Using vaccine hesitancy and mask wearing behaviors as proxies for how many preventative measures were adopted regionally, it looks to me like being rural is helpful but also higher risk behaviors more likely. IE, being spread out helps, but people who live there don't take as many precautions.
New Mexico (which is Rural but liberal: with extremely high uptakes in COVID19 Vaccine) is also at 0.2% death rate.
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Its very possible that the % is set in stone due to human nature.
My mom was VERY lax about COVID19 restrictions until someone close to her died in January 2021 (pretty late into the pandemic).
Once those stories of people "inside your social circle" start dying, then you start realizing its a serious threat.
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Rural folk may have advantages, but they won't change their behavior until someone close to them dies (which might be this 0.2% death rate, roughly one-in-500 people). It is said that the typical person's direct social circle (people in your family + you work with + studied with + your church group) extends to ~500 people or so.
Since the "size of people's social circle" is roughly constant no matter where you live (be it in a city or rural area), the 0.2% rate before "average person notices" is constant.
That's 0.2% of all people dying. Sometimes its necessary to emphasize what the "denominator" of this fraction is... this fraction is surprisingly consistent across many areas.
That appears to be pretty true. The UK is roughly as urban as Arizona.