Abstract
Rural librarians are intermediaries between individuals and our health system. Librarians direct their patrons to health resources, assist with online tasks such as insurance enrollment, lend health equipment, and more. And yet, rural libraries and librarians are largely absent from rhetoric of health and medicine (RHM) scholarship. Drawing from interviews with 11 rural librarians in nine states, we discovered that librarians leverage two kairotic openings for health communication: response and invitation. They succeed via three kairotic strategies: appropriateness, propriety, and opportunity. Librarians serving rural areas eschew simplistic ideographs around digital access and urge us to consider the meaning of mental health in rural America. Librarians are powerful intermediaries because they build trust through repeated conversations and a willingness to help patrons solve their problems. Our health system should recognize, celebrate, and utilize the rural library system to better serve patients.