in cooperation with and the importance of health care sector to economy gray county kansas rural options project october 2006 aaron lusby research assistant professor sarah k coover john leatherman director assistance from rebecca j bishop administrative specialist funding for this report provided by resources services administration i economics organization delivery have undergone rapid evolution recent years many americans cost access are important issues certainly is true areas where communities struggled maintain affordable quality systems as economic forces technical advances continue change it more than ever community leaders providers work together ensure sustainable an effort provide useful information krhop has teamed office local government a unit department agricultural state extension develop component