Rural Health
Resources by Topic: Economics and the economy
Most Recreation-Concentrated Counties Located Near Coasts, Lakes, and Mountains
Map showing rural and urban counties with a high combined share of vacation housing and of earnings and employment in arts, entertainment, and recreation; accommodation and food services; and real estate and rental and leasing services.
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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Map showing rural and urban counties with a high combined share of vacation housing and of earnings and employment in arts, entertainment, and recreation; accommodation and food services; and real estate and rental and leasing services.
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Compared With Urban Counties, Rural Counties Had a Lower Share of Working-Age Populations and a Higher Share of Residents Older Than 60 in 2023
Chart showing percentages of working-age populations and share of residents older than 60 in 2023, with breakdowns by urban and rural areas.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Chart showing percentages of working-age populations and share of residents older than 60 in 2023, with breakdowns by urban and rural areas.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Rural Dependency Ratios Higher Than Urban Ratios in 2023, Indicating a Greater Need in Rural Areas for Caregiving for Children and Older Adults
Bar graph showing dependency ratios comparing the number of youth or older people for every 100 working-age people in 2023. Features breakdowns by 5 levels of population density.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Bar graph showing dependency ratios comparing the number of youth or older people for every 100 working-age people in 2023. Features breakdowns by 5 levels of population density.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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County Economic Status in Appalachia, FY 2026
Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 05/2025
Sponsoring organization: Appalachian Regional Commission
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Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 05/2025
Sponsoring organization: Appalachian Regional Commission
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As Rural Populations Grow Older, Communities Increasingly Rely on Smaller Labor Force
Reports on rural-urban differences in labor force availability and age dependency ratios caused by the growing demographic share of older people in the U.S. Breaks down data by county-level rurality, and discusses rural infrastructure, healthcare, and caregiving needs.
Author(s): Richelle L. Winkler
Citation: Amber Waves
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Reports on rural-urban differences in labor force availability and age dependency ratios caused by the growing demographic share of older people in the U.S. Breaks down data by county-level rurality, and discusses rural infrastructure, healthcare, and caregiving needs.
Author(s): Richelle L. Winkler
Citation: Amber Waves
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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U.S. Household Food Spending Post COVID-19 and the Implications for Diet Quality
Analyzes household food spending across various population groups between the years of 2016 and 2022. Analyzes food purchases and food away from home (FAFH) spending according to demographic groups, Supplemental Nutrition Assistance Program (SNAP) benefits, region, and urbanicity. Discusses the impact of COVID-19 and economic inflation in spending patterns.
Additional links: Report Summary
Author(s): Abigail Okrent, Eliana Zeballos
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Analyzes household food spending across various population groups between the years of 2016 and 2022. Analyzes food purchases and food away from home (FAFH) spending according to demographic groups, Supplemental Nutrition Assistance Program (SNAP) benefits, region, and urbanicity. Discusses the impact of COVID-19 and economic inflation in spending patterns.
Additional links: Report Summary
Author(s): Abigail Okrent, Eliana Zeballos
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Counties Most Reliant on Farming Tend to be Located in Center of the Country
Color-coded map highlighting counties with high farming concentration as of 2025. Distinguishes between rural and urban high farming-concentration counties.
Author(s): Austin Sanders
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Color-coded map highlighting counties with high farming concentration as of 2025. Distinguishes between rural and urban high farming-concentration counties.
Author(s): Austin Sanders
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Industry Specialization Varies Across Rural Counties, Favoring Manufacturing and Farming
Color-coded map showing industry dependence among rural counties in 2025. Provides data breakdowns on the total prevalence of rural specialization in farming, mining, manufacturing, recreation, and other industries.
Author(s): Austin Sanders, James C. Davis
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Color-coded map showing industry dependence among rural counties in 2025. Provides data breakdowns on the total prevalence of rural specialization in farming, mining, manufacturing, recreation, and other industries.
Author(s): Austin Sanders, James C. Davis
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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How Community Health Centers Respond to Rural Hospital Closures
Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
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Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
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