Hospital progress
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St. Louis University Hospitals lease a helicopter ambulance service to reach emergency patients in inaccessible areas quickly, to carry specialized medical personnel and equipment to outlying hospitals, and to transfer patients at risk to appropriate facilities.
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Aeromedical evacuation, adapted from military practice, now enlarges the scope of emergency care. Hospitals nationwide are weighing three different operating options before instituting local services.
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Government-sponsored health care programs must have limits if they are to be effective and cost-cutting. Canada's experience with a national health insurance plan indicates that long-range planning, a measurable definition of health, and consumer responsibility are necessary ingredients.