“While in the District for another meeting”, says photographer Martha Conkling, “I chose a few clinics to visit. Siameja, a remote clinic that is off the electric grid, was one of them. My visit was unscheduled, and the clinic staff were busy with clients when we arrived. It was so encouraging, even overwhelming, to see every single person with their SmartCard as they waited to visit with the staff. The system is now a routine part of a visit to the health care center.”