Obamacare Taxes for All make this worse

As physicians leave small towns, rural Texans must travel farther and farther for health care.

Neither does a lot of rural Texas, which is facing a critical physician shortage. Two decades ago, 14 of the state’s 254 counties had no doctor. Today, that number has jumped to 33. More than 20 other counties have just one. In 2018, Texas had about 54 primary care physicians per 100,000 people, according to research from the Robert Graham Center, affiliated with the American Academy of Family Physicians—one of the lowest ratios in the country and far below the national ratio of 76 per 100,000. More than a quarter of Texans live in an underserved county like Hall, with fewer than one primary care physician per 2,000 residents. For years, medical professionals have been sounding the alarm, but they say lawmakers are still not doing enough to bring services to far-flung Texas—and that the problem is only getting worse. Statewide, the primary care physician shortage is expected to grow from about 2,000 to nearly 3,400 in the next 10 years.

Economies of scale favor large urban centers for medical care.  Obamacare Taxes for All ends up taxing the rurals and funding the urbans, accelerating the problem.

Progressives will say that is fine because good medical care trumps rural living.  Probably not, the effect is there in any case, accelerating just causes bunching and high volatility costs. Serious medical care thus has one solution, a live in hospital in the urban areas. I have no solution except let the natural forces of migration happen without government acceleration.