<p>Providing a fascinating overview of healthcare spending and cost-containment mechanisms in the US this book explores the consequences of managed care for the community with particular attention paid to doctor-patient relationships. The author studies this significant relationship from a social perspective arguing that shifting financial risk onto doctors in a profit-making system seriously damages patient trust. In addition this undermines overall social capital which in turn has been linked to health outcomes. </p><p>Including case study examples and policy implications this insightful text explores an important though little-discussed outcome of healthcare reform and will be a welcome addition to the current healthcare literature.</p>
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