The United States has one of the largest health care systems in the world, with the world’s largest network of rural hospitals.

But the country is also the world leader in healthcare-related mortality, with more than 1.5 million people dying in rural areas in 2014, according to the U.S. Centers for Disease Control and Prevention.

And the problem has gotten worse, with rural residents dying at a rate five times higher than the national average.

The rural health system has been struggling for years to meet a population expected to swell by nearly two million people by 2030.

The problems started with a massive influx of undocumented immigrants and people with disabilities, as well as increased demand for rural healthcare.

The problem grew when hospitals started closing down in rural communities, with many closing for budgetary reasons, said Mike Johnson, the director of health and health care policy at the Rural Health Care Institute, a nonprofit organization that works to improve rural healthcare for patients and communities.

“They were shutting down,” Johnson said.

“It was a crisis.

They had to close.”

Rural hospitals are also in the midst of a demographic shift, with populations aging and living in the suburbs.

While they are a big part of rural healthcare in the United States, they account for just a fraction of the health care needed in urban areas.

The problem has worsened over the past decade.

Rural health systems have struggled to respond to growing numbers of Medicaid beneficiaries, a group of people who are eligible for federal healthcare but have been denied access due to barriers to accessing care, according, according.

The Medicaid program provides health care to low-income Americans who are poor, uninsured, and have limited access to doctors, hospitals, or other providers, according the Centers for Medicare and Medicaid Services.

More than 40% of people with Medicaid coverage are in rural America, according a 2014 study from the Urban Institute, the liberal think tank.

Johnson said the lack of access to healthcare has caused hospitals to close and contributed to the increase in mortality.

In 2015, the CDC released data that found the number of rural residents who were admitted to a hospital within three days rose to 3.4 million from 3.3 million.

This figure jumped from 633,000 in 2013.

That figure includes people who died in hospital within seven days.

The increase was almost double the national rate, with 17,000 more deaths in rural hospitals compared to rural hospitals in 2013, according Toomey said.

“The Medicaid population is a huge component of the rural healthcare burden in this country,” Toomeysaid.

“And it’s going to continue to grow.”

The problem is also impacting healthcare delivery, with fewer rural hospitals delivering primary care.

Johnson explained that patients who live in rural counties are being billed twice as much for primary care as in urban counties.

Toomey pointed to an incident in 2015 in which a rural hospital in Colorado refused to deliver critical care to a patient who had an emergency, even though he needed a transplant.

In the same case, he said, a hospital in Florida refused to provide critical care for a patient whose body had been burned in a house fire.

Johnson said rural hospitals are facing challenges in their capacity to deliver primary care in rural states.

Many states have made efforts to build new primary care centers to better serve the needs of rural communities.

Johnson also said that, in some rural areas, healthcare providers are working on ways to reduce mortality rates.

“We’re not just talking about hospitals and primary care, but other things as well,” Johnson told Business Insider.

“Some are talking about getting better training, they’re talking about having a lot of doctors who are going to be able to prescribe more.

That’s one of them that is very important to us.”

Johnson said he believes the rural health crisis is only going to get worse.

The Rural Health Center at the University of Arizona is one of those efforts.

The center’s main purpose is to provide primary care to people in rural healthcare, with an emphasis on prevention and early detection, to prevent future medical problems, Johnson said, and to help patients get better quickly.

The center also works to train health care professionals to serve those in rural rural healthcare communities.

“The reason we’re in rural health is we’re the largest rural health facility in the country,” Johnson explained.

“We have access to primary care and other things.”

Johnson added that he believes rural healthcare needs to be better equipped with technology and resources to provide care to those in need.

“I think we need to be smarter and better equipped in terms of the technologies we have available,” Johnson added.

“But we need also to invest in the rural communities and build a better delivery system.”