crowd gathers to hear songs of protest, traditional ballads, and all the variations that once made audiences feel as if something meaningful was taking place in popular music.

The character of Llewyn is loosely based on Dave Van Ronk (1936-2002) a fixture in the Greenwich Village scene who never made it to the big time. He auditioned to be in the group that became Peter, Paul and Mary, but was judged “too idiosyncratic and too uncommercial.”

Van Ronk’s fourth album, of 1964, was called Inside Dave Van Ronk, so we know where Llewyn is coming from. Like Van Ronk, he finds it increasingly difficult to fit into an underground music scene that is being transformed into big business. More of an interpreter than a song writer, Van Ronk would performObservations on potential contributions of health planning.
The passage of the National Health Planning and Resources Development Act in the United States in 1974 is used to set the context for a new assessment of health planning as a change agent. In reviewing the record of health planning the most striking conclusion is that even its friends have been unable to establish that it has had any quantifiable impact. The authors suggest, however, that comprehensive health planning may have stimulated the belief that changes in medical care organization are crucial to improving the health care system. The authors next consider the role of health planning inferred from three widely espoused "models" of the health care system: professional, central planning, and market. Although market advocates generally deemphasize health planning as