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Why Americans don’t adore HMOs the way I do

The managed-care revolution of the 1990s sought to replace fee-for-service model with tightly run networks of doctors. For the past five years, I’ve been covered by Kaiser Permanente, an HMO that mostly requires me to see their in-house, salaried doctors. This is pretty much how people 10 years ago described what health-care system should look like. Yet I’m still unconvinced that the United States will ever get there as a country. More individual Americans could, and probably should, take the HMO option.