How to expand health access and coverage in rural communities

How to expand health access and coverage in rural communities ? What are some proposal recommendation for public insurance (Medicaid or Medicare), private insurance (individual or Small group or Employer-Sponsored Insurance), and system reform (Payment and Delivery System Reform, or Prescription Drug)? 

Based on your analysis, which recommendation(s) is more likely to solve the problem and why?

How do you want to implement your recommendation (e.g. state vs. federal vs. private, and 1115 waiver, legislation, regulation, guidance, etc.)?

Who would be the Winners/losers under the status quo and reform?

Who would be the likely positions of important interest groups?

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