Rural-urban differences in end-of-life care : reflections on social contracts / Charles E. Gessert -- The challenges of rural health care / William A. Nelson -- Ethics, errors, and where we go from here / Ann Freeman Cook and Helena Hoas -- The ethics of allocating resources toward rural health and health care / Marion Danis -- Reflections on fifty years in rural health care / Elwood L. Schmidt -- Serving the underserved : personal, social, and medical challenges / Louis Borgenicht -- Ethical and sociocultural issues in rural mental health care / Dan Goodkind -- Ethical dimensions of the quality of rural health care / Denise Niemira -- Building bioethics networks in rural states : blessings and barriers / Frank Chessa and Julien S. Murphy -- Structural violence in the rural context : the ethical implications of welfare reform for rural health / Elizabeth A. Thomas -- Rural geriatric bioethics : a Texas perspective / William J. Winslade and Martha Beard-Duncan -- Supporting the rural physician : processes and programs / Jamie Anderson and Craig M. Klugman.