I respect your opinion, but the responsibility lies with the current administration. Remember, Trumps promise to appeal and replace. Trump issued executive orders and tariffs for many issues except healthcare. It's important to assign blame correctly since Obama can not appeal, replace, or issue executive orders like Trump. Do you recall TrumpRX.gov? Obama or Biden didn't authorize Trump to do that. The current president shows no limits, as has been demonstrated.
Do you feel like Reagan, believing Trump is exempt from responsibility and beyond reproach? The key issue with rural hospitals is that they no longer offer services once funded and provided. As a result, elderly residents must travel further to Florence or Charleston, SC, for services no longer available- gas prices are $4.59 per gallon, along with rising costs overall. Marketplace insurance plans have high deductibles- here, it's $8000.00 based on your ZIP code with Ambetter Health- and you must earn less than $16000.00 a year to qualify. It's called a 50/50 plan, meaning you cover half, but there are no doctors in the area accepting Ambetter. Doctor visits cost $ 60, and the plan excludes coverage for x-rays and lab work. You must pay for that. Finding a specialist is difficult, and if you earn $16000.00 a year, paying the deductible is challenging. The $8000.00 deductible is enforced if you go to the hospital for services. After you meet the deductible the plan pays 100%.
This situation resulted from MAGA Mike's refusal to pass legislation that would have improved coverage compared to what's currently available. Hope that helps.