When the Hospital Closes: How Private Equity and Medicaid Rejection Are Turning Rural America Into a Medical Wilderness
More than 140 rural hospitals have closed across the United States since 2010, and hundreds more are operating under conditions of acute financial distress. The closures are concentrated in states that refused to expand Medicaid under the Affordable Care Act, and the financial engineering driving many of them leads directly to private equity acquisition strategies designed to extract value rather than deliver care. For the rural women, elderly residents, and working-class communities left behind