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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I am no great fan of managed care,¹ but the alternative of universal health insurance that Eisenberg² exhorts us to embrace is the worse of two evils.

Can physicians be trusted to do the right thing if resources are made available ad lib by third parties? The answer is a resounding no. Since Medicare began in 1965, health care costs have gone up from 6% to 14% of the gross domestic product. How this oversupply of money has helped and harmed medicine has been discussed in detail elsewhere,¹ but one thing is certain, extension of Medicare-style universal health coverage will escalate costs further.

As for quality of care, if we take as an example Eisenberg's specialty before managed care shook the industry, the average length of stay for mental patients in the Northville State Hospital of Michigan was 5 years. Strongly supported by the science of the 1980s, the administration . . . [Full Text of this Article]