This analysis of public and private sector spending for health services shows they have paralleled each other for four decades although total expenditures have grown dramatically. Since 1966 the federal government's major participation has been through the Medicare trust fund. Need for larger government role is predicted. (Editor/JT)

Construction funding for Council of Teaching Hospital (COTH) members has changed dramatically in the past decade. Funding trends are reported for COTH institutions for the years 1969 to 1977, and detailed comparisons are presented for three groups for 1977: COTH state and local government hospitals, COTH voluntary hospitals, and U.S. nonfederal…

The author explores the financial needs of medical education as related to the problem of priorities in government spending. (HS)

The history of medical school financial aid is reviewed and the development of an institutionally based, privately financed loan program is described. Programs such as Dartmouth's MELCO can help preserve adequate financial aid for medical students as federal programs decline. (Author/MLW)

These technical notes describe the methodology used in determining the costs of that part of the undergraduate medical education program not financed by contributed services or by income from research or clinical activity. (Author)

The National Institutes of Health (NIH) are seeking to improve communications with the academic community, to utilize the NIH advisory apparatus more effectively in the development of NIH programs, and to develop uniform policies with specific criteria for selecting grants to fund extramural research. (Editor/PG)

A survey of house staff stipends, benefits, and funding for members of the Council of Teaching Hospitals is reported. The survey presents data on trends in stipend levels, total hospital expenditures for stipends and benefits, and the sources used to fund these expenditures. (MLW)

Relying upon grant-supported salaries, many medical schools have greatly expanded their faculties; but if new funding devices are not discovered, retrenchment will occur. Physicians, who are trained to look at the big picture, must continue to be an essential element in the biomedical research team. (MLW)

Discusses federal support for hospital maintenance organizations (HMOs) concerning; objectives of the legislation, medical care services required by legislation, and special problems confronting medical schools organizing HMOs. (Author/PG)

The Medicare prospective payment system does not adequately account for severity of illness. Whether teaching hospitals treat a case mix of patients with more severe illness than do nonteaching hospitals was tested in a study using two severity measures, Horn's severity of illness index and Gonnnella's "disease staging." (Author/MLW)

The changing social milieu has removed the charity patient but not the need for a teaching population. The University Hospital's program is described, in which patients prepaid a fixed, single fee for all obstetrics-related care through the third post partum day. (LBH)