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34.6% of US Counties Are Now Maternity Care Deserts. In 60% of Recent Closures, It Was the Only Birthing Facility the County Had.
Labor-and-delivery units are one of the first services a financially strained hospital cuts — not because the need is smaller, but because the reimbursement structure makes it the easiest line item to drop. The pattern has been accelerating since 2020, and the same Medicaid cuts reshaping rural hospitals generally are expected to speed it up further.
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