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A rural Nebraska clinic blames its closing on Trump’s Medicaid cuts. Patients don’t buy it. "Horse Feathers"

essentialsaltes

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“Anyone who’s saying that Medicaid cuts is why they’re closing is a liar,” April Roberts said, as she oversaw lunch at the Curtis Area Senior Center.

The retirees trickling in for fried chicken and soft-serve ice cream will be hit hardest when the clinic closes this fall, Roberts fears. Seniors who sometimes go in multiple times a month to have blood drawn will have to drive 40 miles to the next nearest health center

Arriving for lunch, retired Navy veteran Jim Christensen said he’d read an op-ed that “tried to blame everything on Trump.”

“Horse feathers,” he said, dismissing the idea.
--
“They’re huge [fans of Trump] … and so it doesn’t matter what he does - there’s an excuse for it,” [registered Republican but non-Trump voter] Jorgensen said. The retired corn and cattle farmer was used to being the odd one out in Frontier County, where 86 percent of the vote went to Trump last fall.

Many people in Curtis have directed their frustration at their hospital system instead of their representatives in Washington.

Community Hospital, the nonprofit that runs the clinic known as the Curtis Medical Center and a couple of other facilities in the region, plunged into the center of that national story when it announced on July 2 - one day before the bill’s passage - that a confluence of factors had made its Curtis outpost unsustainable. It cited years-long financial challenges, inflation and “anticipated federal budget cuts to Medicaid,” the public health insurance program for lower-income and disabled Americans.

Rural health care facilities run on thin margins to serve small communities in far-flung locations. And they tend to have more patients on Medicaid, many of them self-employed farmers, small business owners and seasonal workers more likely to need public insurance. Hospital groups and executives have warned that some rural hospitals that long operated at a loss won’t be able to stay open much longer, now that the Medicaid cuts have been voted in.

Community Hospital officials said they had tried to find another group to take over the clinic, without luck.
 
  • Optimistic
Reactions: Desk trauma

essentialsaltes

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The rural health 'Hunger Games' are underway

The Trump administration on Monday kicked off a scramble among the 50 states for a slice of a new $50 billion fund for rural health care, but experts on the ground fear the program’s rushed timeline, lack of guardrails and potential for politicization will leave some hospitals struggling to stay open.

States have just a few weeks to submit detailed applications for the fund, which Congress created late in its negotiations over a bill this summer that made deep cuts to Medicaid and other health programs. Federal health officials will then have a couple months to review them and dispense the money.

After the application window closes in early November, half of the fund will be dispensed at the discretion of Oz, while the other half will be divided equally among states that apply — meaning Wyoming would get the same amount as California despite their massive population difference. How much states get will also depend on whether they implement policies pushed by the Trump administration

States will have no ability to appeal if their applications are rejected or they receive less money than they requested. Oz also said the federal government can “claw back” funding from states that “don’t perform” and redistribute it, saying: “This is not punitive. This is a very clever decision by the crafters of the law.”

Even if all the money goes to where it’s needed most, many experts are concerned that it will not make up for the massive hit rural providers are expected to take from the other provisions of the bill, including the reduction of hundreds of billions of dollars in Medicaid.
 
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RileyG

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Tuur

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“Anyone who’s saying that Medicaid cuts is why they’re closing is a liar,” April Roberts said, as she oversaw lunch at the Curtis Area Senior Center.

The retirees trickling in for fried chicken and soft-serve ice cream will be hit hardest when the clinic closes this fall, Roberts fears. Seniors who sometimes go in multiple times a month to have blood drawn will have to drive 40 miles to the next nearest health center

Arriving for lunch, retired Navy veteran Jim Christensen said he’d read an op-ed that “tried to blame everything on Trump.”

“Horse feathers,” he said, dismissing the idea.
--
“They’re huge [fans of Trump] … and so it doesn’t matter what he does - there’s an excuse for it,” [registered Republican but non-Trump voter] Jorgensen said. The retired corn and cattle farmer was used to being the odd one out in Frontier County, where 86 percent of the vote went to Trump last fall.

