"Families in rural areas are often forced to choose between a few powerful insurance companies. The result is that rural Americans are more likely to be uninsured, have higher out-of-pocket costs, and pay more for their insurance premiums than the rest of the country… By holding insurers accountable, the law frees families in rural communities from the worst abuses of the insurance industry and helps keep premiums down … Yet some in Congress say they want to repeal the law. We can’t afford to let that happen."
One study showing robust rates of surgical services for rural Americans should not be taken at face value. Healthcare services for this group are sorely lacking, but provisions within the ACA are in place to begin boosting both the amount and quality of healthcare. Repeal of the law would be a significant blow to this group.