ObamaCare’s Relentless Creation of Second-Class Citizens (5)

[HiPointDem]

99. Sigh. I live in a small town, & we are surrounded by officially designated rural area, but most

people in that officially designated rural area live on paved roads.

Furthermore, *they* pay the cost of transporting themselves to town for doctor's appointments, surgeries, visits to local hospital etc -- not the insurance company. *They* pay the cost of picking up medical supplies, etc in town -- not the insurance company.

Furthermore, for anything specialized, *they* pay the cost of transporting themselves an hour away to the big city medical facilities -- not the insurance company. Which is sometimes quite ridiculous, e.g. I have a half-blind acquaintance who's 80 who has to find transportation monthly to get a simple eye injection. *He* pays for it, not the insurance company.

The *only* transportation difference in this *rural area* is for services like home health or visiting nurses, & for ambulance/emt (which rural area actually assesses a tax for, so they also pay for part of that).

When you say 'worse infrastructure' you mean roads and lack of specialized equipment -- but the costs of that are mainly borne by the patients, in that *they* foot the cost for most of their medical transportation, and they die if a sudden emergency leaves them far from specialized medical equipment.

When you say 'poverty' -- well, detroit is not a rural area and has lots of roads but it has a higher poverty rate than our 'rural area' (which is actually richer than the small town it surrounds).

And whether the specialized providers are here in the small town or down the road in the big city, the insurance company pays them the same rate.