Oh, I forgot to mention, without Federal money, most hospitals would go under. Our obscene spending on Medicare and Medicaid are outrageous. I had a nurse who went off on how she was "independent" of anyone, and when their Medicare reimbursements were reduced she was fired. But she was a "private sector" fire.
Critical access hospitals rely on federal money quite directly. Medicare pays very little of what true costs are, but they do pay I suppose.
If you jump to Obama’s tunes correctly, they will pay.