Rural America has a health-care crisis. Nearly 200 small-town hospitals have closed or contracted since 2005, and dozens more are teetering on the edge of collapse. Regulators can help. But when states consider meaningful reforms, industry insiders push back.
The latest battles are unfolding in Kentucky and Georgia, where lawmakers voted to study the repeal of certificate-of-need, or “CON,” laws. A CON is a government permission slip to launch or expand health-care services. Without this piece of paper, investors cannot identify market gaps and respond.
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