Stanley Sears was 50 years old when he had a heart attack in Martin County, North Carolina. Emergency crews from a neighboring town worked on him for half an hour, but couldn't revive him for the long drive to the closest hospital. Martin County's only hospital had closed a year before his death.
His sister, Debra Pierce, still wonders. "The sad thing is we'll never know if he could have been saved that night or not, because we don't have a higher level of care in this county," she told KFF Health News reporter Sarah Jane Tribble.