The “Trump country” angle:
https://www.cnn.com/2025/11/30/politics/trump-one-big-beautiful-bill-rural-healthcare
Between 1996 and 2006, 70+ hospitals in California closed. Most were in the LA area. At the time, the talk was that the closures were a result of the hospitals having to treat illegal aliens and losing money as a result. Now it’s just said it was because of financial problems.