Goonie
Thinks s/he gets paid by the post
.......I betcha people have gotten sick and/or perished on trains enough that they have a well rehearsed response to it, unlike trying to find the local hospital on a strange route for a casual driver....
A good friend of mine was on his way to California aboard Amtrak's Southwest Chief several years ago, and collapsed for no apparent reason. (He was traveling by himself on that trip) The car attendant found him, notified the conductor who got emergency medical care lined up...basically out in the middle of Nowhere, AZ. They got him to a hospital, where he was checked out and treated, and then recuperated for a couple of days.
At the end of his hospital stay, Amtrak arranged for transportation back to the nearest train station about 40 miles away, so he could continue on his trip. His insurance paid for the medical care and ambulance, and Amtrak paid the bill for transportation back to the train station.
Amtrak personnel are prepared for most anything.