Americans are not inclined to spend much time or effort assessingthe past; directing their energies to shaping the future, theybelieve, will result in much larger benefits. But it can beargued that underinvestment in assessing the past is likelyto lead to faulty estimates and erroneous prescriptions forfuture action.
Consider the history of managed care. Initial legislation byCongress in late 1973 to provide federal funding for the expansionof health maintenance organizations (HMOs) and HMO enrollmentfailed to achieve its goal for a variety of reasons, not leastamong them the inhibitory effects of excessive administrative. . . [Full Text of this Article]
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