Oh really? You mean blue states like West Virginia, that voted 70% for Trump? West Virginia has a third of the population on Medicaid, a program Trump is hostile to. Their rural hospitals are dependent upon Medicaid and the ACA. Many rural hospitals will close if the ACA is no more. This is true for most red states. After the ACA was passed and Kentucky expanded Medicaid, they experiences a
two-thirds drop in the uninsurance rate.
In 2019, The Washington Post published a
heart-rending description of a pop-up medical clinic in Cleveland, Tenn., a temporary installation providing free care for two days on a first-come-first-served basis. Hundreds of people showed up many hours before the clinic opened, because rural America is suffering from a severe crisis of health care availability, with hospitals closing and doctors leaving.
Since the focus of the report was on personal experience, not policy, it’s understandable that the article mentioned only in passing the fact that Tennessee is one of the 14 states that still
refuse to expand Medicaid under the Affordable Care Act. So I’m not sure how many people grasped the reality that America’s rural health care crisis is largely, not entirely, but largely, a direct result of Republican political decisions. Biden's plan to provide a public option would alleviate much of this crisis in rural (red) America.