Health

The Courier & Press

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Hoosiers need easy access to qualified health care providers | Opinion

On Sept. 26, the Indiana State Medical Association (ISMA) will welcome Dr. Willie Underwood III, the American Medical Association (AMA) president, as the keynote speaker for its annual convention. His remarks will focus on the “threat of scope creep,” a term that describes the expansion of healthcare services offered by non-physician providers. While physicians discuss the perceived threat of expanding professional roles, Hoosiers face a far greater threat: inaccessible and unaffordable healthcare. Millions of Hoosiers live in medically underserved areas, often waiting months for appointments. Every county in Indiana is federally designated as a mental healthcare professional shortage area, and similar shortages exist for primary care access in rural and underserved communities. These access issues lead to poor health outcomes, higher-than-average preventable hospitalizations, and expensive tertiary care. Nearly 25% of counties are “maternity care deserts,” meaning there is no hospital or birthing center providing obstetrical care for families. Indiana has only 52 rural hospitals remaining, many of which have reduced services because of financial pressures, including the closure of 14 rural obstetric units since 2020. These realities, not “scope creep,” represent the true healthcare crisis facing Indiana. Yet the AMA and state medical societies continue to oppose reforms designed to

Indiana · 09-21