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Rural hospitals? Well, are they Christian? And are you a Christian? If so, you're all set. If not, what's wrong with you, Jeebus will provide after all!
The Heritage Foundation Christofascist types want to see all "public" services transitioned to non-governmental (in claim, if not in fact) Christian "charity" orgs. Preferably white-controlled, evangelical ones of course. If you're a person with medical needs, really bad ones, and can't get medical help, then why haven't you signed on the line and pledged your vote, tithes, and soul to Jeebus? That's the MAGA Jeebus mind you, not that old-fashioned Socialist one. MAGA wants these rural hospitals to go out of business. That will provide them with millions of new, suffering, desperate people and a situation where MAGA can blame their suffering on the "mismanagement" and "inefficiency" of the government-supported hospitals, now defunct, and will provide their Christofascist friends with a fire-sale on facilities and medical specialists with which to start their Xian "charity" services.
You the individual will either do as you're told by MAGA in government (because they're terrorist thugs) or by MAGA in "churches" (because they'll (maybe) provide some kind of "charity" aid that's no longer available elsewhere), or you'll die. Either way, MAGA wins.