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Health Literacy in Rural Communities: Aligning Transformation with Needs

Mary Rozga, PhD, RDN Background Rural Health Disparities Rural communities in the United States face persistent and widening health disparities compared to non-rural populations, including significantly higher mortality rates.1–3 Natural-cause mortality is estimated to be 43% higher in rural areas,2 with elevated rates of both cardiovascular4 and diabetes5 related deaths. Rural residents also experience more […]

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Washington Survey Respondents Worry about High Hospital Costs; Face Challenges Understanding Quality and Cost of Care

Summary Hospitals provide essential services and are vital to the well-being of our communities. However, a recent survey of over 1,300 Washington adults conducted from September 9 to October 8, 2025, revealed a lack of confidence in navigating the health care system and understanding their cost sharing obligations. Challenges may at times be attributed to […]

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Ohio Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,600 Ohio adults, conducted from September 26 to October 14, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with poorer health outcomes, […]

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New Hampshire Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,300 New Hampshire adults, conducted from March 26 to May 14, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with poorer […]

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Idaho Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,300 Idaho adults, conducted from September 6 to September 30th, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with poorer health […]

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New Mexico Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,400 New Mexico adults, conducted from June 6 to July 8, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with poorer […]

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District of Columbia Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,000 District of Columbia adults, conducted from March 14 to May 15, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with […]

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Oregon Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,400 Oregon adults, conducted from June 6 to June 17, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which is associated with poorer health […]

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Colorado Survey Respondents Face Challenges Navigating the Health Care System, Understanding Cost-Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,400 Colorado adults, conducted from March 26 to April 12, 2024, found that many respondents face challenges confidently navigating the health care system and understanding their cost-sharing obligations. These challenges are sometimes attributed to insufficient levels of health insurance literacy or health literacy, which are both associated with poorer […]

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Rhode Island Survey Respondents Have Difficulty Navigating the Health Care System, Understanding Cost- Sharing Obligations; Express Bipartisan Support for Government Action

A 2024 survey of more than 1,000 Rhode Island adults, conducted from February 19 to March 27, 2024,found that many respondents face challenges confidently navigating the health care system andunderstanding their cost-sharing obligations. These challenges are sometimes attributed to low levelsof health insurance literacy.1 Inadequate health literacy2 (a closely related concept) has been associatedwith poorer health outcomes, […]

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