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Previous Volume 343:1267-1268 October 26, 2000 Number 17 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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To the Editor: In her editorial on patients' rights bills, Angell (June 1 issue)¹ overlooks several important positive features of managed-care systems. Most major managed-care organizations have devoted substantial resources to wellness-related activities, health-promotion and prevention programs, protocols for disease management, and other important quality-improvement strategies. Hundreds of thousands of patients have benefited from managed care's leadership in introducing innovations in immunization practices, more effective mammography, Pap smear, and colorectal-cancer screening programs,² and the promulgation of appropriate clinical standards for improved management of both acute and chronic disorders, particularly diabetes, asthma, cardiovascular disease, and depression. The preponderance of evidence consistently . . . [Full Text of this Article]

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