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But Mohit Ghose, a spokesman for America's Health Insurance Plans, an industry group, denied that managed care was the impetus.
When American employers lost patience with rising health-care costs in the late 1980s, managed care was the solution.
JOSEPH HADDAD, a pediatric ear, nose and throat doctor in Manhattan, said he realized how dropping out of managed care was paying off for him as he sat watching his son's preschool graduation.
Noting that Congress had given its blessing to this form of health care delivery, he said, "The judiciary has no warrant to precipitate the upheaval that would follow" if the essential structure of managed care was itself a source of legal liability.
But the average American will be much more difficult to win over.The point of managed care was to introduce a degree of rationing into a health-care system that, by the late 1980s, was suffering from inflation of 15% a year or even more.
Participation in managed care was also associated with practice patterns.
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However, dentists participating in managed care were more likely to agree with statements that "managed care will fill available chair time, does not interfere with the doctor-patient relationship and that managed care is good for dentists just starting out".
Managed care's historical focus on cost control, however, raises concerns about whether managed care is influencing the quality of care [ 3, 4].
"Anything that's not managed care is exquisitely popular".
To this day, managed care is criticized in many circles.
For the poor, managed care is becoming the norm.Advocates of managed care have high expectations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com