Define Rural before You Budget for It
The Vibe This is urban? For purposes of policy, yes. Much of the Grand Canyon lies in Cococino County, Arizona, designated as "metro" by the federal government.
The halls of Congress have already seen tremendous change this year. Almost everyone senses a need to cut spending. It’s also time to draft a new Farm Bill, as the current bill is set to expire in 2012. If the budget-cutting mood persists in Washington, we can expect more funding reductions for U.S. Department of Agriculture (USDA) programs. But which programs? How much will they be cut? What’s the government’s role anyway? The debates are on.
As part of the Farm Bill hearings, on February 15 I had an opportunity to testify before the House Agriculture Subcommittee on Rural Development, Research, Biotechnology, and Foreign Agriculture about one piece of the picture: How to define rural? My quick answer has always been that you know rural when you see it, but this approach doesn’t fly when it comes to policy implementation and the distribution of billions of dollars for rural development projects.
Both Republicans and Democrats on the subcommittee expressed concerns about the definitions of rural that USDA and other federal agencies use. The testimony and questions revealed common threads of confusion and inconsistencies wrought by all of the ways of looking at rural. The appendix to my testimony for the Illinois Institute for Rural Affairs (IIRA) included nine possible definitions. There are others.
Urban-rural definitions have been refined periodically since the early twentieth century. At first, it seemed easy to define rural as “not urban,” but that approach only presented a fuzzy picture, vaguely outlined by agriculture. More finely drawn distinctions – USDA’s urban influence, county typology, and rural-urban continuum codes, for example – now help characterize America’s changing and diverse rural areas. These definitions began to emerge in the late 1970s and have been adapted to help understand rural change and diversity, as well as shape program delivery. USDA’s county codes move beyond the old “rural equals agriculture” policy that dominated for most of the twentieth century.
Timothy Collins Bushnell, Illinois, at dusk, shows connections between the small city (about 3,000) and its surrounding countryside. The city also has been fortunate to retain a couple of small factories.
Unfortunately, Theodore Roosevelt’s Country Life Commission of 1908-1909 defined rural communities as agricultural. An alternative view of smaller towns and their relationships with farms emerged at the same time, manifested through early rural farm-community studies and the American Country Life Association with its broader concerns. The association, begun in 1918, faded from the scene in 1976. The American Farm Bureau Federation, which started in 1919, represented the “rural equals agriculture” equation, but it now conducts policy work in rural development, a recognition of farms’ connection to nearby towns and small cities.
USDA gradually – and perhaps even unwillingly at times – assumed broader rural development duties, especially after World War II. Of course, USDA’s legal name does not even include rural development, but farm bills since 1972 have included a rural development mission for the agency. The inclusion of rural development in USDA’s scope accompanied rapid urban growth that has complicated urban-rural dynamics.
New definitions of rural were an effort both to describe diverse rural life in the United States more accurately and to help researchers and policy makers. Better definitions were needed to take into account the mixed rural-urban functions of smaller cities and towns, since these are the economic, social, and cultural anchors for wider, less-densely populated regions. Thus, new definitions of rural have prompted consideration of more “urban” issues too.
While USDA’s county codes are extremely useful for research and provide context for rural-urban regions, testimony at the House agriculture subcommittee hearing suggested they might not stand up so well in practice. The reliance on county lines seems problematic when contemporary conditions demand a broader regional approach that might include only parts of counties. In addition, the wide span of big-city influence, with the centralization of jobs and capital, links rural bedroom areas with diverse urban employment opportunities.
Shannon L. Price (screenshot) Dr. Timothy Collins testified before the USDA's subcommittee on Rural Development, Research, Biotechnology, and Foreign Agriculture February 15, 2011.
Defining a rural place on the ground seems much easier than defining it from a broader policy perspective. In a dynamic global economy with multi-faceted domestic, urban relationships, the meaning of “rural” is truly problematic, especially on the so-called rural-urban fringe. For example, what about a county with a predominantly rural landscape that’s in a metropolitan area because of commuting patterns? As noted in my testimony for IIRA, communities need assistance not only for rural development, but also to help preserve farmland used for food and energy production from urban encroachment.
For areas relatively removed from large metropolitan regions, micropolitan cities become key to a different rural development strategy, one that links small cities with their surrounding rural areas. (According to the Census Bureau, each micropolitan statistical area must have at least one urban cluster with a population between 10,000 and 50,000.)
Chuck Fluharty, president of the Rural Policy Research Institute, stressed the need for new approaches and flexible programs. He argued that micropolitan areas could provide the loci for new rural regional development strategies, including federal support for localized food systems and specialized economic clusters. In response to questions, I suggested that micropolitan areas could be hubs of green energy production and educational outreach through regional universities and community colleges.
