To begin with, I think Nevada is very lucky that you are on the scene! What you describe certainly sounds like is a difficult situation, and it's good to acknowledge that squarely. However, there are positive things that can be done, keeping in mind that this will be a gradual process that will take some time. But with skill and tenacity you can accomplish a lot. A good initial step is to talk to the two or three people you mention who care about moving the collation forward. They will be your sources of support, and are also likely to have ideas. Ask yourselves together: What are the best steps we can take together at this time? - steps that will generate a sense of forward momentum, that are feasible to accomplish in a relatively short time, and that will take only a modest amount of time and energy? This may take some discussion. But when you have agreed upon some small actions - your beginning game plan - then you might selectively contact some of the others who were previous coalition members, or who could be new coalition members. You can openly acknowledge that the coalition has been stalled for the past year or two (certainly not through any fault of yours!), but now you are regrouping. What do they think, given the remaining need out there? What ideas might they have for moving ahead? Listen carefully; record their suggestions. After talking to a sufficient number of people, you can expand and refine your game plan, and gradually begin to move ahead with more people on board, each of whom might take on a small piece of work. As you mention, it's also important to be aware of the local economy and the natural reluctance of employers to allow much release time for coalition work. That is understandable. So it will help to respect those feelings and keep your requests modest, although you can also mention how the work of the coalition can (hopefully) benefit the employer as well. Given the size of Nevada, you will naturally want to do much of your coalition work via e-mail and/or monthly conference call (I'm part of these myself), or possibly Skype. You could also get a free Google Docs or wiki site to exchange ideas electronically. As a local tech-savvy person about this if you need more details. With thoughtful planning, some initial core group support, and (not to underestimate these) desire and persistence, you can make some good things happen. I hope you will. Making some inroads on the larger problem of cancer will make it worth your effort. Thank you for writing us at the Community Tool Box, and all best wishes for success.