Translated into other languages, it may be found with health planners of almost every Third World country.

Moreover, health planners note that there is as yet very little experience to suggest what kind of savings managed care can achieve with an older, sicker population.

Over the past two years health planners have increasingly drawn distinctions between generally rural areas and places that are, in effect, on the edge of civilization.

That is the optimal occupancy rate, many health planners say, and the lowest since the last quarter of 1986, when 82.6 percent of all beds were occupied.

Some health planners have questioned the need for a hospital at that site.

Economists worry about what health planners euphemistically refer to as the "behavioral response."

She warns Federal health planners, "Don't pretend that you're not going to be at this year after year after year."

He said that health planners rightfully endorsed insurance coverage for the tests in older women not because they saved money but because they saved lives.

It will assist educators and public health planners, like me, as we strive to protect all Americans from potential risk, harm and suffering.

"People in New Mexico don't like the money going into the campaigns," said Ms. Miller, a rural health planner.