Imagine waking up in the middle of the night with chest pains. You can’t call 911 because you live in a region without telephone service. There are few emergency services available and, even so, there are few functional roads. The pains pass, but you know you need to have it looked at. You begin the long, possibly dangerous trek from your remote home to one of the surrounding urban areas. You will try to locate a medical center, where you will receive modern medical care and access to high-tech diagnostics and treatments that aren’t available in your area.