Stephan:   I am a rural person. Although I lived in L.A. and D.C. for decades, by choice and inclination, I prefer rural communities and attractive small villages. But there is a trend afoot that is putting rural communities like the one I live in in jeopardy; I am speaking here of the collapse of rural healthcare in America. Hospitals are closing right and left because they aren't profitable enough a trend in contrast to say Canada. We don't have a healthcare system we have an illness profit system, and the evaluation hospital corporations make is based on profit, not the wellbeing of the community. In the small towns and villages of Canada you will find a clinic or nearby hospital, because in Canada the system actually is a healthcare system where as in the U.S. it is not. Coupled with this are Trump's immigration policies. Many rural clinics and hospitals in the U.S. for years have depended on immigrant physicians and nurses; men and women who prefer a rural setting, and are willing to work for a lower income. But they're no longer welcome in America, and they're coming in much smaller numbers. The result is what this report describes.