Before managed care became the dominant force that it is, patients and doctors had the opportunity to get to know each other well. Doctors treated multiple generations within families. This helped establish a strong bond among patients and their doctors.
While it might have intended to mean preventing expensive care, managed care began to mean organized care. Run by institutions such as health maintenance organizations.
Insurances began to decide which doctors you could see. If you changed jobs or if your employer changed insurance plans, you had to change your doctor again.
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