Rural healthcare is in the red as Trump withholds Medicaid payments to Minnesota
Governmental action (or inaction) that affects America at large often has an outsized impact on rural residents.
kAmpE E96 6?5 @7 u63CF2CJ[ E96 %CF>A 25>:?:DEC2E:@? 2??@F?465 :E H:== H:E99@=5 >:==:@?D @7 5@==2CD :? |65:42:5 C6:>3FCD6>6?ED E@ |:??6D@E2[ 4:E:?8 4@?46C?D 23@FE 7C2F5] %9:D 4@>6D @? E96 966=D @7 v~! 4FED E@ |65:42:5 :? E96 k2 9C67lQ9EEADi^^HHH]4@?8C6DD]8@G^3:==^``hE9\4@?8C6DD^9@FD6\3:==^`^E6IEQma_ad 3F586E C64@?4:=:2E:@? 3:==k^2m 2?5 2? 677@CE E@ k2 9C67lQ9EEADi^^HHH]4@?8C6DD]8@G^3:==^``hE9\4@?8C6DD^9@FD6\3:==^``c^4@DA@?D@CDQmC6A62= E96 p77@C523=6 r2C6 p4E WprpXk^2m[ H9:49 H@F=5 k2 9C67lQ9EEADi^^52:=JJ@?56C]4@>^8@A\4FED\E@\>65:42:5\4@F=5\E9C62E6?\CFC2=\9@DA:E2=D^a_ad^_b^`f^Qm5:DAC@A@CE:@?2E6=J 9FCE CFC2= 962=E942C6 DJDE6>Dk^2m]k^Am
kAmk2 9C67lQ9EEADi^^52:=JJ@?56C]4@>Qm%96 s2:=J *@?56Ck^2m 6IA=2:?D 9@H CFC2= :?6BF2=:EJ >2?:76DED :? E9:D D46?2C:@i k2 9C67lQ9EEADi^^HHH]<77]@C8^962=E9\4@DED^`_\E9:?8D\E@\<?@H\23@FE\CFC2=\9@DA:E2=D^Qm#FC2= 9@DA:E2=D 2C6 >@C6 =:<6=J E92? FC32? 9@DA:E2=Dk^2m E@ @A6C2E6 H:E9 ?682E:G6 AC@7:E >2C8:?D] p?5 4FED E@ AF3=:4 A2J6C AC@8C2>D[ =:<6 |65:42C6 @C |65:42:5[ 5:DAC@A@CE:@?2E6=J E9C62E6? E96D6 9@DA:E2=D 3J :?4C62D:?8 E96 C2E6 @7 k2 9C67lQ9EEADi^^HHH]4@>>@?H62=E97F?5]@C8^AF3=:42E:@?D^:DDF6\3C:67D^a_ad^>2J^7656C2=\4FED\>65:42:5\4@F=5\6?5\>65:42:5\6IA2?D:@?\27764E\9@DA:E2=DQmF?4@>A6?D2E65 42C6k^2m[ @C D6CG:46D 7@C H9:49 9@DA:E2=D C646:G6 ?@ A2J>6?E]k^Am
kAm%96 7@==@H:?8 >2A D9@HD E96 A6C46?E286 @7 C6G6?F6 :? CFC2= 9@DA:E2=D E92E 4@>6D 7C@> 7656C2= 2?5 DE2E6\=6G6= 962=E9 :?DFC2?46 AC@8C2>D 7@C =@H\:?4@>6 72>:=:6D]k^Am
k7:8FC6mk:>8 DC4lQ9EEADi^^:>286D]DE24<6C]4@>^H^`ag_^:>286D^DE@C:6D^a_ae^_b^``^<@@@3\`aheIhgh];A68Q 2=ElQp >2A 492CE D9@H:?8 E96 A6C46?E286 @7 C6G6?F6D :? CFC2= 9@DA:E2=D 7C@> 7656C2= 2?5 DE2E6\=6G6= 962=E9 :?DFC2?46 AC@8C2>D]Q DEJ=6lQH:5E9i `__TQ ^mk7:842AE:@?m%96 s2:=J *@?56Ck^7:842AE:@?mk^7:8FC6m
