OBAMACARE TAKING DOWN MORE RURAL HOSPITALSLet s face it Obamacare s been a disaster from Day 1. The closing if rural hospitals is the latest issue and it s a big one for those who ll need to travel farther to get medical help.The AP has noticed something. Rural hospitals seem to be closing. Now, what has happened to the American health care system in recent years that might help explain that? Hmmm .From The AP via ABC (with some honest commentary mixed in): Sac-Osage is one of a growing number of rural U.S. hospitals closing their doors, citing a complex combination of changing demographics, medical practices, management decisions and federal policies that have put more financial pressure on facilities that sometimes average only a few in-patients a day.  Most of the rural hospital closures so far have occurred in the South and Midwest. Of those at risk,nearly 70 percent are in states that have declined to expand Medicaid coverage under the federal Affordable Care Act, although some experts are hesitant to draw a cause-and-effect correlation.At first, the AP tries to blame the closures on the conservative states that decided not to expand medicaid coverage (in spite of Obamacare s explicit instructions), but then admits that this is likely correlation without causation. They don t expound on it, but the obvious reason for the 70% figure is that, generally speaking, the more rural a state is, the more conservative it is, and therefore, the more likely it is to have a governor who opposes Obamacare enough to refrain from expanding medicaid.After all, that was the point (Are you listening, SCOTUS?). Even the AP could see that one a mile a way.Big city hospitals have been closing at about the same rate as rural ones during the past five years, but an abundance of alternatives in most major metropolitan areas typically reduces the effect on patients. When a rural hospital closes, people may have to travel dozens of miles to reach the nearest hospital, an inconvenience that potentially is a matter of life or death.They (briefly) admit that rural hospitals are closing at roughly the same rate as urban hospitals. Isn t this strong evidence that there might be another reason for the closings? What do rural hospitals and urban hospitals have in common? (hint: Obamacare) Declining populations and stagnant economies make it hard on rural hospitals. Rural areas tend to  have older, poorer, sicker populations,  said Michael Topchik, senior vice president of iVantage.That means they often have a higher percentage of patients covered by Medicare and Medicaid, a pair of government health care programs that pay a lower reimbursement rate than private-sector insurers. Hospitals that rely heavily on those government programs have been particularly hard hit by federal budget cuts and provisions in the 2010 federal health care law that reduced charity care reimbursements and changed other payment criteria.Oh this section is pure gold (and, of course, it all appears on page 2). Not only does the AP admit that part of the problem is that the economy is stagnant, they admit that the closings are, in large part, specifically due to the low rates Medicare and Medicaid pay. And to make it worse, they note that the government is reducing the amount of charity care  reimbursements that go to these hospitals.Obamacare is a disaster REPEAL!Via: Poor Richard sGovernment News
obamacare taking down more rural hospitalslet face obamacare disaster day the closing rural hospitals latest issue big one need travel farther get medical ap noticed something rural hospitals seem closing now happened american health care system recent years might help explain mmm the ap via abc honest commentary mixed one growing number rural hospitals closing doors citing complex combination changing demographics medical practices management decisions federal policies put financial pressure facilities sometimes average day most rural hospital closures far occurred south midwest of risk nearly percent states declined expand medical coverage federal affordable care act although experts hesitant draw first ap tries blame closures conservative states decided expand medical coverage spite obamacare explicit instructions admits likely correlation without causation they expand obvious reason figure generally speaking rural state conservative therefore likely governor opposes obamacare enough refrain expanding point are listening scouts even ap could see one mile city hospitals closing rate rural ones past five years abundance alternatives major metropolitan areas typically reduces effect patients when rural hospital closes people may travel dozens miles reach nearest hospital inconvenience potentially matter life briefly admit rural hospitals closing roughly rate urban hospitals isn strong evidence might another reason closing what rural hospitals urban hospitals common hint obamacare declining populations stagnant economies make hard rural hospitals rural areas tend older poorer kicker populations said michael topchik senior vice president means often higher percentage patients covered medical medical pair government health care programs pay lower reimbursement rate insurers hospitals rely heavily government programs particularly hard hit federal budget cuts provisions federal health care law reduced charity care reimbursement changed payment section pure gold course appears page not ap admit part problem economy stagnant admit closing large part specifically due low rates medical medical pay and make worse note government reducing amount charity care reimbursement go disaster repeal via poor richard government news
