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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
groups. that really been the change here at the pentagon. they re now bracing for what comes next. and they say they want to have a big diplomatic push in syria. secretary mootiattis expectio send more americans. not necessarily troops but diplomats and the contractors to protect them. how much does geography matter to isis? they had designed on territory from the beginning. talked about a new caliphate. successful at getting money, taxing people in syria, iraq and other countries. we ve seen that geography reduced in size. how do they respond to that? it s unclear how the leadership is going to respond, because the leadership has been under such duress in syria. namely, raqqah, lost are command and control operations. a lot of the nodes, pockets they still have up and down the middle of the euphrates valley doesn t allow them to do external planning. that s the hope. we haven t seen anything yet. what you see with some of the smaller groups like niger, is they re isis affiliat
talk about the americans. but they are aspirational to talk in large numbers to the built-up urban area. ashleigh? nick, you and the team are doinging extraordinary work and those of paul in the very safe confines of the offices wish you luck, and please be safe in the report reporting, and thank you for doing this incredible work. general hertling if you could jump back on and dovetail what nick was saying. we are all so curious to find out if the not only the kurdish forces, but the coalition above and the anybody else on the ground and who is on the ground not telling paul are going to be able to take that city back. i need to ask if that even matters anymore? because can does the geography matter when we have paris and the bomb over sinai and the threats of new york city and washington, and is the battle more in the west or will it actually be a head of the snake
good for putin politically. while paying no price for it diplomatically, much less militarily. jenna: you say in your article i of the strategies you see coming out of the foreign policy of this administration is world shame. when they say things like, this is, you know, 19th century foreign policy on behalf of vladmir putin, that, secretary kerry and president are trying to get the world to turn against russia. is that effective? the world isn t turning against russia. i haven t seen anyone pull their embassies or ambassadors from russia. the obama administration seems to think that ought to matter in the world is public opinion. vladmir putin thinks in a very different way. he think that is borders matter. geography matter. access to warm water ports matter. all the things that nations have traditionally fought over or tried to defend, historically that is what matters to vladmir putin there is something to that argument. we re living in this kind of virtual world where supposedly
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