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Red tape is strangling rural health care

by Sally C. Pipes
| February 17, 2026 12:00 AM

Rural America is running out of doctors. According to a recent report from the Commonwealth Fund, 43 million Americans now live in rural communities facing a shortage of primary care providers.

This shortage isn’t new. It’s been reality for rural America for decades. And it helps explain why patients there experience higher rates of chronic illness ­— and die sooner — than their urban counterparts. 

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