Over the last several decades, a combination of factors has left America’s small towns with fewer hospitals, clinics and doctors. All of these have harmed the patient experience, with long journeys to receive care becoming an unfortunate hallmark of small-town life. Through a combination of dedicated health systems, willing payers and up-to-date regulation, however, we can revitalize rural healthcare. And the main mechanism for doing so is through home hospital care models, like Contessa’s.