About one-third of Missouri is considered rural, and people who live there often have health challenges. The latest research suggested overlooking rural areas has major consequences.

A new report from the Missouri Rural Health Association outlined the need for continued investment in rural Missouri.

Katie Reichard, director of government affairs for the Missouri Primary Care Association, said many factors contribute to worse health outcomes in rural communities but access to care is at the top of the list. Community health centers help close the gap, seeing patients no matter their ability to pay, and helping those who might otherwise end up at hospitals for nonemergency needs.

"You don't have to go to the hospital for a toothache or strep throat; a community health center can provide those services to you, "Reichard explained. "It's on a sliding fee scale and so, it's income-based. Also, they cover behavioral health services, a lot of them cover women's health services, and all of them cover primary care and dental."

According to the report, for the first time ever, Missouri recorded more deaths than births during the pandemic. It caused a 19% increase in deaths for Missourians overall, and decreased overall life expectancy by more than two years.

Heidi Lucas, executive director of the Missouri Rural Health Association, thinks investing in rural areas of the state is imperative not only for Missouri, but for the nation.

"Rural Missouri is America's breadbasket," Lucas pointed out. "We have some of the highest producers of grain and cattle in the entire country, so we really need to take care of folks who are living in rural Missouri, because they are providing for America, widely."

Missouri is home to more than 95,000 farms, the second-highest number in the U.S. It's also the second-largest producer of hay and is second-highest in the nation for beef, with more than 2 million head of cattle.

Lucas added while the report identifies areas of concern, there are many solutions.

"Upping broadband to have more telehealth services; reducing restrictions on providers so that they're able to provide more widely to the full extent of their education and training; finding preceptors for nurses or physicians; getting transportation taken care of, to get there," Lucas outlined.

Lack of affordable health care affects more than farmers' personal health, according to a Missouri Rural Crisis Center report. It also causes financial strain and delays in farm investments.

UPDATE: The event referenced in this story has been postponed due to inclement weather. The story will be updated when a new date and time are announced. (3:57 p.m. MDT, Aug. 7, 2024)

The U.S. Department of Agriculture is highlighting its investments in rural America with an event coming up soon in western Virginia.

The gathering will feature local leaders and businesses and discussions of how the federal government has supported them through recent spending packages like the Inflation Reduction Act.

Anthony Flaccavento is a Virginia farmer and the executive director of a group helping to organize the event: the Rural Urban Bridge Initiative. He said a lot of people living in cities might look at rural areas in a negative light.

"The first big goal is to say to the broader media and the country, 'Hey, we're not dead yet. In fact, we're fighting back and having really effective, impactful work,'" Flaccavento pointed out.

The stakeholders at the roundtable are involved in industries like food systems management, agroforestry and affordable housing. Flaccavento acknowledged the federal government has rapidly improved how it connects with and invests in smaller communities in the past few years. Rural counties have grown in population since the pandemic after a decade-long trend of decline.

The event will be open to the public, at The Inn at Virginia Tech in Blacksburg, at a date soon to be determined. It will kick off a series of similar gatherings across the country. Flaccavento is especially excited for people to learn about ACME Panel Company in Radford. This is a small business creating stormproof, insulated building materials.

"That's the kind of innovation that's creating local jobs," Flaccavento stressed. "It's also building structures that are perfect for a world experiencing climate change, much more energy efficient, and much more storm resistant. So they're a stellar example."

The federal government has invested billions in trying to spur economic growth in rural America. Flaccavento added grants and programs for broadband, ag innovation and manufacturing have made an especially big impact.


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By Ilana Newman for The Daily Yonder.
Broadcast version by Eric Galatas for Colorado News Connection for the Public News Service/Daily Yonder Collaboration

In Colorado, a new online database hopes to bring attention and collaboration to rural businesses, primarily those in the outdoor industry.

Rural is Rad was started by Kelly Mazanti, TJ Smith, and Robin Hall, who all own small businesses based in rural Colorado. They discovered a shared interest and mutual frustration over growing businesses in rural communities. 

The group met during West Slope Startup Week, a conference that brings together startups based in the rural Western Slope of Colorado for a week of networking, lectures, and discussions. They wanted to build something that would continue to bring together rural brands in the outdoor industry and create a space where customers could find these brands in one place.

“We have to support each other because I have found that the people who live in these [rural] places are the most courageous and creative people that I’ve ever met,” Mazanti said in a Daily Yonder interview.

Mazanti runs Buttnski, an apparel brand based in Summit County, Colorado. She sees her role as a business owner in the community as a way to support economic development in a rural county and contribute to a thriving community. 

“As a founder, my goal is to build this headquarters of operation for Buttnski in Summit County so that we can employ people and contribute to economic development and become not only an industry hub in our community but also a place where we can help develop how this community grows,” she said.

Rural counties with outdoor recreation opportunities can attract more residents who have more money than non-recreational rural counties. However, recreational economies also tend to have lower wages and can drive up housing prices in a community, which pushes lower-income people to other areas. 

Mazanti hopes that Rural is Rad can connect rural business owners and communities to help solve challenges like this.

