en CB01 OFFICIAL. Catron County, New Mexico -- the 'toughest county in the West' -- has been at the center of a struggle between ranchers, loggers, environmentalists, and the U.S. Forest Service over the management of federal land. The only physician in the county, concerned about the health of his community, began a process of dialogue among citizens. This is a story of how health was used as a catalyst to make peace.