rural America

In recent years, former coal miners were retrained to work with fiber optics, expanding high-speed Internet — and possible economic opportunities — to rural areas. Meredith Rizzo/NPR hide caption

The recently closed Pickens County Medical Center in Carrollton, Ala., is one of the latest health care facilities to fall victim to a wave of rural hospital shutdowns across the U.S. in recent years. With hundreds of hospitals endangered, residents are worried about getting health care amid the coronavirus outbreak. Jay Reeves/AP hide caption

Coplan and Vierkandt catch up outside the Kids Plus office. Vierkandt calls Coplan her second mother. They have remained in touch over the years. Meredith Rizzo/NPR hide caption

Located between Capitol Reef and Bryce Canyon and Zion national parks, the Grand Staircase-Escalante National Monument has become a big tourist draw since its designation in 1996. Kirk Siegler/NPR hide caption

Leitha Dollarhyde, a retired caregiver who lives in a rural town near Whitesburg, Ky., says she could not afford an unexpected $1,000 expense. Sydney Boles for NPR hide caption

Among at least some rural Americans, pragmatism may now be superseding traditional disdain for government and the prizing of rugged individualism. Angela Hsieh/NPR hide caption

Houses lie at the base of Colorado National Monument. The school district in Grand Junction knows it could take years to see whether their efforts towards suicide prevention have worked. Meredith Rizzo/NPR hide caption

Drug addiction is a big concern to rural Americans, according to a new poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health. Alice Goldfarb/NPR hide caption

Christy Torres of Foundations Communities in Austin contacts people who bought insurance on Healthcare.Gov. to tell them it's almost time to renew. Martin Do Nascimento/KUT hide caption

A mountain of mine tailings frame a Bisbee park — a legacy of the copper mines that once fueled the local economy. Kirk Siegler/NPR hide caption

"We should be around the world. But we should also be focused on our own backyards," Microsoft President Brad Smith says. Elaine Thompson/AP hide caption

Greta Elliott, who manages a health clinic in Canby, Calif., says she didn't buy health insurance for herself because she thinks it's too expensive. April Dembosky/KQED hide caption

Volunteers distribute free food at the mobile pantry in Hurley, Va. Poverty in the coal-mining region is 29 percent, twice the national average. Unemployment is also high, and younger families are moving out. Pam Fessler/NPR hide caption