California is generally seen as a state ahead of the times, and it is trying to be a vanguard in the realm of healthcare as well.  The California HealthCare Foundation commissioned studies to examine healthcare trends and issues in six of the state’s largest markets — Fresno, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego and the San Francisco Bay Area. Paul Ginsburg, PhD, president of the Center for Studying Health System Change, broke down the studies and explained several hospital and healthcare themes in California that are inevitably tied to the rest of the country in a recent report at www.beckershospitalreview.com.