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Loss of federal protection in Idaho spurs pregnant patients to plan for emergency air transport • Iowa Capital Dispatch

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Loss of federal protection in Idaho spurs pregnant patients to plan for emergency air transport • Iowa Capital Dispatch


Since the U.S. Supreme Court decided in January to consider a case about whether a federal law regarding emergency medical treatment supersedes an abortion ban in Idaho, air transports out of state for pregnancy complications at one of the state’s largest hospitals have increased from one in all of 2023 to six in the past four months.

St. Luke’s Chief Medical Officer Dr. Jim Souza said if that pace continues, that number could be 20 patients before the year is over.

“We have limited resources in terms of helicopters, fixed-wing transports and ambulances. If we occupy an air transport with a patient who could completely receive the totality of her care right here, safely, it’s potentially dangerous for other patients,” Souza said.

Idaho’s abortion ban went into effect in August 2022, a few months after the U.S. Supreme Court issued its Dobbs v. Jackson Women’s Health Organization decision that overturned Roe v. Wade, ending federal protection for abortion access and allowing states to regulate it instead.

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That rise has prompted some Idaho physicians to advise their pregnant patients, or those trying to become pregnant, to purchase memberships with companies like Life Flight Network or Air St. Luke’s in the Boise area to avoid potentially significant costs if they need air transport in an emergency. With or without private insurance, the cost can be thousands of dollars.

“The thought of this becoming the new normal — I don’t want it to be the new normal,” said Blaine Patterson, director of the Air St. Luke’s program, which reported the recent increase in transports by air.

The court will hear oral arguments Wednesday over whether the near-total abortion ban means doctors who may need to terminate a pregnancy to stabilize a patient in a health emergency will have to continue to transfer patients out of state or risk jail time and the loss of their medical license. The U.S. Department of Justice sued Idaho in 2022 over the ban, saying it violated the Emergency Medical Treatment and Labor Act, or EMTALA, which mandates that Medicare-funded hospitals provide stabilizing care for patients who come to an emergency room regardless of their ability to pay.

In a brief submitted to the court leading up to oral arguments, the Department of Justice cited States Newsroom’s reporting from January that without EMTALA protection in place, doctors said they would have to transfer more patients out of state for abortion care rather than wait for conditions to become life-threatening.

A pregnant patient might come to the ER for a variety of reasons, including high blood pressure, bleeding, or one of the most common occurrences, when the patient’s water breaks before a fetus can live outside of the womb, even with medical intervention. It happened 54 times at St. Luke’s Boise in 2023, or about once a week — though not all of those cases occur before a fetus is viable, which is generally considered to be about 22 weeks of gestation.

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After the water breaks, there is often still a fetal heartbeat, even though the fetus ultimately won’t survive without amniotic fluid. And in the meantime, infection can quickly spread throughout the body and turn septic, which is life threatening, or it can lead to hemorrhage. Without the ban in place, a doctor would likely recommend termination of the pregnancy to avoid further complications.

But with the ban, maternal-fetal medicine specialists like Dr. Stacy Seyb of Boise aren’t taking any chances by trying to wait until the law’s exception for saving the patient’s life might apply. If termination needs to be considered, he said it’s better in his judgment to send someone to a facility out of state that can freely offer termination before it’s too late. The longer an infection or other complication persists, the greater risk it poses to a patient’s health and ability to get pregnant again in the future.

“And there are times they may not even need the procedure. But we can’t predict that, and we can’t predict how quickly their status might change,” Seyb said. “I think it’s a great hardship, it’s an extra expense to our medical system, and it doesn’t make sense why something that I’ve been doing for 30 years of my career is now taboo.”

Transport has financial, emotional and potentially physical costs

In a brief filed earlier this month by the Alliance Defending Freedom, a religious conservative law firm that has argued several abortion-related cases before the U.S. Supreme Court, including the Dobbs decision, attorneys argued on behalf of Idaho that transport out of state for an emergency termination is in line with EMTALA’s requirements.

“If state law allows a doctor to provide a particular treatment, then that service is available at a hospital for EMTALA purposes. But if state law prohibits a particular treatment, then the facility cannot provide it to anyone, no matter the circumstances,” the attorneys wrote.

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Typically, only one support person at most can accompany a patient during air transport. That often means other family members must drive hours away from home in this region of the country, and find a place to stay. Seattle or Portland are seven to eight hours away, while Salt Lake City is about a five-hour drive from Boise. Utah has an 18-week abortion ban with an exception to preserve a pregnant patient’s health.

“It’s tough enough losing a pregnancy, but then to go through this in a foreign land,” Seyb said. “I feel very bad for these patients.”

There are also some patients who simply go home and wait it out, he said, because they don’t have the money or resources for air transport. Those patients may end up back at the emergency room later in worse condition.

According to the National Association of Insurance Commissioners, the average cost of these flights is between $12,000 and $25,000 before insurance is applied, based on an average 52-mile distance. Salt Lake City is almost 340 miles from Boise. Depending on the patient’s insurance plan details, 20% of that cost could still fall to them to pay out of pocket.

