On the recordJuly 22, 1998
I cannot help but think about what it would have been like if my father had been enrolled in a managed care plan, rather than being covered under Medicare. When we found out that he perhaps had an early sign of stroke, we would have been faced with calling our doctor and our doctor then having to call the HMO supervisor or clerk and determining first whether or not that procedure would have been authorized. It is in those kinds of delays that have been caused so many times in recent reports by many patients who have had unfortunate dealing with their HMO, it is those kinds of delays that make the difference in life or death.
Source
govinfo.gov




