Also, if you need a doctor or ambulance to come to you it first needs to drive the hour up and then another hour to an hospital. But maybe that type of care works differently when distances are so large. Are helicopters used?
Large distances for planned care is probably manageable. For urgent care not so much. Living alone also means not having someone else that can signal the emergency services when something is wrong.
We have http://lifeflight.org in the Rocky Mountain West. $85 a year. I wish they would expand into ground service in my area so I didn't have to worry about ambulance bills.
I was curious since I'd never seen that thing, so I watched the video: that looks useful only if you have someone to apply it to you. Seems like there'd be a market for an automatic one where all you have to do is push a button and then smash it into your face.
Large distances for planned care is probably manageable. For urgent care not so much. Living alone also means not having someone else that can signal the emergency services when something is wrong.