What do rural Americans say are the biggest problems in their local communities? A new poll finds that drug/opioid abuse and economic concerns are the top challenges. When it comes to drug addiction and abuse, a majority of rural Americans say opioid addiction is a serious problem in their community. On economic issues, rural Americans largely hold negative views of their local economy, but nearly one-third have seen economic progress in recent years. What may help? A majority of rural Americans believe outside help will be necessary to solve major community problems in the future, and many believe government will play an important role.