RT Journal A1 Sheehan MN T1 EThical issues in rural health care JF JAMA JO JAMA YR 2009 FD May 27 VO 301 IS 20 SP 2162 OP 2166 DO 10.1001/jama.2009.730 UL http://dx.doi.org/10.1001/jama.2009.730 AB The book is divided into 3 sections. The first provides an overview of what is meant by rural and general ethical issues in rural health care. The second section consists of 3 essays by rural health practitioners. The third and final section examines specific ethical issues in the rural setting. The book provides an illuminating look at questions of culture, character, regulation, social justice, and organizational response. As a reader who has predominantly practiced medicine and taught ethics in urban medical environments, I found the book fascinating in the insights it provides on the challenges and the rewards of delivering health care in areas far removed from the big city. The book also encourages reflective readers to consider some of the hidden issues in their own clinical settings.