“…In the past few decades, since the advent of prospective payment mechanisms, health care has undergone revolutionary reform (Benjamin, 2000;Dougherty, 1996;Dudley & Luft, 2003;Kritek, 2002). Regressive redistribution of health care dollars, near total integration into a free market system, and rapid restructuring and downsizing have left the system in chaos (Evans, 1997, Dorfman, Wallack, & Woodruff, 2005Kritek, 2002). Issues related to cost, efficiency, and appropriateness of care are paramount to the corporatized bureaucrats controlling this system (Blendon et al, 1994;Dorfman et al, 2005;C.…”