Rural Health Quotes

We know, at least, that this decision (ending factory farming) will help prevent deforestation, curb global warming, reduce pollution, save oil reserves, lessen the burden on rural America, decrease human rights abuses, improve publish health, and help eliminate the most systematic animal abuse in history.

Socialism is not about big concepts and heavy theory. Socialism is about decent shelter for those who are homeless. It is about water for those who have no safe drinking water. It is about health care, it is about a life of dignity for the old. It is about overcoming the huge divide between urban and rural areas. It is about a decent education for all our people. Socialism is about rolling back the tyranny of the market. As long as the economy is dominated by an unelected, privileged few, the case for socialism will exist.

The all-pervading disease of the modern world is the total imbalance between city and countryside, an imbalance in terms of wealth, power, culture, attraction and hope. The former has become over-extended and the latter has atrophied. The city has become the universal magnet, while rural life has lost its savour. Yet it remains an unalterable truth that, just as a sound mind depends on a sound body, so the health of the cities depends on the health of the rural areas. The cities, with all their wealth, are merely secondary producers, while primary production, the precondition of all economic life, takes place in the countryside. The prevailing lack of balance, based on the age-old exploitation of countryman and raw material producer, today threatens all countries throughout the world, the rich even more than the poor. To restore a proper balance between city and rural life is perhaps the greatest task in front of modern man.

There is a biblical benchmark I now use. We will refer to this criterion for every hard question, big idea, topic, assessment of our own obedience, every “should” or “should not” and “will” or “will not” we ascribe to God, every theological sound bite. Here it is: If it isn’t also true for a poor single Christian mom in Haiti, it isn’t true. If a sermon promises health and wealth to the faithful, it isn’t true, because that theology makes God an absolute monster who only blesses rich westerners and despises Christians in Africa, India, China, South America, Russia, rural Appalachia, inner-city America, and everywhere else a sincere believer remains poor. If it isn’t also true for a poor single Christian mom in Haiti, it isn’t true.

If people's night fears of sorcery - which negatively influences their decision to use mosquito nets - fail to impress the outsider, the brute everyday reality remains; in a number of rural African villages it is still much too common for very real hyenas to snatch people, especially children, out of their own homes as they lie sleeping at night, because of the lack of a good front door.

According to Chinese scholars who conducted field research in villages of ten provinces in 1995, 10 percent of China’s rural women suffered from health problems caused by forced abortions and sterilization surgeries.

If we are at all serious about ending factory farming, then the absolute least we can do is stop sending checks to the absolute worst abusers. For some, the decision to eschew factory-farmed products will be easy. For others, the decision will be a hard one. To those for whom it sounds like a hard decision (I would have counted myself in this group), the ultimate question is whether it is worth the inconvenience. We know, at least, that this decision will help prevent deforestation, curb global warming, reduce pollution, save oil reserves, lessen the burden on rural America, decrease human rights abuses, improve public health, and help eliminate the most systematic animal abuse in world history.

Everyone walks everywhere in country towns, especially the children. Although most are unaware of its impact, it automatically connects bodies to the land. All the temperature changes are keenly felt when little divides the body from its surroundings.

decision will help prevent deforestation, curb global warming, reduce pollution, save oil reserves, lessen the burden on rural America, decrease human rights abuses, improve public health, and help eliminate the most systematic animal abuse in world history.

Maternal health generally gets minimal attention because those who die or suffer injuries overwhelmingly start with three strikes against them: They are female, they are poor, and they are rural. Women are marginalized in the developing world, They are an expendable commodity.

The lifetime prevalence of dissociative disorders among women in a general urban Turkish community was 18.3%, with 1.1% having DID (ar, Akyüz, & Doan, 2007). In a study of an Ethiopian rural community, the prevalence of dissociative rural community, the prevalence of dissociative disorders was 6.3%, and these disorders were as prevalent as mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%) (Awas, Kebede, & Alem, 1999). A similar prevalence of ICD-10 dissociative disorders (7.3%) was reported for a sample of psychiatric patients from Saudi Arabia (AbuMadini & Rahim, 2002).

More than a million of our public schoolchildren are homeless, living in motels, cars, shelters, and abandoned buildings. After arriving in prison, many incarcerated Americans suddenly find that their health improves because the conditions they faced as free (but impoverished) citizens were worse. More than 2 million Americans don’t have running water or a flushing toilet at home. West Virginians drink from polluted streams, while families on the Navajo Nation drive hours to fill water barrels. Tropical diseases long considered eradicated, like hookworm, have reemerged in rural America’s poorest communities, often the result of broken sanitation systems that expose children to raw sewage.

The much later age of menarche in rural China is remarkable. Twenty-five women in each of the 130 villages in the survey were asked when they had their first menstrual period. The range of village averages was fifteen to nineteen years, with an average of seventeen years. The U.S. average is roughly eleven years! Many studies have shown that earlier menarche leads to higher risk for breast cancer.

