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Yes that also is included as an expense:
Operation and upkeep. Amounts you pay for operation and upkeep of a capital asset qualify as medical expenses, as long as the main reason for them is medical care. This rule applies even if none or only part of the original cost of the capital asset qualified as a medical care expense.
http://portal.hud.gov/hudportal/documents/huddoc?id=DOC_35703.pdf - please see third from the bottom, first page, for similar issues.