The median cost calculated by the Centers for Medicare and Medicaid Services is even higher at $36,000 to $40,000.

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Besides the emotional and financial toll, Seyb said, there are delays in care caused by first having to make the decision to transfer and decide where the patient should go, then prep the patient for transport and make the journey while hoping no complications occur en route.

The aircraft is equipped to try to handle those situations, but by definition, it is not as well-equipped as a hospital. The specialty care teams that have to ride along for those transports in case of complications are also tied up for many hours and therefore unavailable to other hospital patients who may need them.

There are also considerations around weather in a mountainous region, said Patterson. In a time-sensitive situation, if there is a severe storm or low visibility for other reasons, it will inevitably delay care further.

“If it’s below weather minimums, we aren’t going anywhere. And those apply to everybody,” Patterson said.

‘You should think about’ membership if pregnant in Idaho

Natalie Hannah, spokesperson for the Life Flight Network, said they have not seen an increase in transports for maternal complications, nor have they seen an increase in membership requests. Life Flight has a reciprocal agreement with Air St. Luke’s and many other regional medical facilities around the West, she said, so coverage would be widespread. A membership with Life Flight costs $85 for one year for a household, while Air St. Luke’s charges $60 for one year. A member is required to have private insurance to qualify.

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Patterson said a membership with Air St. Luke’s will cover copays and deductibles, and while he might only have recommended it before for those who recreate outdoors in remote areas or who ride motorcycles, he now would advise people to add pregnancy to the list. Seyb agreed that it made sense as a precautionary measure.

“You should think about it,” Patterson said.



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Suspect in a 20-year-old kidnapping and rape case arrested in Idaho – East Idaho News

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Suspect in a 20-year-old kidnapping and rape case arrested in Idaho – East Idaho News


The following is a news release from the Kootenai County Sheriff’s Office:

Kootenai County, Idaho – On May 16th, 2024 at approximately 4:50 PM, the Kootenai County Sheriff’s Office, the Coeur d’Alene Police Department and the U.S. Marshals Service (USMS) arrested Eric J. Ferguson, a 49-year-old male from Rathdrum, Idaho. Ferguson was wanted by the Oakley Police Department in Oakley, California on charges stemming from a 2002 kidnap and rape of a child under 18 years of age. Ferguson was 29-years-old at that time and allegedly used a dangerous or deadly weapon during the commission of the crimes.

On May 16, 2024, the Superior Court of California in the County of Contra Costa issued an arrest warrant for Ferguson, charging him with the following: Count 1 – Rape of an Incompetent Person; Count 2 – Forcible Oral Copulation; Count 3 – Kidnapping for Rape. The joint agency Kootenai County Sheriff’s Office/Coeur d’ Alene Police Department SWAT team assisted the U.S. Marshal’s Service in the arrest without any further incident. Ferguson is being held at the Kootenai County Jail awaiting extradition.

Sheriff Robert “Bob” Norris said, “Kootenai County is a safer place because Ferguson is now in jail. A firearm was used in this alleged violent sexual attack and the suspect needs to be held accountable for his actions.”

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United States Marshal for the District of Idaho, Brent Bunn, expressed his gratitude for the interstate collaboration of multiple law enforcement agencies in order to get one step closer to bringing justice to the victim in this case. U.S. Marshal Bunn noted, “The persistence of the Oakley Police Department detectives throughout this investigation was exceptional.” U.S. Marshal Bunn also commends the Kootenai County Sheriff’s Office, the Coeur d’Alene Police Department and the Idaho Department of Corrections for their partnership and strong commitment to increasing public safety in North Idaho.

The Kootenai County Sheriff’s Office would like to thank the USMS, Coeur d’ Alene Police Department and the Oakley Police Department for their assistance and collaboration in the investigation and apprehension of Ferguson.

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Idaho lagged behind neighboring states in teacher pay last year

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Idaho lagged behind neighboring states in teacher pay last year


BOISE – Idaho placed no higher than 36th nationally for three metrics gauging teacher and paraprofessional pay during the 2022-23 school year, according to recently released National Education Association rankings. 

The rankings are dated — and they don’t account for recent state investments in teacher pay. But they provide a retrospective snapshot that illustrates how Idaho stacked up against neighboring states as local schools have struggled to recruit and retain teachers. 

Last school year, Idaho ranked 36th nationally for starting teacher pay, a marked improvement from 48th place a decade ago. But it still lagged behind most neighboring states on benchmark salaries in addition to average teacher compensation and paraprofessional pay. 

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NEA, the national teachers’ union, annually compiles salary data for the prior school year. The group releases the data in the spring — when school districts are negotiating teacher contracts. 

Nationally, “modest gains” were made in teacher pay, the union said in a news release. The average salary across the U.S. last school year was $69,544, up 4.1% from 2021-22. NEA President Becky Pringle credited unions for demanding “more for their students, more professional respect and more pay.” 

