title: Reflections in the midst of change.
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Young
mesh_terms: D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000639:trends; D017057:Medically Uninsured / Q000331:legislation & jurisprudence*; D009937:Organizational Objectives; D011203:Poverty / Q000331:legislation & jurisprudence* / Q000639:trends; D063487:Prescription Drug Misuse; D058996:Quality Improvement / Q000639:trends*; D012041:Regional Medical Programs / Q000458:organization & administration* / Q000639:trends; D012955:Societies, Medical / Q000458:organization & administration* / Q000639:trends; D013714:Tennessee