American health care insurance prior to 1970
Dreams of a medical utopia
The HMO Act and its aftermath
Health care in rural America
Affiliated providers and necessary compromises
Emerging problems with Medicare and Medicaid
Entering a management revolution
Assessing HMO quality and consumer satisfaction in the 1980s
Idealism confronts realities
Competing values doom a partnership
The perils of antitrust in the health care marketplace
HMOs and public programs in the 1990s
Private sector HMO enrollment growth in the 1990s
Demands for accountability
Critics and would-be reformers
Conclusion: lessons from Marshfield.