Only sixty four % of rural employers offer their employees medical insurance compared with 71 p.c in urban areas (Coburn et al., 2009). The prevalence of such jobs as farming and contracting implies that self-employment is extra prevalent in rural America. Not only are the self-employed in all components of the country insured at lower charges than wage earners, however the self-employed in rural America are insured at even decrease rates than the self-employed in urban areas. It is necessary for her that such care is given inside the community, growing the ease of access and sense of cultural safety. Her medical care and prenatal vitamins are lined via public medical insurance plans, as is her transportation to medical appointments outdoors the reserve.