But it was not until April 2012 that Mr Ballinger was told that he was dying.
Colin Ballinger, 66, was house-bound after being diagnosed with alcoholic cirrhosis of the liver.
Evans became Mr Ballinger's sole carer after he was diagnosed with alcoholic cirrhosis of the liver.
Ms. Ballinger makes money from a percentage of advertising on her YouTube videos.
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"We don't want rural to be used as a poker chip in an election game, " said Ballinger administrator Lance Keilers.
The jury was told that Evans had been drinking vodka on the day of the strangulation and had tried to stop paramedics reviving Mr Ballinger.
In the weeks leading up to Mr Ballinger's death, Ms Evans tearfully complained to the social worker about "tensions" that had arisen in the household, Ms Johnson said.
The court heard that Mr Ballinger moved in with Evans in 2011 after becoming unwell and was told in April 2012 that he had a year to live.
"During the course of this case, you will have to examine carefully how stressful looking after Colin Ballinger really was and how much it interfered with the defendant's life, " she added.
Mr Ballinger's alcoholism was partly to blame for their relationship breakdown, but he moved into Ms Evans's north London flat the end of 2011 when he became unwell, the court heard.
At the Ballinger Memorial Hospital, a 25-bed hospital in Ballinger, Texas, the center's staff is acutely aware of the high-stakes political debate over the health care law taking place in Washington.
But Evans who had depression and a personality disorder found it difficult to cope and considered taking her own life by jumping off her balcony and overdosing on Mr Ballinger's morphine tablets.
But Ann Ballinger, general secretary of the Scottish Secondary Teachers' Association, expressed concern at the way the audit had been carried out and claimed there were numerous examples of councils who failed to consult with classroom teachers or even department heads.
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But with a service area of 635 square miles, and 8, 500 citizens to serve -- in a state that the federal Agency for Healthcare Research and Quality recently recently ranked worst in delivering health care services -- Ballinger officials, like many rural health care providers, say they want Congress to keep them out of a high-stakes games of political chicken.
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