North Carolina took a historic step by expanding Medicaid, but the work is far from done. Rural communities across our state still face severe healthcare deserts, with hospitals closing and clinics understaffed. Expanding access to preventive care in these communities is not just a moral imperative — it is an economic one. When rural residents can access affordable healthcare, they stay healthier, remain in the workforce, and contribute to their local economies. The data from other states that expanded Medicaid early shows clear benefits: lower uninsured rates, improved health outcomes, and stronger rural economies. North Carolina must continue to build on this momentum.