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Mississippi has the highest food insecurity rate in the nation, and while the overall pattern of food insecurity has declined in the United States, for Mississippians it has plateaued, remaining significantly higher than prerecession rates. In addition, the food environment of the state is characterized by low healthy food access, high persistent poverty, and a primarily rural landscape. This translational research seeks to bridge thinking on agriculture policy, nutrition, food access/food insecurity in seeking to understand the paradox between obesity and poverty in rural Mississippi. Examining food system opportunities as potential solutions to food access and healthy outcomes is explored.