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" ... Kentucky is currently 43rd in America’s health rankings. Furthermore, America’s most unhealthy states are also the poorest and more rurally congested (which will lead to a faster spread of COVID-19 in these rural communities), existing mostly in the South. These states are also often states that notably did not accept Medicare expansion and have been hardest hit by the rural foreclosure crisis. According to the study, states in the Southeast and lower Great Plains (Midwest) bore the greatest brunt of the closure crisis with the highest number of rural hospital closures since 2010 being in; Texas (20), Tennessee (12), Oklahoma (7), Georgia (7), Alabama (6) and Missouri (6). ... "