Arnold, CA…On Thursday, November 30, Dr. Randall Smart, Executive Director of the Mark Twain Health Care District addressed residents of Ebbetts Pass on the state of health care in Calaveras County. Dignity Health’s current contract with the district expires in 2019. The health care district will decide between three options which include remaining with Dignity Health or another affiliate, choosing to operate the hospital independently or with a management-of-services agreement. The district’s decision becomes an election issue in 2018 for the Calaveras registrant. If you missed complete meeting video is below..