Abstract
The value of a uniform program of financial assistance to medical education and research is questioned. Medical schools have an uneven ability to compensate for declining federal capitation and research grants. Financial-ratio analysis and cluster analysis are utilized to suggest four adaptive responses to future financial pressures. The four potential avenues of response involve reducing faculty size, expanding faculty involvement in medical practice plans, raising tuition, and in some cases increasing state-government support. Medical schools will also have to strive for better financial management if the 88 institutions revealed to be in poor financial health are to survive.

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