Evidence map›Paper›PMID 41817113›Full record

ReviewAnesthesiology2026

Rural America Nears a Cliff: Federal Funding Cuts Threaten Health Systems and Anesthesia Care.

Charley Yan, Naileshni S Singh, Chinar D Sanghvi, Scott G Pritzlaff

Abstract readReview
In one paragraph

Review in Anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Charley YanUniversity of California, Davis School of Medicine, Sacramento, California.ORCID 0009-0007-2767-2623
Naileshni S SinghDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, California.ORCID 0000-0002-8838-5325
Chinar D SanghviDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, California.
Scott G PritzlaffDepartment of Anesthesiology and Pain Medicine, University of California, Davis, Sacramento, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rural hospitals operate on thin margins, sustained largely by federal funding through Medicaid and bolstered by the Affordable Care Act premium subsidies. As these supports erode due to recent federal legislative changes through the One Big, Beautiful Bill Act and a failure of the U.S. Congress to renew Affordable Care Act monies, millions will lose affordable insurance. For anesthesiologists, these changes will translate into closed healthcare systems, cancelled cases, less coverage for medication-assisted treatment used in opioid use disorder, and shrinking surgical capacity. These changes will be disproportionately felt in rural America, where residents already faced disparities in health care. Protecting coverage and rural hospital funding is not just a matter of equity; it is central to maintaining safe, timely anesthesia care for millions of Americans.

Indexed as

AnesthesiaDelivery of Health CareFinancing, GovernmentHospitals, RuralPatient Protection and Affordable Care ActHumansMedicaidUnited States

Identifiers

PMID41817113
PMCPMC13089808

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.