Tensions over vaccine equity pit rural against urban America

Rita Fentress was worried she might get lost as she traveled down the unfamiliar forested, one-lane road in rural Tennessee in search of a coronavirus vaccine. Then the trees cleared and the Hickman County Agricultural Pavilion appeared.

The 74-year-old woman wasn’t eligible to be vaccinated in Nashville, where she lives, because there were so many health care workers to vaccinate there. But a neighbor told her the state’s rural counties had already moved to younger age groups and she found an appointment 60 miles away.

“I felt kind of guilty...