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Named after the rust-belt Ohio city where it was developed, the principle is straightforward.’Anchor institutions’— like hospitals and universities — create stable, reliable demand for products and services provided by local employee owned co-op businesses.This, in turn, creates a virtuous circle of job creation: increased municipal tax incomes; civic regeneration, and further investment in more cooperative business. Coupled with a focus on environmental sustainability and investment in green sector jobs, this innovative strategy for community wealth building has seen deprived areas of the city reinvigorated.