Why the continued threat to access to rural health care?

Martin Walsh Glendale, Mo.

I read that, nationally, 40 percent of rural hospitals are in serious financial difficulty, with many already closed.

I know rural Missouri hospitals are easily included, with many closing, due to the annual refusal by our legislators to expand Medicaid. Most other states have expanded. Since we have not, our exposure to more closings is greater than most. Therefore more people will die due to lack of emergency rooms in rural areas.

 With insurance, people go to doctors, which is inexpensive. Without, they use expensive ERs. According to the article, rural hospitals can no longer afford to support this life or death crisis.

Now the Trump Administration is making it easier for states to eliminate more people from Medicaid.