Jefferson County, in central Oregon, ranked last in health factors, such as access to care, and second to last in health outcomes, such as length of life. This is according to a study funded by the Robert Wood Johnson Foundation. David Blanchard interviewed Tom Machala, the Public Health Director in the county about the findings and assumptions of the study, as well as measures to improve the conditions. Dishearteningly, Jefferson county has a high Native American and Hispanic population along with high unemployment and low-paying jobs. LISTEN to the full interview from Think Out Loud broadcast on OPB radio that was updated on 4-1-14.