Trying to understand the United States’ current managed care system can be a little bit like deciphering alphabet soup: EOB, HMO, PPO, HSA*. How did it get so complicated? Athena du Pre explains in her text, Communicating About Health , that in the early 1980s, healthcare shifted to managed care organizations, which coordinate the cost and delivery of health services. While the goal of managed care was originally to make healthcare more standardized, efficient and affordable, many patients today