12/22/2025
This is a great article!
Wanderlust is always asked why we opened locations in Washington, the answer a more stable and predictable heathcare insurance market. While 2026 will bring two to three new NH Wanderlust locations they will be smaller compared to our 2026 expansion in Washington and Masschusetts.
It's just business (but does it have to be?), resources go not only where there is demand for mental healthcare but the communities we set up shop in need stability and predictability in the State government as well.
That stability allows us to render competent care to our patients and take care of our over 50 employees & their families nationwide.
The tough part is, our out of state mom and pop locations have to subsidize our risk in our current and future New Hampshire locations.
Nashua, New Hampshire is our home office no matter what and in order to continue to take mediciad and ACA plans we can't just rely on advocating for practicle reform, we have invest out of State to take care our people in our home, New Hampshire.
The granite advantage doesn't seem to apply much to small business healthcare when people like Rep. Edwards put their thumbs on our necks to hold down our ability to compete.
While some Reps on the otherside of the aisle think mental health providers like us can't support our brothers and sisters at the community mental health centers by sharing the load of some Mental Health Service Act services (which comes with its own risk of uncompensated care but $1 mil in uncompensated care to one orginization is a lot, spread the services out among other orginizations willing to take on a revenue loss leader and the pain turns into just a pinch).
We saw how BDAS changed the rules for corporations to come in and rendered SUD services and the Farnum Center closed, your local small healthcare wants Farnum, out of state corporations just want their clients and don't care if they close.
The most intune orginizations to understand we all need to work together to support each other in healthcare is your local mom and pop counseling shop, primary care doctor, dentist, and local non profit.
Why? Because we are all neighbors but self interest and infighting led to out of state SUD corporations coming in and soaking the market. There are some that are community focused and we do work with them as well!
With work and bi-partisian collaberation New Hampshire can be # 1 in healthcare again, but that talent is already here, we just need to do a better job listening to each other and not resisting practical & meaning legislation change for the betterment of all our neighbors, even if we don't like them sometimes, because otherwise the patient just becomes a number and the human being behind that number get lost in a broken system with inadequate care.
My husband and I have devoted much of 2025 to dealing with his cancer diagnosis and treatments. Around May, he opened a statement of costs to providers and pharmacies, insurance adjustments, and our out-of-pocket expenses and commented, “If we were poor, I’d already be dead.”