In some remote areas of the Peruvian Andes, such as the highland hamlet of Chugurpampa, traditional healers have all but disappeared. This is due largely to an unstable subsistence economy brought on by climate change, forcing frequent trips and even permanent out migration to the coast, with the result that young people are not able to devote the time to learn the healing arts. Yet, due to the rigors of peasant life, there is still a high demand for the musculoskeletal healing tradition of bonesetting.