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| October 13, 2018 1:00 AM

Medical bankruptcy is a uniquely American medical problem; as is affordable health care for over 60,000 Idahoans. We, as taxpayers, are currently paying for Medicaid expansion in 33 states, but we do not benefit from this program. Our current program to deal with indigent health care is cumbersome, expensive and is initiated after a critical diagnosis.

There is a myth that people “in the gap” are lazy non-working people. I see these women in my clinic and they are our waitresses, housekeepers, medical assistants and child care providers. They frequently work more than one part-time job and cannot obtain or afford traditional health insurance.

We know early detection is key to improving health and reducing medical costs. Having a urinary tract infection treated in a medical office is more affordable than an Emergency Department visit. The average cost to treat a UTI in an office is $110 compared to $750, in an emergency room.

As a nurse practitioner in Sandpoint for over 20 years I see the results of delay in diagnosis. I see the increased cost when chasing a problem which could have been dealt with proactively. It’s always less expensive and less traumatic to screen and give patients a “home base” for their care. A vote in favor of Proposition 2 will help the medical providers in Sandpoint give appropriate, timely and cost effective care.

CYNTHIA DALSING, MSN/ARNP

Sandpoint