Yes, my initial degee was focused on History as well, and I would assume most people here are big into the study of history as well. Thus we often can disgress into discussions as to historical events that go on.
Some ideas from your post which are interesting and I can see the basis for campaigns or characters.
The Dr, who rode with the guns. I could see that happening in the T2K world. Where a Dr, or a Judge or a local Sheriff all would ride via horseback or carriage around a county or group of towns and villages, much like the old time circuit judge did which is where we in the US get the term Circuit Court.
If someone needs routine medical treatment, then they wait and this time of monnth the Dr will be in town, or if you need him now you must got to this town, or send a runner fo him there.
Someone is pending a criminal charge, well the Sheriff will be here next week and look into it. Or the local constable will just lock the offender up until the Judge arrives and a trial can be held.
Even teachers, the children are assigned homework and then it is checked weekly when the teacher arrives, then you get your new lessen and the teacher moves on to the next community.
Just some ideas for communities that are semi organized.
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