ive insurance program in order to cut costs and remain competitive" (Gervais). Employers tend to favor managed care organizatio!
ns because of their cost-cutting strategies. Doctor Robert P. Gervais, member and Board of Director of Physicians Who Care, explains MCOs' cost-cutting approach: "...managed care instruments promise to rein in medical costs by paying doctors, hospitals, and nurses more money to do less for patients...When fewer health care services are provided, health care costs should go down. It is clear that patients lose under a managed care system" (Gervais). Employees are also usually limited to the choice of one health plan-that which their employer chooses to provide (The Center for Patient Advocacy). This is unfair to employees because they cannot shop around to find a health plan that would best suit their needs. The whole medical system becomes inefficient. The tax code neglects that individual choice is ruled out in the employer-based health system. How could quality care be insured in
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