During a recent presidential campaign rally in Wisconsin, Sen. JD Vance (R-Ohio) was asked how a Trump administration would protect rural health care access in the face of hospital closures, such as two this year in Eau Claire and Chippewa Falls.
KFF Health News Oct 29 2024 During a recent presidential campaign rally in Wisconsin, Sen. JD Vance was asked how a Trump administration would protect rural health care access in the face of hospital closures, such as two this year in Eau Claire and Chippewa Falls."Now, you might not think that rural health care access is an immigration issue," said Vance, former President Donald Trump's running mate.
We contacted both Vance and Trump campaign staff members for additional information. They did not respond. The specific situations that lead a rural hospital to close its doors are unique to each facility, researchers said, but many face some of the same stressors. "If a patient comes into the ED and doesn’t have insurance or can’t pay, it doesn’t really increase the cost to the hospital very much at all because the physician is already there," he said, using an abbreviation for emergency department.
For starters, the negotiated rates paid by Advantage plans can be lower, which is especially noticeable for those critical access facilities. Advantage plans also introduce extra levels of expensive, staff-intensive administrative burdens to ensure payment. People lacking legal immigration status generally cannot obtain Medicaid or Medicare coverage. But a provision within Medicaid law does allow some immigrants in the country illegally to temporarily obtain coverage, said Hayden Dublois, data and analytics director for the think tank Foundation for Government Accountability.
Covering the costs for the uninsured is only one financial stressor rural hospitals face, said George Pink, deputy director of the North Carolina Rural Health Research Program.A financial decline can take years, Pink said. As losses mount, hospitals can be forced to sell property or other assets, draw down any financial reserves, and max out their credit.Our ruling Vance said providing care for immigrants without legal status was "bankrupting" rural hospitals and forcing them to close.
Cecil G. Sheps Center for Health Services Research, the University of North Carolina-Chapel Hill, "Rural Hospital Closures," accessed Sept. 27, 2024. Zoom interview, Brock Slabach, chief operating officer, National Rural Health Association, Oct. 1, 2024.
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