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| I would like to comment on the Docket #2004D-0343, as a small rural hospital with Critical Access desigination, this is just another example of unneeded testing with just cause that puts undo expense and time into a issue with no significant research of a problem that even needs to be addressed. Rural hospitals throughout the nation struggle to keep affordable healthcare in frontier areas with high unemployment and medicare/medicaid patients. Please reconsider having all existing beds checked and solve any issues with mandates on new beds. Thank you for your consideration. William Spencer Senior Manager of Facilities Syringa General Hospital Grangeville ID 83530
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