Rural patients often are unable to pay their high deductibles, leaving their local hospital unpaid for the services it provides their local community.
Most of the biggest increases were in rural and Southern areas that saw a downturn in local industries and where residents lacked job training and skills
Insurance plans often do not cover local providers forcing patients to travel further to get care.
Rural, isolated areas lack public transportation. Traveling can be tough on the poor and seniors. Grocery delivery services aren’t widely available.