They counted on a rural dialysis unit to keep them alive. Then it closed

Mark Pieper sits in his pickup after receiving one of his last dialysis treatments in Chadron, Nebraska, before the rural hospital there shut down that service due to financial challenges. "I guess I

A hospital in Nebraska shut down the only dialysis unit for miles, upending lives. That's despite a new federal program that gave the state more than $200 million to improve rural health care access.

(Image credit: Arielle Zionts/KFF Health News)