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Medical News & Perspectives
December 23/30, 1998

A Quarter Century of Health Maintenance

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JAMA. 1998;280(24):2059-2060. doi:10.1001/jama.280.24.2059

IT WAS QUITE a year. Americans saw a Congress trying to pass legislation regulating health maintenance organizations (HMOs), a beleaguered president facing an impeachment inquiry, and New York and California baseball teams meeting in the World Series . . . welcome to 1973!

Twenty-five years ago, President Richard Nixon, while trying to avert impeachment, still had time to sway Congress and pass the HMO Act of 1973, a piece of legislation that legitimized a philosophy of health care delivery that ultimately changed the face of medicine. (And back then it was the Oakland Athletics defeating the New York Mets to capture the series.)