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Previous Volume 337:1000-1003 October 2, 1997 Number 14 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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The nation's preoccupation with the transformation of the health care delivery system to managed care has tended to obscure the importance of a number of other, simultaneous trends. These include the declining ability of health care providers to deliver uncompensated care,¹ the declining proportion of people with private insurance, despite a robust economy,² the continued growth in the total number of uninsured people,² an expected increase in the rate of inflation in health care costs,³ and budget reductions in Medicare and Medicaid. Some of these trends, such as the decline in uncompensated care, result directly from widespread managed care; others . . . [Full Text of this Article]

The Impact of Managed Care

The Atrophy of the Private Market

The Need for Uncompensated Care

The Market Non-Solution

Consequences and Alternatives

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