Certainly, I think, [Spokane’s] a much more closed community [than Seattle is]. People aren’t quite as open in this community for a lot of fear, and probably reasonable fear, of discrimination.
Western Montana, northern Idaho, eastern Oregon, and eastern Washington is the area that I’ve always taken care of patients from. But, especially patients from western Montana were very careful about their privacy, because going home to a town of 500 or 3000 people was a place they did not want their identity known basically. They were very careful who they interacted with [even in Spokane].
Source: Interview with Laura S. Hodgman on 10 July 2013.