Op-ed: Healthy rural communities strengthen all of Indiana

For many Hoosiers living in rural Indiana, accessing health care can mean driving 30 minutes or even an hour to see a doctor or reach the nearest hospital. As workforce shortages and financial pressures challenge rural hospitals across the country, ensuring access to care close to home has become one of the most important health-care issues facing our state.

About one in four Indiana residents live in a rural community, yet access to health-care services in many of these communities continues to shrink. Across the nation, rural hospitals and clinics report extremely thin operating margins and often say workforce shortages and rising costs make it difficult to sustain services such as primary care, maternity care and behavioral health.

When rural communities struggle to maintain health-care access, the impact doesn’t stay confined to small towns. It ripples across the entire health-care system, contributing to increases in chronic conditions, reduced preventative care for children, and worsening outcomes for the sickest patients.

Communities such as Greater Lafayette serve as a regional hub for care, with hospitals like IU Health Arnett caring for patients from surrounding counties across north-central and west-central Indiana. That role is something we are proud to fulfill. But when rural residents must travel long distances for care that should be available closer to home, it places increasing pressure on emergency departments, specialty clinics and inpatient services at larger regional hospitals.

In many cases, what might have been a routine appointment, preventive screening or early diagnosis in a local clinic becomes far more serious by the time a patient reaches a larger hospital. A missed screening can escalate into a medical emergency.

That reality makes strengthening rural health care more important than ever — not just for rural communities, but for the health of the entire state.

One of the most important steps we can take is investing in the next generation of health-care professionals who will care for these communities.

At IU Health, we are working directly with local schools and community partners to help build that workforce pipeline. Across the region, IU Health has partnered with the Greater Lafayette Career Academy and area school districts to introduce students to health-care careers earlier and provide hands-on learning opportunities that bring those careers to life.

Through these programs, students explore health-care pathways and earn certifications such as certified nursing assistant, medical assistant or emergency medical technician while still in high school. Many participate in job shadowing opportunities, clinical experiences and mentorship programs, giving them valuable exposure to the field before they graduate. In fact, since the first cohort in 2023, IU Health has extended job offers to more than 70 students.

The goal is simple but powerful: help students see that meaningful careers in health care exist in their own communities and create pathways that allow them to stay and serve those communities.

For rural health care, this approach is critical. Students who train and develop personal mentorship connections locally are far more likely to remain in the region after completing their education. By helping young people build skills and connections early, we can create a sustainable workforce that strengthens health-care access in both rural communities and regional centers, including Greater Lafayette.

Since launching the $200 million Community Impact Investment Fund in 2018, IU Health has invested more than $40 million in community grants supporting workforce development, education and school-based programs that build Indiana’s health-care talent pipeline. This includes funding for the Indiana Latino Institute, which placed Latino students in health-care internships, supported career pathways, and provided medical interpreter training and college coaching to communities across the state.

Our goal is to make Indiana one of the healthiest states in the nation, and this is one way we work toward that in partnership with our communities.

But workforce development is only part of the solution.

Strengthening rural health care will also require continued collaboration between health-care providers, educators, community leaders and policymakers. Expanding telehealth access, supporting rural hospitals and investing in primary care and behavioral health services are all critical steps toward ensuring patients can receive care close to home.

Greater Lafayette will always play an important role as a regional health-care center, providing specialized care and advanced services for patients across a broad region. But the long-term health of Indiana’s health-care system depends on maintaining strong local access points for care in rural communities.

When rural clinics and hospitals can provide preventive care, manage chronic conditions and connect patients with the services they need early, the entire system works better.

Patients receive care sooner, communities stay healthier and larger hospitals can focus on the complex cases they are designed to treat.

Healthy rural communities do not just benefit the towns where they are. They strengthen Indiana’s entire health-care system by ensuring that every Hoosier — no matter where they live — has access to the care and resources they need to live healthier lives.

When rural health care succeeds, all of Indiana benefits.

Gary Henriott is a lifelong resident of Lafayette and the retired CEO and Chairman of Henriott Group.  He is the chair of the IU Health West Region board of directors and the Wabash Heartland Innovation Network, and president of Lafayette’s Board of Public Works and Safety.