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In this July 14 2017 photo, Jonathan Nickell checks his iPad while waiting for his wife to have surgery at the St. Joseph Mount Sterling hospital in Mount Sterling, Ky. Nickell said rural hospitals are essential to their community. Many rural hospitals have struggled financially because they serve large populations of poor people who don't have insurance. (AP Photo/Adam Beam)

In this July 14 2017 photo, Jonathan Nickell checks his iPad while waiting for his wife to have surgery at the St. Joseph Mount Sterling hospital in Mount Sterling, Ky. Nickell said rural hospitals are essential to their community. Many rural hospitals have struggled financially because they serve large populations of poor people who don't have insurance. (AP Photo/Adam Beam)

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