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Previous Volume 332:602-603 March 2, 1995 Number 9 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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Patients may be the only consumers who have to seek permission from someone else in order to obtain services. Even those with traditional health insurance require the recommendation of their physicians, as well as the consent of their insurers, to be reimbursed. People who join health maintenance organizations (HMOs) put their health in the hands of primary care physicians who serve as gatekeepers to specialists, and the many millions of uninsured Americans must rely on the professional services of hospital staff physicians (as well as the charity of the hospitals where they seek emergency care).

No plan for health care . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Mariner, W. K. (1995). Business vs. Medical Ethics: Conflicting Standards for Managed Care. J Law Med Ethics 23: 236-246  
• Kassirer, J. P. (1995). Managed Care and the Morality of the Marketplace. NEJM 333: 50-52 [Full Text]