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In the July 11 edition, Senator Lamar Alexander penned an article regarding the large number of rural hospital closures in Tennessee (now up to 12).


He fails to mention that all of the states that have had five or more rural hospitals close from 2010 to the present failed to expand Medicaid under the Affordable Care Act. Tennessee is second in the nation only to Texas in the number of closures.


One wonders if Sen. Alexander and the Tennessee Legislature understand this relationship.


Michael E. Stark,


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