Photo by Sara Humm/Special to The Herald

Tough economic times mean tough choices when it comes to health care, local health experts say. Health care providers like Ed Coulter, practice administrator at Ottawa Family Physicians, and Larry Felix, chief executive officer at Ransom Memorial Hospital, say they worry people may delay medical care because they can’t afford the expense. What may have started as a relatively benign condition could become a major health condition, possibly even requiring emergency medical attention, they said.