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- W2078237922 abstract "S o d e s p e r a t e is t he n e e d to cut the sky rocke t ing cos t s of hea l th care tha t a t ac i t u n d e r s t a n d i n g has e v o l v e d w e s imply have no choice; w e m u s t do s o m e t h i n g , cu t costs , endu marke t forces. Not only is i t inevi table , the th ink ing goes , bu t necessa ry , even des i rable , to have hea l th ca run like a bus iness . Perh a p s b e c a u s e of the urgency , the has been a defere n c e to m a n a g e d care and insurers not afforded to o ther b u s i n e s s e s b y m e d i a w a t c h d o g s and publ ic advoca tes . But co rpora t e ca re m a y have a dark side. 1 This has not b e e n lost on nu r ses who are laid off whi le corpora te heads , universa l ly a p p l a u d e d for ho ld ing the l ine on costs, b r ing h o m e mill ions in salary. It has not b e e n lost on those w h o w a d e th rough confusing, t i m e c o n s u m i n g paperwork , f rus t ra t ing p h o n e calls, delays , and obs t ruc t ion to ob ta in approva l s from i n s u r a n c e c o m p a n i e s or p r imary care providers . The h o n e y m o o n m a y be waning . It b e g a n wi th t he ou tc ry abou t s h o r t e n e d i npa t i en t s t ays for w o m e n de l ive r ing babies . After the m e d i a a t ten t ion , legislat ion p r e v e n t i n g the p r a c t i c e was drafted. A c c o u n t s of p a t i e n t s ' s t rugg les to ob ta in se rv ices from hea l th m a i n t e n a n c e o rgan iza t ions (HMOs)I a p p e a r i n g in popular m a g a z i n e s dur ing the last year, c u l m i n a t e d in a r e c e n t Time m a g a z i n e cover article. W h a t Your Doctor C a n ' t Tell You' ,2 offered a revea l ing look ins ide one California HMO. While chron ic l ing the effort, delay, obs t ruc t ions , and chil l ing be t raya l of one w o m a n wi th b r e a s t cancer , the ar t ic le u n c o v e r e d inheren t confl icts of i n t e s t mos t peop le are not a w a r e o f t h a t phys i c i ans ' bonuses , and even b a s e p a y and job secur i ty , can li terally d e p e n d on h o w m u c h m o n e y is s a v e d b y an insurer . The t e m p t a t i o n and po ten t ia l to d e n y serv ices b e c o m e s obvious. In a r e c e n t Boston Globe editorial , 1 Dr. David H i m m e l s t e i n de ta i l ed w h a t h a p p e n e d w h e n he critic ized HMOs on television. His a g r e e m e n t wi th a cor-" @default.
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- W2078237922 date "1996-04-01" @default.
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- W2078237922 title "On the dark side of ‘corporate care’: Conflicts of interest and the growing need for regulation" @default.
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- W2078237922 doi "https://doi.org/10.1016/s0099-1767(96)80245-5" @default.
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