Source: KINSTON FREE PRESS, 7/28/19

 
More than half of all rural hospitals in Mississippi, South Carolina, Georgia and Oklahoma lost money from 2011 through 2017. In Kansas, the bloodletting was even more widespread. Two out of three rural hospitals in the state operated in the red during the seven year period. What these states also have in common is that legislators voted against expanding Medicaid under the Affordable Care Act, which would have provided coverage for hundreds of thousands of uninsured residents and bolstered rural hospital bottom lines.

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