 Eli Ginzberg Published in print: 0000-00-00 This concluding chapter evaluates potential developments for the year 0000 to 0000. It examines the transformations that occurred during the last decade of the twentieth century in restructuring the functioning of academic health centers (AHCs). It also assesses changing relations between the AHCs and the urban poor from the implementation of Medicare and Medicaid through the end of the twentieth century and then examines their potential pattern of interaction for the next ten years.