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Previous Volume 353:1868-1869 October 27, 2005 Number 17 Next

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By Jan Gregoire Coombs. 412 pp. Madison, University of Wisconsin Press, 2005. $35. ISBN 0-299-20240-2.

What can the performance of a clinic in rural Wisconsin tell us about the successes and failures of the U.S. health care system? Although it is not evident in the title, The Rise and Fall of HMOs is the story of how the Marshfield Clinic initiated and subsequently weathered the movement to prepaid medical care. Jan Gregoire Coombs effectively chronicles the history of managed care through a detailed examination of experiences at the clinic and emphasizes the respective roles of attitudes, economics, and public policy in shaping our current health care environment.

From the start, Coombs makes it clear that . . . [Full Text of this Article]

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