The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No other uses without permission. Copyright © 1992 Massachusetts Medical Society. All rights reserved.

The American health care system. Managed care.

The New England Journal of Medicine Downloaded from nejm.org at WASHINGTON UNIV SCH MED MEDICAL LIB on November 13, 2015. For personal use only. No ot...
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