Already at about 6a.m. cars are lined up and waiting for miles where they can check-in at the entrance of the Virginia-Kentucky Fairgrounds in Wise, VA.
For the last ten years, thousands of people in need in Appalachia and the surrounding areas have woken up in the middle of the night to stand in line and receive basic health care unaffordable to them.
This year, about 2,347 people flocked to Remote Area Medical Health Expedition (RAM) in Wise, VA at the Wise County Fairgrounds. Founded in 1985 by Stan Brock, RAM is a free clinic for those in need of basic health care in remote areas. The health expedition in Wise is the largest free health care clinic in the United States. The most needs in rural Appalachia are dental and vision care and many cannot afford a basic examination due to the lack of insurance or being underinsured. Many will arrive the day before to receive a number in line for when the gates open at 6a.m. Some drive for hours, some walk down the street to stand in line. For most, this will be there one chance to be seen by a health professional.
According to their website, last year RAM served nearly 5,800 patient encounters that worth more than $1.9 million dollars. 1800 volunteers and more than 800 health professionals participated in the three day clinic.