The promise of cheaper housing brought Shari Castaneda toPalmdale, Calif., in northern Los Angeles County, about nine yearsago.

The single mom with five kids had been struggling to pay thebills. “I kept hearing that the rent was a lot cheaper out here, soI moved,” she said.

But when she developed health problems — losing her balance andfalling — Castaneda found fewer care options in her new town. Unable tofind local specialty care, she traveled nearly 65 miles to apublic hospital in Los Angeles, where doctorsdiscovered a tumor on her spine.

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