This work discusses a transformation of health care delivery that was launched by coalitions of business leaders during the early 1970s. It argues for a single-payer system and considers how public regulation offers the possibility of democratic participation in setting health care policies. Introduction: Managed Competition—The Private Regulation of American Health Care; Chapter 1 The Twenty-Year-Old Crisis; Chapter 2 The Basic Components of Private Regulation; Chapter 3 The Evolution of Private Regulation; Chapter 4 Managing Health; Chapter 5 Managing “Quality” through Outcomes Research; Chapter 6 Conclusions;
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