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Pictures | Tue Jul 24, 2012 | 12:20pm EDT

Healthcare in Appalachia

<p>People needing dental and vision care arrive at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. RAM clinics bring free medical, dental and vision care to uninsured and under-insured people across the country and abroad. The Wise clinic was the 647th RAM expedition since 1985 and drew 1700 patients from 14 states, organizers said. REUTERS/Mark Makela </p>

People needing dental and vision care arrive at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. RAM clinics bring free medical, dental and vision care to uninsured and under-insured people across the country and abroad. The Wise...more

People needing dental and vision care arrive at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. RAM clinics bring free medical, dental and vision care to uninsured and under-insured people across the country and abroad. The Wise clinic was the 647th RAM expedition since 1985 and drew 1700 patients from 14 states, organizers said. REUTERS/Mark Makela

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<p>A patient displays his place numbers for treatment after entering the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A patient displays his place numbers for treatment after entering the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A patient displays his place numbers for treatment after entering the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Cody Stidham (L), Felicia Phyllishalundy (C) and Jeremy Meade wait outside before joining the line to receive numbered wristbands at the Remote Area Medical (RAM) clinic in Wise, Virginia on July 20, 2012. REUTERS/Mark Makela </p>

Cody Stidham (L), Felicia Phyllishalundy (C) and Jeremy Meade wait outside before joining the line to receive numbered wristbands at the Remote Area Medical (RAM) clinic in Wise, Virginia on July 20, 2012. REUTERS/Mark Makela

Cody Stidham (L), Felicia Phyllishalundy (C) and Jeremy Meade wait outside before joining the line to receive numbered wristbands at the Remote Area Medical (RAM) clinic in Wise, Virginia on July 20, 2012. REUTERS/Mark Makela

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<p>People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A "No Weapons Allowed" sign is posted at entrance to the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A "No Weapons Allowed" sign is posted at entrance to the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A "No Weapons Allowed" sign is posted at entrance to the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

People wait to receive a wristband number for medical treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Founder Stan Brock (C) calls patients wristband numbers at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012.  REUTERS/Mark Makela </p>

Founder Stan Brock (C) calls patients wristband numbers at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Founder Stan Brock (C) calls patients wristband numbers at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A chihuahua named Bella leans on her owner the night before the Remote Area Medical (RAM) clinic opens in Wise, Virginia July 19, 2012. REUTERS/Mark Makela </p>

A chihuahua named Bella leans on her owner the night before the Remote Area Medical (RAM) clinic opens in Wise, Virginia July 19, 2012. REUTERS/Mark Makela

A chihuahua named Bella leans on her owner the night before the Remote Area Medical (RAM) clinic opens in Wise, Virginia July 19, 2012. REUTERS/Mark Makela

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<p>Patients have their vital stats recorded before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

Patients have their vital stats recorded before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Patients have their vital stats recorded before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Dentists work on patients at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

Dentists work on patients at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Dentists work on patients at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Joe Roberts, from Sutherland, Virginia, intending to have 10 teeth extracted, waits for his wristband number to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

Joe Roberts, from Sutherland, Virginia, intending to have 10 teeth extracted, waits for his wristband number to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Joe Roberts, from Sutherland, Virginia, intending to have 10 teeth extracted, waits for his wristband number to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A dentist drops extracted teeth in a gallon jug of distilled water at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012.  REUTERS/Mark Makela </p>

A dentist drops extracted teeth in a gallon jug of distilled water at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A dentist drops extracted teeth in a gallon jug of distilled water at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A dentist extracts teeth at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A dentist extracts teeth at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A dentist extracts teeth at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A dentist displays extracted teeth at the Remote Area Medical (RAM) in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A dentist displays extracted teeth at the Remote Area Medical (RAM) in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A dentist displays extracted teeth at the Remote Area Medical (RAM) in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A patient has an eye exam at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Girls help to distribute free clothes at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

Girls help to distribute free clothes at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Girls help to distribute free clothes at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>An array of root canal files are lined up in the dentistry tent at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

An array of root canal files are lined up in the dentistry tent at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

An array of root canal files are lined up in the dentistry tent at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A patient has her blood pressure taken before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A patient has her blood pressure taken before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A patient has her blood pressure taken before receiving treatment at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Patients wait for their wristband number to be called for dental care at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012.  REUTERS/Mark Makela </p>

Patients wait for their wristband number to be called for dental care at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Patients wait for their wristband number to be called for dental care at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>Paul and Tina Williams from St. Paul, Virginia, attend the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

Paul and Tina Williams from St. Paul, Virginia, attend the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

Paul and Tina Williams from St. Paul, Virginia, attend the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>The Wise County Fairgrounds serve as the location for the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

The Wise County Fairgrounds serve as the location for the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

The Wise County Fairgrounds serve as the location for the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A board lists the variety of medical talks offered at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012.  REUTERS/Mark Makela </p>

A board lists the variety of medical talks offered at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A board lists the variety of medical talks offered at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A patient with wristbands indicating her treatment waits to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A patient with wristbands indicating her treatment waits to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A patient with wristbands indicating her treatment waits to be called at the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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<p>A placard advertises the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela </p>

A placard advertises the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

A placard advertises the Remote Area Medical (RAM) clinic in Wise, Virginia July 20, 2012. REUTERS/Mark Makela

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