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Photo Illustration: Sarah Grillo. Photo: Spencer Platt/Getty Images

All the bad parts of the health care system — poor health, high costs, inadequate access — are worse in rural areas.

The big picture: "This rural disadvantage is unprecedented," said James Kirby, a federal health researcher.

  • Mortality rates are higher in rural areas, and many of those disparities are getting bigger.
  • Women in rural areas are more likely to die from pregnancy-related deaths than urban women. Two-thirds of these deaths are preventable.

Between the lines: Operating a health care practice, especially a hospital, in a rural area is a tough proposition: There aren't many patients, and a large proportion of them are covered by Medicare or Medicaid.

  • More than 100 rural hospitals have closed since 2010, and those still up and running have slashed some services for patients in order to survive, according to one study.
  • It can also be hard to recruit doctors to work in rural areas.

Go deeper:

Go deeper

Updated 7 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

Technical glitch in Facebook's ad tools creates political firestorm

Facebook CEO Mark Zuckerberg. Photo: SOPA Images / Contributor

Facebook said late Thursday that a mix of "technical problems" and confusion among advertisers around its new political ad ban rules caused issues affecting ad campaigns of both parties.

Why it matters: A report out Thursday morning suggested the ad tools were causing campaign ads, even those that adhered to Facebook's new rules, to be paused. Very quickly, political campaigners began asserting the tech giant was enforcing policies in a way that was biased against their campaigns.

8 hours ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.

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