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Pharmacist Jeanne Mendazona and her staff at Hometown Drugs can barely keep up with all the new prescriptions since Bi-Mart closed its pharmacy in Madras. That doesn't mean more money. The big companies are squeezing the profits out of small-town drug stores. | PAT KRUIS/PAMPLIN MEDIA GROUP

UnityPoint Health-Jones Regional Medical Center is a 22-bed critical access hospital in Anamosa, Iowa. It averages about seven inpatients a night and provides emergency services to the small community northeast of Cedar Rapids. | UNITYPOINT HEALTH

Nicolle Baird, a federal Centers for Disease Control and Prevention fellow, works on a real-time polymerase chain reaction analysis to better understand mpox at a laboratory in Ghana in 2022. U.S. public health officials are encouraging those at risk of mpox infection to get vaccinated as cases rise in several states compared with last year. | CENTERS FOR DISEASE CONTROL AND PREVENTION

Nurses represented by the Washington State Nurses Association picket outside PeaceHealth Southwest Medical Center in Vancouver on April 18, 2024. The picket came during difficult contract negotiations between the nurses and hospital management. | COURTESY/WASHINGTON STATE NURSES ASSOCIATION

Oregon Health & Science University primarily trains its OB/GYN residents at OHSU Hospital and the Center for Women’s Health in southwest Portland. | COURTESY OHSU

Gov. Tina Kotek speaks to reporters at a press event in April 2023 in Salem. | JAKE THOMAS/THE LUND REPORT

Penny Webber (right) is one of the first three students at Forest Grove High School to receive her medical assistant certification. As a 12th grader, she was hired on at Mountain View Medical Center. | COURTESY/PENNY WEBBER