Kristi Noem actually said...

I believe one of them--it was a conversation that happened several months ago about checkups for pacemakers no longer being done here in Hot...

I do not fault them one bit for not bringing that up during this process.

But as we lose services here, it obviously would cause more veterans to seek care in Rapid City as well.

So you are saying the standard of care changed and that is why that service can no longer be offered here at Hot Springs.