People wait through the night, in temperatures of -10 degrees celsius, in order to be sure of being seen by Remote Area Medical (RAM) health workers. Over the weekend at Soft Shell, Knott County, in the Appalachian mountains of eastern Kentucky, the congressional district with the nation's lowest life expectancy, RAM volunteers saw 822 needy people. 95 percent of people seen were provided with dental or optical care. RAM was founded in 1985 to provide free health, dental and eye care in the developing world. However, RAM now provides 60 percent of its services in the US, providing for the estimated 47 million Americans without health insurance..