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When pet owners bring in their dogs and cats for treatment, Dr. Lindsay Robinson says she often must dispel common myths. As medical specialties, such as cardiology, oncology, neurology and internal medicine continue to expand into the realm of veterinary care, the cost for pet care owners pay continues to increase.
Health Care. CHAPTER 1. LEARNING OBJECTIVES. â Understand how managed care came into being. â Understand the forces that have shaped managed care in the past. â Understand the major obstacles to managed care historically. â Understand the major forces shaping managed care today. MANAGED CARE: THE EARLY YEARS. (PREâ1970) Sometimes cited as the first example of a health maintenance organization. (HMO), the Western Clinic in T acoma, Washington, began in 1910 to offer, ex-. clusively through its own providers, a broad range of medical services in return.