At 59 years old, Bill Miller is starting to have neck and back problems. Thirty-two years of bending over to check patients’ teeth and gums will do that, he said.Miller is the only dentist in Hill City, a community of about 1,500 people northwest of Hays. He has treated Medicaid patients his entire career, even as reimbursements increasingly have lagged the cost of providing care.Earlier this year the state cut those reimbursements another 4 percent as part of a host of emergency budget-balancing measures. Miller said that has him seriously considering dropping out of the Medicaid program.
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