Improving rural America is an uphill battle like no other in this country, I think. People on TV talk about rural America like it has been forgotten and neglected, but that is not the case. There has been a massive continuous effort to improve rural life. The dump trucks full of federal cash being sunken into red states aren't just for EBT and Medicare. The
problem is that large portions of these efforts are rejected by the people they are aimed at helping - either defeated at the ballot box, or simply not engaged with by the intended beneficiaries. And a big reason why that happens is because improving the quality of rural life involves change - changes in peoples' worldview and outlook.
Changes in their indoctrinated calculus about what kinds of help are okay to offer and who is rightly allowed to accept them, for instance. I mean, it's been demonstrated over and over (and over) again that poor white rural Americans will campaign or vote against assistance they really need, that would improve their lives immensely, if their political or religious leaders tell them that some of that assistance would end up going to people who in their worldview don't deserve it or shouldn't be getting it. They will vote against welfare programs in order to spite mythical "welfare queens", and then complain that help isn't available for "people who really need it", even though help
would be available for those people if they had only voted for it. They will vote against health care measures because right now, even four years later with most of it dismantled, all health care is "Obamacare" in their heads, and Obamacare is inherently evil, period.
And that's just the political side. Another side is cultural romanticism. Proud rural Americans have a fixed idea of what rural America is supposed to look like - the aesthetic itself is a vital part of their assumed identity. For no other reason than this many of them resist improvement, because it's just a fact that a major part of improving rural America involves modernizing the infrastructure and services, and that is simply unacceptable to the point of sacrilege for so many. Modern building standards, wheelchair accessibility ramps, and safety inspections are the liberal city encroaching on the country. Cell towers and other communications infrastructure give you cancer. Solar panels
suck up all the sunlight, killing all the plants in the area. Wind turbines...give you cancer. And on it goes. Rural Americans are not
neglected. The help is available; the doctor is in. They're just refusing treatment because they believe they can pray the illness away.