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1. U.S. Bureau of the Census, March 1996.

2. Ibid.

3. South Carolina Employment Security Commission, March 1997.

4. U.S. Bureau of Labor Statistics.

5. DuPlessis J., "Greenville County’s Job Growth Continues," Greenville News, April 27, 1997.

6. South Carolina Employment Security Commission, March 1997.

7. Area Resource File as of February 1996, Office of Research and Planning, Bureau of Health Professions, U.S. Department of Health and Human Services.

8. Ibid.

9. Colburn D., "Stroke Belt’s Buckle Baffles Experts: Known Risk Factors Account Only in Part for Southern State’s Higher Rates," Washington Post, May 27, 1997.

10. Area Resource File as of February 1996, Office of Research and Planning, Bureau of Health Professions, U.S. Department of Health and Human Services.

11. Ibid.

12. American Hospital Association, database of the 1995 Annual Survey of Hospitals. Figure does not include long-term care units in hospitals. Physician estimates are based on the 1996 American Medical Association Master File and 1996 American Osteopathic Association Master File. Includes physicians in direct patient care, excluding some specialties (radiology, anesthesiology, pathology), residents and fellows.

13. The state program covers local school district employees and some county employees, although Anderson is the only county in the region that currently participates.

14. South Carolina Department of Health and Human Services, Medicaid Management Information System (MMIS) Medicaid Enrollment by County Report, July 1996.

15. InterStudy Competitive Edge Regional Market Analysis 6.2, February 1997.

16. Area Resource File as of February 1996, Office of Research and Planning, Bureau of Health Professions, U.S. Department of Health and Human Services.

17. Hawes, J., "The AGS question: Is bigger better?," Greenville News, October 30, 1996.

18. United Way of Greenville, "Community Indicators: A Report Card on Greenville County," January 1996.

19. Ibid. Figure does not include children seen only by private physicians.

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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.