When I visit city relatives, I like to shop and stock up on certain things less expensive in the city such as coffee and over the counter health and beauty products. In rural United States, goods usually cost a little more. Less volume means higher prices– and we suffer from higher energy costs.
It’s not all bad. After all, we have low cost housing. Sadly, this also corresponds to low wages and resulting low Social Security. Rural families need more than one vehicle and it takes more energy to get places.
Currently, as we face the coronavirus pandemic, lack of medical care jumps to the top of the reasons not to live in rural America. Here in rural Iowa, our hospitals send critically ill people off to a big city such as Des Moines or Iowa City. It’s one of many reasons we face higher health insurance costs. On top of this, rural people are less likely to have paid sick leave and less likely to have a job which provides health insurance. If asked to work from home, a third have no access to reliable internet.
A rural person is more likely to die when critically ill than the urban counterpart. Low patient volume and cuts in Medicare funds translate to hospital closures and hospitals that remain face shortages in trained medical staff. Rural hospitals have fewer doctors, but sicker patients. They have less capacity to deal with a “medical surge” event, be it a mass shooting or a pandemic. The doctors and nurses are skilled. They have to be. They don’t have the back up teams urban doctors have. But they lack space and equipment. Rural hospitals even have a cap on how many people they can handle.
I was at the farm store picking up dog food today. After waking up in a coronavirus induced panic, I went early to avoid the crowds. Only the elderly were out, getting food for their pets, batteries, and soap. The mood was grim. The Country Muzak was silent because who needs a reminder of how bad things could get? After weeks of denial, the old dudes passing each other in the aisles were acknowledging the coming plague, talking between themselves about things getting really bad. I’m with them. For the next two weeks, I’m working from home.
If you venture out to the store, rural folks, don’t forget light bulbs. It’s dark in rural America. Real dark. And we’re out of toilet paper, like everybody else.