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During India's struggle to gain independence from British rule, a reporter asked Mohandas Gandhi, "What do you think of Western civilization?" Gandhi replied, "I think it would be a very good idea." In The Economic Evolution of American Health Care, David Dranove acknowledges many of the problems of contemporary managed care but argues that, properly structured, it would be a very good idea. Although Dranove worries about "the possibility that managed care will never fulfill its promise," because "politicians may legislate [it] out of existence," he states, "I have no doubt that market forces can enable patients to obtain the
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