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It's not just the financial part. There's still a huge shortage of qualified doctors. Even if you had infinite money to keep rural hospitals open, they couldn't all be staffed with enough doctors.
There's also a management issue. Most doctors are terrible at management, but it's common for doctors to make the bulk of hospital management. Professional managers have the opposite problem as they don't really understand patient care.
This leads to all sorts of odd problems, a notable one is the 12+ hour shift in most hospitals. This was done in part to reduce patient death, because transfer of care is the cause of most errors.