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Competitive health care markets are unable to produce the health status goals Americans have set for themselves. Market-driven health care replaces health status goals with profitability goals. Competitive markets can only respond to the biomedical model of health care services. They can't alter structural characteristics of poverty, disease, and injury that are the root sources of health care costs and health status outcomes. Civic community, a variation of civil society, offers a third way (as opposed to markets and government command systems) of restructuring health care by addressing...