美国农村濒临悬崖：联邦资金削减对卫生系统和麻醉护理构成威胁。

摘要(中文译文)

农村医院的利润率很低，主要依靠联邦医疗补助计划的资金维持，并得到《平价医疗法案》保费补贴的支持。由于最近通过《一大美丽法案》进行的联邦立法改革以及美国国会未能更新《平价医疗法案》的资金，这些支持正在削弱，数百万人将失去负担得起的保险。对于麻醉师来说，这些变化将转化为封闭的医疗保健系统、取消的病例、阿片类药物使用障碍药物辅助治疗的覆盖率降低以及手术能力的萎缩。这些变化将在美国农村地区尤为明显，那里的居民在医疗保健方面已经面临差距。保护覆盖范围和农村医院资金不仅仅是一个公平问题；它对于为数百万美国人提供安全、及时的麻醉护理至关重要。

Abstract

Rural hospitals operate on thin margins, sustained largely by federal funding through Medicaid and bolstered by the Affordable Care Act premium subsidies. As these supports erode due to recent federal legislative changes through the One Big, Beautiful Bill Act and a failure of the U.S. Congress to renew Affordable Care Act monies, millions will lose affordable insurance. For anesthesiologists, these changes will translate into closed healthcare systems, cancelled cases, less coverage for medication-assisted treatment used in opioid use disorder, and shrinking surgical capacity. These changes will be disproportionately felt in rural America, where residents already faced disparities in health care. Protecting coverage and rural hospital funding is not just a matter of equity; it is central to maintaining safe, timely anesthesia care for millions of Americans.

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