Many people in Curtis have directed their frustration at their hospital system instead of their representatives in Washington.

Community Hospital, the nonprofit that runs the clinic known as the Curtis Medical Center and a couple of other facilities in the region, plunged into the center of that national story when it announced on July 2 - one day before the bill’s passage - that a confluence of factors had made its Curtis outpost unsustainable. It cited years-long financial challenges, inflation and “anticipated federal budget cuts to Medicaid,” the public health insurance program for lower-income and disabled Americans.

Rural health care facilities run on thin margins to serve small communities in far-flung locations. And they tend to have more patients on Medicaid, many of them self-employed farmers, small business owners and seasonal workers more likely to need public insurance. Hospital groups and executives have warned that some rural hospitals that long operated at a loss won’t be able to stay open much longer, now that the Medicaid cuts have been voted in.

Community Hospital officials said they had tried to find another group to take over the clinic, without luck.
As luck would have it, just yesterday was thinking about two closed hospitals. One closed in the late 20th Century. The other closed during the Obama administration. Somehow, I don't think Trump was involved with either one.

Have harped on this before, but there is a clause in Obamacare that prevents physicians from referring patients to a hospital where they have a financial stake of X (meaning I've forgotten the percentage) percent. Obviously the intent of the clause was to prevent abuse by physicians padding their income, but it also shut the door on the main way rural areas got and kept hospitals.
 
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CRAZY_CAT_WOMAN

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Trump cares about the rich and himself. And Nobody else. Trump has ben very honest But people voted to lose access to medical help and so much more. And right news wasn't telling their people the truth.
 
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essentialsaltes

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The rural health 'Hunger Games' are underway

The Trump administration on Monday kicked off a scramble among the 50 states for a slice of a new $50 billion fund for rural health care, but experts on the ground fear the program’s rushed timeline, lack of guardrails and potential for politicization will leave some hospitals struggling to stay open.

With billions on the line, Colorado prepares for the rural health care “Hunger Games”

Republicans’ One Big Beautiful Bill Act contained $50 billion to support rural health care nationwide, but states must compete for the money

Half of the money will be distributed evenly among states that submitted a qualifying application. Every state applied, so, assuming they all meet the minimum application standards, that means each state will get at least $100 million per year.

Competing for cash​

It is the second half of the money where things get sporty.
 
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Ellesmere

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“Anyone who’s saying that Medicaid cuts is why they’re closing is a liar,” April Roberts said, as she oversaw lunch at the Curtis Area Senior Center.

The retirees trickling in for fried chicken and soft-serve ice cream will be hit hardest when the clinic closes this fall, Roberts fears. Seniors who sometimes go in multiple times a month to have blood drawn will have to drive 40 miles to the next nearest health center

Arriving for lunch, retired Navy veteran Jim Christensen said he’d read an op-ed that “tried to blame everything on Trump.”

“Horse feathers,” he said, dismissing the idea.
--
“They’re huge [fans of Trump] … and so it doesn’t matter what he does - there’s an excuse for it,” [registered Republican but non-Trump voter] Jorgensen said. The retired corn and cattle farmer was used to being the odd one out in Frontier County, where 86 percent of the vote went to Trump last fall.

Many people in Curtis have directed their frustration at their hospital system instead of their representatives in Washington.

Community Hospital, the nonprofit that runs the clinic known as the Curtis Medical Center and a couple of other facilities in the region, plunged into the center of that national story when it announced on July 2 - one day before the bill’s passage - that a confluence of factors had made its Curtis outpost unsustainable. It cited years-long financial challenges, inflation and “anticipated federal budget cuts to Medicaid,” the public health insurance program for lower-income and disabled Americans.

Rural health care facilities run on thin margins to serve small communities in far-flung locations. And they tend to have more patients on Medicaid, many of them self-employed farmers, small business owners and seasonal workers more likely to need public insurance. Hospital groups and executives have warned that some rural hospitals that long operated at a loss won’t be able to stay open much longer, now that the Medicaid cuts have been voted in.

