In rural America, tightened access to Medicaid means tough choices


In March, Casey Britton fed her two 13-page Medicaid renewal applications into an ancient fax machine in Linden, Tennessee’s career center before the state’s March 31 deadline. But on April 30, the state sent her a letter, saying it reviewed her paperwork and had decided she didn’t qualify anymore. Their coverage would end May 21, the letter read.

On most days, even with Medicaid, Britton feels like she’s struggling to raise her two sons, ages 2 and 5, and get them the care they need. Without it, even the most basic medical care would become unaffordable.

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