Anything above 3500 ft ASL the density of the air has dropped enough that cooling becomes a problem because there's not enough MASS of air moving across the radiator anymore. At 5000 Ft, the density is 0.66 that at sea level.
Sitting at 7200 ft at the moment, and though I've known the effects of altitude on HP, I hadn't thought about cooling. I've just been blaming it on living in a desert environment (and until I did the rear heater bypass, the rusted/porous cooling lines). This makes so much sense. Any thoughts on solutions? Cooling fan clutch refresh?