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The rural health care crisis and medical education


The rural health care crisis and medical education
Decades of job loss, the opioid crisis, and the current pandemic have all shaken the already tenuous health care system of rural America. This is happening in the wealthiest nation on Earth, with a GDP of over 20 trillion dollars. Why is this happening? And how can the medical education system better prepare future physicians to meet rural patients’ needs?
Despite our country’s abundance of wealth, crushing poverty exists out of sight from most Americans. People living in cities are often familiar with the sight of urban poverty and homelessness, even if these issues do not personally impact them. Rural poverty, a key issue facing millions of Americans, remains comparatively hidden. In the past two decades, U.S. medical education has increasingly prioritized teaching how social conditions affect health care outcomes. Therefore, it is essential that rural poverty be prioritized as a key part of these conversations. ....

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Executive Summary: A Frayed and Fragmented System of Supports for Low-Income Adults Without Minor Children


Eligibility for some programs is limited to people who are unable to work, and some programs’ definitions of disability do not account for certain physical, mental, or other health conditions that limit the kind or amount of work an individual can do. In some programs, eligibility for non-elderly people who aren’t employed is limited to people receiving SSI or SSDI. But SSI
[12] have arduous (and lengthy) disability determination processes, and many people with disabilities don’t receive those benefits. Of the more than 46 million adults reporting a disability in 2014, only about 40 percent received cash assistance such as SSI or SSDI. ....

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