kAmp== 9@DA:E2=D C646:G6 C6:>3FCD6>6?ED 7C@> AC@8C2>D =:<6 |65:42:5[ rwx![ @C DE2E6\=6G6= 962=E9 :?DFC2?46 AC@8C2>D] x? CFC2= 9@DA:E2=D[ |65:42:5 244@F?ED 7@C 23@FE k2 9C67lQ9EEADi^^HHH]<77]@C8^962=E9\4@DED^`_\E9:?8D\E@\<?@H\23@FE\CFC2=\9@DA:E2=D^Qm`hTk^2m @7 5:D492C86D] qFE E92E D92C6 G2C:6D 7C@> 9@DA:E2= E@ 9@DA:E2=[ 56A6?5:?8 :? A2CE @? 9@H >F49 @7 E96 DFCC@F?5:?8 A@AF=2E:@? C6=:6D @? AF3=:4 :?DFC2?46]k^Am
kAmz66A :? >:?5 E92E E9:D >2A 5@6D ?@E C67=64E A2J6C >:I[ @C E96 D92C6 @7 E96 E@E2= A@AF=2E:@? E92E C646:G6D 8@G6C?>6?E2= 962=E9 :?DFC2?46 2DD:DE2?46 7@C =@H\:?4@>6 72>:=:6D] xE @?=J D9@HD E96 D92C6 @7 C6G6?F6 56C:G65 7C@> =@H\:?4@>6 2DD:DE2?46 AC@8C2>D[ H9:49 :D ?@E 5:C64E=J AC@A@CE:@?2= E@ E96 D92C6 @7 A2E:6?ED @? E9@D6 AC@8C2>D]k^Am
kAms2E2 7@C E9:D 2?2=JD:D 4@>6D 7C@> k2 9C67lQ9EEADi^^CFC2=9@DA:E2=D]49BAC]@C8^s2E2cp]9E>=Qm$2G:?8 #FC2= w@DA:E2=Dk^2m[ 2 H63D:E6 4C62E65 3J E96 k2 9C67lQ9EEADi^^HHH]49BAC]@C8^Qmr6?E6C 7@C w62=E942C6 "F2=:EJ 2?5 !2J>6?E #67@C>k^2m[ 2 ?2E:@?2= A@=:4J @C82?:K2E:@? E92E 25G@42E6D 7@C :>AC@G6>6?ED :? 962=E942C6 DJDE6>D]k^Am
k9bm%CF>A p5>:?:DEC2E:@? (:E99@=5D |:??6D@E2 |65:42:5 uF?5Dk^9bm
kAmx? 2 u63] ad k2 9C67lQ9EEADi^^HHH]J@FEF36]4@>^H2E49nGlH?_3F!x>Iq<U2>AjEl`geaDQmAC6DD 4@?76C6?46k^2m 2E E96 (9:E6 w@FD6[ r|$ p5>:?:DEC2E@C |69>6E ~K 2??@F?465 E92E E96 %CF>A 25>:?:DEC2E:@? A=2?D E@ H:E99@=5 Sadh >:==:@? 7C@> |:??6D@E2’D |65:42:5 AC@8C2>] ~K 4=2:>65 E92E k2 9C67lQ9EEADi^^HHH]962=E942C65:G6]4@>^?6HD^ECF>A\25>:?:DEC2E:@?\92=ED\@G6C\adh>\:?\>65:42:5\7F?5D\E@\>:??6D@E2^g`b`ga^Qm>@?6J 2==@EE65k^2m 7@C =@H\:?4@>6 72>:=:6D H6?E E@ 3@8FD @C82?:K2E:@?D 2?5 2 3692G:@C2= 962=E9 4=:?:4 E92E A2:5 5@4E@CD E@ H@C< ac 9@FCD 2 52J 7@C >@C6 E92? cd_ 52JD]k^Am
kAmk2 9C67lQ9EEADi^^I]4@>^v@G%:>(2=K^DE2EFD^a_aeg_`fbgfdgbffh`fQmx? 2 DE2E6>6?E @? )k^2m[ |:??6D@E2 v@G] %:> (2=K 4C:E:4:K65 E96 286?4J’D >6E9@5 @7 4@>32E:?8 7C2F5[ DE2E:?8 E92E E96 %CF>A 25>:?:DEC2E:@? :D @? 2 “42>A2:8? @7 C6EC:3FE:@?[” 2?5 E92E |65:42:5 4FED H@F=5 36 “56G2DE2E:?8” 7@C H@C<:?8 72>:=:6D 24C@DD E96 DE2E6] “k2 9C67lQ9EEADi^^I]4@>^v@G%:>(2=K^DE2EFD^a_aeg_`fbd_ggc`h_fgQm%96 286?ED %CF>A 2==6865=Jk^2m D6?E E@ :?G6DE:82E6 7C2F5 2C6 D9@@E:?8 AC@E6DE6CD 2?5 2CC6DE:?8 49:=5C6?[” k2 9C67lQ9EEADi^^I]4@>^v@G%:>(2=K^DE2EFD^a_aeg_`fbgfdgbffh`fQm(2=K D2:5k^2m]k^Am
