300 miles? I live in Texas, and the state is big but not THAT big that there are no hospitals within 300 miles. Big Bend is remote, but is not that far from good hospitals in Alpine, even El Paso. The far west end of the Rio Grande Valley is not that far from McAllen (I know, I go there on business a lot). There are good hospitals and medical clinics of all kinds in Rio Grande City.
The hospital in Alpine is good for basic needs and easy child delivery. We live there and actually had to go all the way to Odessa for some tests and a higher level of care.
300 miles? Wow, that would take all of five or six
hours! It’s not like they had to walk or ride a horse.
People drive that far for a decent pizza.