I'm in a suburbia (not rural), but we have more of a trail system than a lot of other places in the United States. There really isn't much I can't do on a bicycle, and when I absolutely need to transport something myself, which happens maybe once every couple of years, I've rented a truck for a few hours. My e-bike does most of the heavy lifting when my total travel distance is over 15 miles and I need to transport stuff.

I get up, check the weather, throw on clothes for whatever's happening, jump on the e-bike, buzz half a mile down to a gravel trail that runs north-south through my city, and go do what I need to do. I use panniers mounted on a rear rack to hold stuff. For groceries I tend to go to Trader Joe's which is in a shopping area off the trail about a mile and a half from my house. Hardware stuff I get from a family-owned place that's 7 miles away, 5 miles of which is on trails. Electronics is from a store that's sort of like Radio Shack on steroids that's about a mile from the trail system, but that's more like 10 miles each way. I don't need to go there often. Work is 10 miles away, 9 miles of which is on a trail. I park in a bike cage, and there is a locker room with showers.