Will Health Insurance Reform Help Rural Americans?

Despite decades of migration to cities and suburbs,Moreover, there will be much more support for the
millions of Americans still live in rural areas. Many oftraining of primary care physicians. Those are the
them are uninsured. In some rural areas, there aredoctors that will be needed most after rural patients
relatively high levels of poverty. Most people rely onbuy a new health insurance plan. Currently, many
community health centers for their health care, butdoctors choose to go into specialties such as
they are often far away and underfunded. Theorthopedics, because of the higher compensation
recently passed healthcare reform bill includes moneylevels and decreased stress. Many doctors have no
for the expansion or building of such centers.other choice, because they are so indebted to their
How does healthcare reform affect them? First, it willeducation. Otherwise, they would not finish paying off
provide subsidies and tax credits for low- andtheir loans until retirement.
middle-income individuals and families to buy a healthSince training to become a primary care physician is
insurance plan. Access to health coverage has beenequally costly as specialty training, student loan
shown to improve health outcomes. Patients takerepayments for the former will be limited to 10% of a
more advantage of preventative care instead ofdoctor's annual income. Not to mention, they will be
waiting until their conditions get serious enough to visitforgiven after 20 years for those who stay current on
an emergency room, which is often less expensive intheir payments. In addition, health insurance reform
the long run. It also expands the Medicaid insurancelegislation aims to pay an extra 10% incentive to
program for those below, at, or near the poverty level.primary care doctors.
However, just being insured isn't enough. What good isTechnology funded by the legislation may also help
a health insurance plan if the closest doctor is a fullthose living in rural areas. Telehealth services allow for
day's drive away? That is why the bill createsbasic consultations with doctors and other
incentives for physicians to practice in rural areas. Itprofessionals. The nation's best doctors will be able to
enacts more scholarships, as well as a federal loansee patients virtually through webcams, and determine
repayment program for medical school graduates whowhether further specialized treatment is needed--at a
agree to work in under-served areas. Up to $35,000lower expense than in-person visits. Medicare can also
of their student loans--a significant chunk of theiruse telehealth technologies to determine eligibility for
debt--will be forgiven. This program will encouragedurable medical equipment and home health services,
more doctors to work in rural locations they may havefar quicker than the process would otherwise take
considered less attractive.due to the need for travel.