The best thing that's happened for underground coal miners in the past several years can be found in a small provision of the Affordable Care Act, otherwise known as 'Obamacare.' It is never mentioned by the President or his campaign.
The percentage of rural Americans without health insurance has been rising since 2005. But the differences from one rural county to another in the rate of uninsured can be enormous.
The percentage of people without health insurance was fairly equal in
rural, exurban and urban counties in 2005. But after the recession, the
rate of people in rural communities without coverage jumped over 8
percent; now the percentage of people without health insurance in rural
America is higher than it is in urban counties.
Minnesota's legislature has put in place a model for medical training
that has improved rural health outcomes AND boosted rural economies. Why
aren't federal health administrators taking note -- and taking action?
American women were living 1.7 years longer in 2009 than they were in 1999. But that increase was realized in only a handful of rural and exurban counties.
Rural hospitals need to become health care centers, not just places with beds and emergency rooms. And it wouldn't hurt if the cafeteria were also the best place to eat in town!