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An examination of strategies for strengthening the Palestinian health system; many of the strategies described can begin prior to independence. This study examines strategies for strengthening the health system of a potential independent Palestinian state. Successful development of the Palestinian health system is worthwhile in its own right, and it may be a relatively cost-effective way to help demonstrate the tangible benefits of independence and peaceful relations with neighboring countries. Moreover, implementation of many of the strategies described can begin prior to independence.