Forty-two percent of rural residents in the poll agreed with the statement “Immigrants are a burden on our country because they take our jobs, housing and health care.” Only 16 percent of urban residents agreed with this characterization of immigrants as burdensome. The poll suggests that the politics of rural versus urban is a promising avenue for sowing division for demagogically minded U.S. politicians, particularly around the topic of immigration.

group discussion techniques could be employed to change a variety of similarly entrenched behaviors involving health practices and child care. For example, when rural mothers in a maternity hospital were individually advised by a nutritionist to administer cod-liver oil to their newborn infants, only about 20 percent complied within the initial test period. When the same information was introduced in the context of a six person discussion group, the rate of immediate compliance more than doubled, reaching 45 percent.

On September 11, 1973, General Augusto Pinochet led a successful coup that overthrew the elected socialist government of President Salvador Allende in Chile. Ruling in the name of economic liberty, the Pinochet junta became one of the most notorious authoritarian regimes in recent history. With mass killings, widespread torture, and systematic intimidation, Pinochet’s forces crushed the trade union movement, vanquished the rural farmers seeking land reform, stifled student activism, and imposed radical and unpopular changes in schooling, health care, social security, and more. As Orlando Letelier, the soon-to-be-assassinated Chilean ambassador to the United States, explained in The Nation, the economic program and the repression were inseparable: social and political “regression for the majorities and ‘economic freedom’ for small privileged groups” went together.1 The military coup obliterated the citizen-led organizing that had made Chile a beacon to the rest of Latin America of what might be achieved by democratic, electoral means.2

Certainly, patients may be noncompliant, but how relevant is the notion of compliance in rural Haiti? Doctors may instruct their patients to eat well. But the patients will 'refuse' if they have no food. They may be told to sleep in an open room and away from others, and here again they will be 'noncompliant' if they do not expand and remodel their miserable huts. They may be instructed to go to a hospital. But if hospital care must be paid for in cash, as is the case throughout Haiti, and the patients have no cash, they will be deemed 'grossly negligent'.

What was still preventable in the 1980s would, in a couple decades, become manifest; what once was treatable would become deadly. I'm not sure my immediate family's brushes with death when I was a kid-mom's hemorrhage in childbirth, Grandma's collapsed lung, Dad's chemical poisoning-would be survived today. Mom would have been less healthy going into labor, Grandma would have been sent home too soon for lack of insurance, Dad would have been given a cheaper and less effective treatment. The morality rate for poor rural women, in particular, has risen sharply over my lifetime. Health insurance had been around for a long time, of course, but the power of that industry had swelled up fast, transforming access to care and all the costs that come with it.

The city houses are certainly of great splendor and conveniency to a gentleman...But perhaps he will not reap much less utility and consolation from the country house; where time will be passed in seeing and adorning his own possessions, and by industry, and the art of agriculture, improving his estate; where also by the exercise which in a villa is commonly taken, on foot and horseback, the body will more easily preserve its strength and health; and finally, where the mind, fatigued by the agitations of the city, will be greatly restored and comforted, and be able to quietly attend to the studies of letters and contemplation. Hence it was the ancient sages commonly used to retire to such like places; where...they could easily attain to as much happiness as can be attained here below.

The future will be decided in a thousand American urban neighborhoods and suburban conference centers and small-town church basements and library meeting rooms and rural kitchens... The future of mental health reform will depend upon whether enough people gather in enough of such venues as these to contemplate work of Dorothea Dix by joining to reject and extinguish our modern Bedlams, and replace these Bedlams with a reborn and more sophisticated and more enduring program of moral care. It will depend upon whether enough people will take notice of and be inspired by the rediscovery made by sociologists and psychiatrists: that kindness, companionship, and intimate care are demonstrable counterforces to deepening psychosis. Not cures, but counterforces, particularly when practiced in concert with psychotropic regimens that fit the specific nature of a person's affliction as well as that person's specific biosystem.

In his first two years in office, with a slender majority in the House of Representatives and a Senate split fifty-fifty, the Democrats managed to pass historic legislation that echoed that of FDR and LBJ, shoring up the economy, rebuilding the country’s infrastructure, and investing in the future, trying to bring the disaffected Americans who had given up on democracy back into the fold. In March 2021, Democrats passed the $1.9 trillion American Rescue Plan to combat the coronavirus pandemic and stimulate the economy that it had hobbled. In November 2021, some Republicans were persuaded to get on board to pass the $1.2 trillion Bipartisan Infrastructure Law to rebuild the country’s roads and bridges and to install broadband in rural areas across the nation. A few Republicans also backed the 2022 CHIPS and Science Act, which invested $52 billion in the domestic manufacture of semiconductors and boosted scientific research in the U.S. And in August 2022, the Democrats passed the Inflation Reduction Act, which made historic investments in addressing climate change, expanded health coverage, reduced the deficit, and raised taxes on corporations and the very wealthy.

