Half of Rural Texas Hospitals Could Close

Texas has lost 25 rural hospitals in the last two decades, more than any other state.

1 minute read

July 28, 2025, 9:00 AM PDT

By Diana Ionescu @aworkoffiction


Single-story tan former hospital building in rural Baird, Texas.

The former Callahan County Hospital in Baird, Texas. | Larry D. Moore, CC BY 4.0, via Wikimedia Commons / Wikimedia Commons

More than half of rural hospitals in Texas are at risk of closure, putting more of the state’s population farther from medical care. “Recent data indicates that 108 of those hospitals have reduced or lost critical services. Eighty-seven are at risk of closure, and 22 face the threat of shutting down immediately,” explains Madeline de Figueiredo in The Daily Yonder. Meanwhile, much of the rural population is older, with a growing need for healthcare services.

Hospitals are primarily closing due to financial issues. “Compared to urban areas, rural communities often have older, sicker, poorer, and more underinsured populations, along with lower patient volumes and limited purchasing power.” Texas also has one of the highest uninsured rates in the nation, with almost 22 percent of adults between 19 and 64 lacking insurance.

For rural communities, these closures can have devastating consequences. According to de Figueiredo, patient mortality rates increase by 8.7 percent when a rural hospital closes. When an urban hospital closes, mortality rates remain unchanged since there are usually other nearby facilities available.

Monday, July 28, 2025 in The Daily Yonder

Young Professional

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban and Environmental Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban and Environmental Planner

Get top-rated, practical training for planners

"Planetizen federal action tracker" logo superimposed over black and white image of US Capitol dome.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

2 hours ago - Zachary Whalen

Overlapping highways

The state-sanctioned urbicide of Austin

People don’t kill cities. Freeways do.

September 8, 2026 - Benjamin Schneider

The Hoover Dam blocking the Colorado River. The river's water level is noticeably low. The cliffs surrounding the blue water are brown and jagged.

US to reduce Colorado River water deliveries to Mexico

A new Colorado Treaty amendment reduces Mexico’s Colorado River water allocation by 250,000 acre feet.

September 11, 2026 - The Arizona Republic

A brick building with a circular sign with the Airbnb logo hanging off of it.

Airbnb launches $250 million 'last-dollar financing' housing accelerator, makes first investment in Austin

The company will put $6.4 million towards affordable housing development in Texas’ capital.

15 minutes ago - Smart Cities Dive

One side of the image shows a Chicago bus stop without a bench, the second image shows the bus stop with a yellow and blue bench.

Guerilla urbanists are building DIY bus stop benches in Chicago

A before-and-after of one of the bus stops with a new bench. The new benches are not officially sanctioned or permitted, but the residents who placed them hope they will be the start of a network of DIY benches across the city.

1 hour ago - Block Club Chicago

NYC Mayor Zohran Mandami speaks behind a blue podium.

Mamdani overhauls NYC's Vision Zero plan with 100 new policy goals

The overhaul aims to reduce traffic deaths and make streets safer for pedestrians, cyclists and drivers through lower speed limits, new safety infrastructure and more.

2 hours ago - ABC 7 Eyewitness News

FREE Course: Walkable City 1: Why Walkability?

After describing his path towards focusing on walkability as the essence of good planning, Jeff Speck marches through his five principal reasons for making more walkable places.

Reinventing Malls: Planning Alchemy—Turning Gray Fields Into Gold

The course focuses on the opportunities and imperatives that shape reinvention of mall sites.