Lavish state medical plan imperils local budgets

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In this March 22, 2013 photo, Paul Dean, fire chief in Hoquiam, Wash., stands in the garage where the city's new ladder truck will be parked when it arrives from the manufacturer. The city had to order the new truck when their old 1979 ladder truck finally broke down. Lacking cash-on-hand to buy a proper replacement truck, Hoquiam officials held an election earlier this year with a levy proposal totaling $1.2 million, but if it wasn’t for the medical expenses of a small group of retired firefighters and police officers, the city could have paid it all off in just two years. (AP Photo/Ted S. Warren)