There are entire counties in CA that have no doctors or hospitals available to new Anthem/BC Obamacare/CoveredCA patients. We’ll soon see plenty of tales of woe of 50-70 mile drives to the doctor.
There are plenty of rural areas where anything other than basic health care or ER triage has always meant a long drive to a large regional medical facility. Right now, I know of one elderly lady driving 45 miles each way for ongoing checkups and treatment of skin cancer. Her 89-year-old husband gets his heart and other conditions checked regularly in a local setting, but he, too, must travel that 45 miles for actual treatment if any condition worsens.
It has been this way for a long time for a lot of people.