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Volume 330:1010-1012 April 7, 1994 Number 14
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Doctors and the Clinton Plan

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 by Angell, M.
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 by Relman, A. S.
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To the Editor: In his Sounding Board article (Nov. 18 issue),1 Dr. Relman warns of the danger that investor-owned health plans will interfere with clinical decisions, particularly through inappropriate financial incentives, and he calls for steps to facilitate the organization of not-for-profit health plans. I suggest that in a future competitive environment in which the organizational viability and even survival of health plans may be constantly at stake on the basis of cost performance, these dangers will exist irrespective of a plan's for-profit or not-for-profit status; a for-profit status will be at most a second-order effect. The following, more direct . . . [Full Text of this Article]

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