Community Hospital officials said they had tried to find another group to take over the clinic, without luck.

1765696696497.png
 
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Larniavc

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The Trump administration on Monday kicked off a scramble among the 50 states for a slice of a new $50 billion fund for rural health care, but experts on the ground fear the program’s rushed timeline, lack of guardrails and potential for politicization will leave some hospitals struggling to stay open.
It’ll end up in someone’s pocket.
 
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essentialsaltes

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With billions on the line, Colorado prepares for the rural health care “Hunger Games”

Republicans’ One Big Beautiful Bill Act contained $50 billion to support rural health care nationwide, but states must compete for the money
Concepts of a health plan are coming together.

Dr. Oz pushes AI avatars as a fix for rural health care. Not so fast, critics say

"There's no question about it — whether you want it or not — the best way to help some of these communities is gonna be AI-based avatars," Oz, the head of the Centers for Medicare and Medicaid Services, said recently at an event focused on addiction and mental health

The AI proposal is part of the Trump administration's $50 billion plan to modernize health care in rural communities. That includes deploying tools such as digital avatars to conduct basic medical interviews, robotic systems for remote diagnostics, and drones to deliver medication where pharmacies don't exist.

"We can use robots to do ultrasounds on pregnant women," Oz said. "You take a wand, you don't even see the image—you just get digitized insights that tell you whether the child's OK. And frankly, I don't have to see the image. I just have to know if the image is good enough to tell me the child doesn't have a problem."

Oz's comments came as rural hospitals have faced steep cuts under the One Big Beautiful Bill Act

Carrie Henning-Smith, associate professor at the University of Minnesota and co-director of its Rural Health Research Center, says the use of AI avatars would strip away something essential: human connection.

"I don't like the idea of rural populations being treated as guinea pigs," she said. "If this is where we're testing AI in health care, there's a lot that could go wrong."

[Sorry lady. Whether you want it or not, this is the future.]

Online reaction to Oz's comments was swift.

"You think rural communities want AI doctors? They're still trying to get reliable internet," one user wrote on X.

Another added, "Dr. Oz: 'We replaced your nurse with a cartoon. You're welcome.'"
 
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rambot

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Concepts of a health plan are coming together.

Dr. Oz pushes AI avatars as a fix for rural health care. Not so fast, critics say

"There's no question about it — whether you want it or not — the best way to help some of these communities is gonna be AI-based avatars," Oz, the head of the Centers for Medicare and Medicaid Services, said recently at an event focused on addiction and mental health

The AI proposal is part of the Trump administration's $50 billion plan to modernize health care in rural communities. That includes deploying tools such as digital avatars to conduct basic medical interviews, robotic systems for remote diagnostics, and drones to deliver medication where pharmacies don't exist.

"We can use robots to do ultrasounds on pregnant women," Oz said. "You take a wand, you don't even see the image—you just get digitized insights that tell you whether the child's OK. And frankly, I don't have to see the image. I just have to know if the image is good enough to tell me the child doesn't have a problem."

Oz's comments came as rural hospitals have faced steep cuts under the One Big Beautiful Bill Act

Carrie Henning-Smith, associate professor at the University of Minnesota and co-director of its Rural Health Research Center, says the use of AI avatars would strip away something essential: human connection.

"I don't like the idea of rural populations being treated as guinea pigs," she said. "If this is where we're testing AI in health care, there's a lot that could go wrong."

[Sorry lady. Whether you want it or not, this is the future.]

Online reaction to Oz's comments was swift.

"You think rural communities want AI doctors? They're still trying to get reliable internet," one user wrote on X.

Another added, "Dr. Oz: 'We replaced your nurse with a cartoon. You're welcome.'"
This guy.
He's like the anti-health guy. As soon as he recommends something I figure I don't want any part of it.
AI doctors included....at least not for a couple decades.
 
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