If you proprose the idea of anarchism to a roomful of ordinary people, someone will almost inevitably object: but of course we can’t eliminate the state, prisons, and police. If we do, people will simply start killing one another. To most, this seems simple common sense. The odd thing about this prediction is that it can be empirically tested; in fact, it frequently has been empirically tested. And it turns out to be false. True, there are one or two cases like Somalia, where the state broke down when people were already in the midst of a bloody civil war, and warlords did not immediately stop killing each other when it happened (though in most respects, even in Somalia, a worst-case hypothesis, education, health, and other social indicators had actually improved twenty years after the dissolution of the central state!). And of course we hear about the cases like Somalia for the very reason that violence ensues. But in most cases, as I myself observed in parts of rural Madagascar, very little happens. Obviously, statistics are unavailable, since the absence of states generally also means the absence of anyone gathering statistics. However, I’ve talked to many anthropologists and others who’ve been in such places and their accounts are surprisingly similar. The police disappear, people stop paying taxes, otherwise they pretty much carry on as they had before. Certainly, they do not break into a Hobbesian "war of all against all." (p. 206)

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

it isn’t also true for a poor single Christian mom in Haiti, it isn’t true. If a sermon promises health and wealth to the faithful, it isn’t true, because that theology makes God an absolute monster who only blesses rich westerners and despises Christians in Africa, India, China, South America, Russia, rural Appalachia, inner-city America, and everywhere else a sincere believer remains poor. If it isn’t also true for a poor single Christian mom in Haiti, it isn’t true. If doctrine elevates a woman’s married-with-children status as her highest calling, it isn’t true, because that omits single believers (whose status Paul considered preferable), widows, the childless by choice or fate or loss, the divorced, and the celibate gay. If these folks are second-class citizens in the kingdom because they aren’t married with children, then God just excluded millions of people from gospel work, and I guess they should just eat rocks and die. If it isn’t also true for a poor single Christian mom in Haiti, it isn’t true. Theology is either true everywhere or it isn’t true anywhere. This helps untangle us from the American God Narrative and sets God free to be God instead of the My-God-in-a-Pocket I carried for so long. It lends restraint when declaring what God does or does not think, because sometimes my portrayal of God’s ways sounds suspiciously like the American Dream and I had better check myself. Because of the Haitian single mom. Maybe I should speak less for God. This brings me to the question at hand, another popular subject I am asked to pontificate on: What is my calling? (See also: How do I know my calling? When did you know your calling? How can I get your calling? Has God told you my calling? Can you get me out of my calling?) Ah yes, “The Calling.” This is certainly a favorite Christian concept over in these parts. Here is the trouble: Scripture barely confirms our elusive calling—the bull’s-eye, life purpose, individual mission every hardworking Protestant wants to discover. I found five scriptures, three of which referred to

During the second half of the sixties, the center of the crisis shifted to the sprawling ghettos of the North. Here black experience was radically different from that in the South. The stability of institutional relationships was largely absent in Northern ghettos, especially among the poor. Over twenty years ago, the black sociologist E. Franklin Frazier was able to see the brutalizing effect of urbanization upon lower class blacks : ". . . The bonds of sympathy and community of interests that held their parents together in the rural environment have been unable to withstand the disintegrating forces in the city." Southern blacks migrated North in search of work, seeking to become transformed from a peasantry into a working class. But instead of jobs they found only misery, and far from becoming a proletariat, they came to constitute a lumpenproletariat, an underclass of rejected people. Frazier's prophetic words resound today with terrifying precision: ". . . As long as the bankrupt system of Southern agriculture exists, Negro families will continue to seek a living in the towns and cities of the country. They will crowd the slum areas of Southern cities or make their way to Northern cities, where their family life will become disrupted and their poverty will force them to depend upon charity." Out of such conditions, social protest was to emerge in a form peculiar to the ghetto, a form which could never have taken root in the South except in such large cities as Atlanta or Houston. The evils in the North are not easy to understand and fight against, or at least not as easy as Jim Crow, and this has given the protest from the ghetto a special edge of frustration. There are few specific injustices, such as a segregated lunch counter, that offer both a clear object of protest and a good chance of victory. Indeed, the problem in the North is not one of social injustice so much as the results of institutional pathology. Each of the various institutions touching the lives of urban blacks—those relating to education, health, employment, housing, and crime—is in need of drastic reform. One might say that the Northern race problem has in good part become simply the problem of the American city—which is gradually becoming a reservation for the unwanted, most of whom are black.

