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WISE, VIRGINIA-JULY 25: People wait in the early hours of the morning to enter the Virginia-Kentucky Fairgrounds for free medical care from the Remote Area Medical Expedition (RAM) in the heart of the Appalachian mountains July 25, 2009. Many slept overnight  in their cars, trucks, RVS or in tents. The two and half-day event helped provide health care for 2,715 people, uninsured or underinsured with unaffordable co-pays or high deductibles for their insurance policies. RAM has been holding the event here for ten years. Organizers estimate that they provide over $1.6 million USD worth of care.