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Relocalizing Health with Dave Chase

Relocalizing Health with Dave Chase

Case Study: The Poorest County in Ohio Kept $450 Million Home and Changed Everything

Jul 25, 2026 · 14m

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Ashtabula County, Ohio. One of the poorest counties in the state. A medical desert. One primary care doctor for every 3,500 residents against a national average of one per 1,300. At least 30,000 people living in medical debt. And $1.4 billion flowing through that county every year, with at least $450 million of it being extracted out to distant corporations. This is the story of what happened when a benefits advisor named Bryce Heimbach, a concierge nurse navigator named Casey Billington, a d...