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And so, you know, one of the ways that market ideology structures medicine is a concept known as managed care, which is really, again, why we're focusing on it today.

So it's really just to put it most simply, like managed care is, or a managed care model is a framework for

healthcare delivery or medical care delivery that basically tries to control costs and improve

efficiency.

And those are the two main goals.

And the way that that's done is by really tightly managing medical services through very meticulous risk

analysis by employing explicit rationing that is justified by, again, so-called evidence-based

guidelines. And then the sort of third component is in these kind of like, you know, pre-payment

schemes, right? Where you're like, okay, we've got, you know, this set

group of doctors and we've agreed on this price with them. And so these are the doctors

that you can use. If you don't use those doctors, we don't pay for your care. So it's sort of like

how the sort of segmenting is then structured. So broadly, you know, like the case for abolishing

manager care is really the case for abolishing the commodification of health care and like health capitalism.

You know, and I think this is really important because, you know, when we're scrutinizing like how managed care models were like introduced and then subsequently ingrained in the American political consciousness.

You know, the problem that was being discussed at the time was the sort of high costs of

health care. And what that sort of meant for really just like the sort of survival of the

American economy. But really, ultimately, it was, I think, an important moment.

You know, managed care starts to emerge, you know, in the sort of 60s, 50s, it's really sort of

first formalized in 1973, Congress passes the Health Maintenance Organization Act. And HMOs, also known as health maintenance

organizations, which is sort of universally hated in American culture, right? Like, these are the first

managed care products that hit the market. And so managed care itself is really kind of a rebrand

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