INDEPENDENCE, Kan. — The rooms in the intensive care unit are filled with folded-up walkers and moving boxes. In the lobby, plaques and portraits have been taken off the wall. By this weekend, the last patients will be discharged and Mercy Hospital Independence will close, joining dozens of rural hospitals around the country that have not been able to withstand the financial and demographic challenges buffeting them.
The hospital and its outpatient clinics, owned by the Mercy health care system in St. Louis, was where people in this city of 9,000 turned for everything from sore throats to emergency treatment after a car crash. Now, many say they are worried about what losing Mercy will mean not just for their own health, but for their community's future.
Mercy will be the 58th rural hospital to close in the United States since 2010, according to one research program, and many more could soon join the list because of declining reimbursements, growing regulatory burdens and shrinking rural populations that result in an older, sicker pool of patients. The closings have accelerated over the last few years and have hit more midsize hospitals like Mercy, which was licensed for 75 beds, than smaller "critical access" hospitals, which are reimbursed at a higher rate by Medicare.
Whether in Yadkinville, N.C.; Douglas, Ariz.; or Fulton, Ky., all of whose hospitals were also shuttered this year, these institutions are often mainstays of small communities, providing not just close-to-home care but also jobs and economic stability.
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http://www.nytimes.com/2015/10/09/us/closing-a-hospital-and-fearing-for-the-future.html?
