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The explanation after the asterisk indicates that not only do the HMOs lack lower costs, but they also short-change the patient in quality care. Much of the money spent on premiums goes directly into the pockets of stockholders and less is then available for
patient care. In addition, the main clinical decisions are made not by doctors, but by a board of directors more interested in the bottom line than in little Jennie's cough. When the facts are considered, HMOs should not be permitted to assume the role of the primary medical care-givers.
Traditional insurance companies and HMOs have comparable premium rates...
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