1. What does the environment of Middleboro look like?

According to the case study materials the environment of Middleboro is calm, tranquil and sanguine. As a much smaller town the overall population is very smalls as compared to many of the neighboring cities and jurisdictions. Due to its smaller size the overall town is much more collectivistic and familial in nature

2. What specific problems or issues does the community face?

As a smaller town, the community faces many of the more common issues with other cities which are related to taxation, budgets, and economic considerations. From a tax perspective, raising local taxes to fund promising but risky projects is a highly contentious subject. Household incomes in the areas are at or below the median household income for the nation. As a result, higher taxes would place a disproportionate amount of the burden on hard-working middle-class families. In addition, the community faces problems related to economic activity within the community. As a smaller town, the community relies heavily on just a handful of industries. As the COVID-19 pandemic showed, these industries can come to halt at a moments notices creating severe economic pressures not only for the community but for the businesses within it. Finally, the community must grapple with social issues related to education, waste management, infrastructure, and other important elements (Allison, 2004).

3. What does the community look like? A primary question is whether Middleboro can support two hospitals, Middleboro Community and Webster Hospitals, now or in the future. Consider the questions in the following areas as well and support responses with peer-reviewed sources:

The question is difficult to answer given the case information provided. From outside research we know that Middleboro has a vastly aging population as compared to the average town and city its size. In addition, from outside research, we know that healthcare costs account for roughly 16% of the national GDP. In addition, healthcare costs are rising are expected to become 20% of GDP by the end of the decade or roughly $5 Trillion. Middleboro has a population of roughly 9K people. The population…


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