Ive sat in a home in the Philippines whre a 4 year old baby laied in "state" the child had dange a totally cureable sickness. Third world have excellent doctors and hospitals, many Americans use these systems as US health care becomes too expensive. The big difference is that if you have no money to give the Hospital you dont get in the door period end of story. Many die of simple illnesses. In a SHITF senero CLEAN WATER and PROPER SANATION is the key to good health.