TheEli Lilly Free Clinic in Appalachia

Every Sunday morning, Dr. Raj Patel sat in the third row at Grace Community Church in Harlan County, Kentucky. He sang the hymns, bowed his head during prayer, tithed faithfully. But something gnawed at him. Half his neighbors in this coal country town couldn't afford the insulin they needed. They rationed doses, split pens, and sometimes just went without. Raj knew the church held a forty-day fast every January, but the irony hollowed him out — they were choosing not to eat while people down the road were dying because they couldn't afford to live.…