Between January 2005 and December 2016, rural emergency department visit rates increased by more than 50%, from 36.5 to 64.5 per 100 persons. At the same time, there was a 5% decline in the overall U.S. rural population. In urban areas, emergency department visits increased from 40.2 to 42.8 visits per 100 persons. The higher rate of increase in rural areas occurred among those aged 18 to 64 years, non-Hispanic white individuals, Medicaid beneficiaries, and individuals without insurance. Rural Emergency Department Utilization Rates Population Classification # Per 100 in 2005 . . .