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This is a good point. Every year in various parts of Appalachia there are health festivals were doctors come and volunteer their time to give free medical care of various kinds, from eye exams to cancer screenings. This is intended for the poor and uninsured, but around 1/3 of the people who attend have health insurance that would pay for the exams. They still don't have real access to healthcare, though, because it would take over 3 hours each way to get to the appointment.

Even in the semi-rural area where I live, if I needed heart surgery, the local cardiologists won't do the surgery. They would send me up the road to DC, two hours away, like they did with my father-in-law. And I live in a county with a high median income.



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