When Care Is an Hour Away: The Reality of Aging in Rural America
Sun Feb 01 2026
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In this episode, Dr. Pooja A. Patel and Dr. Sydney Marshman delve into the critical issue of healthcare access in rural communities, emphasizing how geographical location significantly impacts the quality of care individuals receive as they age. They discuss the disparities in access to primary care, specialty services, and the challenges faced by families in rural areas when seeking medical attention. Dr. Marshman shares her experiences as an occupational therapist working with older adults in Iowa, highlighting the importance of home assessments and therapy services that cater to the unique needs of rural populations. The conversation also touches on the complexities of healthcare funding, the role of telehealth, and the implications of recent legislative changes on rural healthcare systems.
Key Takeaways
Access to care is not equal across different regions.Rural residents often face significant travel distances for healthcare services.Engagement with local communities and legislators is crucial for improving healthcare access.Chapters
00:00 Introduction to Rural Healthcare Access01:50 Understanding the Disparities in Care07:57 Challenges in Expanding Services12:04 The Role of Data and Interoperability20:02 Managed Care vs. Traditional Medicare26:03 Rural Health Transformation Program29:56 Impact of Medicaid Cuts on Rural Healthcare35:04 The Importance of Telehealth39:00 Call to Action: Community EngagementLearn more
About Sydney: https://www.linkedin.com/in/sydney-marshman/About Sydney's Company: Happy at Home ConsultingCMS: Rural Health Transformation (RHT) Program Iowa HHS: Iowa's RHT Plan Talk of Iowa: What a $209M federal boost means for rural hospitals and what's still at risk in these communitiesSupport the show
More
Send us a text In this episode, Dr. Pooja A. Patel and Dr. Sydney Marshman delve into the critical issue of healthcare access in rural communities, emphasizing how geographical location significantly impacts the quality of care individuals receive as they age. They discuss the disparities in access to primary care, specialty services, and the challenges faced by families in rural areas when seeking medical attention. Dr. Marshman shares her experiences as an occupational therapist working with older adults in Iowa, highlighting the importance of home assessments and therapy services that cater to the unique needs of rural populations. The conversation also touches on the complexities of healthcare funding, the role of telehealth, and the implications of recent legislative changes on rural healthcare systems. Key Takeaways Access to care is not equal across different regions.Rural residents often face significant travel distances for healthcare services.Engagement with local communities and legislators is crucial for improving healthcare access.Chapters 00:00 Introduction to Rural Healthcare Access01:50 Understanding the Disparities in Care07:57 Challenges in Expanding Services12:04 The Role of Data and Interoperability20:02 Managed Care vs. Traditional Medicare26:03 Rural Health Transformation Program29:56 Impact of Medicaid Cuts on Rural Healthcare35:04 The Importance of Telehealth39:00 Call to Action: Community EngagementLearn more About Sydney: https://www.linkedin.com/in/sydney-marshman/About Sydney's Company: Happy at Home ConsultingCMS: Rural Health Transformation (RHT) Program Iowa HHS: Iowa's RHT Plan Talk of Iowa: What a $209M federal boost means for rural hospitals and what's still at risk in these communitiesSupport the show