When we talk about "rural" anything, there can be some interesting nuances. What strikes me about my own rural area and our health care challenges... 1) There

When we talk about "rural" anything, there can be some interesting nuances. What strikes me about my own rural area and our health care challenges... 1) There are a a lot of barriers to even basic care. If you can't get people in the door for basic care, you aren't going to be able to "upgrade" them to more profitable type of care. 2) There's a lot of emphasis on trying to bring more speciality care into the area - but like the article alludes - it's expensive to maintain modern equipment and pay specialist salaries. I have to wonder if a more hub-and-spoke model would be more profitable, IE: small "triage" clinics in small communities, more regional specialty centers to consolidate all that expensive equipment and personnel. 3) A lot of outsiders buying up care centers creates distrust. For example, VC has its hands thick into the specialized nursing facilities, squeezing out profit while reducing care. This is just plain gross and causes people to not want to put their loved ones into these facilities even when they really need the care. So VC drains them, closes their doors when they are no longer profitable - and poof, our communities lose. 4) In more urban areas, there are pay-for-service / private pay exclusive clinics that have popped up. Someone who could bring this model to rural America - realizing that there are people here who can and would pay for it - would do well.