Quote:
Originally Posted by roadfamily6now 
oh another topic that comes with this is Medical.
Anyone living in the Bush and / or Off Grid with medical issues and how do you address that?
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I'm a lurker here but thought I'd unlurk to talk about this question...
First, "off the grid" I think may be different from just Bush Alaska living, especially if you think of a Bush town like Bethel, Nome, Kotz, etc. We have electricity, and so do the smaller surrounding villages.
Medical care - in Bethel, we have a hospital. It's basic but has gotten the job done, mostly, for us. We are careful in who we go to see. We have also opted to go to Anchorage when things weren't getting addressed quickly enough for our tastes (had a child with hearing loss, there was a 6 month backlog for children needing ear tubes - but ANC got it done in 2 weeks). We've had semi-emergencies and urgent needs to get to Anchorage but always ended up taking commercial flight that day. I've had 2 babies here, but a high risk pregnancy would get shipped out for delivery. The reality is that if something awful happened and required major medical intervention quickly, we are at a big disadvantage. Medivacs happen, they do the best they can, but it isn't guaranteed. A friend had her girl's appendix rupture here a few years back and she was in teh ANC hospital for a couple of weeks dealing with the complications.
Our insurance does NOT pay for travel - even emergency, medically necessary travel, much less just paying for trips. However, my parents who live in Ketchikan, they purchased "medivac insurance" that'd pay the cost of that if they ever needed it. Our insurance would pay for a full on medivac, but commercial travel (even certified "medically necessary" travel)- no.
As for what people do here - lots of government (state, law enforcement), teachers, health care (nurses, doctors, etc) and people to make the town go (store clerks, service industry and restaurants). I would imagine it's the same on a bigger or smaller scale in many bush communities.
HTH.

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