More than 57 million rural Americans depend on their hospital not only as an important source of care but also as a critical component of their area's economic and social framework. Rural hospitals also face the same difficulties shared by many hospitals — including financial stress, workforce shortages, and inadequate reimbursement from government payers like Medicare and Medicaid, just to name a few. The AHA is engaged in many advocacy efforts to support rural hospitals and ensure access to care in rural communities.