Notes on the health of rural america margolis richard j the quickest way to learn what is wrong with our us health system is to observe its malfunction in rural america where the lack of services shortage of physicians high cost of illness inadequate insurance coverage and lack of citizen voice in health proceedings are most profound. 1 american academy of family physicians 2015 rural practice keeping physicians in retrieved october 7 2015 from aafporg 2 hing e hsiao c us department of health and human services state variability in supply of office based primary care providers united states 2012. Note the most recent metro nonmetro classification was released in 2013 rural america at a glance 2017 edition overall rural population loss masks regional variation national center for health statistics centers for disease control and prevention. What are the causes of rural health disparities causes of health disparities in rural america are many and vary by region some frequently cited factors that underlie rural disparities include healthcare access socioeconomic status unhealthy behaviors and chronic conditions. Rural america also needs next generation care models that incorporate disease prevention and chronic disease management and attend to the social determinants of health particularly food insecurity and transportation challenges which are common in rural areas
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