As someone who ran straight into this head on by moving to Eugene under Covid, I can relate. There are no services here; the VA worries about legalities and that concern informs all the providers far more than any kind of concern about actual patient outcomes. So for those of us who are alone, whose neighbors, like mine, are elderly and in no position to do much, procedures end up not getting done at all. My neighbor has a husband in final days of hospice. She might drive me here or there, but the window during which she is available is very narrow and depends on her hospice worker. Here in Eugene, you are not told what time a procedure is until the day before, meaning that nobody can plan, and meaning that you might well have to cancel everything because someone's capricious schedule doesn't match with your driver's schedule. Increasingly I am watching the services I might need as an aging veteran become impossible to secure in the USA because of such idiocy. That said it's just one of many reasons I am looking into becoming an expat where the absolute focus on profit vs the patient isn't so prevalent. Our healthcare is horrible and getting worse. What's ludicrous is that I am a dedicated athlete, I eat very well and mind my health far more than the average aging person. I do that as much to protect myself AGAINST American healthcare as it is simply to allow myself options late in life. What a statement about the systems we have built, Bella.