The big issue that I saw where I was living was medical care. My old town had two decent hospitals, then one closed. The remaining hospital was more of a MASH unit, in that anything really serious required medevacing to the big city. The hospitals in the outlying areas were "stitch and ship" for anything beyond fractures, normal pregnancies and appendectomies.
From what I've read, there are a lot of rural clinics that heavily rely on telemedicine.