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Introduction
Pages 4-5

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From page 4...
... report Calling the Shots: Immunization Finance Policies and Practices (IOM, 2000) pointed to disturbing signs of instability in the nation's immunization system, as well as in the public health infrastructure supporting it: growing financial burdens and operational complexities in the delivery of immunization services, shortcomings in public- and private-sector investments in vaccine purchases and immunization programs, and an unsettled health insurance environment in both the public and private sectors that contributes to uncertainties regarding coverage for vaccines and immunization services.
From page 5...
... Participants included state and local health officials; health care providers; representatives of health plans and corporate health care purchasers; faculty from UCLA and the University of California at San Diego; community leaders; staff from CDC; consultants and other contributors to Calling the Shots; and members and staff of the IOM planning committee. (See Appendixes A, B


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