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WASHINGTON_Patients' bill of rights legislation being hotly debated in Congress is designed to make health maintenance organizations come to heel and to put doctors back in charge of health care.
But things may not change much for many patients. HMOs have, to a large extent, backed away from the controversial cost-control practices that gave them a public relations black eye in the mid-1990s. In response to a consumer backlash, many HMOs have adopted new patient protections included in the legislation and have moved on to other ways to try to control burgeoning health-care costs.
Managed care is well on its way to morphing into a different creature, less ...