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Previous Volume 335:1601-1604 November 21, 1996 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The membership of health maintenance organizations (HMOs) now exceeds 50 million people and may grow by an additional 50 million by the year 2000. But all is not well in HMO-land. An angry and determined backlash is spreading across the nation. In 1996 alone, 1000 pieces of legislation attempting to regulate or weaken HMOs were introduced in state legislatures, and 56 laws were passed in 35 states. The backlash movement brings together patients who complain of services denied and physicians who are suffering the loss of autonomy and income.¹ There are several manifestations of the backlash: federal and state legislation, . . . [Full Text of this Article]

Issues Underlying the Backlash against HMOs

Restrictions on Physicians' Autonomy

Choice of Providers

Access to Care

The Profit Incentives of Managed Care

Other Forms of Backlash

Physician-Run Managed Care

Efforts to Cripple Managed Care

Whither the Backlash?

Evaluating the Backlash

Will the Backlash Succeed?

References

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