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Rural communities face disproportionate burdens of chronic disease, mental illness, workforce shortages, and fragmented services despite historic national health spending. The Whole Health, Whole Communities: Dialogues to Reduce Rural Health Disparities symposium in Roanoke, Virginia, convened cross-sector leaders to identify reforms necessary to embed person-centered care into rural systems. Participants outlined staged reforms across governance, financing, workforce development, and data infrastructure. Priority actions include trauma-informed care expansion, payment redesign, sustainable community health worker funding, participatory research, and cross-sector coordination - advancing scalable, community-embedded Whole Health models to reduce rural disparities.