Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor
Abstract
Single-payer health reform has secured its place in the mainstream American health policy debate, yet its implications for particular subpopulations or sectors of care remain understudied. Amidst many unanswered questions from policymakers and political pundits, rural health has emerged as one such area. This article explores rural Canada’s five-decade-long experience with a national publicly funded health insurance program as a valuable opportunity for cross-national learning. During March 2020, I conducted 13 semi-structured, elite stakeholder interviews with government officials, academic researchers, rural hospital executives, public health association leaders, rural health administrators, and representatives from provincial medical, hospital, and physician associations in Ontario. I found that a single-payer model confers notable advantages over a market-based model, includ
The Daily Yonder Rural Vaccination Rates Vary, and Data Is Hard to Come By In two-thirds of the states where we can track vaccinations by county, rural areas are doing relatively well. One reason may be that a greater percentage of the rural population is eligible for the first rounds of vaccination.
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In these six states, the rate of first vaccinations per 100,000 residents for rural areas is higher than the national rate of 14,600 per 100,000. Data is available for only 24 states as of late February. (Daily Yonder/Covid Act Now)
Some experts worried initially that the nation’s Covid-19 vaccination roll-out might leave rural areas behind. But early numbers from states that provide county-level data on vaccinations show that in about two-thirds of the cases, rural areas holding their own.
Last week, Nicole Chiabotti helped the14-bed community hospital in Cook, Minn., administer second doses of the COVID-19 vaccine to all of its patients 65 and older who wanted it.
ST. PAUL (AP) In Minnesota, those 65 years and older are eligible to receive the coronavirus vaccine, but whether they are inoculated has a lot to do with t
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