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Examines the situation of managed care in Argentina. Evolution and status of health insurance and prepaid medical care in the country; Purpose for the creation of obras sociales; Managed care readiness among physicians; Opportunities for managed care development in the rapidly changing market place.

Examines for relevance and application what was learned in the building and progress of community medicine at the Mount Sinai School of Medicine, from 1968 to 1993. Service, research and development roles of medical schools; International dimensions of public health.

Examines the difficulties medical schools in New York City face in attempt to shift their medical centers from traditional to new forms of health care delivery. Conflicts between individual-fee-for-service practice and population-based prepaid practice; Resistance to innovations of medical care organizations; Importance of planning process; More.