There are many challenges to farming for a living: It's often grueling work that relies on unpredictable factors such as weather and global market prices. But one aspect that's often ignored is the cost of health care. A University of Vermont researcher found that nationally, most farmers cited health care costs as a top concern. Shoshanah Inwood is a rural sociologist at UVM. She has been studying the aging and shrinking farm population, and what components are needed to build a prosperous farm economy. Inwood says she hadn't thought about health care in particular as a factor until she conducted an unrelated survey in 2007 of farmers working the land in areas facing population growth and development pressures. The survey asked, "What are the issues affecting the future of your farm?"