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Authorities discovered 16 siblings who were held at a rural Ohio home for years in squalid conditions.
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Vinton County is seeking to prosecute the parents and two grandparents of the 16 siblings.
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The cost of medical care for one of the defendants would have bankrupted Vinton County, according to the local prosecutor.
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The court changed Gary Siders Sr.'s bond and released him from jail on his own recognizance for hospital care so the county would not have to pay for it.
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Vinton County sought help from other prosecutors on the criminal case.
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Vinton County is counting on approval of $1 million from the state to assist with care for the children.
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Some of the children have medical needs or are unable to speak.
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Vinton County is Ohio's smallest county and one of its poorest.
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Vinton County covers 415 square miles (1075 square kilometers) of isolated Appalachian terrain.
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Vinton County has one traffic light and a single grocery store.
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State officials described the case of the Siders family as an unprecedented child welfare crisis in Vinton County.
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Gary Siders Sr., 73, was released from jail after his bond was adjusted to not require up-front payment.
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Gary Siders Sr. was moved out of the county for medical care.
William Archer Jr., Vinton County Prosecutor
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Vinton County Prosecutor William Archer Jr. said Siders had fallen at the jail and it became apparent that he has a serious medical condition that requires specialized care.
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In the regional jail, the costs of Gary Siders Sr.'s care would fall on the county, according to Prosecutor William Archer Jr.
William Archer Jr., Vinton County Prosecutor
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"Based on the information the county was provided, his medical care could potentially bankrupt Vinton County."
William Archer Jr., Vinton County Prosecutor
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"We were not going to put that burden also on our local taxpayers."
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Gary Siders Sr. is charged with felony child endangerment.
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Christina Siders, 67, is charged in the case.
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Gary Siders Jr., 36, is charged in the case.
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Elizabeth Siders, 33, is charged in the case.
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Christina Siders, Gary Siders Jr., and Elizabeth Siders have pleaded not guilty.
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Vinton County Common Pleas Judge Laina Fetherolf Rogers ordered that the GPS tracking device Gary Siders Sr. wears will be paid for at the State's expense if his health improves enough to leave the hospital.
Mike Davis, Pike County Prosecutor
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"A lot of small counties like us, we’re in the same boat as Vinton."
Mike Davis, Pike County Prosecutor
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"If a person has a medical issue, do we pay the medical bills and keep them in jail and blow our budget, or do we let them out and risk something happening that’s worse?"
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Prosecutor William Archer Jr. emphasized that authorities determined the strategy didn’t put the public at risk in Gary Siders Sr.'s case, given his health condition and the fact the case strictly involved family members.
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The judge agreed to Prosecutor William Archer Jr.'s requests to bring on three special prosecutors to share the load of the case without compensation.
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Ohio Attorney General Andy Wilson, Assistant Attorney General Kara Keating, and Highland County Prosecutor Anneka Collins were brought on as special prosecutors.
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Vinton County Sheriff Ryan Cain requested assistance from the state Bureau of Criminal Investigation.
Mike Davis, Pike County Prosecutor
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"Money’s green and it’s absolute. You either have it or you don’t."
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Removing the 16 siblings from their home more than doubled the number of children in temporary custody in Vinton County.
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Vinton County has about 12,600 residents.
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Vinton County has the smallest budget among Ohio’s 88 counties.
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A state legislative panel is expected to approve a request from the Ohio Department of Children and Youth to provide $1 million in additional state cash to Vinton County.
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The Siders children ranged in age from 18 months to 18 years.
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Some of the Siders children were described as unable to speak.
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Authorities alleged that the children had been kept in about a 12-foot-by-12-foot room for several years.
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Two of the children were flown for hospital care.
William Archer Jr., Vinton County Prosecutor
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Prosecutor William Archer Jr. said all the children are safe and being cared for.
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The eldest Siders child was born in May 2008.
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Gary Siders Jr. and Elizabeth Siders crossed the state line to get married at the Mason County Courthouse in West Virginia in March 2008.
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Gary Siders Jr. was 18 years old and Elizabeth Siders was 15 years old when they married.
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Court records show Elizabeth Siders' parents consented to her marriage.
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Court records show Elizabeth Siders has had pregnancies most years since her marriage, including several sets of twins.
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The state Department of Children and Youth estimates that placement costs for the siblings will run between $150 and $250 per child per day.
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The estimated placement costs add up to roughly $850,000 a year.
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The estimated annual placement cost is more than three times the amount generated by Vinton County's levy that is split between children's and senior services.
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The state money will allow the agency to ensure vulnerable children receive the safety, treatment, and support they urgently require, according to the Ohio Department of Children and Youth.
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Additional expenses, such as court costs and police overtime associated with the case, can be covered with the state money.
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