On average, Idaho school districts paid teachers $56,365 last school year. That was a 4% increase from 2021-22, and it moved up the state two spots in the rankings. Idaho’s $41,179 baseline salary last school year also lagged behind the $44,530 national average.

The Idaho State Board of Education’s annual Educator Pipeline Report, last released in December, pointed to bordering states’ salaries as a possible factor hurting Idaho’s teacher retention. In Washington, for instance, teachers last year earned $20,439 more on average, according to the NEA rankings.

Washington, Oregon, Nevada, Utah and Wyoming all paid higher benchmark and average teacher salaries than Idaho last school year. Montana, which was last among those states in the other categories, outpaced Idaho on paraprofessional pay. 

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Here’s how Idaho stacked up against neighboring states during the 2022-23 school year, along with each state’s national ranking. The rankings included all 50 states plus Washington, D.C. 

Starting teacher pay: 

3. Washington $55,631

10. Utah $49,555

14. Wyoming $48,622

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22. Nevada $43,695

32. Oregon $42,050

36. Idaho $41,179

51. Montana $34,476

Average teacher pay:

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6. Washington $86,804

13. Oregon $72,476

23. Utah $63,481

26. Wyoming $61,797

27. Nevada $61,719

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40. Idaho $56,365

42. Montana $55,909

Paraprofessional pay:

11. Washington $37,334

12. Nevada $36,900

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16. Utah $34,893

21. Oregon $33,838

26. Wyoming $31,963

28. Montana $31,642

50. Idaho $26,628 

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Idaho school districts rely on state funding to pay teachers and staff, although the salaries are set locally.

Madison Hardy, Gov. Brad Little’s spokeswoman, said the NEA rankings are based on data collected before Little’s “Idaho First” plan increased state funding per teacher by $6,359 during the 2023 legislative session. The investment lifted Idaho’s average teacher pay 9.1% to $61,516 this school year. And the average starting teacher pay across all districts is now $45,680.

“Gov. Little is proud of the huge increases Idaho has championed for teacher take-home pay across the board, including starting teacher pay, and he will continue to push for investments in Idaho teachers to benefit students and families,” Hardy said by email.

Little has previously said the raises put the state in the top 10 nationally for starting teacher pay. Idaho Education News revealed why that claim was misleading, in part because it relied on even more outdated NEA rankings. Next year’s rankings will show how the state compares post-Idaho First salary hikes.

Meanwhile, the latest rankings represent an improvement over Idaho’s “rock-bottom” place in the recent past, said Idaho Education Association President Layne McInelly. The teachers’ union leader lauded the governor and Legislature’s effort to increase teacher pay, but said Idaho still ranks “far lower than IEA members and other Idaho educators deserve.”

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“All educators deserve pay, benefits and a work environment reflecting the importance of their work on behalf of Idaho students and families, their personal investment in their discipline and their professional expertise — just as we would expect any professional to be paid their worth,” McInelly said by email.



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Severe winds cancel Idaho Falls circus – Local News 8

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Severe winds cancel Idaho Falls circus – Local News 8


IDAHO FALLS (KIFI) – Wind gusts of 60 miles per hour forced the Cirque Ma’Ceo equestrian circus to cancel Friday’s Idaho Falls performance.

Inside the big top, strong gusts created a low rumbling noise. Rattling metal filled the treble range.

“It’s pretty scary to be in here,” owner Olissio Zoppe admitted.

“I’m being extremely calm right now, but my heart is right here listening to that wind,” he added.

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Local News 8 interviewed Zoppe inside his RV. The winds rocked it back and forth.

“Outside, it’s like a small train going by,” he said.

Cirque Ma’Ceo has toured in its current configuration since 2012. This is the first time it’s ever cancelled a show due to wind. Then again, it’s also its first time in Idaho Falls.

“The only time I’ve ever experienced wind like this is when this tent had gone through a hurricane,” Zoppe said. “Wind is the worst type of weather a big top can endure.”

The winds were also strong enough to tip over porta-potties, so the circus battened down the hatches.

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“We put some extra stakes here,” Zoppe said, gesturing to the ground outside the big top, “as well as some extra straps, just to really brace the main mast.”

“Look at the amount of dirt that’s been blown,” he continued. “It’s covered up the T-plate almost completely. It’s like a desert storm!”

And don’t forget – this is an equestrian circus.

“Our first priority is the safety of our horses,” Zoppe said. “And they react to wind.”

Circus staff had to move the horses from an outdoor tent to a barn.

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“Walking them from the horse tent to here was pretty chaotic,” Zoppe admitted. “But they did well.”

“Today was probably our biggest day,” he continued. “We were almost completely sold out.”

Those tickets are being honored at the weekend’s other shows. It’s not the sort of thing Zoppe planned for when booking this tour in December.

“We might’ve missed a couple details, like the main one being how powerful the wind can be out here,” he said.

But that, as they say, is show business.

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The Cirque Ma’Ceo will perform Saturday at 4 p.m. and 7 p.m., as well as Sunday at 1 p.m. and 4 p.m., at the Bonneville County Fairgrounds.



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