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Focuses on the challenges and opportunities facing United States-based health maintenance organizations (HMO) with operations in other countries. Emerging markets for managed care in Latin America; Difficulty encountered by HMOs in penetrating the European market due to the existence of state-run health systems; Inflation problem in South Africa's health care sector.

Reports on developments in medical care in the Southern States as of November 3, 1997. Expansion of Baptist Memorial Hospital DeSoto in Southhaven, Mississippi; Expansion of the University of Arkansas for Medical Sciences in Little Rock, Arkansas; Grant awarded for a support program at the University of Mississippi Medical Center's hospital for children.

Reports on developments in medical care in the Western States as of November 3, 1997. Withdrawal of Hawaii's Blue Cross and Blue Shield from its managed-care joint venture with Kapiolani Health; Establishment of the Cancer Care Alliance by premier cancer treatment and research centers in Seattle, Washington to learn more about cancer and its treatment.

Reports on Oxford Health Plans' announcement that it will post losses and lower than expected revenues for the third quarter of 1997. Decrease in stock price when the stock market crashed on October 27, 1997; Increase in number of enrollers in the third quarter of 1997.