01
Bring care closer to home
Strengthen Palomar Medical Center Poway and responsibly work to bring important services back to Poway—so families can get more of the care they need without traveling farther.
NOVEMBER 3, 2026 • PALOMAR HEALTH
We need your vote.Keep care local.
Dr. Ian Butler is a critical care physician running for the Palomar Health Board to put patients, nurses, and North County communities at the center of every decision.
WHY I’M RUNNING
“When minutes matter, distance matters.”
Less than ten years ago, when I worked at Palomar Medical Center Poway, our community had a cardiac catheterization lab, a birth center, and other essential hospital services close to home. Many of those services have since been closed or consolidated in Escondido.
I’m running to work with patients, nurses, physicians, and staff on a responsible, sustainable plan to bring essential services back to Poway.
A CLINICIAN’S PRIORITIES
Four commitments to North County
Focused on what a public healthcare board can do: listen, govern responsibly, and make care more accessible.
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Back nurses and frontline teams
Treat nurses and every member of the care team as essential clinical partners, with a meaningful voice in staffing, working conditions, patient safety, and quality.
03
Make access a promise we keep
Healthcare should be accessible to every person—regardless of income, employment, or insurance status. Local leadership can make that principle real through practical decisions.
04
Lead with transparency
Make major decisions understandable, measure results, and keep the public informed about finances, partnerships, service changes, and the quality of care.
KNOW YOUR DIVISION
Our district no longer has the life-saving hospital services it once did.
Check whether you live in Division 7, then see how the district sits outside every five-mile radius around the County’s designated 24/7 STEMI receiving centers.
DIVISION 7 MAP
County GIS • August 2026
Our district at a glance
Palomar Health Division 7
I‑15 / SR‑56
Community labels are for orientation. Use the address checker for a specific home.
View the official county map ↗
DIVISION 7 ADDRESS CHECK
Is Ian on your ballot?
Enter a home address to see whether it appears to be inside Palomar Health Division 7.
Your search stays on your device and is not sent or saved. County address snapshot: 2026-10-06 (Pacific time). A missing address does not mean you are outside the district. This tool is informational; the San Diego County Registrar of Voters determines official voting eligibility.
FIVE-MILE STEMI COVERAGE
Division 7 is a Cardiac Dead Zone
No 24/7 STEMI receiving center lies within five miles of Division 7.
When a heart attack requires emergency cardiac catheterization, distance matters. Palomar Health should restore critical cardiac services closer to the communities it serves.
What the map shows: Five-mile circles are straight-line distance—not drive time or EMS routing. County STEMI receiving centers are used as the public, verifiable proxy for 24/7 emergency cath-lab access.
View the County’s current STEMI center list ↗
GET IN TOUCH
Email the campaign
What should Palomar Health do better?
Ian wants to hear from patients, families, nurses, clinicians, employees, and neighbors across Division 7.
JOIN THE TEAM
Volunteer with Ian
Local races are won by neighbors talking to neighbors. Give an hour or a weekend — every conversation helps keep care close to home.
- Walk your neighborhood
- Make calls or send texts
- Put up a yard sign
- Host a meet-and-greet
YOU’RE ON THE TEAM
Thank you for signing up!
Someone from the campaign will reach out soon. Questions in the meantime? Email ianbutlerforpalomar@gmail.com.