What I gathered from the passage is that the drug (lidocaine) will be in its basic form under a more basic condition because if it is protonated in an acidic condition then it is inactivated (correct me if I'm wrong here). The answer states that if the pKa of the local anesthetic (the lidocaine) is high, then the concentration of the base in the tissue will be low. That contradicts what I thought because if the pKa is high (more basic?) then why will the concentration of its basic form be low? Where did I go wrong?