Responding to change in the decade of dilemma

Virtually every politician seeking public office has proposed a national health care plan. Attempts to reduce the cost of health care have been less than successful. Indeed, cooperative action in dealing with health care problems is unlikely during this election year and probably for some time to come. In the following article the author shares some observations and predictions about the political, economic, social, and educational factors that will influence nursing practice in the 1990s, the decade of dilemma.