Relocalizing Health with Dave Chase

Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again.

July 25, 2026·14 min
Episode Description from the Publisher

In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible. A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she died of cancer. She had avoided care until it was too late. Patrick said it as directly as a person...

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