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In this April 25, 2014 photo, a pedestrian crosses South Dooly Street in the main business section of Montezuma, Ga. Hospitals are under financial pressure everywhere, but the problems are compounded in rural America. There are fewer patients than in cities and, logically, fewer customers to pay for a hospital’s costs. According to a 2010 U.S. Census report, the population of Montezuma has decreased by 13.5 percent since 2000. (AP Photo/David Goldman)

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In this April 25, 2014 photo, residents stop and talk during a weekday lunch hour along the town's main business street in Montezuma, Ga. As rural hospitals struggle financially, the situation is worse in states like Georgia that are not allowing the poorest of the uninsured to enroll in Medicaid. Republican Gov. Nathan Deal says the long-run costs are too expensive. But putting more people on insurance would mean that hospitals like Flint River treat fewer people without an ability to pay at least some of their bills. (AP Photo/David Goldman)

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In this April 25, 2014 photo, counselor Dawn James, right, talks with Trimel Holloway, a coordinator with Macon County Family Connection which addresses the needs of at-risk children and families in the community, at her office in Montezuma, Ga. The county has doctors and an urgent care center, but it is missing an emergency room where people can go for around-the-clock care. (AP Photo/David Goldman)

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In this April 25, 2014 photo, the emergency room of Flint River Community Hospital sits closed in Montezuma, Ga. Analysts say that rural hospitals are struggling nationally because they typically serve small populations of customers more likely to be older, uninsured or enrolled in government health care programs that do not fully pay their bills. Alarmed by hospital closures, health officials in Georgia are changing rules to let stressed rural hospitals become expanded emergency rooms that can also handle routine childbirths or outpatient surgery. (AP Photo/David Goldman)

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FILE - In this March 1, 2010 photo, Clay Dean of UW School of Medicine and Public Health's Wisconsin Academy for Rural Medicine checks the ear of Britta Hogan, 6, during pediat­rics training at Marshfield Clinic's center in Rice Lake, Wis. A report this week says that one in six UW medical school graduates entered family practice in the last three years. The school’s No. 9 ranking in that category suggests Wisconsin’s efforts to produce more doctors are working, especially to produce physicians willing to practice in rural areas. (AP Photo/Wisconsin State Journal, Craig Schreiner)

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Students line up for lunch in the cafeteria at Thomas Jefferson High School in Dallas, Friday, April 18, 2014. The cafeteria is among those in the Dallas Independent School District that have been upgraded in the last several years. School districts across the U.S. have been making upgrades in recent years to try and entice children into healthier eating habits amid higher federal nutrition standards that emphasize whole grains, fruit and vegetables. But for many, funding such improvements has been a challenge. (AP Photo/LM Otero)

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Veterans Affairs Secretary Eric Shinseki is sworn in on Capitol Hill in Washington, Thursday, May 15, 2014, prior to testify before the Senate Veterans Affairs Committee hearing to examine the state of Veterans Affairs health care. (AP Photo/Cliff Owen)

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Veterans Affairs Secretary Eric Shinseki is sworn in on Capitol Hill in Washington, Thursday, May 15, 2014, prior to testify before the Senate Veterans Affairs Committee hearing to examine the state of Veterans Affairs health care. (AP Photo/Cliff Owen)