The New York State Nurses Association (NYSNA) has released a report analyzing the state of patient care in New York’s rural North Country. Decades of systemic disinvestment, hospital consolidation, service reductions, and bed closures have eroded access to care in the region. Sun Community News reports the North Country, defined in the report as Clinton, Essex, Franklin, Hamilton, Jefferson, Lewis, and St. Lawrence counties, is the largest region in New York State. Despite the clear need for robust healthcare services in the region, hospitals and healthcare systems have continuously reduced both services and beds over the last decade, making it much harder for residents to access essential healthcare services.