The University of Wisconsin Press

Health & Medicine / Politics / Economics


The Rise and Fall of HMOs
An American Health Care Revolution
Jan Gregoire Coombs

"An authoritative account of HMO policy in the later twentieth century."
—Edward Berkowitz, George Washington University,
author of Robert Ball and the Politics of Social Security

"HMOs once embodied the hopes of many health care reformers. Today they represent the limitations of American medicine. In this engaging and remarkably balanced book, Jan Coombs traces the revolution unleashed in the early 1970s. This book should be required reading for anyone interested in understanding the continuing problems of health care in America."
—Ronald L. Numbers, coeditor of Sickness and Health in America

"Jan Coombs has an encyclopedic knowledge of broad health care trends in the United States since 1970. She has written an original, well-documented, thorough, and very readable book. The personalized story of the Marshfield Clinic, with often-anguished statements from participants, brings national trends to life and gives this book urgency and freshness."—Rosemary Stevens, author of American Medicine and the Public Interest

Jan Gregoire Coombs is a medical historian living near Madison, Wisconsin. Her books on health care include You Can Help: Living with the Disabled.

Jan Gregoire Coombs has her own web page with more information about her book, see

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cover of Coomb's book shows a doctor, masked, gowned, with safety glasses.

January 2005
430 pp.  6 x 9
LC: 2004012819 RA

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Cloth $35.00 t
ISBN 978-0-299-20240-8
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