Health Department ends diabetes and HIV care program due to unsustainable model

In a recent meeting of the Cascade County Board of Health, held on May 7, 2025, significant discussions unfolded regarding the future of the county's health services, particularly the HIV and diabetes care programs. The atmosphere was charged with concern as board members addressed the difficult decision to discontinue the provider services program, a move that has left many clients feeling abandoned and anxious about their healthcare options.

The board's decision stemmed from a thorough analysis of the program's sustainability. It became clear that the financial gap between the services provided and the necessary medical billing was substantial. The health department's ability to maintain a medical director and support staff for chronic and communicable diseases, including diabetes and STIs, was deemed unfeasible. This conclusion was not reached lightly, as the board recognized the vital role these services played in the community.

As the meeting progressed, the board discussed the implications of losing a dedicated provider who specialized in diabetes care and STI treatment, including HIV and Hepatitis C. The absence of this provider means that over 200 diabetes patients will now need to seek care elsewhere, a daunting prospect for many who have relied on the health department for consistent support. The board expressed empathy for the clients affected, acknowledging the emotional toll this transition would take on them.

In response to questions about the future of care, it was noted that while the health department would still be able to order medications and provide some treatment under standing orders, the loss of an on-site provider would inevitably reduce the level of care available. The board emphasized the need to explore partnerships with other healthcare providers to fill the gaps left by this program's closure.

The discussion also touched on the broader context of healthcare provision in Cascade County, highlighting the challenges faced by health departments in maintaining specialized services. The board recognized that many health departments do not have the capacity to employ providers, often relying on external partnerships to meet community needs.

As the meeting concluded, the board members were left contemplating the future of healthcare in Cascade County. With the termination of the provider services program, they are now tasked with finding innovative solutions to ensure that the community continues to receive the essential health services it requires. The road ahead may be challenging, but the commitment to prioritizing community health remains steadfast.