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Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor


Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor
Abstract
Single-payer health reform has secured its place in the mainstream American health policy debate, yet its implications for particular subpopulations or sectors of care remain understudied. Amidst many unanswered questions from policymakers and political pundits, rural health has emerged as one such area. This article explores rural Canada’s five-decade-long experience with a national publicly funded health insurance program as a valuable opportunity for cross-national learning. During March 2020, I conducted 13 semi-structured, elite stakeholder interviews with government officials, academic researchers, rural hospital executives, public health association leaders, rural health administrators, and representatives from provincial medical, hospital, and physician associations in Ontario. I found that a single-payer model confers notable advantages over a market-based mode ....

New York , United States , Prairie Provinces , University Of Chicago , United Kingdom , North Carolina , Anna Maria , Chapel Hill , San Francisco , Grand Forks , British Columbia , United States Department Of Agriculture , National Bureau Of Economic Research , Georgetown University , District Of Columbia , M Nawal Lutfiyya , Margaret Warner , Tonyat Neaves , Jeff Leibach , Rebeccat Slifkin , Tracey Farrigan , Jonathan Mitchell , Wesley James , Barbarae Ainsworth , Robert Gebeloff , Georgem Holmes ,