Fact Check: "36 rural hospitals closed between 2020 and 2024, accelerating a dangerous trend."
What We Know
The claim that "36 rural hospitals closed between 2020 and 2024" is supported by data indicating that this number of closures has indeed occurred during that timeframe. According to a report by the Penn State University’s Pennsylvania Office of Rural Health, 36 rural hospitals either closed or converted their services since 2020. This aligns with findings from the Sheps Center, which tracks rural hospital closures and conversions, noting that the trend has been concerning for rural healthcare access.
Additionally, the overall trend of rural hospital closures has been alarming, with a total of 194 rural hospitals closing since 2005, as reported in a study published in the National Institutes of Health. This broader context highlights a significant and ongoing issue in rural healthcare, particularly exacerbated by challenges such as the COVID-19 pandemic.
Analysis
While the claim about the closure of 36 rural hospitals from 2020 to 2024 is accurate, it is essential to consider the nuances of what constitutes a "closure." The Sheps Center differentiates between complete closures (where hospitals cease all healthcare services) and conversions (where hospitals stop providing inpatient services but may continue to offer outpatient care). The 36 closures mentioned include both complete closures and conversions, which complicates the narrative of a straightforward decline in hospital services.
Moreover, the broader trend of rural hospital closures has been ongoing, with 151 closures occurring after 2010, indicating that the issue predates the COVID-19 pandemic and is part of a longer-term trend in rural healthcare access challenges (Sheps Center). The impact of these closures can be profound, particularly for older adults and low-income populations who rely heavily on local healthcare services (PMC).
However, the reliability of the sources varies. The Sheps Center is a reputable academic institution with a focus on health services research, while the report from the Penn State University’s Pennsylvania Office of Rural Health is also credible, providing data directly related to rural healthcare trends. In contrast, other sources, such as The American Prospect, while informative, may carry a more opinionated perspective on the implications of these closures.
Conclusion
The claim that "36 rural hospitals closed between 2020 and 2024" is Partially True. While the number of closures is accurate, the context of what constitutes a closure (complete vs. converted) is essential for understanding the full impact on rural healthcare. Additionally, the trend of rural hospital closures is not new and has been exacerbated by various factors, including the COVID-19 pandemic. Therefore, while the claim highlights a critical issue, it simplifies a more complex situation regarding rural healthcare access.
