What I'll remember most vividly about Gus Van Sant's extraordinary " Elephan t" is not the violent climax -- his film is a fictional evocation of the shootings at Columbine High School -- but the stateofgrace that precedes it.
But between 2000 and 2003 Sinai-Grace and eight other Detroit hospitals were forced to cut a third of their staff, and the state had to come forward with a fifty-million-dollar bailout to avert their bankruptcy.