But what about budget cutting? The fact is that any changes in definitions of “rural” will coincide with shrinking (or nonexistent) rural-development funding. Newer definitions might help USDA use its funds more effectively, but will the agency have enough money actually to effect development?
Here’s my pipe-dream: Don’t cut rural development. It is, of course, near and dear to the hearts of those of us who work along the margins of agriculture in small towns and cities. We are the ones who constantly chant – sometimes to deaf ears – “Rural is not agricultural.”
Rural development remains a relatively small piece of USDA and a miniscule piece of the total federal budget. Unfortunately, given the budget-slashing mood and current farm politics, rural development is ripe for cutting because its constituency is scattered and because its benefits come in the longer, not the shorter term.
Timothy Collins is assistant director of the Illinois Institute for Rural Affairs at Western Illinois University in Macomb. Opinions expressed here are his and his alone.
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Comments
Rural Versus Low Concentrations
As the Daily Yonder has noted with rural definitions, some rural areas are more concentrated than others in terms of people, income, education, and more.
In health care about 20% of the population is rural, 10% of the workforce is rural, and 5% of health spending is rural, but some rural areas are more concentrated than others.
About one-third of physicians are in rural locations in top concentrations of physicians. Another two thirds are in more typical locations. Rural systems in top concentrations can set up shop in Manhattan and look much like Manhattan systems, including federal dollars for training and research. When federal panels include appointments of folks from the largest rural systems, I wonder how rural the representation will be.
Given stagnation in a third attempt to reform Health Professional Shortage Areas, it seems that those who used to be short of workforce may result in problems for all in shortage areas. The same bypass mechanisms allow education funding to bypass rural high need school districts for urban districts. Grant funded designs with competition between highly organized and lowly organized populations result in greater gains for those most organized.
Rural economic impacts include major contributions from education and from health care, but these are basic schools and basic health services. Higher education does have some fine rural institutions, but typically is concentrated in top concentrations. Those who benefit from education and economic designs are decidedly urban. With cuts in federal and in state budgets, the centralization that results also changes economic impacts.
The peculiar US design results in no health spending when there is no health care workforce, particularly physicians. About 46% of physicians are found in 1% of the land area in the ultimate concentrations of 200 or more physicians in a zip code. Much more than half of 2.5 trillion dollars in annual health spending goes to these zip codes. Medical education is a 500 billion dollar economic impact with half in a few dozen zip codes in 6 states (AAMC). I am not sure how little goes to rural areas but (by tracking residents in training and faculty) About 2 to 3% would be a ballpark figure. Research spending is over 400 million a year for Johns Hopkins alone. Less than 2% of research spending is a good guess for rural areas. I cannot track the 27 billion recovery dollars for health information technology but the primary spending and the secondary spending (software, hardware, sales, services) is not likely to do much for rural areas short in workforce and services and facilities.
Many of you could track other distorted distributions in your areas of expertise.This is important when various urban columns promote rural areas as getting more than their fair share when so many other times there is little or no spending for rural areas.
Rural economic development is essential and should be specific for rural areas. And I would add my bias by noting that rural recovery will need to address health care if rural areas hope to have jobs, businesses, and people. Since rural shortage areas of Alaska are requiring one million more dollars a year just to keep even in primary care services, it may be difficult even to have basic services in locations in most need. Paying one million more dollars a year or $2 per person per year more each year will not work.
The Madisonville KY rural campus once captured economic development funding to help get started. Collaborative efforts to train primary care workforce in rural areas for long periods of time would be a good idea for rural development efforts now and in the future. But rural areas should require long term (1 year) student rotations and required obligation periods of rural service of 6 or more years after graduation. Short term stays in primary care, short term stays in rural care, and short change in funding designs all result in shortages of primary care care workforce and rural workforce.
The Minnesota RPAP costs $800,000 a year but has delivered billions in economic impact to rural Minnesota through RPAP graduates and the medical students get some of the best training and support their rural communities and preceptors. At 1 to 3 million per year in economic impact to rural communities for each physician and with substantial consequences for insuffient workforce, it is a good idea to develop the topic of rural physicians as vehicles of rural development.
The key to rural development is local rural implementation focused on rural development rather than rural development designed to benefit "someone else."
Robert C. Bowman, M.D. www.basichealthaccess.org
Social and Economic Justice
What is needed is a transformation in the US from the mythological self reliant rural person who doesn't want help from the government to policies that equitably provide quality schools, infrastructure, income security and health care to all. It is true we are self reliant but we all drive on US highways, receive medicare, crop supports, etc. etc.
Categorical grants and endlessly defining and redefining program eligibility have created a system of institutionalized divide and conquer. Rural communities are not "dying", they have been killed by very specific federal policies.