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1. How have demographic changes and cultural values influenced the evolution of health care delivery systems in the United States?

2. Does the United States currently use a medical model or wellness model or both? Briefly explain your position. What factors have led to using these models?

3. In regard to local hospital autonomy: What is the historical background? Where is the care delivered and who is the caregiver? What is the goal of the care and how is it paid for?

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