Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on the day's biggest business stories

Subscribe to Axios Closer for insights into the day’s business news and trends and why they matter

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Stay on top of the latest market trends

Subscribe to Axios Markets for the latest market trends and economic insights. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sports news worthy of your time

Binge on the stats and stories that drive the sports world with Axios Sports. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tech news worthy of your time

Get our smart take on technology from the Valley and D.C. with Axios Login. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Get the inside stories

Get an insider's guide to the new White House with Axios Sneak Peek. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Axios on your phone

Get breaking news and scoops on the go with the Axios app.

Download for free.

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Denver news?

Get a daily digest of the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Des Moines news?

Get a daily digest of the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Twin Cities news?

Get a daily digest of the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Tampa Bay news?

Get a daily digest of the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Charlotte news?

Get a daily digest of the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sign up for Axios NW Arkansas

Stay up-to-date on the most important and interesting stories affecting NW Arkansas, authored by local reporters

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Illustration: Sarah Grillo/Axios

Many of the nation's current pathologies are taking a heavy toll on the majority-white population living in rural America, which was severely impacted by the opioid crisis and has dealt with falling populations, job losses and rising suicide rates.

Why it matters: The malaise and discontent that President Trump has tapped into goes beyond the racism we've seen over the past few weeks and includes anger at a changing world and frustration at dwindling opportunities close to home. These trends are further entrenching the rural-urban schism that came to light in the 2016 election.

The big picture: Political and economic power is shifting to the cities, and 20% of the population — about 60 million people — is being left behind in the middle of America. These communities face increasingly difficult barriers to education, wealth and health.

  • And if you're African American or Hispanic, your chances of success and survival at every turn are even worse.

Let’s say you were born, grew up and now reside in rural America. Throughout your life, you have been more susceptible to poverty, lower education, illness and even death than your urban counterparts.

  • As a kid, chances are, you lived farther away from a doctor or hospital and got less exercise.
  • You were more likely to live in a school desert — having to travel long distances to make it to school, if you were able to attend at all. Your school might have shuttered, as school consolidation has become more common in many rural areas, per the New York Times.
  • You had a greater likelihood of getting your high school diploma than the national average, but were far less likely to go straight to college than your urban and suburban counterparts, as The Atlantic reported.
  • If you did graduate with a college degree, you'd likely end up so saddled with student debt that returning to your rural hometown wouldn't be an option if you hoped to get a job that would enable you to pay it off, according to research by the Federal Reserve.
  • Even if you stay, some of the brightest people you grew up with would leave, contributing to the rural "brain drain."
  • As an adult, you’re more likely suffer from obesity, mental health issues, diabetes, cancer and opioid addiction. You are more likely to know people who took their own lives.
  • If you keep working in your hometown, your job is more likely to be taken over by AI, according to a study by the Brookings Institution — especially if you live in Indiana, Kentucky, South Dakota, Arkansas or Iowa.
  • Your community's economy still hasn't fully recovered from the 2008 recession, according to Fed data.
  • As you get older, you are more likely to die from a preventable death, according to the Centers for Disease Control and Prevention.
  • If you do make it into old age, you may not have a place to grow old near your friends, family and the place you called home your whole life.

What's next: Technological advancements such as 5G and automated vehicles won't directly make life harder for rural America, but instead will fuel inequality by making life that much easier for urban America.

  • The rural-urban divide will continue to play a central role in politics and elections for the next several years — unless and until rural America's population declines enough that its political power dwindles.

The bottom line: States, municipalities and the federal government have spent billions to draw jobs and prosperity to stagnant rural areas. But not much has changed.

Go deeper:

Editor's note: This story has been corrected to reflect that 20% of the U.S. population is about 60 million people, not 46 million, as previously written.

Go deeper

Updated 9 mins ago - Sports

Olympics dashboard

Team USA's Caeleb Dressel celebrates winning gold in the final of the men's 50m freestyle swimming event at the Tokyo 2020 Olympic Gameson Sunday. Photo: Odd Andersen/AFP via Getty Images

🚨: Simone Biles won't compete in Olympic floor finals, individual vault or uneven bars

🏊: U.S. wins gold in men's 4x100-meter medley relay, earning Caeleb Dressel fifth gold

🏊‍♀️: Katie Ledecky wins gold in women's 800m freestyle

🇬🇧: Britain wins gold in first-ever Olympic mixed 4x100m medley relay

💻: Japan tests teleporting games and "remote cheering"

🏳️‍⚧️: Axios at the Olympics: Games grapple with trans athletesTrans athletes see the Tokyo Games as a watershed moment

Go deeper: Full Axios coverage

36 mins ago - Sports

Simone Biles pulls out of Olympic floor finals event

Photo: LOIC VENANCE/AFP via Getty Images

Simone Biles will not be competing in the Olympic floor exercise event to prioritize her mental well-being, USA Gymnastics announced Sunday morning local time.

What's happening: "Simone has withdrawn from the event final for floor and will make a decision on beam later this week," USA Gymnastics said in a statement. "Either way, we’re all behind you, Simone."

44 mins ago - Sports

U.S. wins gold in men's 4x100-meter medley relay

USA's Ryan Murphy (L) and USA's Caeleb Dressel celebrate winning the final of the men's 4x100m medley relay swimming event during the Tokyo 2020 Olympic Games at the Tokyo Aquatics Centre in Tokyo on Sunday. Photo: Odd Andersen/AFP via Getty Images

Team USA win the gold medal in the men's 4x100-meter medley relay, setting a new world record in the process on Sunday morning local time.

Driving the news: American Caeleb Dressel won his fifth Tokyo Games gold medal during the event.