It can be harder for small brands and businesses in rural communities to gain traction. Rural small business owners struggle with the lack of access to financing, broadband speeds, and increasing cost of doing business. 

The Rural is Rad database hopes to address this by bringing rural brands to a larger audience outside of their home communities. 

Colorado has a plethora of opportunities for rural businesses through their Rural Opportunity Office including the Regional Resiliency & Recovery Roadmaps Program, the Rural Data Dashboard, and the Rural Technical Assistance Program. 

“I think if I was trying to do this in any other state, I wouldn’t have this kind of support or the type of resources and community around me,” Mazanti said. 

She sees collaborations with everyone from the statewide governmental organizations to nonprofits like Startup Colorado to small-town chambers of commerce as vital for the success of the Rural is Rad movement. “Colorado is an example, and it’s a great place to start this kind of a movement.”

Rural is Rad plans to host events and workshops for business owners. The second Rural is Rad week is scheduled to start on Small Business Saturday (November 30th, 2024). This week will highlight rural brands and offer consumers a way to support rural small businesses during the holiday shopping season.

“We can utilize that directory year-round to point people toward these to discover new brands. But then during Rural is Rad shopping week, which happens once a year, that can be an opportunity to further promote these smaller, more unique brands and founders that people may never have heard about,” Mazanti said. 

Currently, Rural is Rad’s database features 17 brands from jewelry makers to backcountry bathroom kits to campgrounds. Brands and service providers can join Rural is Rad by filling out a survey on the website.

Mazanti hopes to expand the database to eventually include all of rural America.


Ilana Newman wrote this article for The Daily Yonder.


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This article was produced by Resource Rural.
Broadcast version by Nadia Ramlagan for West Virginia News Service reporting for the Resource Rural-Public News Service Collaboration

When asked, Lindsey Crittendon describes Huntington, West Virginia as “home.” She uses that word to orient her from a geographical perspective, but also to convey the general feeling of the small city that sits on the Ohio River, at a point where West Virginia connects with neighboring Kentucky and Ohio. 

“Everybody knows everybody,” she said of her hometown. “It’s a very tight-knit community…I think it’s the most beautiful place on Earth.”

Huntington’s position among the western foothills of the Appalachian Mountains certainly offers a scenic backdrop for a city supported by a diverse economy, including the country’s second-busiest inland port, a strong manufacturing sector, as well as robust healthcare, education, and transportation industries. Even with all of its strengths, Huntington — and West Virginia as a whole — is often misunderstood by those who don’t live there, according to Crittendon. She said their capabilities are often underestimated or pegged to certain blue-collar industries.

“When I was growing up, whenever I would talk to someone that wasn’t from here, I would get questions like, ‘Do you all wear shoes?’” Crittendon said. “I think maybe there are a lot of misconceptions about West Virginia and its people.”

But those who live here know the real story of hardworking communities looking to build a life in the state they love. To provide hometown opportunities for a local population that sometimes has to look beyond state lines for employment, NewForce, a fully remote and tuition-free coding school, is investing in training a budding West Virginia tech workforce. The six-month program is part of Generation WV and utilizes funding from the Workforce Opportunity for Rural Communities initiative and the American Rescue Plan Act (ARPA), a federal stimulus package approved by Congress and signed into law by President Joe Biden in response to the COVID-19 pandemic.

Crittendon, a former social worker, is a graduate of the program. She landed a job right out of the academy and has since progressed to become a lead software engineer with a different company, Booz Allen Hamilton, a management consulting services company based in McLean, Virginia with an office right in Huntington.

“The NewForce program has drawn a lot of attention to the talent that’s in the area and has actually brought jobs here,” Crittendon said, using her experience as an example. “I can really see West Virginia becoming a second Silicon Valley. We have a lot of underappreciated, undervalued talent that I really think translates really well to tech.”

It is the hardworking spirit of those living in West Virginia that Crittendon believes acts as a valuable foundation for tech-based careers. From coal miners to farmers to steel workers, Crittendon said West Virginians have a unique discipline and an enviable drive to do a job and do it right.



“If I could describe West Virginians in one word, it would be ‘tenacity.’ So, absolutely, when I think of West Virginia, I think of hard workers,” she said.

Part of the novelty of the NewForce program is the mock-work environment it establishes for its students. To best prepare the students for the current tech workforce, the program has students build applications for a pretend company. At times, they work in teams, and despite being remote, they move through the program as a cohort — engaging in a virtual classroom for seven hours every weekday over the six-month program. 

Once they graduate, they’re qualified to work as web developers or junior, full-stack software developers, and they receive assistance with job placement, which is how Crittendon discovered her first opportunity in the field. 

For Crittendon, the transition from social worker to software engineer has similarities despite sounding like a drastic departure. With social work, she loved solving people’s problems and helping them navigate solutions. As a software engineer, she feels like she’s doing the same thing in a new way that allows her to give back and continue to live in the community she loves.

“It gives me a strong sense of pride,” Crittendon said of being able to donate her newfound skills to an organization within her community that supports underprivileged children. “If I can use my skills that I have developed to benefit my community directly from my home, rather than fleeing from it, I have a lot of pride in that.”


This article was produced by Resource Rural.


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