next nurse juan carlos soriano, who goes on house calls with doctor orte, is usually the first point of contact for the patients. >> i'm the mailman, the nurse, the social worker. i'm a little bit of everything, really. the villagers of montes universales in the cuenca province appreciate the attention. two families live in the village of toril. the nearest village is 15 kilometers away. carlos, the domingo family's 23 year-old son, works on the farm with his parents. he doesn't want to go away. the air is clean, it's quiet, they have everything they need -including medical care. but he understands why so many others have left. >> many schools have closed; there's no work, no culture. farming isn't profitable anymore, the harvests bring the same as 50 years ago, but the prices of fuel and fertilizer have gone up. there are no stores here. it's practically an invitation to leave. >> but joaquina reus wants to stay. she only has five years until retirement. her school is in danger of closing when the older pupils leave. that's already happened in two neighboring villages. >> if they cl