The State Public Health Department in a Large Northern State

The state public health department in a large northern state has convened a task force to help optimize the health of the populations living in the state's rural communities by addressing major barriers to promoting optimal health in those rural communities. Which of the following is a major barrier? (Select all that apply.)

A) Decreased access health care
B) Lack of funding for safety net programs
C) Difficulty recruiting physicians, physician assistants, and nurse practitioners
D) Migration of people from other areas