On a damp November morning last year, 77-year-old Rick awoke tangled in blankets and tumbled out of bed. His head struck the sharp corner of a bedside table—a hard, stunning blow. Within hours, a pounding headache set in, and the world through his left eye began to cloud.

Rick had no computer, no smartphone and no regular doctor. He lived in Inverness and had rarely used the medical system. When a local clinician told him…