Time, June 22, 2009 by Kate Pickert
http://www.time.com/time/printout/0,8816,1906105,00.html
According to Jacob Hacker … rural health cooperatives established after the Great Depression were disbanded, in part, because they were badly managed and were opposed by the physician community…. “The history of cooperatives is that it’s very hard to set these things up, and while we’re trying to set them up, there’s not going to be accountability and pressure [on private insurers],” says Hacker. “They would be weakest when they’re most needed—at the outset.”