The September 1979 issue of HealthPAC Bulletin focuses on the role of Health Systems Agencies (HSAs) in the U.S. health care system, highlighting their potential for progressive change amidst concerns of cooptation by larger institutional interests. Notable articles include Samuel S. Epstein's examination of the politics surrounding cancer and a critical study of occupational health services in Hudson County, New Jersey, dubbed 'Cancer Alley.' The issue also discusses the challenges faced by nurse practitioners and the implications of corporate influence in health care, particularly through the lens of pharmaceutical companies like Hoffman-La Roche. Overall, the issue reflects a growing awareness of the intersection between health policy, activism, and corporate power.