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Reform pits city hospitals vs. rural

Boston Globe, July 20, 2009

Large, urban teaching hospitals are facing the possible loss of hundreds of millions of dollars under national healthcare reform as rural lawmakers on Capitol Hill wage a fight to win more federal cash for their local institutions. Big hospitals affiliated with medical schools around the country receive heftier reimbursements for treating elderly patients covered by Medicare. Rural members of Congress, however, are demanding a bigger share of the pie for smaller hospitals that serve remote populations.