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Brock Slabach, senior vice-president of the National Rural Health Association in suburban Kansas City, said it takes "space, staff and stuff" to run a rural hospital. "If you don't have any one of those three, you're really hamstrung," he said, noting that many hospitals face shortages in all three areas.

Both the health and the economic numbers are bad. Despite a rise in US GDP per capita of 85 percent from 1979 to 2017, median earnings for white men without a college degree, who were about 40 percent of the labor force, had actually fallen 13 percent. Wages for African-Americans, which started much lower, had risen in the period but still remain low on average. Although there was some improvement in 2018-19, the job situation has remained dire for those without a university degree. Between 2010 and 2019, nearly 16 million jobs were created in the US, but only 3 million for those without a university degree－despite the fact that university graduates comprised only 25 percent of the labor force.

Brent crude, the worldwide benchmark, slid 0.10 percent to .46 a barrel. So far this year, the price has fallen about 50 percent.

Businesses have also taken the chance to promote sales through price discounts, gift packages and other bonuses.

Brent crude, the worldwide benchmark, slid 0.10 percent to .46 a barrel. So far this year, the price has fallen about 50 percent.