You are the regional vice president of a midsize healthcare system in West Hadley. A wealthy philanthropist has served with you for years on the system’s board. Recently, his youngest brother in Little Barrington, developed kidney problems and required dialysis. However, the community, with only 40,000 residents, lacks dialysis services. This shortfall necessitated a 50-mile drive, three times a week, to the nearest dialysis center. As the travel time and four hours of treatment at the center took up three full days a week, this scarcity was a significant burden on this family.