Communities in Action

he four sketches that follow use as their starting point a health-related event that occurred in an HSC study site in 1998, with the accompanying text putting those events in a broader context. This section, in combination with health headline news from the eight additional study sites, provides a sense of the variety and pace of change occurring over the course of a year in communities across the United States.

• Dis-Integration of Delivery Systems
  Boston, Mass.
  
  
• Managed Care and Care for the Poor: Mixed Results
  Orange County, Calif.
  
  
• 1998 Health News Headlines in Other HSC Sites

• Bankruptcies Prompt Questions of State Oversight
  Northern New Jersey
  
  
• Columbia/HCA Retreats
  Cleveland, Ohio