I am not sure what is meant by same response, with time limitations. A mainlander can get three ambulances parked at their door in a matter of minutes for comprehensive, in home services. An islander cannot expect three ambulances at their door with the same scope of in home services. It is not the states or town's responsibility to provide equal service to each islander. This is also true for fire fighting and police protection. It is not reasonable to expect mainland-like quality of service. It would be cost prohibitive to try to attain equal services, IMO. The taxes paid do not guarantee equality. If they did, they would probably be 100x or more.
As was already stated, I would not expect the same scope of service for a broken leg if I was hiking in a remote area as I would on Main Street. What happens in January or February?
I believe that you accept this fact when you decide towards island life. I hope the women is fine and has a speedy recovery.
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