There are difficulties in providing healthcare to a rural state with a sparse population in a large geographic area. That describes much of South Dakota, especially west of the Missouri River. For a fuller picture, add in the challenges of an aging population and low income patients. On this segment of SDPB’s ongoing examination of the State of the State’s infrastructure, Victoria Wicks learns that the state’s most vital healthcare infrastructure isn’t so much bricks and mortar as it is flesh and blood.