Many people who have homesteaded Alaska for many years are also remote & wonderfully self-sufficient but still do some “modern stuff”. One used to park his van in our backyard, fly into our village airstrip in his Piper Cub about once a month, head for Fairbanks for shopping and mail, then back out a couple of hundred miles to home.
Another couple we visited north of The Circle made one paid bush plane trip to Fairbanks per year, met all their medical and dental needs in a couple of days, shopped for groceries for the year, and went back home. They would carry the perishables with them (had a community generator in their village so had a freezer) on the flight back, but mailed themselves all the non-perishables. It arrived in a few days on the US Mail Plane…
It used to be interesting for us to go to Sam’s Cub (a warehouse type grocery outlet with bulk groceries) and see people in from the bush, loading up their carts with goods from civilization…homesteaders, trappers, hunting guides, Inuits and Athabascans, the whole gamut.
One woman we knew about had not been to town for five years and was happy about it. So it’s all what you get used to, I believe. And yes, it takes “knowledge, experience and the right state of mind…”