Podcast Episode

The Top Issues Impacting Rural Healthcare Today

April 7th, 2026 | S1E1 | 6:55

What are the biggest challenges facing rural healthcare today? In this episode of Virtual Health Connections, host Jessica Gaikowski sits down with Mark Johnston, Vice President of Government Affairs at Avel eCare, to unpack the real pressures impacting rural hospitals and communities across the country. In this clip, Mark breaks down the core issues shaping rural healthcare today, from financial sustainability and workforce shortages to the growing demand for care in aging populations. He also explores what “access to care” truly means and why it goes far beyond geography. With decades of experience in telemedicine, Avel eCare continues to support rural providers by expanding access, strengthening care teams, and helping communities deliver high-quality care close to home.

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Meet the Host

Jessica Gaikowski, MBA, brings both heart and strategic insight to her role as host of Avel eCare: Virtual Health Connections. with a background in healthcare administration and business, she understands the complexities of healthcare delivery and now leads conversations shaping where the industry is headed.

As Executive Director of Marketing and Sales Operations at Avel eCare, Jessica has been part of the organization’s journey from its early foundation within a large South Dakota health system to its growth as a national virtual care leader. On the podcast, she connects with industry experts to explore how telemedicine is redefining access, supporting care teams, and strengthening communities.

When she’s not talking healthcare, you’ll find her spending time with her family or cheering on the Ohio State Buckeyes.

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