The Journal of Bone and Joint Surgery 78:1129 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.
Correspondence
John Manta, M.D.
TO THE EDITOR:
I am writing in response to the Address "Prometheus and Zeus: the Future of Orthopaedic Health Care" (77-A: 1295-1300, Sept. 1995), by Dick. The Greek analogy certainly is thought-provoking; however, it is incorrect. The battle is not between the old and the new. Insurance companies have been in existence for quite a long time, and they have constantly introduced new products to increase their profits. Managed care is currently a very successful product because it answers the need of business and government to cut the cost of health insurance. Patients initially enjoy the concept of managed care because it is not insurance; it is prepaid medical care. Managed care is analogous to automobile insurance that pays for maintenance. Managed care controls cost by negotiating discounted work in exchange for guaranteed volume. The managed-care provider extracts a fee in exchange for the service of matching patients with doctors. . . . [Full Text of this Article]

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