GD9 CTW fileÒ  Medical009, Ø Only a few decades ago a typical hospital was staffed by a handful of doctors, about the same number of nurses, and a small number of dedicated support staff. Almost all of the efforts were directed toward the care of surgery patients and the ill. The amazing contrast shown by some of our huge new teaching and research hospitals is almost impossible to believe. These elite health centers provide training for doctors and do the research needed to find cures, while giving help to those who can least afford it. In addition to the usual expenses of small hospitals, there are salaries and support services for interns and residents. The staff doctors must not only care for their patients; they also devote many hours of their work week in preparation and instruction of these interns and residents. The gigantic costs for modern research labs that are on the cutting edge of finding cures is apparent, and there is no doubt that costs for animal labs are apt to be quite huge. Teaching hospitals across the country have found that they have to join with other agencies to generate the kinds of funds required for the budgets that may approach or even exceed a billion dollars a year. There are the usual forms of payments from patients and health insurance firms, and there likely are tuition payments from various types of students. However, other sources of funds must be found. For this reason, skilled persons are hired to secure grants from various private and government agencies.