He also opined that this anticipated growth in
the outpatient health care sector is pertinent to this hearing because medical assistants are specifically educated, trained, and credentialed in outpatient care.
They significantly impinge on public
sector costs — by age 28 individuals with CD have, on average, cost the state ten times more than those without [10]; are disproportionally represented in the Criminal Justice System [11]; and have higher costs in educational, medical, and mental
health sectors,
outpatient mental
health clinics and
health -
care providers [12, 13, 14].