Critical providers of health services in low-income communities are struggling with funding shortfalls as they try to meet increased demand for a wide range of patient services. To learn how these providers and communities are coping, Harvard's Katherine Swartz and colleagues conducted dozens of interviews in eight North Carolina, Ohio, Pennsylvania, and Wisconsin counties. A post on To the Point highlights the often daunting challenges they face in trying to ensure the safety of public water supplies, provide adequate prenatal and infant care, meet oral health needs, and treat mental illness and substance use disorders.