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Sonoma County hospitals are under the same cost pressures as every other area of the country. There continues to be consolidation pressures. In particular, Palm Drive in Sebastopol is under enormous pressure at this moment. We hope they can survive and continue to provide excellent service to the west part of Sonoma County. Kaiser, on the other hand, has picked up large blocks of customers from the demise of a large health care plan several years ago. In response, they are building new facilities to manage the influx of new patients.