HUTCHINSON, Kan. — Kansas U.S. Senator Roger Marshall, M.D. spoke on Saturday at the Kansas State Fair about the importance of caring for your neighbors with mental health issues, especially those working in agriculture. "September is Mental Health Awareness Month," Marshall said. "Specifically, we're trying to educate folks about the challenges in agriculture. Farmers and ranchers have an almost four times higher suicide rate than the general population. The pressures are for real. Many of us, I'm a fifth-generation farm kid, many are six and seven generations out here. The pressure to keep that farm alive and well for future generations is enormous." According to Rural Minds, pre-pandemic in 2018, nearly two thirds of rural counties in America did not have a psychiatrist.