Well, it's a pretty nice place, if you are the kind that likes green hills, fresh air and plenty of nature. But the roads can be cruel to your vehicle.
The journey from Kota Kinabalu to Keningau starts with a tortuous climb up Gunung Emas, then coming down to the paddy-growing town of Tambunan, followed by another climp up a smaller hill, finally descending to Apin-apin, where you get 20 kilometers or so of straight road into Keningau. The TungMa coach bus does it in 2.5 hours, I did 2 hours last time, the Hospital ambulance can get 1.75 hours if in distress. My neighbour claims to have done the track in 1 hour, without accident or police saman.
It is rainy season now. Landslides are a norm around these times. I was caught in one last week on the way down Gunung Emas. We waited for an hour, no bulldozer came. We had to force our way through, since my driver friend was catching a flight. His car got injured la.
The hospital ambulance was stuck too. And luckily it was only carrying a patient requiring low-flow oxygen. The driver waited for a few hours, no help came, so he had to force his way through as well.
Stretch your imagination further. What if... the ambulance is carrying a lady in labour, or an oxygen-dependant patient while the tank is running low, or a bleeding patient, or a violent psychiatric patient... things could get pretty interesting.
Medical service in interior Sabah can be challenging, or interesting if you look at it from the right perspective.