“No one comes here by accident.” (Frontier Nursing Service saying) I came across that saying while researching the Frontier Nursing Service for the historical background of my novel, These Healing Hills. In 1925, Mary Breckinridge established a nurse midwife service in the Appalachian Mountains. As I read about the nurse midwives and the volunteers who assisted them in providing prenatal and maternity care along with other health services to the Kentucky mountain community, I could see why the workers felt they weren’t part of the Frontier Nursing Service by accident. Breckinridge recruited the first nurse midwives from England since at the time, America had no midwifery schools, so coming to Kentucky involved great effort and changes in the lives of those who came to the mountains. The volunteer helpers, called couriers, were generally privileged young women from society circles who would come and stay for a few weeks or months to take care of the midwives’ horses, run errands, and make themselves useful in a myriad of ways. It’s easy to imagine the life lessons these young women learned in this mountain community where the residents had few if any modern amenities. Most of the mountain families managed through subsistence…