Texas’ rural health care system is in serious trouble. The numerous problems plaguing rural health are well-documented and have been described as a succession of bad situations that are getting worse. They demand the Legislature’s immediate attention.

Rural Texans are older, sicker, poorer, and less likely to be insured than the average Texan. Rural hospitals, physician practices, and community clinics face significant financial distress and a constant risk of closure due to high uncompensate...