the economic impact of oakley kansas health care sector in quad county area rural options project february 2006 cooperation with aaron k lusby extension associate john leatherman director funding for this report provided by office policy resources and services administration grant 5 h54rh00009 07 00 economics organization delivery have undergone rapid evolution recent years many americans cost access to are important issues certainly is true areas where communities struggled maintain affordable quality systems as forces technical advances continue change it more than ever community leaders providers work together ensure sustainable an effort provide useful information krhop has teamed local government a unit department agricultural state research develop component works