This month issue and podcast provide a public health perspective on rural America. Is rural America sinking or is it America’s public health’s life buoy? The ongoing pandemic invites us to reconsider the role of rural regions in designing a new, post-Covid19 public health. The overall message emanating from these contributions is paradoxically optimistic. My four guests are: Shauntice Allen (Alabama SPH), Wendy Braund (Pennsylvania DOH), Michael Meit (East Tennessee SU), and Eduardo Sanchez (Texas, and AHA).