The villagers survive through subsistence farming of rice, corn, potatoes, onions, ginger and wheat on steep hillsides. Nepal is the poorest country in Asia and lacking sanitation, clean water and nutritious food make villagers especially vulnerable to illness. Access to health care is difficult because people cannot afford to take a bus to the city. Because of this, Thrangu Rinpoche wished that a clinic be built to serve his neighbors. Every day, 40 to 60 villagers line up to be seen by the clinic staff. The Tamang people inhabit the area surrounding Namo Buddha and are proud, gracious and generous. Originally from Tibet, they came to the area several hundred years ago and have their own language and ethnic identity.