Where do they go for care if they even choose to? One of their co-workers or staff?...doubtful.
A two hour drive to the city?...when do they find the time or the energy? Dr's around here are usually swamped at whatever practice they've affiliated themselves with and are pulling morning or evening shifts making rounds at one or two of the local hospitals.
Everything around here has reverted to the mental health clinic setting, private practices have either merged or left for greener pastures...you can expect at least a 20-30 min wait and are packed in a waiting room with at the least 15 other people. Then it's usually 3 intake appointments before you even see a Dr., unless you are having a crisis and then you are referred to the nearest inpatient facility which is normally full to capacity.
Standard procedure when you're in the waiting room and see anyone you know is to wait and see if they acknowledge you...most don't and will put their head down and go hide in another section of the waiting room...many times you see someone recognize someone, talk to them, and then sit and whisper to their friend about them when they're called in. If you ever want to know everyone's problems...sit behind two elderly ladies in the waiting room.
The most innocent looking ones normally turn out to be the most ruthless, judgmental bitches you've ever seen.
I'd hate to be a Dr. or someone in another high profile position in the community.