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Chris: Out of breath
Chris has asthma, low back pain and high blood pressure. She is doing OK with her current medication but isn’t sure if her re-application for Medicaid will go through in time to allow her to get the refills that she needs. She says that she might have to “spin down”. She’s not sure what this means, but I know. She works a little and may have made too much money this past month to qualify for help and might need to “spend down” not “spin down” to poverty or perhaps she will do both. In any case, she will be out of medicine in about 10 days. The last time she missed her asthma medicine she ended up in the ER with an asthma attack. I give her one of my last samples of an inhaler just in case, and hope I don’t need it for someone else with more immediate needs.

Arthur’s hunt
Arthur, on the other hand, has insurance. He has Medicaid, our state-funded insurance for the poor. This is

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