let face obamacare disaster day 1. close rural hospitals late issue big one need travel farther get medical help.the ap notice something rural hospitals seem close happen american health care system recent years might help explain hmmm .from ap via abc honest commentary mix sac-osage one grow number rural u.s. hospitals close doors cite complex combination change demographics medical practice management decisions federal policies put financial pressure facilities sometimes average in-patients day rural hospital closure far occur south midwest risk nearly 70 percent state decline expand medicaid coverage federal affordable care act although experts hesitant draw cause-and-effect correlation.at first ap try blame closure conservative state decide expand medicaid coverage spite obamacare explicit instructions admit likely correlation without causation expound obvious reason 70 figure generally speak rural state conservative therefore likely governor oppose obamacare enough refrain expand medicaid.after point listen scotus even ap could see one mile way.big city hospitals close rate rural ones past five years abundance alternatives major metropolitan areas typically reduce effect patients rural hospital close people may travel dozens miles reach near hospital inconvenience potentially matter life death.they briefly admit rural hospitals close roughly rate urban hospitals strong evidence might another reason close rural hospitals urban hospitals common hint obamacare decline populations stagnant economies make hard rural hospitals rural areas tend old poor sick populations say michael topchik senior vice president ivantage.that mean often high percentage patients cover medicare medicaid pair government health care program pay low reimbursement rate private-sector insurers hospitals rely heavily government program particularly hard hit federal budget cut provision 2010 federal health care law reduce charity care reimbursements change payment criteria.oh section pure gold course appear page ap admit part problem economy stagnant admit close large part specifically due low rat medicare medicaid pay make bad note government reduce amount charity care reimbursements go hospitals.obamacare disaster repeal via poor richard obamacare take rural hospitals