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In my state there are rural transportation buses. It's not perfect, but they get used a lot.
My semi-rural county has a separate transit system for this population. You call on scheduled days to go to the grocery, pharmacy, medical center, etc. On pharmacy day they then pick up everyone who scheduled, at their house like a school bus, and go the pharmacy for however long it takes to let everyone do their business before returning them home.
How does that work with doctors appointment. I doubt everyone could get it scheduled for the same day and it would take very long for everyone to have an appointment especially if there are tests and such.
The retirement community my elderly uncle lived in worked with a local hospital that would schedule all the appointments for the same day, around the same time. They had almost every specialty in the same building so the residents could see the various doctors they needed. But if you had your own doctor at a separate place, you could schedule it ahead of time and they would drive you there. However this was a high-end community that cost a lot, so I'm sure if cheaper places would offer the same options.