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The Palomar continuing care center opened its doors in the early 1970s. Since then its cared for thousands of people who have needed skilled nursing care after being discharged from the hospital. The facility has never been a profit center because nearly 80% of its patients are on MediCal. The state program for the poor pays healthcare providers a low rate. To make matters worse in 2011 when California was in a budget crisis, state law makers made the MediCal rate even lower. After numerous legal challenges, the 9th circuit ruled earlier this year the pay cut could go forward. For the continuing care center that means a loss of around $7 million a year. Palomars Steve gold says they cant afford to keep the doors open. There is no practical way to do that. Without help from other corners of the health system. Because of very docHub changes in healthcare we have to consider obvious changes to the way we operate and this is one of them. The center has had a 97% occupan