In the ongoing struggle in the private marketplace to attract new patients to managed care, health plans continue to score impressive gains over fee-for-service physicians and indemnity insurers. In the political marketplace, however, the American Medical Association (AMA), some medical specialty groups, and like-minded legislators are urging Congress to move cautiously before it embraces managed care as the core mode of delivery in a reformed health care system. The disconnectedness between these two worlds stems from the reluctance of many politicians to limit the freedom of patients to select their own doctors. But it also derives from the gathering panic . . .
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