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WISE, VIRGINIA-JULY 25:  People wait before dawn to enter the Virginia-Kentucky Fairgrounds for free medical care from the Remote Area Medical (RAM) Expedition in the heart of the Appalachian Mountains  July 25, 2009. Many have slept overnight  in their cars, trucks, RVS or in tents. The two and half-day event helped provide health care for 2,715 people, most of whom are uninsured or underinsured with unaffordable co-pays or high deductibles for their insurance policies. An army of seventeen hundred volunteers including individual doctors, nurses, members of the UVa medical and nursing schools, and the Lions Club helped organized the event and provide services. Organizers estimate that they provided over $1.6 million USD worth of care.