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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)

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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