This region does not have public transportation which can certainly be a barrier to getting access to services.
The need for good, safe roads is also important as people need to be safe as they travel and the roads get us to the services that we need.
Or may be if communities were designed differently, we could avoid the use of cars and be able to bike or walk places which would have an impact on our health. This can also lead to a discussion about the pollution caused by cars and trucks and the impact that that pollution has on our health.
A Different Route to Health: Implications of Transport Policies is a great article which summarizes the importance of transportation on our health.
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I enjoyed the article, although I thought it would probably stimulate discussion of alternatives to car travel in more heavily populated areas such as Europe and/or cities such as St. John's. (The Cycling Plan in St. John's is an excellent step/peddle forward). People who live in rural NL are by necessity, very dependent on cars, so condition of the roads, availability of buses/car pooling and distances from health services are probably more important factors.
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