this. And so much of it is because they just actively and brazenly do not want to help anyone. Their individualistic ideology runs so deep that they view people homeless, struggling, or unable to afford healthcare as a moral failing.

To them, the system is working as intended. They're cleaning out the moochers and welfare queens. But by the time they notice they need those services as they get older, it's already too late to do anything about it. Everyone they know then ostracizes them and they end up being the new moral failure of the community.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#29
post #2

It’s really interesting how the US has managed to get a health system that’s extremely expensive, doesn’t cover everybody, is highly bureaucratic and complex, delivers below average outcomes and has overworked hospital staff. And somehow people defend this system because it works fine for the top few percent (especially the people in Congress) and people who have Medicare or VA.

It doesn't work very well for people going through VA.

Source: MIL is a former nurse, former-VA claims processor. She found both the level of coverage, and the rules she had to follow to deny it, and the hoops her patients had to jump through to get treatment were utterly insane.

Everyone here likes starting wars. We're very good at starting wars. Starting wars, and support-the-troops pins are cheap. We really don't like paying for the cost of war, though. That's expensive.

Re: 30% of All Rural Hospitals in the US Are at Risk of Closing [pdf]

#30

I don't know how you can realistically look at this without thinking of the "I never thought leopards would eat MY face!!" meme. Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations, such voting in politicians who are staunchly against Obamacare, who refuse any expansion or even adequate support for Medicai…

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>Combine this with a large influx of uninsured, undocumented migrant workers in rural areas

I'm sorry to be that guy, but extraordinary claims require extraordinary proof. Claiming that the failure of rural hospitals is due to illegal immigration, even in part, is an extraordinary claim.

Do you have anything at all other than anecdotes to back that claim up?

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