kAm|:??6D@E2 pEE@C?6J v6?6C2= z6:E9 t==:D@? 42==65 E96 %CF>A 25>:?:DEC2E:@?’D A=2?D F?=2H7F=[ k2 9C67lQ9EEADi^^HHH]2I:@D]4@>^a_ae^_a^ad^>:??6D@E2\>65:42:5\7F?5D\7C@K6?\7C2F5QmE9C62E6?:?8 E@ E2<6 E96> E@ 4@FCE :7 E96J 4@?E:?F65 E@ H:E99@=5 |65:42:5 7F?5Dk^2m]k^Am
kAmk2 9C67lQ9EEADi^^HHH]>AC?6HD]@C8^DE@CJ^a_ae^_a^af^>65:42:5\D6CG:46\AC@G:56CD\D2J\7656C2=\7F?5:?8\7C66K6\:D\42FD6\7@C\4@?46C?Qmp446DD:3=6 $A246k^2m[ 2 |:??6D@E2 ?@?AC@7:E E92E @776CD 277@C523=6 9@FD:?8 E@ A6@A=6 H:E9 5:D23:=:E:6D[ :D 7F?565 2=>@DE 6?E:C6=J E9C@F89 |65:42:5 C6:>3FCD6>6?ED] s:C64E@C @7 p446DD:3=6 $A246 y@D9 q6C8 E@=5 k2 9C67lQ9EEADi^^HHH]>AC?6HD]@C8^DE@CJ^a_ae^_a^af^>65:42:5\D6CG:46\AC@G:56CD\D2J\7656C2=\7F?5:?8\7C66K6\:D\42FD6\7@C\4@?46C?Qm|:??6D@E2 !F3=:4 #25:@k^2m E92E “2?J 4FED E@ |65:42:5 7F?5:?8 H:== 5:C64E=J C6DF=E :? C65F465 D6CG:46D]”k^Am
kAmp?5 >2?J CFC2= 9@DA:E2=D :? |:??6D@E2 — 2?5 24C@DD CFC2= p>6C:42 2E =2C86 — 7246 D:>:=2C 4:C4F>DE2?46D] %9:CEJ\?:?6 @7 |:??6D@E2’D hg CFC2= 9@DA:E2=D 92G6 ?682E:G6 @A6C2E:?8 >2C8:?D[ 244@C5:?8 E@ s2:=J *@?56C 2?2=JD:D @7 r|$ 52E2]k^Am
kAm$@>6 9@DA:E2=D H:E9 A6CD:DE6?E=J ?682E:G6 @A6C2E:?8 >2C8:?D >2?286 E@ DE2J 27=@2E 3J C6=J:?8 @? ?@?@A6C2E:?8 C6G6?F6[ @C C6G6?F6 E92E 4@>6D 7C@> D@FC46D =:<6 E2I6D 2?5 A9:=2?E9C@AJ] qFE 6G6? E92E 4FD9:@? :D?’E 2=H2JD 6?@F89] |@C6 E92? k2 9C67lQ9EEADi^^HHH]3F]65F^DA9^?6HD^2CE:4=6D^a_ad^E96\=@DD\@7\2\CFC2=\9@DA:E2=\:D\56G2DE2E:?8\7@C\2\=@42=\4@>>F?:EJ^Qm`__ CFC2= 9@DA:E2=D 92G6 4=@D65 :? E96 &?:E65 $E2E6Dk^2m :? E96 =2DE 564256 2=@?6[ 7@C4:?8 CFC2= 72>:=:6D E@ EC2G6= 7FCE96C E@ 86E E96 42C6 E96J ?665]k^Am
kAm%CF>A’D 42>A2:8? 282:?DE DFAA@D65 7C2F5 :D?’E 2? 23DEC24E H2C :? CFC2= |:??6D@E2] x? 4@>>F?:E:6D H96C6 9@DA:E2=D @A6C2E6 @? E9:? >2C8:?D[ 6G6? D>2== 4FED :? 7656C2= DA6?5:?8 42? 56DE23:=:K6 6?E:C6 DJDE6>D @7 42C6]k^Am
kAmk2 9C67lQ9EEADi^^52:=JJ@?56C]4@>^CFC2=\962=E942C6\:D\:?\E96\C65\2D\ECF>A\H:E99@=5D\>65:42:5\A2J>6?ED\E@\>:??6D@E2^a_ae^_b^_c^Qmk6>m%9:D DE@CJk^6>mk^2m k6>mH2D AC@5F465 3Jk^6>m k2 9C67lQ9EEADi^^52:=JJ@?56C]4@>Qmk6>m%96 s2:=J *@?56Ck^6>mk^2m k6>m2?5 C6G:6H65 2?5 5:DEC:3FE65 3Jk^6>m k2 9C67lQ9EEADi^^9F3D]=2^"_b<=8$#_Q C6=lQ?@7@==@HQmk6>m$E24<6Ck^6>mk^2m]k^Am
