In urban governance, some responsibility for services and planning may lie with private entities. Residents challenging public policies may find recourse not from elected officials but from quasi-public agencies. This article examines contestation over a hospital expansion plan in Athens, Georgia. Using archival accounts and interviews, the author investigates the responses of the local state and the hospital to neighborhood-based activism and the success of residents in restructuring the hospital’s decision-making process. The scale of contestation and negotiation differed from that of the city government. This case illustrates newstructures and scales of negotiation and accountability in quasi-public urban governance.
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