Is the Ad Hoc Committee opposed to managed care?
We are not at all opposed to the management of care. Genuine management and coordination of care has been much needed in our health care system. Under fee-for-service, as we have said, too many specialist services were used, there was too little emphasis on prevention and education, and care was highly fragmented. Specialist physicians often failed to coordinate care with primary care physicians. And there was far too little collaboration between physicians and nurses, and physicians and other clinicians. Unfortunately, we do not believe that large health care corporations are interested in either managing, coordinating or integrating care. What they are doing is damaging and disintegrating care as they manage money. In the process care is being managed right out of the health care system.