Robert Askins Brings ‘Hand to God’ to Broadway Chad Batka for The New York Times Robert Askins at the Booth Theater, where his play “Hand to God” opens on Tuesday. By MICHAEL PAULSON The conceit is zany: In a church basement, a group of adolescents gathers (mostly at the insistence of their parents) to make puppets that will spread the Christian message, but one of the puppets turns out to be more demonic than divine. The result — a dark comedy with the can-puppets-really-do-that raunchiness of “Avenue Q” and can-people-really-say-that outrageousness of “The Book of Mormon” — is “Hand to God,” a new play that is among the more improbable entrants in the packed competition for Broadway audiences over the next few weeks. Given the irreverence of some of the material — at one point stuffed animals are mutilated in ways that replicate the torments of Catholic martyrs — it is perhaps not a surprise to discover that the play’s author, Robert Askins, was nicknamed “Dirty Rob” as an undergraduate at Baylor, a Baptist-affiliated university where the sexual explicitness and violence of his early scripts raised eyebrows. But Mr. Askins had also been a lone male soloist in the children’s choir at St. John Lutheran of Cypress, Tex. — a child who discovered early that singing was a way to make the stern church ladies smile. His earliest performances were in a deeply religious world, and his writings since then have been a complex reaction to that upbringing. “It’s kind of frustrating in life to be like, ‘I’m a playwright,’ and watch people’s face fall, because they associate plays with phenomenally dull, didactic, poetic grad-schoolery, where everything takes too long and tediously explores the beauty in ourselves,” he said in a recent interview. “It’s not church, even though it feels like church a lot when we go these days.” The journey to Broadway, where “Hand to God” opens on Tuesday at the Booth Theater, still seems unlikely to Mr. Askins, 34, who works as a bartender in Brooklyn and says he can’t afford to see Broadway shows, despite his newfound prominence. He seems simultaneously enthralled by and contemptuous of contemporary theater, the world in which he has chosen to make his life; during a walk from the Cobble Hill coffee shop where he sometimes writes to the Park Slope restaurant where he tends bar, he quoted Nietzsche and Derrida, described himself as “deeply weird,” and swore like, well, a satanic sock-puppet. “If there were no laughs in the show, I’d think there was something wrong with him,” said the actor Steven Boyer, who won raves in earlier “Hand to God” productions as Jason, a grief-stricken adolescent with a meek demeanor and an angry-puppet pal. “But anybody who is able to write about such serious stuff and be as hilarious as it is, I’m not worried about their mental health.” Mr. Askins’s interest in the performing arts began when he was a boy attending rural Texas churches affiliated with the conservative Lutheran Church-Missouri Synod denomination; he recalls the worshipers as “deeply conservative, old farm folks, stone-faced, pride and suffering, and the only time anybody ever really livened up was when the children’s choir would perform.” “My grandmother had a cross-stitch that said, ‘God respects me when I work, but he loves me when I sing,’ and so I got into that,” he said. “For somebody who enjoys performance, that was the way in.” The church also had a puppet ministry — an effort to teach children about the Bible by use of puppets — and when Mr. Askins’s mother, a nurse, began running the program, he enlisted to help. He would perform shows for other children at preschools and vacation Bible camps. “The shows are wacky, but it was fun,” he said. “They’re badly written attempts to bring children to Jesus.” Not all of his formative encounters with puppets were positive. Particularly scarring: D

I’m excited to announce that Book 2 of our series, My Job: More People at Work Around the World, is in production. Having met hundreds of people in fascinating jobs, I faced an enormous challenge in selecting the stories to include in Book 2 . . . but I believe this collection will surprise and delight you. It covers a range of jobs in the following sections: Health and Recovery Education and Finance Agribusiness and Food Processing Arts and Culture Activism and Diplomacy The book allows you to experience what it’s like to be an addiction-recovery counselor trained as a clown in London, an art teacher working with gang members in Chicago, a midwife working in rural villages in Guatemala, or a mobile-banking agent making her first million in Zambia. Book 2 will take you places you’ve never been, from the Appalachian Mountains of West Virginia to a serene beach in Tel Aviv, Israel, and take you deep into the true stories of what it’s like to work at jobs as disparate as teaching a grieving widow to dance, to negotiating with a terrorist. The book will publish in March and is available for preorder at Amazon.

Before the Industrial Revolution began, the world’s population was less than one billion, mostly consisting of rural farmers who did all their work using manual labor or domesticated animals. Now there are seven billion people, more than half of us live in cities, and we use machines to do the majority of our work. Before the Industrial Revolution, people’s work on the farm required a wide range of skills and activities, such as growing plants, tending animals, and doing carpentry. Now many of us work in factories or offices, and people’s jobs often require them to specialize in doing just a few things, such as adding numbers, putting the doors on cars, or staring at computer screens. Before the Industrial Revolution, scientific inventions had little effect on the daily life of the average person, people traveled little, and they ate only minimally processed food that was grown locally. Today, technology permeates everything we do, we think nothing of flying or driving hundreds or thousands of miles, and much of the world’s food is grown, processed, and cooked in factories far from where it is consumed. We have also changed the structure of our families and communities, the way we are governed, how we educate our children, how we entertain ourselves, how we get information, and how we perform vital functions like sleep and defecation. We have even industrialized exercise: more people get pleasure from watching professional athletes compete in televised sports than by participating in sports themselves.6

Chart 4.4: Disease Groupings Observed in Rural China Disease of Affluence (Nutritional extravagance) Cancer (colon, lung, breast, leukemia, childhood brain, stomach, liver), diabetes, coronary heart disease Disease of Poverty (Nutritional inadequacy and poor sanitation) Pneumonia, intestinal obstruction, peptic ulcer, digestive disease, pulmonary tuberculosis, parasitic disease, rheumatic heart disease, metabolic and endocrine disease other than diabetes, diseases of pregnancy, and many others Disease associations of this

The Inside of Sister Linda’s Door In the poorest rural parts of Africa, it is still the nuns who maintain many basic health services. Some of these clever, hardworking, and pragmatic women became my closest colleagues. Sister Linda, whom I worked with in Tanzania, was a devout Catholic nun who dressed all in black and prayed three times a day. The door to her office was always open—she closed it only during health-care consultations—and on its outside, the first thing you saw as you entered, was a glossy poster of the pope. One day, she and I were in her office and started discussing a sensitive matter. Sister Linda stood up and closed the door, and for the first time I saw what was on its inside: another large poster and, attached to it, hundreds of little bags of condoms. When Sister Linda turned back around and saw my surprised face she smiled—as she often did when discovering my countless stereotypes of women like her. “The families need them to stop both AIDS and babies,” she said simply. And then she continued our discussion.

