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165 rural counties completely lack a primary care physician.

2005

The Story of Rural Health
MED
RUR

Many of these rural counties have high percentages of Black, Indigenous and other People of Color communities. Some are also primarily poor white communities in Appalachia. The shortage of physicians is due to a range of reasons, including a lack of rural residents going to medical school and a decreasing number of urban-trained physicians wanting to move into rural areas, where salaries are often lower for new physicians who are burdened with debt from medical school.