KEOKUK, Iowa — Folks in this Mississippi River town hope a new federal program can revive the optimism engraved long ago in a plaque on the side of their hospital. “Dedicated to the Future of Health Care in the Tri-State Area,” the sign declares. “May 11, 1981.” More recent placards posted at the facility’s entryways are ominous, however. “Closed,” they say. “No Trespassing.” The Keokuk hospital, which served rural areas of Iowa, Illinois, and Missouri, closed in October 2022. But new owners plan to reopen the hospital with the help of a new federal payment system. The Rural Emergency Hospital program guarantees hospitals extra cash if they provide emergency and outpatien
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