In the twenty-first interview session, conducted on March 25, 1997, Clark continues to discuss serving in county government, focusing on his time as county executive from 1979 to 1982. He talks about the members of the board during this time, the difference between the new position of county executive and the old position of chair, and budgeting issues. He revisits the topic of and speaks at length about Project Health, the countywide health-care insurance system he developed.