poverty rate approaching 30%, many here can barely afford to drive, let alone the care, like carla elizabeth walsh. >> if life and death depended on money, i would have to die. carla had a massive heart attack a little more than a month ago. first, an ambulance ride to a rural hospital. then a med i vac to charleston. >> she took it with dignity and we had no money. >> most of their savings went to pay for back surgery elizabeth had a while back. she has diabetes and is legally blind. >> why won't you go to the doctor? >> because i can't pay for it. i could go and i get bills, and i can't pay those bills, so -- >> thousands and thousands of dollars worth of bills come in, and what can you do about it? >> so you'd rather not go to the doctor than to have a bill come that you can't pay? >> right. >> did you get in touch with her regarding that repeat on the mammogram? >> it is a dilemma she faces every day, trying to convince people not to wait for the medical problem, to seek medical care. >> we offer a sliding fee payment scale. if they're at 100% medical care, they owe us 5%. >> the focus here is