There is a government-funded home repair program aimed specifically at low-income rural seniors: the U.S. Department of Agriculture (USDA) Section 504 Home Repair program. This has given Gaede a new perspective on the fragility of rural housing stability for the elderly. Kinder’s experiences sounds familiar to Carrie Henning-Smith, codirector of the University of Minnesota Rural Health Research Center. (According to the American Medical Association, only 4 to 5 percent of incoming medical students are from rural areas, and between 2002 and 2017, medical school graduates from rural areas declined by 28 percent.) “We know that addressing scope-of-practice issues can be helpful—just thinking about what’s within someone’s domain that they can do in rural areas.