The report from the Centers for Disease Control and Prevention (CDC) shows that, pre-pandemic, death rates were decreasing for both urban and rural U.S. adults aged 65 and older. Data from the CDC’s National Center for Health Statistics show that, though death rates from 2009 to 2019 were higher in rural areas than urban areas for both men and women and for all race and Hispanic-origin groups, they declined 15 percent in rural areas over that time period. CDC research from 2019 showed rural Americans are more likely to die from five leading causes than people living in urban areas. The research showed that rural residents are also more likely to die of preventable deaths – with higher rates of cigarette smoking, high blood pressure and obesity, higher rates of poverty, and less access to health care and health insurance.