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Marsha F. Goldsmith

JAMA. 2002;288:29-34.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ganado, Ariz—As Sage Memorial Hospital begins its second century of service to people here in the heart of the Navajo Nation, this unique facility located on a compound of 110 acres of high desert in northeastern Arizona faces problems unimagined by the Presbyterian missionaries who founded it in 1901. At the same time, a cadre of dedicated health care professionals, augmented by a frequently changing cast of visiting colleagues, offers the 18 000 Navajo people in its service area—1500 sq miles of the 25 000-sq mile reservation, the largest in the United States—state-of-the-art attention to their well-being.

A short stay in Ganado guided by Louis A. Kazal, Jr, MD, a family physician who spent 10 years here, part of it as the hospital's medical director, and is now a Robert Wood Johnson Health Policy Fellow in Washington, DC, afforded a glimpse of how a combination of high tech/"high . . . [Full Text of this Article]