Michigan's rural counties face barriers to health care | Crain's Detroit Business:
"The residents of Sanilac, another spread-out county of roughly 42,000 people with 45 people per square mile — compared with 174 statewide — are slow to adopt and loath to embrace the law, health officials say.
"They're not real interested in this — there isn't anything that's incentivizing them to sign up right now," said county health director Dianna Schafer.
"I don't have them pounding my door down. ... What it tells me is that something is going to happen, something is going to implode soon."
That's frustrating public and community health workers, who often are as vexed as their clients by the website's technical problems and confusing design.
Cook said she attended a recent meeting with colleagues from surrounding counties and successes were few and far between."
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