I wish to acknowledge the contributions made by several people to this revised book and to thank them for their help. Denise Warfield provided secretarial support. Linda Kalcevic provided superb editorial assistance throughout the revision. Mark Nordenberg, Arthur Levine, Bernard Goldstein, and Judith Lave provided a professional environment conducive to and supportive of scholarship. I thank Janet Davis, Amanda Karvelaitis, and Joyce Sherman at Health Administration Press for their professional competence in bringing this book to fruition. Most of all, however, I want to thank Carolyn Longest. Sharing life with her continues to make many things possible for me and to make doing them worthwhile.

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