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Previous Volume 337:354 July 31, 1997 Number 5 Next

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By Walt Crowley. 293 pp. Seattle, University of Washington Press, 1997. $19.95. ISBN 0-295-97587-3.

September 4, 1946, marked the first membership meeting of Group Health Cooperative of Puget Sound. A Group Health organizer arrived to find the room filled with severely disabled people. Word had gotten out that Group Health would enroll anyone, regardless of medical condition. The organizer whispered to a colleague, "We're two blocks from the [train] depot. Don't you think we had better leave town?"

Compare this meeting with the managed-care practice of marketing to healthy populations in order to reduce expenditures and increase profits. Group Health's founders did not leave town; they persevered to build a group practice serving 670,000 . . . [Full Text of this Article]

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