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NOTICE: This publication is based on a series of papers commissioned for the Annual Alumni Gathering of the Robert Wood Johnson Health Policy Fellows held on October 12-13, 1996. The views expressed are those of the authors and do not necessarily reflect those of the Institute of Medicine.

The Office of Health Policy Programs and Fellowships at the Institute of Medicine, National Academy of Sciences, is the national program office for the Robert Wood Johnson (RWJ) Health Policy Fellowships Program, and in this capacity, provides overall direction and runs the day-to-day operations for the program. The RWJ Health Policy Fellowships Program is funded by The Robert Wood Johnson Foundation. For more information about the Fellowships Program, visit its home page at http://www2.nas.edu/rwj.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

For more information about the Institute of Medicine, visit the IOM home page at http://www.nas.edu/iom.

Support for this project was provided by the The Robert Wood Johnson Foundation. The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the sponsor.

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Copyright 1997 by the National Academy of Sciences. All rights reserved.

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