The American island of Little Diomede, Alaska, left, and on the right, the Russian island of Big Diomede, are seen from the Finnish icebreaker MSV Nordica in the Bering Strait, on July 14, 2017. The Alaska Air National Guard on April 3, 2023, traveled nearly 660 miles to rescue a pregnant woman on a small island two miles from Russia who had severe abdominal pains, a reflection of the challenges patients face in the nation's largest state where the most remote areas have no roads and hospitals can be hundreds of miles away. (AP Photo/David Goldman, File)