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Fed up with big for-profit HMOs, physicians across the nation are forming plans, sometimes with the help of state associations, as they try to own managed care. However, the sale of an HMO that services as a model for other doctors fuels industry doubt.

由于受够了大型营利性健康维护组织（HMO），全国各地的医生正在制定计划，有时在州协会的帮助下，试图自主管理医疗保健。然而，一家被视为其他医生典范的健康维护组织的出售引发了行业质疑。