When Richard Cooper went to medical school at the University of Arkansas in the late 1960s, he was stunned at how many of his black patients were suffering from high blood pressure. He would encounter people in their forties and fifties felled by strokes that left them institutionalized. When Cooper did some research on the problem, he learned that American doctors had first noted the high rate of hypertension in American blacks decades earlier. Cardiologists concluded it must be the result of genetic differences between blacks and whites. Paul Dudley White, the preeminent American cardiologist of the early 1900s, called it a “racial predisposition,” speculating that the relatives of American blacks in West Africa must suffer from high blood pressure as well. Cooper went on to become a cardiologist himself, conducting a series of epidemiological studies on heart disease. In the 1990s, he finally got the opportunity to put the racial predisposition hypothesis to the test. Collaborating with an international network of doctors, Cooper measured the blood pressure of eleven thousand people. Paul Dudley White, it turned out, was wrong. Farmers in rural Nigeria and Cameroon actually had substantially lower blood pressure than American blacks, Cooper found. In fact, they had lower blood pressure than white Americans, too. Most surprisingly of all, Cooper found that people in Finland, Germany, and Spain had higher blood pressure than American blacks. Cooper’s findings don’t challenge the fact that genetic variants can increase people’s risk of developing high blood pressure. In fact, Cooper himself has helped run studies that have revealed some variants in African Americans and Nigerians that can raise that risk. But this genetic inheritance does not, on its own, explain the experiences of African and European Americans. To understand their differences, doctors need to examine the experiences of blacks and whites in the United States—the stress of life in high-crime neighborhoods and the difficulty of getting good health care, for example. These are powerful inheritances, too, but they’re not inscribed in DNA. For scientists carrying out the hard work of disentangling these influences, an outmoded biological concept of race offers no help. In the words of the geneticists Noah Rosenberg and Michael Edge, it has become “a sideshow and a distraction.

Rural Indian families who got cable TV began to have a lower birthrate than families without TV. (In a country like India, a lower birthrate generally means more autonomy for women and fewer health risks.)

The whole mask thing was another thing that didn’t make sense to me. In Manitoba, even some of the rural people were masking up and lecturing you about masks, because that’s what they believed would protect them, like it was some kind of magic fabric. But when the whole pandemic started, the public health officials were telling us masks were useless.

Nor can economic anxiety explain why rural African Americans, Latinos, and Native Americans – all of whom face even greater economic and health challenges than their White neighbors – exhibit stronger democratic commitments than do rural Whites. We offer a simple explanation for this racialized aspect of the patriotic paradox: Non-White rural citizens are not now nor have they ever been part of what we call America's essential minority.

Such narratives were recalled in Canada in 2009 amid public-health responses to the H1N1 epidemic, after federal agencies delivered to rural northern Native communities vaccine and face masks accompanied by unmandated body bags. Outraged community health leaders deplored this as a sign that the very agencies charged with protecting them had given up and were being readied for their deaths. Here, an epidemiological reading that public-health measures cannot prevent epidemic in rural northern Native communities appears as the rationalizing logic of a settler colonial biopolitics.

and Medicaid, which would help expand coverage and bring down costs. The other thing we should be honest about is how hard it’s going to be, no matter what we do, to create significant economic opportunity in every remote area of our vast nation. In some places, the old jobs aren’t coming back, and the infrastructure and workforce needed to support big new industries aren’t there. As hard as it is, people may have to leave their hometowns and look for work elsewhere in America. We know this can have a transformative effect. In the 1990s, the Clinton administration experimented with a program called Moving to Opportunity for Fair Housing, which gave poor families in public housing vouchers to move to safer, middle-income neighborhoods where their children were surrounded every day by evidence that life can be better. Twenty years later, the children of those families have grown up to earn higher incomes and attend college at higher rates than their peers who stayed behind. And the younger the kids were when they moved, the bigger boost they received. Previous generations of Americans actually moved around the country much more than we do today. Millions of black families migrated from the rural South to the urban North. Large numbers of poor whites left Appalachia to take jobs in Midwestern factories. My own father hopped a freight train from Scranton, Pennsylvania, to Chicago in 1935, looking for work. Yet today, despite all our advances, fewer Americans are moving than ever before. One of the laid-off steelworkers I met in Kentucky told me he found a good job in Columbus, Ohio, but he was doing the 120-mile commute every week because he didn’t want to move. “People from Kentucky, they want to be in Kentucky,” another said to me. “That’s something that’s just in our DNA.” I understand that feeling. People’s identities and their support systems—extended family, friends, church congregations, and so on—are rooted in where they come from. This is painful, gut-wrenching stuff. And no politician wants to be the one to say it. I believe that after we do everything we can to help create new jobs in distressed small towns and rural areas, we also have to give people the skills and tools they need to seek opportunities beyond their hometowns—and provide a strong safety net both for those who leave and those who stay. Whether it’s updating policies to meet the changing conditions of America’s workers, or encouraging greater mobility, the bottom line is the same: we can’t spend all our time staving off decline. We need to create new opportunities, not just slow down the loss of old ones. Rather than keep trying to re-create the economy of the past, we should focus on making the jobs people actually have better and figure out how to create the good jobs of the future in fields such as clean energy, health care, construction, computer coding, and advanced manufacturing. Republicans will always be better at defending yesterday. Democrats have to be in the future business. The good news is we have

