ABSTRACT
The fact that people in their older years will represent a larger part of society has, per se, no policy significance. The United States always has been able to handle large numbers. In fact, injections of younger persons into an aging labor force may be considered, given adequate training, a source of competitive advantage and, therefore, a favorable phenomenon. The incidence of cervical cancer among Puerto Rican women in New York is three times that of the general population of women. The Task Force on Black and Minority Health of the Secretary of Health and Human Services has identified specific health problems that place minorities disproportionally at risk relative to the rest of the population. The mixture of demographic changes, economic trends, and the current political climate will shape the health care environment for the 1990s and beyond. The approach must involve a comprehensive system of clinics reaching the higher need areas of central cities.
