Moore Ram 2

Patients wait in the early morning for healthcare services at a free clinic on July 22, 2017 in Wise, Virginia. Hundreds of Appalachia residents slept overnight in their cars for the annual Remote Area Medical (RAM), free medical clinic held at the Wise County Fairgrounds in western Virginia. The county is one of the poorest in the state, with high number of unemployed and underinsured residents.
(July 21, 2017 – John Moore/Getty Images