From May-June 2018, researchers collected 312 survey responses from patients at a rural emergency department and identified three key determinants of social insecurity: 1) access to transportation, 2) food insecurity, and 3) exposure to violence. Findings show significant differences among the three major racial/ethnicity groups represented – Native Americans (34.3 percent), Blacks (33.7 percent), and Whites (27.6 percent).