Abstract
This paper is intended to respond, on the basis of current trends, to the question, What does the future hold for the organization of health care delivery in the next 20 years? The reader is left to decide whether the projections of current events in this paper are reasonable and probable or simply fantasies. What is presented here is a perception of the evolution of health care delivery for the foreseeable future.An increasingly important trend is that toward the integration of financing and programming. More than ever before programming is being shaped largely by financing. With health care costs . . .
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