Medicaid cuts could shutter rural hospitals

HONDO – The Washington Post reports that Jaylee Williams needed to find somewhere to deliver her son. The 19-year-old knew more about barrel racing on her horse Bet-n-pep than the complicated metrics of who takes what health insurance. But relief for Williams and her boyfriend, Xander Lopez, came when they realized Medina Regional Hospital — just 15 minutes from their home — accepted Medicaid, the federal-state program that covers medical costs for lower-income Americans. Provider groups an hour away in San Antonio had refused to take the insurance, she recalled while cradling little Ryker. “You never know when something could happen,” Williams said, with Lopez adding, “I have no idea where we would have gone” without Medina Regional Hospital. But the lifeline that the 25-bed critical-access hospital offered to Williams and Lopez could disappear in Hondo and other communities like it.

Rural hospitals across the United States fear massive Medicaid cuts favored by the Republican Party could decimate maternity services or shutter already struggling medical facilities in communities that overwhelmingly voted for Donald Trump. Nearly half of all rural hospitals nationwide operate at a deficit, with Medicaid barely keeping them afloat. Already, almost 200 rural hospitals have closed in the past two decades, according to the Cecil G. Sheps Center for Health Services Research, part of the University of North Carolina at Chapel Hill. Rural hospital leaders in Arkansas, Colorado, Kansas, Mississippi, Missouri and Texas who spoke to The Washington Post warned that the enormous cuts congressional Republicans are weighing could further destroy limited health-care access in rural America. Proposals to slash up to $880 billion over 10 years — which is expected to be accomplished largely by scaling back on Medicaid — would also impact those who do not rely on the program but do rely on the medical facilities that are financially dependent on the program’s reimbursements.