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Previous Volume 338:1558-1563 May 21, 1998 Number 21

	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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Prepaid group health care began in the 1940s as an insurgent, even radical form of medicine. At the time, few Americans had health insurance. The early programs would later be called group or staff models — closed systems with salaried doctors and an emphasis on prevention. The members sacrificed an often hypothetical freedom of choice for security and continuity of care. The doctors sacrificed independent, fee-for-service practice for a stable salary, a collegial setting, and a social ethic. Such plans were fiercely resisted by organized medicine.^1,2

The shift in prepaid group health care from an insurgent social movement to the . . . [Full Text of this Article]

HMOs: Social or Commercial?

Who is Driving Out Whom?

A Social Ethic

Drifting Away?

The Market Ethic

A Partial Convergence

Are Nonprofit Plans Better?

Source Information

Co-editor, The American Prospect, 6 University Rd., Cambridge, MA 02138.

References

Related Letters:

HMOs: The Good and the Bad
McGowan D. T., Kuttner R.
Extract | Full Text  
N Engl J Med 1998; 339:1242-1243, Oct 22, 1998. Correspondence

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