mental institutions, rural health clinics. Once, he met

Liked Following Message More Contact Us .. Status Photo / VideoOffer, Event + . Write something... . 1 Draft Created Saturday, November 5 at 4:05pm. See draft. . The Year of “Alphabetization In the Cuban post revolution era it was at “Che” Guevara who promoted educational and health reforms. 1961 became the “Year of Cuban Literacy” or the “Campaña Nacional de Alfabetización en Cuba,” meaning the “Year of Alphabetization in Cuba.” The illiteracy rate had increased throughout Cuba after the revolution. Fidel Castro in a speech told prospective literacy teachers, “You will teach, and you will learn,” meaning that this educational program would become a two-way street. Both public and private schools were closed two months earlier, for the summer than usual, so that both teachers and students could voluntarily participate in this special ambitious endeavor. A newly uniformed army of young teachers went out into the countryside, to help educate those in need of literacy education. It was the first time that a sexually commingled group would spend the summer together, raising the anxiety of many that had only known a more Victorian lifestyle. For the first time boys and girls, just coming of age, would be sharing living conditions together. This tended to make young people more self-sufficient and thought to give them a better understanding of the Revolution. It is estimated that a million Cubans took part in this educational program. Aside from the primary purpose of decreasing illiteracy, it gave the young people from urban areas an opportunity to see firsthand what conditions were like in the rural parts of Cuba. Since it was the government that provided books and supplies, as well as blankets, hammocks and uniforms, it is no surprise that the educational curriculum included the history of the Cuban Revolution, however it made Cuba the most literate countries in the world with a UNESCO literacy rate in 2015, of 99.7%. By Captain Hank Bracker, author of the award winning book “The Exciting Story of Cuba,” Follow Captain Hank Bracker on Facebook, Goodreads, his Website account and Twitter.

Felke realized that prescribing herbal teas, homeopathic remedies, diet and water applications was not sufficient. Inspired by the examples of Rikli and Just, he envisioned a therapeutic setting close to nature where patients could escape their accustomed environments and enjoy the benefits of light, air, sun and healthful food. Surprisingly, the residents of the small rural town of Repelen immediately warmed to their new pastor's idea. A delegation undertook the arduous and costly journey to the Hartz mountains to inspect Just's Jungborn. This visit resulted in the formation of the Repelen Jungborn Society, Ltd., with eighty-one associates, mostly members of a local homeopathic lay society. With a capital of 50,000 goldmark, quite a high sum, the group purchased sixty acres of land, which included a forested area and a dead channel of the Rhine abounding in fish. Two large light and air parks, one for women and the other for men, were created and surrounded with high wooden fences. Naked patients took light, air, water and loam baths and engaged in gymnastics twice a day. Felke himself often directed the male patients. Inside the two parks approximately 50 air huts with two or four rooms each were erected. To guarantee maximum access to fresh air they had no doors or windows, only curtains for privacy. An open wooden hall in the center of the park was used for walking during the day, for gymnastics during bad weather and for sleeping on straw mats at night. In the beginning the spa offered friction sitz baths in flat zinc tubs as the only cold water application. Felke also took up Just's earth-and-sand bath, but it was not until he introduced the loam bath in 1912 that he gained fame as the "loam pastor.

Today Ethiopia is one of the poorest countries in the world. The income of an average Ethiopian is about one-fortieth that of an average citizen of England. Most people live in rural areas and practice subsistence agriculture. They lack clean water, electricity, and access to proper schools or health care. Life expectancy is about fifty-five years and only one-third of adults are literate. A comparison between England and Ethiopia spans world inequality. The reason Ethiopia is where it is today is that, unlike in England, in Ethiopia absolutism persisted until the recent past. With absolutism came extractive economic institutions and poverty for the mass of Ethiopians, though of course the emperors and nobility benefited hugely. But the most enduring implication of the absolutism was that Ethiopian society failed to take advantage of industrialization opportunities during the nineteenth and early twentieth centuries, underpinning the abject poverty of its citizens today. T

Live somewhere slow. Zen blogger Leo Babauta moved to Hawaii to get away from the distraction that is city life. Novelist Pico Iyer moved from Manhattan to rural Japan, 'in part so I could more easily survive for long stretches entirely on foot, and every trip to the movies would be an event...Nothing makes me feel better - calmer, clearer and happier - than being in one place'.

