If this is managed competition, it just might work.
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Azevedo
D002140:California; D016536:Competitive Medical Plans / Q000191:economics*; D006077:Government Agencies / Q000191:economics*; D015271:Insurance Pools; D008329:Managed Care Programs / Q000191:economics*; D012179:Retirement / Q000191:economics; D013221:State Health Plans; D014481:United States