The basic health care system in the United States is not working and must be fixed. In this book, Dr. Gumbner discusses his theories of what does and does not make HMOs work. He also deals with the machinations of Wall Street, the investors' mind-set and the objectives of the HMO. It covers the take over of the HMO industry by the health and accident insurance companies and their current offerings of HMOs that are not HMOs but disguised health and accident insurance companies. Included is the difference between the IPAs and the staff model HMOs and other attemps at health care delivery financing with an explanation of how raiders accomplished back door takeovers of successful companies and destory them. He provides advice to retiring founders and CEOs who want to remain chairman of the board of directors, get the job done and stay in control in a changing environment. Dr. Gumbiner explains his management theories regarding successful HMO management plus the relationship with members of the board of directors.