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Solutions for Rural Health: Addressing Disparities with Community-Led Approaches
Rural communities face unique health challenges that often go unnoticed. Limited access to healthcare, fewer providers, and socioeconomic barriers contribute to poorer health outcomes compared to urban areas. These disparities are not just statistics; they affect real people’s lives every day. To make a meaningful difference, we need practical, community-driven solutions that empower residents and improve access to quality care. This post explores effective strategies for sol
Irion Pursell


Improving Rural Healthcare Through Governance in Rural Healthcare
Access to quality healthcare remains a significant challenge in many rural areas. Limited resources, geographic isolation, and workforce shortages often leave these communities underserved. However, one powerful lever for change lies in governance reform. By reshaping how rural healthcare systems are governed, we can unlock new opportunities to improve health outcomes and empower local communities. In this post, I will explore how governance in rural healthcare can be transfo
Irion Pursell
The High Cost of Paperwork: Why Administrative Waste Is Holding Healthcare Back
And how a capitated payment model can free resources for true community health. When most people hear that the United States spends more on healthcare than any other country, they assume the money goes to hospitals, doctors, or medications. But a surprisingly large portion— between 25% and 30% of all healthcare spending —never touches a patient at all. It pays for administration . That means up to one out of every three dollars in our healthcare system goes to tasks like bil
Irion Pursell
Medical Education Integration
Healthy Communities Initiative (HCI) – Summary for Medical Education Integration Overview: The Healthy Communities Initiative (HCI) is a...
Irion Pursell


Community Partner
Why Delta Circles is the Perfect Partner for the Healthy Communities Initiative In the Mississippi Delta, challenges like poverty, food...
Irion Pursell
How a Rural Community in Arkansas Reimagined Healthcare—One Door at a Time
In Helena, Arkansas—a community long burdened by poverty and poor health—something remarkable happened. A new kind of healthcare pilot,...
Irion Pursell
MEDICAL UNDERSERVICE IN RURAL COMMUNITIES
It’s unlikely that the issue of medical underservice in rural communities will ever be fully resolved under the current structure of the...
Irion Pursell
Making the Case: Why Healthcare Funding Must Shift from Fee-for-Service to Capitation
I. The Problem: Fee-for-Service Rewards Volume, Not Value The current U.S. healthcare payment model overwhelmingly relies on...
Irion Pursell
Rural Health Needs a Surgical StrikE
In public health, we often talk about scale—how to reach the greatest number of people, how to roll out interventions across states or...
Irion Pursell
What Are Social Determinants of Health?
What Are Social Determinants of Health? Everything That Stands in the Way If you’ve worked in healthcare or public health, you’ve heard...
Irion Pursell
Why IS Emergency Medical Services (EMS)Missing from Community Disease Management and Prevention?
Why is Emergency Medical Services (EMS) Missing from Community Disease Management and Prevention? Why That Needs to Change Emergency...
Irion Pursell
A Crisis Hiding in Plain Sight
When we think of health disparities in the United States, our attention often turns to issues of race, income, or access to insurance....
Irion Pursell
Welcome to the Healthy Community Initiative (HCI)
A New Way Forward for Rural Health In communities across rural America, far too many people live with chronic illness, limited access to...
Irion Pursell
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