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Small towns have a big problem with health care. But they also have the resilience to meet the problem. People in rural communities live almost three years fewer than urban dwellers, and they’re more likely to die early from heart disease or a stroke.

The reasons are varied and not always understood.

Higher rates of tobacco use, physical inactivity, obesity, diabetes and high blood pressure increase the risk for serious diseases. Rural communities face severe shortages of health care professionals. People may live a long way from hospitals or clinics. Or they may reside in “food deserts,” remote from reliable access to healthy food.

Even so, the advantages of rural life, including a strong sense of connection, of neighbors helping neighbors, provide a sturdy foundation for overcoming these health disparities.