Probably the chief reason for the slow progress of modern sanitation in rural districts is the lack of training of country doctors in the modern aspects of their profession. In the country, sanitation is largely a household matter, and women have most at stake and the greatest influence here. In a few months or years one trained nurse or woman physician could raise the ideals of sanitation and hygiene in the country homes of a large area. Old-fashioned rural neighborliness and large families have combined in the past to keep trained nurses in the city. The country people have managed to get along without them usually. But both these causes have been diminishing and there is serious need in most country sections for the expert services of trained nurses. The "district nurse association" plan has already gained acceptance in country places and its rapid spread would prevent much hardship. Combined with community ownership of sick-room appliances, this would greatly help to make country life comfortable for people accustomed to city conveniences. Rural frugality hates to pay a woman nurse a man's wages! But gradually efficiency will win and the higher life standards prevail, and this will give countless young women splendid opportunities for broad service, with which the petty office positions in the city cannot compare. Conservative country folks are slow to recognize the professional authority of the woman physician; but the prejudice will soon pass. Certainly a capable woman with a modern medical equipment would not need many months to prove her superiority to the average low-grade country doctor; and she would soon find a great life work. While college men are more and more shirking this great healing profession, let the college women give it large consideration. It offers wonderful scope for serving the deepest needs of humanity as well as their bodily ills; and the college girls who dream of medical missions need not go so far from home as India to realize their visions. _Opportunities for Religious Leadership_ The burdens of the country pastorate, like the burden of the ballot, ought not to fall upon the women; but the time seems to have come when there are not enough good intelligent men to maintain either. It is impossible at present to furnish one-half of the rural churches in the United States with _trained men_ to be their pastors. Canada imports hundreds of clergymen annually from England. Thousands of rural pulpits in the States are vacant. Tens of thousands of rural churches have merely untrained preachers. Very few have resident pastors. Dr. Wilson of the Presbyterian Board of Home Missions is authority for the statement that of the 192 country Presbyterian ministers in Missouri, _only two_ of them are living with their people in the open country.