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Provides a commentary on managed care and quality of care. Its major point is that quality of care is the problem, not managed care, and that prior to the adoption of managed care, there were substantial and major problems in quality of care. These have, in general, not been made worse or better by the emergence of managed care in the United States today.

Originally published in: Journal of the American Medical Association, v. 278, no. 19, November 19, 1997, pp. 1612-1614.

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