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Rural Hospitals in the United States Face Collapse

As Medicaid cuts deepen, small-town hospitals across Republican states are closing, leaving millions without access to emergency care.

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The Intellectualist
Oct 22, 2025
∙ Paid
Illustration by Riley Levine
By Brian Daitzman

Between 2005 and 2023, 146 rural hospitals across the United States either closed completely or converted away from inpatient care, according to federal data. Nearly half of the rural facilities that remain now operate at a loss, the American Hospital Association reports. As new federal budget cuts take effec…

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