I live in rural New Mexico and medical services are very bad here.
I took my GF to the emergency room once with chest pains (turned out to be a lung infection). After an hours long wait we got to see the "doctor". The doctor came in in street clothes which were wrinkled jeans and a frumpy polo. He was not smart and from appearance, speech and thinking patterns easily could have been the janitorial mid level manager (no disrespect meant to janitorial staff). They did a chest scan, he said he would review it, then told her to go home and take a Motrin and then she got mysterious bills for the next year from the event.
I would go to Texas which isn't far if the emergency permitted it, and in fact they do airlift most serious cases directly to Lubbock.