1 table of contents introduction mha s public policy agenda 4 social accountability 6 health care in montana economy 8 the financing 12 workforce 20 extended services 25 expanding coverage 30 2 whether we re concerned about quality our medical treatment its cost or how going to get where it provided for most us is a very personal issue but there lot more sector largest private employer state and accounts than 16 percent domestic product 45 000 jobs hospitals nursing homes physicians offices generate an additional communities they serve programs chiefly medicare medicaid are among segments federal budget issues major item on con gress legislature regulatory agencies much debate focused insurance