A large collection of counties, some 599, that runs across the northern half of the country starting up in Maine through the Great Lakes and across to Montana and Washington state.
Wealth in Rural Middle America sits just below the national average, with an average median income of $52,600. Access to healthy food in these communities is favorable, with a Food Environment Index of 8.04, above the national average of 7.7. Although this food is available, these communities still experience a high rate of adult obesity, 32% compared to 28% nationally. This could be due to lack of access to exercise opportunities, which only 65% of adults in these communities have. Despite these issues, healthcare seems accessible here, with only 9% of the population uninsured, 2% lower than the national rate. These communities are also fairly safe, with a violent crime rate less than half the national average.