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Abe relegated to lower-cost plans, and might experience inferior quality of care and health outcomes@ (Grumbach, Bodenheimer, 1995, p. 1227).

One area in which managed care may work well is preventive medicine. However, in the case of speech-language disorders the Awellness@ concept of health does not necessarily work well. Speech-language pathologists are licensed Aprofessionals who identify, assess, and treat speech and language problems including swallowing disorders@ (Moratorium Passed). While some procedures of prevention can be applied, over

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