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• The increasing cost of American health care necessitates major adjustments in the systems for providing that care. Computerization has the potential for facilitating efficient, affordable, and high-quality care while maintaining a fee-for-service system. The development of model delivery systems for health care should receive research funding from private and government sources. For ophthalmology, a paradigm for technology-dependent specialties, mechanisms to streamline eye care are being explored via a nonprofit foundation.