Because many changes have occurred in the health-care field in recent years, Scott Parker, president of Intermountain Health Care, listed 10 issues needing attention:

- Although the federal government isn't abolishing the Medicare and Medicaid programs, funding is inadequate.

- The federal government refuses to adopt a universal health-care program - meaning someone has to assume health-care costs to 35 million people without health insurance.

- The cost of paying for health-care of the uninsured is being passed on to employers, and they don't like the idea.

- Hospitals find it hard to say no to new technology, and that often means spending large sums of money.

- There aren't any good answers to the "new social diseases." There are more teenage pregnancies, and in many cases that results in premature births requiring extensive treatment. In many instances these unmarried girls lack health insurance.

- There's no effective way to convince the public that health care is not a right. People make demands and expect them to be met.

- Juries are saying yes to large awards in lawsuits involving health-care providers.

- Commercial health insurance companies are raising prices.

- About 50 percent of the urban hospitals in the United States are losing money and two-thirds of rural hospitals are losing money. About 100 hospitals will be closed next year.

- Trained health-care administrators are being fired by their boards of trustees.