The best laid plans: resistant community and the intrepid vision in the history of managed care medicine.
In the move to critique managed care, the essential principles that first made it a reasonable alternative to fee-for-service medicine can easily be lost. Careful reflection on the history of early grassroots movements that created managed care, and on selected textual narratives of the founders of the managed care organizations at their inception, offers us insight into which of the critical premises and goals of that effort might be reclaimed as we analyze the current managed care environment.
Zoloth
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Department of Philosophy, San Francisco State University, California 94132, USA.
D003159:Community-Institutional Relations; D028663:Ethical Theory; D018588:Fee-for-Service Plans / Q000266:history; D018166:Health Care Reform / Q000266:history; D049673:History, 20th Century; D006801:Humans; D008329:Managed Care Programs / Q000266:history*; D009936:Organizational Innovation; D009937:Organizational Objectives; D026684:Personal Autonomy; D010686:Philosophy, Medical; D011634:Public Health / Q000266:history; D012941:Social Responsibility; D012945:Social Values; D012946:Social Welfare / Q000266:history; D014481:United States