The conference reported on in this document provided a forum for identification, discussion, and recommendation of alternative policies and approaches to the involvement of blacks in the health decisionmaking process in the United States. Recorded and summarized are discussions which were held regarding the state of health policy in America, formulation of public policy, process of implementation, the black administrator in the health policy arena, and problems and issues in the financing of health care. Also recorded are reports of the workshops which were conducted on national health insurance, cost containment strategies and their effects on current patterns of health care delivery, effecting health planning strategies in the black community, and the improvement of health services for the black community through alternative health financing schemes. Recommendations developed in the four workshops are presented in a closing report. Conference participants and current National Center for Health Services Research publications are listed. (Author/EB)