Small Business Problems in Rural America


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Achieving Rural Health Equity and Well-Being


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Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.




Rebuilding the Unity of Health and the Environment in Rural America


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Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.










The Politics of Resentment


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“An important contribution to the literature on contemporary American politics. Both methodologically and substantively, it breaks new ground.” —Journal of Sociology & Social Welfare When Scott Walker was elected Governor of Wisconsin, the state became the focus of debate about the appropriate role of government. In a time of rising inequality, Walker not only survived a bitterly contested recall, he was subsequently reelected. But why were the very people who would benefit from strong government services so vehemently against the idea of big government? With The Politics of Resentment, Katherine J. Cramer uncovers an oft-overlooked piece of the puzzle: rural political consciousness and the resentment of the “liberal elite.” Rural voters are distrustful that politicians will respect the distinct values of their communities and allocate a fair share of resources. What can look like disagreements about basic political principles are therefore actually rooted in something even more fundamental: who we are as people and how closely a candidate’s social identity matches our own. Taking a deep dive into Wisconsin’s political climate, Cramer illuminates the contours of rural consciousness, showing how place-based identities profoundly influence how people understand politics. The Politics of Resentment shows that rural resentment—no less than partisanship, race, or class—plays a major role in dividing America against itself.




The State of Small Business in Rural America


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A Guide to Rural Business


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The UK rural economy is worth billions of pounds and rural businesses are rapidly changing and diversifying. This is a guide to best business practice in a rural context which provides a clear analysis of opportunities for diversification.




The Future of Smalltown and Rural America


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Harvest the Vote


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From Democratic Party rising star Jane Kleeb, an urgent and stirring road map showing how the Democratic Party can, and should, engage rural America The Democratic Party has lost an entire generation of rural voters. By focusing the majority of their message and resources on urban and coastal voters, Democrats have sacrificed entire regions of the country where there is more common ground and shared values than what appears on the surface. In Harvest the Vote, Jane Kleeb, chair of Nebraska’s Democratic Party and founder of Bold Nebraska, brings us a lively and sweeping argument for why the Democrats shouldn’t turn away from rural America. As a party leader and longtime activist, Kleeb speaks from experience. She’s been fighting the national party for more resources and building a grassroots movement to flex the power of a voting bloc that has long been ignored and forgotten. Kleeb persuasively argues that the hottest issues of the day can be solved hand in hand with rural people. On climate change, Kleeb shows that the vast spaces of rural America can be used to enact clean energy innovations. And issues of eminent domain and corporate overreach will galvanize unlikely alliances of family farmers, ranchers, small business owners, progressives, and tribal leaders, much as they did when she helped fight the Keystone XL pipeline. The hot-button issues of guns and abortion that the Republican Party uses to wedge voters against one another can be bridged by putting a megaphone next to issues critical to rural communities. Written with a fiery voice and commonsense solutions, Harvest the Vote is both a call to action and a much-needed balm for a highly divided nation.