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Rural America's Maternal-Health Crisis Is About to Get Worse

10 hours ago
  • Rural maternal mortality is 81% higher than urban, with higher ICU risks and transfer rates.
  • Over 100 rural hospitals have closed since 2005, and 60% of rural counties lack hospital obstetric care.
  • Financial strain from high fixed costs, declining fertility, and low Medicaid reimbursement drives unit closures.
  • Only 4% of ob-gyns practice in rural areas; family doctors are withdrawing due to liability risks.
  • Federal policies like H-1B visa cost hikes and Medicaid cuts in the One Big Beautiful Bill Act worsen the crisis.
  • Proposed solutions include expanding telehealth, doubling the Rural Health Transformation Fund, and federalizing maternal care.