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Montana’s healthcare system, especially in rural areas, is under serious strain. With staffing shortages, overwhelming patient loads, and a wave of new federal regulations, many hospitals are at a breaking point. In this episode, guest host Steve Arveschoug speaks with Ed Buttrey, former legislator and now President and CEO of the Montana Hospital Association, about what these changes mean for patients, providers, and the future of care across the state. From Medicaid reforms to rural hospital closures and rising healthcare costs, it’s a critical conversation about where Montana’s healthcare system is headed and what can still be done to protect it.