If you put you in a time machine to 1860 ago you would be a fool to go to your local doctor (this was before doctors got scientific, or did basic things like wash their hands - as a result people who went to the doctor had worse results than people who didn't). Now that we have quality medical care people who go to the doctor have better results than people who do not and so that creates demand of people who want a better life. The people in 1860 (and before) would love to have access to the type of medical care we have today.