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Requests for Reprints: Department of Public Policy, American College of Physicians, 700 13th Street, NW, Suite 250, Washington, DC 20005. Current Author Addresses: Mr. Ginsburg and Ms. Prout: American College of Physicians, 700 13th Street, NW, Suite 250, Washington, DC 20005.

Ann Intern Med. 1990;112(9):644-661. doi:10.7326/0003-4819-112-9-644
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Introduction: Since its founding in 1915, the American College of Physicians (ACP) has espoused a commitment to "enlighten and direct public opinion with regard to the great problems of health and medicin" and to ensure "the enactment of just medical laws." It is fully consonant with this mandate that the College comment on issues related to assuring that needed health services are available in this nation.The present state of our health care system lends a new urgency to the task of addressing and resolving problems facing the system. In particular, we are deeply troubled by the large numbers of



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