North Dakota, in the Upper Midwest, shares its northern border with Canada and is the 3rd least populous state and the 4th least densely populated state in the country, with a meager 700,000 people. The state is fairly flat, with some hilly regions and a strong economy that relies on the abundant natural resources like wheat and oil. North Dakota is still an important cultural center of Native American history and a number of the state’s museums and art galleries feature native art and performances. The state’s isolation leads to higher hospital costs for North Dakotans, and the median annual cost for a nursing home is nearly $8,000 more than the national average.
The North Dakota Legislature created a Long Term Care Insurance Partnership Program for state residents to enroll in and obtain a policy that will help cover these costs and protect their assets.


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