Right, and because we live in an area that is about as good as you get for the united states (east coast, between NY and DC) for public transit, she is able to

Right, and because we live in an area that is about as good as you get for the united states (east coast, between NY and DC) for public transit, she is able to get around somewhat. Mostly it's just me ferrying her around though, like a concierge! Think about how much of a non starter that is for someone in Oklahoma? I know many hackernews readers are on either coast, well, statically most americans are, but for large parts of the country - driving is an absolute requirement. If we lived in Oklahoma, she probably would have found a doctor willing to overlook Epilepsy as a risk because, without a license she would have been destitute