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Ashland, OH-Less than 2 hours by air from the sun-drenched beaches of Miami lay countries where impoverished people have never seen a doctor. In the Dominican Republic and Honduras, where electricity is unreliable and roads are often impassable, congenital glaucoma blinds children and cataracts grow rock hard. Diabetes robs young and old of their limbs, jobs are scarce, and mail and garbage service are nonexistent. Most adults carry machetes for protection.