Their wording is confusing, but I think what you first understood is correct. Over 30 million Americans don’t even live within an hour of a trauma care department (and an hour is further away): https://pubmed.ncbi.nlm.nih.gov/28069138/
The mayor says that it’s because the nearest hospital is 45 km away, but a full 16% of the US population, or roughly 55 million people, live further than that from a hospital (https://www.cnn.com/2017/08/03/health/hospital-deserts/index.html).
US healthcare really needs to stop looking like a third-world country.
ONLYOFFICE (sorry about the caps, poor name choice IMO) has even better docx compatibility, and its source code is open