Health-Care Initiatives, Strategies, and Challenges for People with Disabilities in Rural, Frontier, and Territory Settings

  • Erma J. LawsonEmail author


The purpose of this chapter is to examine the implications of the US Affordable Care Act (ACA) for rural residents with disabilities. Special attention is given to rural health disparities, challenges of health-care services, availability of medical providers, and the confluence of poverty. Barriers to health care and health delivery that significantly impact health outcomes for rural residents are highlighted. Most importantly, it suggests that the Affordable Care Act has substantially decreased the number of uninsured individuals and established a number of provisions to impact the quality of health care in rural communities. However, even after the Affordable Care Act, health inequities remain. Further, this chapter explores proposals to improve rural health services and presents initiatives to “tweak,” replace, and expand the Affordable Care Act.


Affordable Care Act (ACA) Rural health Disability Barriers to rural health care Rural health disparities 


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© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.University of North Texas Department of SociologyDentonUSA

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