Most Traffic Fatalities Occur on Rural Roads
The reasons for more rural traffic deaths seems to be threefold. People drive faster on rural roads. The roads themselves are not as well-engineered, and medical response time is much slower outside of cities.
Some states are taking action to make their country roads safer. These improvements include the addition of rumble strips on both the shoulders and centerline of some roads. Montana has even engineered "over crosses" and "undercrosses" for deer, elk and bear on one highway. Many states continue to campaign for seat belt usage, particularly in rural areas.