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: OBAMACARE TAKING DOWN MORE RURAL HOSPITALSLet s face it Obamacare s been a disaster from Day 1. The closing if rural hospitals is the latest issue and it s a big one for those who ll need to travel farther to get medical help.The AP has noticed something. Rural hospitals seem to be closing. Now, what has happened to the American health care system in recent years that might help explain that? Hmmm .From The AP via ABC (with some honest commentary mixed in): Sac-Osage is one of a growing number of rural U.S. hospitals closing their doors, citing a complex combination of changing demographics, medical practices, management decisions and federal policies that have put more financial pressure on facilities that sometimes average only a few in-patients a day.  Most of the rural hospital closures so far have occurred in the South and Midwest. Of those at risk,nearly 70 percent are in states that have declined to expand Medicaid coverage under the federal Affordable Care Act, although some experts are hesitant to draw a cause-and-effect correlation.At first, the AP tries to blame the closures on the conservative states that decided not to expand medicaid coverage (in spite of Obamacare s explicit instructions), but then admits that this is likely correlation without causation. They don t expound on it, but the obvious reason for the 70% figure is that, generally speaking, the more rural a state is, the more conservative it is, and therefore, the more likely it is to have a governor who opposes Obamacare enough to refrain from expanding medicaid.After all, that was the point (Are you listening, SCOTUS?). Even the AP could see that one a mile a way.Big city hospitals have been closing at about the same rate as rural ones during the past five years, but an abundance of alternatives in most major metropolitan areas typically reduces the effect on patients. When a rural hospital closes, people may have to travel dozens of miles to reach the nearest hospital, an inconvenience that potentially is a matter of life or death.They (briefly) admit that rural hospitals are closing at roughly the same rate as urban hospitals. Isn t this strong evidence that there might be another reason for the closings? What do rural hospitals and urban hospitals have in common? (hint: Obamacare) Declining populations and stagnant economies make it hard on rural hospitals. Rural areas tend to  have older, poorer, sicker populations,  said Michael Topchik, senior vice president of iVantage.That means they often have a higher percentage of patients covered by Medicare and Medicaid, a pair of government health care programs that pay a lower reimbursement rate than private-sector insurers. Hospitals that rely heavily on those government programs have been particularly hard hit by federal budget cuts and provisions in the 2010 federal health care law that reduced charity care reimbursements and changed other payment criteria.Oh this section is pure gold (and, of course, it all appears on page 2). Not only does the AP admit that part of the problem is that the economy is stagnant, they admit that the closings are, in large part, specifically due to the low rates Medicare and Medicaid pay. And to make it worse, they note that the government is reducing the amount of charity care  reimbursements that go to these hospitals.Obamacare is a disaster REPEAL!Via: Poor Richard sGovernment News
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: obamacare taking down more rural hospitalslet face obamacare disaster day the closing rural hospitals latest issue big one need travel farther get medical ap noticed something rural hospitals seem closing now happened american health care system recent years might help explain mmm the ap via abc honest commentary mixed one growing number rural hospitals closing doors citing complex combination changing demographics medical practices management decisions federal policies put financial pressure facilities sometimes average day most rural hospital closures far occurred south midwest of risk nearly percent states declined expand medical coverage federal affordable care act although experts hesitant draw first ap tries blame closures conservative states decided expand medical coverage spite obamacare explicit instructions admits likely correlation without causation they expand obvious reason figure generally speaking rural state conservative therefore likely governor opposes obamacare enough refrain expanding point are listening scouts even ap could see one mile city hospitals closing rate rural ones past five years abundance alternatives major metropolitan areas typically reduces effect patients when rural hospital closes people may travel dozens miles reach nearest hospital inconvenience potentially matter life briefly admit rural hospitals closing roughly rate urban hospitals isn strong evidence might another reason closing what rural hospitals urban hospitals common hint obamacare declining populations stagnant economies make hard rural hospitals rural areas tend older poorer kicker populations said michael topchik senior vice president means often higher percentage patients covered medical medical pair government health care programs pay lower reimbursement rate insurers hospitals rely heavily government programs particularly hard hit federal budget cuts provisions federal health care law reduced charity care reimbursement changed payment section pure gold course appears page not ap admit part problem economy stagnant admit closing large part specifically due low rates medical medical pay and make worse note government reducing amount charity care reimbursement go disaster repeal via poor richard government news