[Agriculture Fact Book 98]

4.    Rural America

Rural Public Services

Rural local governments face special problems in providing services for their citizens. The following are rural characteristics that affect how rural local governments provide services:

Isolated rural communities often suffer from medical services and facilities that are of lower quality than those found in metro areas. Even if medical care services were evenly distributed across the Nation, and were of equal quality, it is likely that nonmetro residents with chronically low incomes would still have serious difficulty receiving adequate care in a complex medical system where access is based mainly on the ability to pay.

Because many rural communities are small and isolated, and lack financial resources and trained personnel, similar problems are encountered in the provision of other rural public services. Various approaches have been taken to deal with these problems:

Figure 4-2

Figure 4-3

Although most rural community residents do not enjoy the same level of public services available to urban area residents, much progress has been made in improving some rural services over the last 30 years. Rising incomes and increased aid from higher level governments have made possible more and better programs for rural governments.

The management capacity of rural governments to plan and carry out these programs has improved. For example, in the 1960's and 1970's a nationwide system of multicounty substate regional agencies was developed to help rural communities plan for and manage their new population growth.

Still, the institutional base of rural governments is more fragile than that of urban areas, and these isolated governments remain more vulnerable to external changes than do metropolitan governments.

Table 4-6

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