How has the role of the consumer (the patient) changed as the system has evolved?

Please do not attempt to participate in this discussion board until you have read the assigned chapters and the lecture notes and then thought carefully about your response.

We have been discussing the evolution of managed care and the development of integrated delivery systems.  How has the role of the consumer (the patient) changed as the system has evolved? 

Support your thoughts with specific reasoning based on facts from the course material.

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