title: The canary in the coal mine.
authors.affiliation: El Paso County Hospital District, Texas, USA.
authors.forename: James N
authors.initials: JN
authors.lastname: Valenti
mesh_terms: D006788:Hospitals, Voluntary / Q000191:economics* / Q000458:organization & administration*; D007857:Leadership; D012051:Reimbursement Mechanisms; D014481:United States