The problem of providing adequate health services for rural America is many fold and will require the combined efforts of everyone to approach a satisfactory solution. A broad overview of all facets of the problem is presented. Listed and briefly discussed are goals which must be achieved to insure permanent improvement. Three general directions to be pursued in order to accomplish the goals are given. Other views and suggested solutions are analyzed in this document by Donald L. Graves, M. D., in his paper titled "A Model for the Practice of Community Medicine," and by George T. Harrell, M. D., in his paper, "Rural and Small Town Practice--Future Training and the Role of the Family Physician." (DB)