The focus of this integrative course will be on policy and ethical issues confronting health care providers, health care systems, and particularly those issues specific to clinical sciences. Emphasis will be placed on current trends and anticipated challenges in providing humane and cost-effective health care services, with particular reference to the medically underserved and other at-risk populations. The different needs of special populations such as the the aging, socioeconomically disadvantaged, insured and underinsured persons, ethically and culturally diverse groups such as recent immigrants and minorities will be explored. Discussion of technology dissemination delivery models, funding sources, human resources required to provide health care, alternative methods of coordinating these resources, and shifting from an "illness" orientation to a "wellness" approach will be included. The bioethics of health care delivery addressed will also include global considerations relative to health care, population dynamics, health care rationing, health care economics and assisted reproduction and transplantation issues.