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HMOs

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HMOs are among the most perplexing of today's health care institutions. 

HMOs were conceptualized decades ago, mainly by academics and policy experts, as new a way of delivering health care.  As originally conceived, a population of subscribers would have all their health care provided by a panel of caring HMO physicians and top-notch institutions, all working together under the umbrella of efficiency and quality, and all of which would be made possible by the assiduous application classic managed care concepts. Have I mentioned that academics and policy experts often have little real world experience?

In any case, that's not exactly what we have today. 

As part of our mission to help you understand and survive the American health care system,  YourDoctorintheFamily.com shows you how far from this original vision our present day HMOs have drifted. In  Portrait of a Modern HMO we depict an imaginary, yet completely believable, modern for-profit HMO - one that is typical of the HMOs that rose to prominence after the demise of the Clinton health plan. We demonstrate how modern HMOs behave, and why they behave that way. Indeed, we try to show how their maddening, frustrating and seemingly inexplicable behaviors are actually quite reasonable and predictable when you consider their true mission (which is, of course, to make money.)

Since HMOs supposedly embody the concepts of managed care, also check out Secrets of Managed Care, to see how the original concepts of managed care have been usurped and corrupted by both governmental regulators and free-marketeers.

And we offer advice on surviving as a patient in such a system:

Don't thank us. It's what we do. 

We're your on-line guide to understanding and surviving the American health care system. 

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