Who’s happiest? People in the city, the suburbs, or the country? Being around nature makes you happier and has mental health benefits.91 People who live in rural areas tend to be happier and have better mental and physical health.92 Even though there are fewer people around, social connections tend to be better in smaller communities.93 However, rural residents have a shorter longevity. They’re more likely to have several health problems, including high blood pressure, obesity, and diabetes.94

Mrs. E. K. Shields, of Saginaw, Michigan, was driven to despair—even to the brink of suicide—before she learned to live just till bedtime. “In 1937, I lost my husband,” Mrs. Shields said as she told me her story. “I was very depressed—and almost penniless. I wrote my former employer, Mr. Leon Roach, of the Roach-Fowler Company of Kansas City, and got my old job back. I had formerly made my living selling World Books to rural and town school boards. I had sold my car two years previously when my husband became ill; but I managed to scrape together enough money to put a down payment on a used car and started out to sell books again. “I had thought that getting back on the road would help relieve my depression; but driving alone and eating alone was almost more than I could take. Some of the territory was not very productive, and I found it hard to make those car payments, small as they were. “In the spring of 1938, I was working out of Versailles, Missouri. The schools were poor, the roads bad; I was so lonely and discouraged that at one time I even considered suicide. It seemed that success was impossible. I had nothing to live for. I dreaded getting up each morning and facing life. I was afraid of everything: afraid I could not meet the car payments; afraid I could not pay my room rent; afraid I would not have enough to eat. I was afraid my health was failing and I had no money for a doctor. All that kept me from suicide were the thoughts that my sister would be deeply grieved, and that I did not have enough money to pay my funeral expenses. “Then one day I read an article that lifted me out of my despondence and gave me the courage to go on living. I shall never cease to be grateful for one inspiring sentence in that article. It said: ‘Every day is a new life to a wise man.’ I typed that sentence out and pasted it on the windshield of my car, where I saw it every minute I was driving. I found it wasn’t so hard to live only one day at a time. I learned to forget the yesterdays and to not think of the tomorrows. Each morning I said to myself, ‘Today is a new life.

So, why is it that from the start of the pandemic the young and middle-aged in marginalized groups, not just Black and brown but Indigenous groups and people in poor white rural communities, have been more likely to suffer severe COVID-19 and die from it than their white, more affluent counterparts? The answer is part of a broader question: Why are the largest health inequities between these groups and nationwide averages—whether in infectious disease or the early onset of chronic conditions of aging such as cardiovascular disease, hypertension, and diabetes—seen among those aged twenty-five to sixty-five?7 The COVID-19 pandemic has thrown these inequities into stark relief. It’s not just that Black Americans are nearly twice as likely to die of COVID-19 as white Americans.8 Consider these statistics (among the many, many more you will see in chapters to come): Black mothers die during childbirth at an overall rate that is nearly three times as high as the rate for white mothers.9 For Black mothers in their mid-to-late thirties, the figures are even more dire: They die at a rate five times higher than white mothers of comparable age.10 Yet, the working- and reproductive-age years are those we have been led to believe should be the healthiest, following the higher-risk periods of infancy, childhood, and adolescence, and before the most serious risks of aging set in.

Everything they need is here on the farm with their family,” Kathy claimed. They set about raising chickens, both for laying and for food, as well as cows and pigs for beef and pork. It was important to Tim and Kathy to know exactly how their food was raised and “to eat close to the land and to regain our health.

The cost of the CAP remained a heavy burden for the EU, with half the budget going to support a sector that employs less than 5 per cent of the working population, much of it for a small minority of the bigger and richer farmers (see Chart 3). By the end of the 1990s, moreover, the twin pressures of enlargement to the east and negotiations within the newly established World Trade Organization (WTO) were forcing the EU into a greater focus on structural reform. New member states, with their large agricultural sectors, were set to drive up costs very significantly, while the need to secure agreement in WTO trade liberalization negotiations was placing increasing pressure on reductions in levels of agricultural support. Consequently, the EU agreed substantial cuts for some products in 1999, as part of wider budgetary negotiations, as well as introducing the notion of a multifunctional CAP (i.e. one that extends into the social and environmental dimensions that surround farming). This recasting of the CAP as a ‘rural’ policy—confirmed by the 2008 ‘health check’—was an important step in helping to unblock the reforms that some states, notably France, had put on hold.

The breaking of the old model of price support was perhaps inevitable in the face of the pressures that the CAP had faced over the previous forty years. The combination of enlargement, WTO negotiations, rising environmental concerns, and public health scares ultimately proved too powerful to resist. Despite new member states supporting a CAP that makes substantial payments to farmers, the notion of a more multifunctional approach to rural development has become a much more dominant discourse within the institutions and is likely to lead to yet more change.

The food that came out of the [industrialized] system was artifically cheap - the price was subsidized by the environment, our wildlife and aquatic life, and our bad health. We just couldn’t see those hidden costs - nor could we grasp how future generations would inherit the effects of our extractive, intensive farming methods. When you add up all the ways the bill is coming due, it takes the shine off the glittering promises of postwar industrialized food. The deal we made with our planet, its creatures, and our rural workforces, all so we could enjoy a slightly cheaper hamburger, might just be the worst deal that was ever made.

As a radiation researcher, I knew it was wise to live in a rural area away from man-made radiation. My social responsibilities kept me in the radiation toxic city where I was able to develop radiation resistance health techniques.

According to recent estimates, some 66 per cent of rural residents do not have access to critical medicines, while 31 per cent Indians have to travel more than 30 kilometres to avail themselves of any health care. Just 28 per cent of Indians in urban areas corner 66 per cent of India’s available hospital beds. Mind you, India is still largely a rural country, with around 70 per cent of its population living in rural areas.

