美政府拨款500亿美元用于乡村医疗转型，各州官员褒贬不一

Core Viewpoint - The U.S. government announced a $50 billion funding initiative for rural healthcare transformation to address the growing healthcare crisis in rural areas, although experts believe the funding is insufficient to offset significant losses from federal budget cuts, particularly in Medicaid [1][2]. Funding Allocation - A total of $10 billion will be allocated by 2026, with individual states receiving between $145 million and $281 million, depending on rural population size [2]. - The funding distribution follows a "dual-track" system: half is evenly distributed among states, while the other half is allocated based on a formula considering rural population size, financial status of healthcare institutions, and overall health levels of residents [2]. - Future funding of $12 billion over five years is tied to states implementing the Trump administration's "Healthier America" policies, which include nutrition education and restrictions on SNAP funding for junk food [2]. Controversy and Opposition - The funding plan has sparked controversy, with some Democratic-led states refusing to include restrictions on SNAP funding, arguing that the plan is politically motivated to favor allies and penalize opponents [3]. - Critics of the funding distribution argue that the equal allocation to all states disadvantages larger states, as smaller states receive a disproportionately higher per capita amount [3]. - Experts warn that the allocated funds are inadequate to cover the projected $137 billion loss for rural hospitals over the next decade, with approximately 300 rural hospitals at risk of closure due to Republican spending plans [3].