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March 2001 (Volume 79)
Quarterly Article
David Mechanic
March 2024
Mar 11, 2024
Feb 27, 2024
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The focus on managed care and the managed care backlash divert attention from more important national health issues, such as insurance coverage and quality of care. The ongoing public debate often does not accurately convey the key issues or the relevant evidence. Important perceptions of reduced encounter time with physicians, limitations on physicians’ ability to communicate options to patients, and blocked access to inpatient care, among others, are either incorrect or exaggerated. The public backlash reflects a lack of trust resulting from cost constraints, explicit rationing, and media coverage. Inevitable errors are now readily attributed to managed care practices and organizations. Some procedural consumer protections may help restore the eroding trust and refocus public discussion on more central issues.
Author(s): David Mechanic
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Volume 79, Issue 1 (pages 35–54) DOI: 10.1111/1468-0009.00195 Published in 2001
