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4 ). The committee finds that, as in 1988, the continued lack of a nationwide strategy to ensure adequate financing of personal medical, preventive, and health promotion services will continue to place undue burdens on the public health system and to fragment the provision of personal health care services to those most in need of comprehensive integrated approaches.

 

These changes seemed to provide great promise that local public health agencies would be able to shift their focus from the provision of personal health care services to

 

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