I learned that asking "Is there no balm in Gilead; is there no physician there?" is like asking "Is there no oil in Saudi Arabia ? Are there no oil companies there?" These are facetious questions. Of course there is oil in Saudi Arabia. Of course there are oil companies, drawing out, barreling and selling oil!
Gilead was a distribution center to the reachable world for ‘balm’ – an ointment made of resin from evergreen trees native to western Africa and Asia. There was always balm in Gilead. And Gilead was full of physicians who practiced their trade by distributing the balm to those in need.