Managed Care and Developmental Disabilities: Reconciling the Realities of Managed Care With the Individual Needs of Persons With Disabilities. Dale Mitchell. Homewood, IL: High Tide Press, 1999.

Me and Scarlet O'Hara, we don't like thinking about unpleasant inevitabilities; we want to think about those tomorrow. As Scarlet learned, however, avoidance does not make it go away. I really should know more than I do about managed care, so it was with the guilt of a grade school child who has not done her homework, that I decided to grit my teeth and face this book. I was heartened by the introduction where Mitchell announces his goal: “to make the complicated subject of managed care understandable for managers and professionals in the DD field” (p. xiii) and promises to use ordinary language to make the concepts accessible to nonspecialists, even to err on the side...

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