Sep 12, 2006 — The 5th Annual Rural Health Care Conference is in its second day in Chatauqua. This year, all the discussions take place in the shadow of the New York State Right Sizing Commission. The commission was formed earlier this year to take a comprehensive look at health services across the state. It's likely some hospitals will close, and some services consolidated as a result of its recommendations. Patty Bishop looks at the big picture in this region. She is director of the Northern New York Rural Health Care Alliance, based in Watertown. She said local providers and agencies will have their say before the right-sizing commission makes its recommendation. But she told Gregory Warner the challenges the rural health care community faces are special, and she worries that message won't be heard clearly. And she said the North Country has particular problems because of Ft. Drum.