America’s Small Rural Hospitals Are Dying
For the ones that survive Covid-19, another gut punch awaits: Trump’s tax law.
This story was published in partnership with the Center for Public Integrity, a nonprofit news organization in Washington, D.C.
Paul Taylor wept when his hospital closed.
It was July 21, 2016, and Taylor, the CEO of a hospital system that owned the Ozarks Community Hospital in Springfield, Missouri, had to lay off 200 employees. The small hospital, which served many low-income residents with no insurance, could no longer afford to stay in business.
The closure didn’t seem that consequential to some. Springfield, a city of 167,000 nestled in a landscape dotted with small farms and surrounded by the Ozark Mountains, has other medical facilities. But Taylor’s community hospital, with just 11 beds when it closed, was special. Located near a census tract where 42% of residents live in poverty and nearly one in five is African American, it served a heavy load of patients on Medicare and Medicaid. And 40% of the people who came to his emergency room had no insurance at all.
Taylor had bet on Missouri expanding Medicaid under the Affordable Care Act, which would have increased the number of insured patients and, he said, “at least get payment on a lot…
