@breadandcircuses

Collapse of the health system for the rural parts of the country and in poor sections of cities is my suggestion. This is tied to the corporate model, which closes unprofitable health centers.

This isn't solvable solely by insurance reform. There would still be the desire to consolidate operations to high income areas. Most physicians and nurses prefer to live where schools are good, there are city amenities, etc. and rural operations will continue to be higher cost.