GOP health care bill would make rural America’s distress much worse

The following article by Claire Snell-Rood and Cathleen Willging was posted on the Conversation website June 26, 2017:

A protester is escorted away by police as they arrested 43 health care and disability activists at a demonstration outside Senate Majority Leader Mitch McConnell’s constituent office in Washington. Reuters/Kevin Lamarque

Much has been made of the distress and discontent in rural areas during the 2016 U.S. presidential election. Few realize, however, this is also felt through unequal health.

Researchers call it the “rural mortality penalty.” While rates of mortality have steadily fallen in the nation’s urban areas, they have actually climbed for rural Americans. And the picture is even bleaker for specific groups, such as rural white women and people of color, who face persistent disparities in health outcomes. In every category, from suicide to unintentional injury to heart disease, rural residents’ health has been declining since the 1990s.

While some have blamed these gaping disparities on “culture” or “lifestyle” factors – such as a supposed fatalism or overconsumption of unhealthy products like Mountain Dew – the truth is that the biggest culprit is limited access to health care and challenging economic circumstances. Continue reading “GOP health care bill would make rural America’s distress much worse”