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At some point, it won't matter what other people call you. If you are being dumped on this much by the people in power, you will stop supporting them.
Yes - doesn't make sense.
The Republicans have the White and rural poor in their pockets after years of exploiting their fears and insecurities. This cycle Trump just added a new cadre of them from blue States. Viva America !
As more and more hospitals are built in urban cities, it seems like where Trump won in rural America many, many hospitals have closed the doors since 2010.
Since, there is very high Medicaid/Medicare usage in states that voted Trump. I wonder what happens when all these cuts go through.
They've closed due to rural depopulation due to the prevalence of larger and larger farms with more mechanization.
The Republicans have the White and rural poor in their pockets after years of exploiting their fears and insecurities. This cycle Trump just added a new cadre of them from blue States. Viva America !
That's ridiculous. They vote against their self interest to support people who couldn't care less about them because they are depicted in a manner they don't like ?
Unless you are one of those folks you so apparently despise, you are in no position to determine their self interest. Only they are. And you inability so see this is why President Trump.
Unless you are one of those folks you so apparently despise, you are in no position to determine their self interest. Only they are. And you inability so see this is why President Trump.
I am one of those who doesn't see the ability of president Trump. His healthcare plan is dead on arrival in the senate. His tax plan is dead on arrival in the senate. Both plans favor the rich and thank god the republicans in the senate acknowledge it.
How many federal regulations were those hospitals required to follow? How many illegal aliens did the law require them to treat? How much did they pay in taxes?
Causes are multiple. See below.
Quote:
Originally Posted by mightleavenyc
Since 2010. This is Obamas fault.
Incorrect. See below.
Quote:
Originally Posted by Mathguy
They've closed due to rural depopulation due to the prevalence of larger and larger farms with more mechanization.
It's more complicated than that.
The causes of rural hospital closings are multiple. What follows are the SIX identified by Kaiser in excerpt form - read the lengthy report for all the details:
Quote:
Key Findings
What factors contribute to rural hospital closures?
Rural areas face challenging demographic, social, and economic pressures. Respondents in all three communities pointed to similar economic and demographic trends that contributed to the closures. They cited high poverty and uninsured rates in rural communities, high rates of Medicare and Medicaid coverage, and declining populations. In each community, poverty rates were higher than state and national averages and median incomes were lower, and the population was shrinking.
Privately insured patients often went elsewhere for care, hurting the local hospital’s revenue base and contributing to perceived low quality of the local hospital. In all three case studies, respondents reported that, prior to the hospital closure, community residents with private insurance or other resources typically travelled to bigger, newer hospital systems outside the community
Rural hospitals built in neighboring communities under Hill-Burton now compete for limited patients, federal dollars, and health care resources. All three case study hospitals were located in close proximity to larger hospitals in nearby communities.
Corporate business decisions, rather than assessments of local needs or planning, drove the hospital closures. In all three sites, the large health systems that owned and managed the hospitals made the decision to close them based not on community needs, but on corporate business considerations that favored other hospitals in their system over the ones they closed.
Changes in Medicare and Medicaid payment over the past few years have had an adverse effect on rural hospitals. Decreases in Medicare reimbursement rates have exacerbated financial pressure on already struggling rural hospitals, especially those with an older patient population. In recent years, Medicare cuts arising from budget sequestration and other federal policies14 have led to lower reimbursement rates overall, while specific provisions of the ACA, such as the Readmissions Reduction Program, under which CMS reduces PPS payments to inpatient hospitals with high readmission rates, have also resulted in lower Medicare reimbursements for many hospitals.15
Rural hospitals have not adapted to new models of payment and service delivery that emphasize preventive and primary care provided in outpatient settings. Increasingly, Medicare, Medicaid, and large private payers are implementing payment and delivery system reforms that move “from volume to value” and shift investment away from inpatient care and toward preventive and primary care and greater access to care in outpatient settings.
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