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Regional airports, typically serving smaller cities with limited passenger volumes, occupy a precarious position in the aviation industry, often operating at a loss that requires subsidy from local governments or federal rural aviation programs. Airlines frequently withdraw service from these routes when larger, more profitable markets offer better returns on limited aircraft availability, leaving some communities with sporadic or no scheduled flights. Proponents argue that maintaining regional air access is essential for medical evacuations, business investment, and connecting isolated populations to larger hub airports. Some regions have responded by pooling resources to guarantee minimum revenue to airlines willing to maintain routes, a practice sometimes called essential air service. Critics counter that such subsidies divert public funds that might otherwise support cheaper alternatives like improved highway or rail connections, particularly in areas within a few hours' drive of a major airport.