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The oversight committees, particularly the HPSCI, became increasingly alarmed over the role US intelligence agencies were playing in the implementation of the administration's Central American policy. The issue of greatest concern was the CIA's support to the Contra rebels in Nicaragua.
The University of Pittsburgh Health Policy Institute (HPI) was founded in 1980 to analyze and translate this vast body of data into usable information for policymakers and practitioners. The U.S. health system and HPI have evolved rapidly over the past 36 years.