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Modern Healthcare Illustration / Getty Images Nurses greeted patients at the front of the clinic to take their temperature and asked if they had been exposed. There was a hand-washing station. Patients were safely distanced in the waiting room. Hand sanitizer and masks were readily available. Sanford Health s clinics in Ghana looked and operated like those in the U.S. But the surrounding communities lacked reliable internet service, a consistent vaccine supply and adequate distribution channels, said Tracy Bieber, director of clinical services for Sanford World Clinics, who just returned from Ghana Sunday. Telemedicine hasn t taken off like in New Zealand or the States because when you get into rural areas, they don t have very reliable internet, she said, adding that some of the clinics experience down time when connections intermittently drop. That s been a big hindrance. ....