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270 COTH Teaching academic medical centers Alain Enthoven Ambulatory Care Program American Hospital Association benefits capital charity Charity/Collection Loss Allowance choice clinic visits CMPs College of Medicine Colloton community hospitals competition proposals competitive medical plans competitive plans competitive system consumers contributions of teaching COTH Teaching Hospitals coverage dental education economic educational costs educational programs employees enrollees enrollment Enthoven Estimated expenditures expensive federal Fund group practice growth health care market health care sector health care system health insurance health maintenance organizations health plans HMOs hospital costs Hospitals with Major incentives increase Inpatient Day Major College measurable societal contributions Medicaid medical and dental Medicare Medicine Affiliations ment million Milton Friedman Minneapolis-St Nonfederal organizations patient days Paul Rogers percent physicians pitals population premiums problem Program Deficit providers PSROs regulation reimbursement Revenue Richard Gephardt risk Sample Teaching Hospitals strategy Table tion Total Unmeasurable