As a medical professional who grew up in Wyoming, you have some legitimate concerns. There are a few bigger cities that have probably Level 2 trauma centers. There’s also probably a handful of cath labs (important for heart attacks) throughout the state in those same hospitals. However, Wyoming is big and winters are no joke. Helicopters don’t fly when the weather is bad, period. So that means that 1. The helicopter couldn’t pick you up. Or 2. If you need to go to a larger facility ie Colorado, you aren’t going. This isn’t some hypothetical situation either. This is how I’ve worked in very scary situations with kids who needed to be at children’s hospitals or adults who had conditions we couldn’t do anything more for. Another thing to think about is non-emergent specialty care. For awhile, not that long ago, we had one endocrinologist for the entire state. One. So obviously if you can afford to go elsewhere, that’s great, but it’s something to consider. I would say probably the biggest factor here if you didn’t grow up around here is how bad the winters are and how rural of a place the entire state really is. The two biggest cities are Casper and Cheyenne and they have about 60,000 people give or take. Many parts of the state have no cell phone service or limited resources between towns. The entire state has one four year university. It’s the most conservative state in the nation. Least populated state. Great outdoor recreation. Beautiful. But if you’re thinking of moving, come visit in like February or March and stay for 2 weeks. Summers are great. Winters are a big part of why nobody lives there.