The takeover of medicine by managed care over the past 40 years is an ignored and poorly understood process. Patients generally don't realize why their care is rationed and why they are suddenly paying large out of pocket fees and not receiving quality services. They are paying more for less. In the meantime physicians have been disenfranchised and are told how to practice medicine by business managers who don't have the slightest bit of medical knowledge. Here is a basic graphic of how...