Wednesday, June 12, 2019

On access to transportation and health (and jobs, poverty and disability) in rural America

NPR reports today from upstate New York on the intersection of disability, rurality, poverty, and employment, with something of a focus on transportation as another feature of that cycle of poverty.  Here's the excerpt I wish to highlight: 
Having good access to transportation — or not — has a huge impact on the health of people living in rural parts of the country, says Dr. Kirsten Bibbins-Domingo, a professor of epidemiology and biostatistics at the University of California, San Francisco who studies the health of vulnerable populations. 
The story, by Selena Simmons-Duffin, quotes Bibbins-Domingo: 
If you go to less populated areas — rural areas — access to a car that functions well [and] the costs for gas becomes such an essential element.  Both to drive to seek medical care, as well as to drive to access the other resources that are necessary to pursue good health. 
Simmons-Duffin goes on to quote Bill Erickson of Cornell re: employability of people with disabilities.
Since the Great Recession, rural counties really haven't seen as much employment growth as urban counties. Also just the types of jobs that are available to those sorts of communities may be tending toward, you know, requiring people to be able to move things physically or whatever. 
And the limitations that the individual with disabilities may have may be preventing them from being able to do those particular types of jobs — or employers can't provide the accommodations that may be necessary.
On that latter point, see this excellent NPR story from 2013.   

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