UC Davis in California is a training and research hospital. Tons of patients get treated down at the research hospital there in Sacramento valley. Rural hospitals can't even touch that.
20 minutes? More like an hour. And did you not read that I was not just talking about abortions or did your mind just ignore that part? If you have a car then 20 minutes is doable, but if you don't, you're screwed in way too many ways in rural areas. Just you try walking to the general store. Rural America is infamous for food deserts. Oh but everyone's a farmer, you say? Not even close.
That's because expanding infrastructure out to rural areas is very expensive.
This trumps your anecdotes.
This contradicts you, too.
Fact of the matter is,
Rural America is dying.
And then the American outback is also notoriously regressive, racist, sexist, and homophobic to boot.
Rural America is no country for gays or lesbians, or Muslims, women who don't know their place... yeah, no one wants to live around that culture.
Virtually any opposition to gay marriage thrives in rural areas. Opposition to the Civil Rights Act thrives there. People just like you who howl when the word 'abortion' pops up thrive there, too. Virtually everyone who has a religious objection to paying for contraception in an employer's health care plan comes from rural areas. Whiners who hate baking cakes for gay people, yup, mainly are rural people. The Muslim fear peddlers, anti-immigrants and illegal immigrant panic-peddlers make their bases in rural areas. White supremacists live nowhere else BUT the rural areas. Literally that is where Kekistan began. Trump won the rural areas - you can clearly see by election maps that Trump has no love in the cities.
Jobs are the big reason people are moving away from rural areas, but another big reason is that those areas are incredibly rigidly regressive in a world that is increasingly cosmopolitan and progressive. The culture of rural America is as toxic as the air in Shenzen.
You can argue all day that I'm wrong but the statistics are what they are - people are leaving rural areas. Ultimately it's not up to me to ask why.