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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
Newbrough Rob Tindall Warden Parish Council once more assembled by Zoom last week and again experienced a full turn out whilst two members of the public also tuned in. It must have been one of the shortest meetings on record as it was all over by 8pm in spite of having a wide range of issues on the agenda. Concern was expressed about the icy state of the pavements but councillors recognised this was the result of the recent ice storm which had also made the gripper strip on the level crossings difficult to negotiate. The weather (and Covid-19) had also affected work on traffic calming measures by the school and the Millennium Beacon. In both cases preparations were complete and physical work would start as soon as conditions allow. In a cynical aside it was noted that a decision on the Prudhamstone Quarry planning application was taking longer than Brexit. Grants to Core Music and Tynedale Hospice at Home were both approved. It was agreed that a submission should be made to the