This aerial view shows Tangier Island, Va. surrounded by the Chesapeake Bay, Monday, Aug. 9, 2010. For more than 30 years, Dr. David Nichols has piloted a plane or a helicopter across the Chesapeake Bay on his day off each week to provide medical care to this community of 500 that has no resident physician.  (AP Photo/Richmond Times-Dispatch, Bob Brown)
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