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  • What Happens When an Acute-Care Institution Is Governed by Market Logic

    Hospitals are, by identity and design, acute-care institutions. Their architecture, their training, their documentation, and their reimbursement all revolve around a single premise: the episode is the unit of care.…


  • A CALL: Reclaiming GRH: Why a Community Must Take Back Its Nonprofit Institution

    A nonprofit hospital does not belong to its administrators.It belongs to the community whose name it carries. Grande Ronde Hospital presents itself as a nonprofit community service institution.That identity carries…


  • Writing on Antibiotics

    By Charles Lonebear Union, Oregon  ·  May 2026  ·  12 min read I Am Writing This on Antibiotics I am writing this on antibiotics. That is not a metaphor. It…


  • Human Solutions in an Institutional Age

    One Very Important One: Home Health Care CHHAS  |  May 2026  |  18 min read Before the Institution Before there were hospitals, there were homes. Before there were medical centers,…


  • When the Spreadsheet Wins

    Why the Most Obvious Solution in Medicare Is Invisible to the System That Needs It Most CHHAS  |  May 2026 In one column of a hospital’s spreadsheet, a home health…


  • The Misallocation of Medicine

    How Grande Ronde Hospital’s Individual Profit Model Fails Union County An Analysis for the Residents, Policymakers, and Health Advocates of Union County, Oregon April 2026 I. The Quiet ExtractionUnion County,…


  • Hello World!

    Welcome to WordPress! This is your first post. Edit or delete it to take the first step in your blogging journey.


About US:

The Center for Home Health Advocacy & Studies exists to make the hidden visible and to restore dignity to those navigating care alone. Our work is grounded in lived experience, structural clarity, and the craft of truthful testimony. We stand with patients, families, and caregivers who face systems that too often obscure responsibility. Every page of this site is part of that effort — a record, a witness, and a call for moral repair.