What changed so that hospitals are closing in the first place?
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Rural hospitals aren't as profitable, so privately held hospitals have been closing so the company can invest money where they make money per dollar spent.
That's usually the answer, but it also begs the question why aren't they as profitable as they used to be?
Some might be as profitable/unpredictable as they used to be, but urban/suburban areas are still much more profitable areas for hospitals to operate.
The reality of rural areas is that by their nature there just aren't as many people there