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Publisher's Note

Many Thanks

Alan J. Gelenberg

Published: January 1, 2001

Article Abstract
As professor and head of an academic department of psychiatry, I live daily with a paradox.

Our current, unstable, "nonsystem" of health care continues to lurch forward, buffeted by

many forces and lacking a strategic plan. The casualties include academic missions, stability

of clinical systems, and, most tragically, the well-being of people afflicted with illnesses

(and their loved ones).

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