Across vast stretches of rural America and particularly in the West, emergency care—or even basic routine healthcare—can be hard to come by. People drive hours for eye exams, to give birth, have their teeth cleaned, or get therapy. Robert Duehmig, director for the Oregon Office of Rural Health, works towards solutions that fit rural and remote communities in Oregon. He discusses what’s working, what needs work, and how philanthropy can support healthcare in these communities.