The purely economic aspects of sickness and disease have been a potent factor in the health movement, particularly in cities. The vast sums invested in life insurance have led progressive insurance companies into extensive campaigns for promoting public health so that their risks may be reduced. Vast quantities of the best health literature have been distributed by some of the industrial insurance companies and they have done much to demonstrate the value of public health nursing by employing nurses who visit their policy holders. The extension of the insurance method to health insurance, and the adoption of insurance by large corporations for their employees has furthered this general movement, and has revealed the tremendous economic losses due to preventable sickness and disease. The farmer has failed to appreciate the purely economic handicap under which he labors as a result of sickness and the lack of adequate medical service and efficient public health administration such as cities enjoy, because the cost of sickness is distributed and is borne by each family and he has no means of knowing the aggregate cost for the whole community. Were it possible for a rural community to secure and have brought to its attention the total economic loss due to sickness in a given year and the proportion which might be preventable with a reasonable expenditure for better health facilities, its people would doubtless become as interested in better health administration as does the employer in a large city industry, and the true economy of better health facilities would be apparent.