Wrestling with managed healthcare

I SUPPORT Dr Steven Chow’s views on the medical middlemen, “Cut out the middlemen for better GP care” (The Star, May 25).

The concept of managed care originated in the United States. In their infancy, managed care organisations (MCO) were a cooperative group of people, each contributing a certain fee to contract the medical service of doctors. During the Great Depression in the 1920s, healthcare insurance was provided by employers as an incentive for their workers.