I shop in a grocery store designed for the haute bourgeoisie. The prices are ridiculous. Other than the organic produce, every product in my local grocery has, somewhere on its packaging, a goofy narrative about the company that manufactures the product. In my neighborhood, it is impossible to go to the local grocery store and buy mustard without encountering a whimsical tale about rural people from Northern California and Oregon and how their quirky values are reflected in the ingredients of their products. These quirky values are why it costs $3 for a vegan cookie. The narratives go something like this: Twenty years ago, my wife Betty and I were in our kitchen, talking about the taste of the mustard that our parents bought. All of the store brands weren’t anything like what we remembered, and they were made with pre-processed ingredients and contained preservatives. These chemicals might have allowed for a longer shelf life, but they reduced flavor, and even worse, no one knew what they did to people’s health. “I wish someone would go back to old-fashioned values,” I said. “Why won’t someone make a mustard that tastes great and is good for people?” Then Betty asked a question that changed our lives. “Why don’t we do it?” I have watched hundreds of people read these narratives. And as I have watched people read these narratives, the thought has occurred to me that people are more conscientious about their mustard than they are about the media they consume.

Mark longs for the days when his father was a farmer. Things were hard, but life was good. Easier somehow. He’s conveniently forgetting the farm crisis of the ’80s in order to justify his worldview. In reality, there was never a time when people didn’t engage in a relentless battle with the earth. There was never a time when it wasn’t hard to be a farmer, or a time when all families were good and moral and Christian. Even the belief in the wholesome rural community is ill-founded. According to Rural People and Communities in the Twenty-First Century, rural residents are “more likely to experience chronic or life-threatening illnesses.”5 They are more likely to have cancer, diabetes, high blood pressure, obesity, and mental illness. While rates of drug and alcohol use overall are slightly higher in metro areas, use among young people in rural areas is significantly higher than among their urban peers. Additionally, according to the Rural Health Information Hub, “A 2010 report to Congress from the Administration for Children and Families (ACF)6 states that the incidence for all categories of maltreatment was higher in rural counties than in urban counties, with rural children being [two] times more likely to experience harm or endangerment.”7

In houses and in villages throughout the country, the smoke from indoor cooking contains carbon monoxide, black carbon, and other pollutants, creating pervasive and severe health problems. In response, the government launched a “blue flame revolution” to deliver cylinders of propane—derived from oil or natural gas—to eighty million rural households for cooking.

It is known to the medical profession that a natural diet and a rural outdoor lifestyle can treat many health conditions far better than prescription drugs.

The all-pervading disease of the modern world is the total imbalance between city and countryside, an imbalance in terms of wealth, power, culture, attraction and hope. The former has become over-extended and the latter has atrophied. The city has become the universal magnet, while rural life has lost its savour. Yet it remains an unalterable truth that, just as a sound mind depends on a sound body, so the health of the cities depends on the health of the rural areas. The cities, with all their wealth, are merely secondary producers, while primary production, the precondition of all economic life, takes place in the countryside. The prevailing lack of balance, based on the age-old exploitation of countryman and raw material producer, today threatens all countries throughout the world, the rich even more than the poor. To restore a proper balance between city and rural life is perhaps the greatest task in front of modern man.

Even beyond private prison companies, a whole range of prison profiteers must be reckoned with if mass incarceration is to be undone, including phone companies that gouge families of prisoners by charging them exorbitant rates to communicate with their loved ones; gun manufacturers that sell Taser guns, rifles, and pistols to prison guards and police; private health care providers contracted by the state to provide (typically abysmal) health care to prisoners; the U.S. Military, which relies on prison labor to provide military gear to soldiers in Iraq; corporations that use prison labor to avoid paying decent wages; and the politicians, laywers, and bankers who structure deals to build new prisons often in predominantly white rural communities – deals that often promise far more to local communities than they deliver.

Florida, known for its vibrant cities, beautiful coastlines, and diverse population, also offers a wide and growing range of psychiatric services designed to meet the mental health needs of people from all walks of life. From bustling metropolitan areas like Miami, Orlando, and Tampa to quieter towns and rural regions, psychiatric care in Florida has expanded significantly in recent years. This growth is driven by increased awareness around mental health issues, evolving societal needs, and a stronger commitment to destigmatizing psychological conditions. Today, psychiatric services in Florida encompass everything from traditional in-person visits at clinics and hospitals to cutting-edge telepsychiatry platforms that offer remote consultations. Services are offered by licensed psychiatrists—medical doctors who specialize in diagnosing, treating, and managing mental illnesses through a combination of medication, therapy, and other therapeutic interventions—as well as by psychiatric nurse practitioners, psychologists, therapists, and counselors who work together to provide integrated care. Whether someone is struggling with anxiety, depression, bipolar disorder, PTSD, ADHD, substance use disorders, or more complex psychiatric conditions like schizophrenia, Florida's mental health infrastructure is equipped to provide comprehensive and personalized support.

has found that California’s highest prevalence of ACEs is in rural counties, has initiated a public education campaign that has so far reached 31 million families with messages about childhood adversity, how it impairs health and how to heal. Even Sesame Street is in on the act.