Under new "managed health care systems," the classical functional separation of risk taker, claims payor, and provider are vertically integrated into a common entity. This evolution should produce a competitive environment with medical care rendered to all Americans on a more cost-effective basis. (CJH)

Current challenges to the nursing profession are examined, including changing health needs, health care providers and the cost and quality of their services, the recruitment, retention, and regulation of nurses, and competition. Implications for nursing and parallels with pharmacy are discussed. (MSE)

Developmental assessment of newborns and young infants exposed to cocaine in utero suggest abnormal state control and orientation and dysfunction in motor control. Intervention should include parent education on careful positioning, handling, and feeding to improve infants' movement patterns and long-term followup by health care professionals for…

During 1982 the Colorado Migrant Health Program, together with the Colorado Migrant Education Program, provided students enrolled in migrant summer schools with a continuum of care which included screening and physical assessment for detection of existing and potential health problems, referral for diagnosis and treatment of identified…

The rising number of uninsured children in California underscores the need to redouble efforts to enroll all eligible children in the Healthy Families Program (California's State Children's Health Insurance Program), or in Medi-Cal (California's Medicaid program). This report describes the research and fieldwork conducted by Consumers Union's…

Cites statistics (illustrated in charts) that show overwhelming evidence that the status of children in the United States is threatened by social and economic forces including a changing family structure. Child advocacy groups recommend school-based services to help minimize adverse situations for children. (MLF)