Rural hospitals already struggling, with huge percentages of Medicare patients, will have to become more efficient in a system as screwed up as the tax code. Most have home grown staffs with below average education by comparison. Improving this costs money. Medicare will cut $500billion from hospital reimbursement. Many rural hospitals will close. Much of rural healthcare will go into the toilet. 1950s healthcare = drive to the nearest metroplex. I can go on all day...