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November 24, 1956


JAMA. 1956;162(13):1242. doi:10.1001/jama.1956.02970300042015

While illness in a patient may not be clinically different whether he lives in a rural or urban community, the factors concerning the prevention and treatment of his illness vary greatly when the patient is distant from the contributions of a city medical center. Conditions leading to good health in village and country living are admittedly different from those in the more urban parts of the United States. After consideration of the recent reports on air pollution along with crowded living conditions, which are epidemic potentials, it is not impossible to envy the rural citizen. On the other hand, the farmer or rancher usually must be his own public health department, while the city resident has many preventive health measures performed for him through such environmental controls as sewage disposal and through his safe and adequate water supply. Because the rural population has demonstrated its desire to utilize available preventive