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"This book have identified the major factors that influence the health-care delivery and policy-making systems. The impacts of environmental factors on the health-care system have been both positive and negative. On the one hand, the United States is foremost in the world in the development and deployment of advanced medical technologies and equipment. Furthermore, the standards adopted by the nation’s medical schools and health facilities far surpass, or are comparable to, those of other advanced countries."

""This text is about the process of developing health policy relevant to the United States. We have included the perspectives of a number of disciplines and professions. We have drawn heavily on our personal experiences and backgrounds, which include economics, political science, management, communications, and public health. We have also drawn on the experiences of other countries"