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Island Air said Kaiser Permanente began denying coverage for emergency flights in September 2018.
Kaiser Permanente denied coverage for medical flights 20 times in 2 months, the board of health said.
Lummi, Suquamish, Swinomish and Tulalip tribes are concerned for the whales and the loss of culture.
A volunteer EMT on routine patrol stumbled upon the young kayakers in distress.