And the ranchers in rural Idaho/ Montana I have met have it also.water turkey said:
A lot of the farmers in the Midwest have it.
A distant cousin had a major heart attack in his late 40s on a cruise ship and they dropped him off at the nearest port- Cancun. He was in the hospital there for weeks before being life flighted to Houston. The hospital stay and the life flight were both very expensive. The hospital would not take his regular health insurance and his family had to pay before they would let him leave to be life flighted.
A have no idea if travel insurance would have covered these expenses but he did not have travel insurance.