He said he believed it would mean they have to be subsidized by “those who choose a more efficient way of life.”

“Rural healthcare should be expensive!” he wrote.

“And that expense should be borne by those who choose rural America!”

“It should be uncomfortable to live in rural America. It should be uncomfortable to not move,” he added.

America’s rural communities, which tend to be older and poorer than urban areas, usually face more challenges than their urban counterparts in accessing health care, internet, and other services. 

A survey conducted by Harvard’s School of Public Health, NPR News, and the Robert Wood Johnson Foundation reports this May that four in ten rural Americans have encountered problems affording medical bills, housing, or food in the past few years.