Because osteopathic physicians comprise 15.3% of all physicians in small rural counties, while making up only 5.1% of the nation's physicians, the solutions to the healthcare crisis for rural America are of special interest to them. The authors explore the incredible diversity of rural communities and the difficulty with defining the term "rural." They give the background of efforts to address rural health problems and the reasons accessible healthcare--available, acceptable and affordable--has been so elusive in rural settings. The authors also explain the relative success of the osteopathic medical profession and address the role osteopathic physicians can play in the future. Finally, they explore the exciting new possibilities that telemedicine offers.