[muratk]

It doesn't have to be a rare disease—it can just mean that non-basic healthcare is hard to access.

Example: I live in the Philippines. Its healthcare system is affected by two things: centralization and the fact that the country is an archipelago.

Most quality health care is happening in Metro Manila. What you find outside is generally very basic, and even in 2nd-tier cities like Cebu or Davao they may refer you to Manila for something you'd think they ought be able to do.

With travel by boat being … rather slow, with vacation time not exactly ample, and the average salary being low I'm quite certain that affordable flights ($25 Cebu - Manila) are making ample difference in terms of what kind of healthcare situations are being addressed.

[Moru]

So healthcare would have been better in the outer regions without cheap air travel?