Coronavirus hospitalizations nationwide are up more than 100% in the last month. Rural hospitals, in particular, are at a tipping point. Nearly 20% of Americans rely on them. … Large cities initially bore the brunt of the pandemic and while COVID-19 cases are increasing again, nowhere are they rising faster than rural areas. In Idaho, 1 out of every 4 coronavirus tests come back positive. Still, there are many who refuse to wear masks.