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Alice is a 70-year-old woman and lives alone in a secluded town in Idaho. Alice and her husband lived in this town for 51 years and raised their 4 children there. Her husband passed away 18 months ago, and her children now live on the East Coast. She rarely has contact with others and spends most of her day sleeping or watching T.V. Alice hasn't had a preventive exam in over 15 years. Six months ago, she was taking a shower and noticed a lump in her breast. She made an appointment with Dr. Baker, one of the three family physicians in the town; Dr. Baker was concerned with the lump and sent her to the nearest hospital with the appropriate technology and physicians to examine the lump. The hospital is in Boise, two hours away. Within days, Alice was diagnosed with breast cancer and her children are worried about her. They want her to move closer to them so they can care for her, but she refuses. The treatment Alice needs takes place at this hospital once per week. Alice's pays her physician for every test and treatment every time they occur, and she does not have private insurance. Alice has gone through 50% of her retirement savings for her treatments. She is depressed and her health is declining quickly.
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