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Wyoming is fond of telling outsiders and newbies: We don't care how you did it back home. But that refrain may not be especially helpful when it comes to considering health care.

For example, what's our identity worth?

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For a state that values in the extreme its own rugged, individual and unique identity, it is reluctant to cede any affiliation to some non Wyoming interest. That plays out in health care by many communities Casper included having its own stand alone medical providers, down to the doctor level.

We understand that health care is fiercely competitive in this environment and so Wyoming Medical Center might keep its strategy held closely. That's understandable. But, the questions WMC leaders are asking themselves are ones the community would do well to ponder, also.

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We agree with that sentiment. What does it cost to be just one stand alone facility? Does affiliating or being acquired mean that cost of health care goes down?

It's a question we're all asking: Now what?

YOU SHOUTED YOUR COMMENT IN ALL CAPS. This is hard to read and annoys readers.

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But that would come at a cost.

It's not only a question we're asking about health care Nike Ladies Sweatshirts

What seems inevitable in health care here and across America is that change is coming, but we'll be darned if we know what that will look like in even a few years.

A question we're all asking

But that autonomy and independence may come at a price.

Diamond has said that Wyoming Medical Center and any partnership, merger or acquisition cannot be a matter of the Casper facility becoming just "a notch in someone else's belt."

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If your comment was not approved, perhaps.

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to include Mountain View Hospital, which performs surgical procedures, too. What about Elkhorn Rehabilitation? How does it fit into the picture? How might partnerships and affiliations strengthen the marketplace for health care consumers in Casper? Can Wyoming Medical Center survive going it alone with plenty of competition in the marketplace already?

There may not be immediate answers to any of these questions. The answers may only be made more difficult by the implementation of the Affordable Health care Act, often called "Obamacare." While it is ultimately up to Diamond and her board to determine our community's most notable health care institution's future, because the county and community have a significant stake in it, we need to consider what is our identity worth, and how do we improve access here in Casper?We provide this community forum for readers to exchange ideas and opinions on the news of the day. Passionate views, pointed criticism and critical thinking are welcome. Name calling, crude language and personal abuse are not welcome. Moderators will monitor comments with an eye toward maintaining a high level of civility in this forum. Our comment policy explains the rules of the road for registered commenters.

Consolidation and collaboration may be the best shot Casper and Wyoming have at expanding access to health care providers.

Still, the question brings more than a bit of anxiety for Casper and Wyoming, which relies on Wyoming Medical Center as a regional and, in some cases, the only provider of certain medical care.

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to be surrounded by colleagues and business partners.

in America, but here in Casper we're puzzling Nike Long Sleeve Polo over that question as it pertains to Wyoming Medical Center.

Finally, any discussions about health care in the community also have Nike Crew Neck Sweatshirts

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In many other communities and most likely in ours health care, because of the minuscule margins and heavy demand, has had to consolidate and collaborate. With overhead and increasing red tape from the government and insurance companies, doctors may not be able to afford to keep a stand alone practice. Newly minted doctors may want Nike Hoodies Green

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You called someone an idiot, a racist, a dope, a moron, etc. Please, no name calling or profanity (or veiled profanity $%^ rambled, failed to stay on topic or exhibited troll like behavior intended to hijack the discussion at hand.

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