Adults with Down syndrome face a health care system that often treats them as kids

[Warpy]

2. Rural care isn't very good for anyone

because facilities, when available, are generally small clinics with limited diagnostic possibilities.

In addition, the docs might have been older guys educated at a time when people with Down's typically died young and everybody tried to look sympathetic while they said appalling things like "it's better this way."

Good for Sammee's mom in getting her to a city and kudos to Sammee for working hard to get better. Sammee sounds like she's got a great life with the things I've found all adults with Down's want: to be useful and get praise for jobs well done.