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10 states haven’t expanded Medicaid—here are the health care challenges they face


The state’s mainly rural geography—78 of its 95 counties are rural—suffers from a lack of health care opportunities. Since 2010, 13 of 16 hospital closures in the state have been in rural areas. To reach people in those areas, the University of Tennessee Health Science Center launched a mobile health unit in June 2023 that can provide primary care, prenatal care, mental health care, chronic disease management, and HIV care services.

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