By Paul Krugman | June 24, 2019

Over the weekend The Washington Post published a heart-rending description of a pop-up medical clinic in Cleveland, Tenn. — a temporary installation providing free care for two days on a first-come-first-served basis. Hundreds of people showed up many hours before the clinic opened, because rural America is suffering from a severe crisis of health care availability, with hospitals closing and doctors leaving.

Since the focus of the report was on personal experience, not policy, it’s understandable that the article mentioned only in passing the fact that Tennessee is one of the 14 states that still refuse to expand Medicaid under the Affordable Care Act. So I’m not sure how many readers grasped the reality that America’s rural health care crisis is largely — not entirely, but largely — a direct result of political decisions.

The simple fact is that the Republicans who run Tennessee and other “non-expansion” states have chosen to inflict misery on many of their constituents, rural residents in particular. And it’s not even about money: The federal government would have paid for Medicaid expansion.

Read more here.