Now try the rural health care!
You are right, but we're talking about two slightly different things. Hospitals that serve rural areas are still concentrating in towns and cities, and all you find out in the sticks and small towns is bad urgent care clinics, the health care equivalent of Family Dollar.
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Of course an actual hospital wouldn’t be placed in an actual rural area (as opposed to a small town), because real rural areas do not have enough people. But I assume the hospital phenomenon was typical; expansion gives insurance to poor people, which supports the providers …
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who do or would provide them health care, and that money then keeps providers solvent who would otherwise fail. So expansion helps at the margin provide health care to rural folk that would otherwise have disappeared.
End of conversation
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