We have several amish families in our community and they do have access to our "modern" items. They have a community milk house for all of them to take their milk to. It has a phone and electricity for other devices. They have common computers, radio for weather news, etc. They hire farmer neighbors to drive them to drs. or other places too far for horse and buggy. It is pretty interesting to watch their way of life. Not my thing though. I'm spoiled and not that tough.