This article argues that it is essential to improve the U.S. health care system and to cut costs. If unchecked, health care costs could rise to 20% of the gross domestic product by the turn of the century, leaving substantially fewer financial resources for other costs such as education. (SLD)

The rural school superintendency is, in many ways, as demanding and difficult as the urban superintendency. Chapter 1 of this book provides a working definition of a rural small school district, an estimation of the number of rural systems in the nation that fit the criteria, and a profile of rural small school superintendents. Chapter 2 discusses…